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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.
CGH Cardiology Department Referral eForm 2018
2018-Jun-22 16:31 - They have changed their fax number in the three months since I posted this. I have updated the HTML to write overtop of the old fax number. John. As commissioned by the Chilliwack Division of Family Practice this is the updated CGH Cardiology eForm for 2018. Originally this printed on 2 pages, it has been updated to print on 1 page. There is a link on the top left hand corner that will bring up the patient information sheet. This can be printed by using control-P. JohnR.
Chiropractic Referral for Dr. Shervin Ranjbar NewGen Medical Clinic
This eform has been commissioned by the NewGen Medical Clinic: Clinic, Corporation or Government entity name: NewGen Medical Clinic Contact Phone: 778-564-1899 Form Name: Chiropractic Referral Form Description:Chiropractic Referral Spine/Back Pain Upper and Lower Extremity Injury ICBC MVA Headaches Custom Orthotics
Vancouver Island Health's Community Access Centres referral form 2018
Update May 14th 2018 - I have made the second page (instructions for filling out the form) into a side menu that does not print. I have amalgamated the 3 forms into 1 form with buttons to switch between the three areas. I have added a link to the MOST form and to the lab display. Other minor code updates. John Robertson ----- Form Name: Island Health Referral Form Description:This form is used to refer to Island Health's Community Access Centres (Community Intake) for all community-based services provided through Island Health. ---- Key words needed:Referral - Nanaimo, Referral-Cowichan, Referral - Victoria, Community Access, Intake ----
Pain BC Coaching for Health Referral form 2018
Referral to Pain BC. Contact Phone: 604-723-7411 Description:Used in combination with traditional medical treatment, health coaching can help improve outcomes by getting patients more involved in their own health. Coaching for Health is a free telephone or video conference lay coaching program designed to help people living with pain learn self-management skills, regain function and improve their well-being. Coaching for Health aims to assist primary care practitioners who are working with patients (18+yrs) who have a diagnosis of a chronic pain condition, or have been living with persistent pain for at least six months. Pain BC's volunteer coaches are trained in highly specialized coaching techniques that use transformative dialogue to empower people to change unhelpful health-related behaviours, and establish and sustain helpful ones. Key words: chronic pain, self-management, coaching
LifeLabs Cytology and HPV Testing Ontario
This eform was commissioned by LifeLabs for Ontario OSCAR installations only: Description:**For OSCAR Ontario only. Key words :Cytology and HPV Testing, Requistion, LifeLabs
Internal medicine rapid access - VCH/SPH/MSJ
Rapid access and internal medicine referral for MSJ, SPH, and VGH . Contact Phone: 6042020243. Key words :internal medicine, rapid access, providence, VCH
Sleep Aid Respiratory Care referral form 2018
June 20 2018 - minor correction. Male/female box is now checked correctly, clinic phone number now fills out, and the email and fax now display on the printed version in the same fashion as the browser version ---- Contact Phone: 778-809-2005 Form Name: Sleep Aid Referral. Description:Referral for level 3 Home Sleep Testing. Key words :Sleep Apnea, Overnight Oximetry, Home Sleep Study, Level 3 Sleep Study, CPAP.
CGH Iron Sucrose Infusion Pre Printed Orders 2018
This form was requested by the Chilliwack Division of Family Practice. It has the calculations for total iron deficit using the Ganzoni formula as recommended by the manufacturer of Venofer. Information that is required for the calculation but has not been supplied is highlighted when the calculator button is clicked. The highlight is removed when the input box is clicked. It should be noted that there are concerns about the dose calculator. Please use at your own discretion and risk.
Implantable Cardiac Electrical Devices RCH 2015
2018-Jun-22 08:38 The pre-printed orders for treatment prior to the procedure have been added. JohnR -- This form has been requested by the Internal Medicine Group in Chilliwack.
FHA Complex Wound Care Referral Form 2018
CWC specializes in the comprehensive treatment of lower limb wounds, and can also assist in the treatment of non-healing post-surgical wounds. Please ensure the patient meets the referral criteria: Patient will need to be ambulatory Patient does not have a sacral or coccygeal pressure wound Patient is able to transfer independently from a wheelchair. Keywords: FHA, Wound Care
Post Treatment HPV Test Requsition2018
This eForm is for use by Colposcopists for HPV testing after treatment to determine the treatment pathway. It has code to parse dates that may be of interest to other eForm makers that wish to push and pull dates in different formats. ---- For example, when a form such as the pap smear form wants the LMP in dd/mm/yyyy format, but OSCAR stores it as yyyy-mm-dd trying to push the date back crashes OSCAR. Not only are the numbers in the wrong order, you have to swap out the "/" for "-". I have broken this down in to a multi step process using hidden variables. When the eForm loads - the first script executes and takes the lmp from a hidden input, parses the numbers and re-arranges them with "/". This is entered in the visible LMP input. If you alter the LMP because it has changed since the last time you saw the patient, once you leave the LMP box, I use "onblur" to activate the second script to parse the numbers, re-arrange them, and swap out the "/" for"-". Then the new LMP re formatted in the OSCAR friendly version can be put in to another hidden input that pushes it back to the tables. There is also code in the functions to convert to month by 3 letters rather than by 2 numbers. JohnR
Kelowna Community Clinic Hepatitis C Treatment Referral Form 2018

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