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eForms in development/beta testing

These eForms are not intended for general download and use. This area is for the uploading of test/development versions. When developers are happy with an eForm it will be moved to the general 'eForms for download' area.
Useful Code
Code that enhances the OSCAR user's experience. This started out as a collection of various types of files with code that could be inserted into new eforms to improve/enhance their performance. It has now expanded to include code that can be added to enhance the way OSCAR works in Firefox (Greasemonkey scripts), and other code/pdfs/forms that can be added on to OSCAR, or used by the office to improve work flow.
Two Page Letter with buttons.
A two page letter with buttons to fill some of the basic measurements etc. Possibly useful for consults or Medical Legal Letters.
Fifteen Page letter with Buttons
I was asked to make a 15 page letter with buttons for someone who does long Medical Legal letters. The first five pages have buttons to draw many of the parts of the demographic and measurements. There are also some buttons with canned text and a button to print out a CV. Uses the blank page as the image. JohnR
Ontario eforms for sorting
For review and potential posting by interested Ontario users.
Diagnostic Tools
From David Chan: (this) attachment is a tool to create diagnostic pathway for a number of conditions based on likelihood ratios (mostly from the JAMA Rational Clinical Examination series). You can unzip the file and run the file called conditionIndex.html. I am hoping to turn this into another App for MyDrugRef (soon to be renamed to Know2Act or K2A). Send me your feedback, or better still, add to the list of conditions!! Have fun with it. It's a great teaching tool for my EBM seminars. David David H Chan, MD, CCFP, MSc, FCFP Professor and Director of Information Technology Department of Family Medicine
MoCA 2014
Update September 2014 --- Not sure how the Oscar community will accept this info - but the “powers that be” at Center for Dx and Research on Alzheimer’s disease (CEDRA) who own the copyright to the MoCA dementia assessment tool, do not want any publication of an “autocalculating” version of that test - which basically means we cannot use an EMR-version, and are forced to use a paper version. As such, it becomes basically useless for us. Apparently they are developing their own “electronic” version of the tool, which is not likely to integrate with any EMR. I tried to point this out to the contact person, but I don’t think she understands that what I’ve developed is for “all” to share, even them! I would like to communicate directly with the physician lead, and he has been cc’d, but nothing so far. So - I think we’ll have to remove it from OCUS, and put in the statement from CEDRA, dated Aug27/14. Hello John, Unfortunately we do not authorize the development of programs that auto-calculate the MoCA© as we are developing such a tool. Kind regards, Kathleen Gallant, MSOT Occupational Therapist/Psychometrician On behalf of Dr Ziad Nasreddine, Neurologist, MoCA© Copyright Owner CEDRA: Center for Diagnosis and Research on Alzheimer's disease 4896 Taschereau Blvd, suite 250, Greenfield Park, J4V 2J2, Québec, Canada Tel: 450-672-1931 ext: 285 Fax: 450-672-1443 kathleen.gallant@cedra.ca www.mocatest.org www.cedra.ca MoCA form updated by John Yap --- adapted the push/pull/non-measurement features from EOL into the MoCA.
Genesis Fertility Centre Referral eForm 2017
Created and donated by Eric Legresley
Lakeridge Health Diagnostic Imaging Ajax Pickering 2017
Created at the request of Celina Lubczynski. This is the Diagnostic Imaging form for Lakeridge Health for Ajax Pickering. It has several features including radio Xboxes, Font size changer, date picker, Signature/drawing script, Ability to add the past history, Allergies, and medications. It will also copy to the Patient's regular physician if that is not who is filling out the form, and it will open up the second page with the Instructions and the map as a pdf that can be printed out for the patient.
MSK Health & Performance Clinic referral eForm 2017
Vancouver and Burnaby Physiotherapy, Massage Therapy, and Chiropractic Treatment
West Care Medical Respiratory Therapy 2017 eForm
Respiratory Therapy
Canadian Back Institute Chilliwack referral eForm 2017
Updated referral form for the Canadian Back Institute Chilliwack.
Coastal Sleep referral eForm 2017
Sleep Apnea Referral eform 2017
NexGen Hearing referral eForms 2017
referral forms for NexGen hearing 2017 for the Lower Mainland, the interior of BC, and Vancouver Island
Surrey Physiotherapy and Sports Clinic eForm
referral to the Surrey Physiotherapy and Sports Clinic
Surrey Physio and Massage Clinic 2017
Entegrity ENT referral eForm 2017
Snore MD Sleep Test Referral 2017
Description:sleep testing requisition and screening for obstructive sleep apnea. 6 clinics in the lower mainland open 7 days a week Key words needed:Sleep, Snore, Level three, Sleep testing, MD, Testing Functionality Required:Able to populate with patient information and check boxes!
Lakeridge Health Lung Cancer Screening
Provided by Leo Pavone
Ontario Ministry of Health Long Term Care Health Assessment
Fee Code K038
Lakeridge Health Mammogram 2017
provided by Leo Pavone
Lakeridge Health Cardiac CT requisition 2018
Provided by Leo Pavone
Lakeridge Health Pulmonary Function Tests 2018
Provided by Leo Pavone
Lakeridge Health Home Oxygen 2018
Provided by Leo Pavone
Lakeridge Health Child Youth and Family Referral Form 2018
Provided by Leo Pavone
Lakeridge Health Diabetes Referral Form 2018
Provided by Leo Pavone
Lakeridge Health MRI requisition 2018
Provided by Leo Pavone
Lakeridge Health Outpatient Mental Health 2018
Provided by Leo Pavone
Lakeridge Health Nuclear Medicine eform 2018
Provided by Leo Pavone
Lakeridge Health Clinical Telemedicine 2018
Provided by Leo Pavone
Lakeridge Health Diagnostic Imaging Ajax Pickering Nuclear Medicine 2018
Provided by Leo Pavone
Geriatric Assessment and Intervention Network (GAIN) clinics referral Updated 2018
Provided by Leo Pavone
Lakeridge Health Respiratory Rehab 2018
Provided by Leo Pavone
Lakeridge Health Thoracic Oncology Referral Form 2018
Provided by Leo Pavone
Lakeridge Health Genetics Clinic 2018
Provided by Leo Pavone
Scarborough Chiropody Clinic 2018
This is not so much an eform as an information sheet. Provided by Leo Pavone
CorCare Cardiology and Nuclear Medicine Referral 2018
Provided by Leo Pavone
Markham Stouffville Hospital Mammogram Requisition 2018
Provided by Leo Pavone
Advanced Endoscopy referral form 2018
Provided by Leo Pavone
Markham Medical Imaging Requsition 2018
Provided by Leo Pavone
North York General Hospital Prenatal Screening 2018
Provided by Leo Pavone

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