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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.
BCWH Ultrasound/Fetal Monitoring Intake form
Updated June 23-2017 - It has been modified to pull the patient name, DOB, phn, Address and phone number where the patient label would go. --- This form was commissioned by 8th Avenue Family and Maternity Care. This replaces the 2016 form.
VIHA Mental Health and Substance Use 2017
This is an update to the 2008 and 2011 versions.
Home Health Referral Chilliwack 2017
At the request of Chantal Chris I have modified the Home Health Referral for Chilliwack. The modifications include: 1) adding a check box for "prognosis less than 6 months", 2)Moving "other" down to accommodate this, 3) Adding (attached) to the end of the line that talks about the most form and the line that talks about the bc benefits form, 4) Adding a (non printing) reminder to attach those forms. I have added the Xbox code to the form to decrease the amount of code.
Fraser Health Primary Care Clinic New West Tri Cities Burnaby 2017
This eForm was commissioned by Sunshiner Frailty Practice.
Island CPAP - Services and Supplies 2017
OSA Testing
Counsyl - LifeLabs Genetics – Private Pay Form – Patient Consent Form 2017
Counsyl - LifeLabs Genetics – Private Pay Form – Patient Consent Form - This consent form reviews the benefits, risks, and limitations of undergoing DNA testing for the genetic disorders available through the Counsyl Family Prep Screen
Panorama (BC) Private Pay 2017
LifeLabs Genetics – Private Pay Form – Patient Consent - Panorama® Non-Invasive Prenatal Test (NIPT) NB - this has a place for BC practitioners to place information, however it is different from the BC form previously provided by BC Biomedical
Synergy Rehabilitation – Client Information Form - BC - 2017
Synergy Rehabilitation – Client Information Form
BC Pap Smear requisition 2017
Update July 23 - Clinic label with ability to change font size added. Corrections made so that LMP pushes back appropriately. Thanks to Herb for supplying the pdf. July 2017 pap smear requisition has been created. Click on the "please see reverse" to pull up an image of the back page with screening recommendations and technique suggestions. Click on the "electronic version available" to go to the pdf of the form on the web. JohnR.
Inspire Sleep – Sleep Disorders Referral Form BC 2017
Inspire Sleep – Sleep Disorders Referral Form
Dynecare Hystology
July 30th 2017 - Form provided by Leo Pavone
Total Care Diagnostics and Wexford Wellness Care
July 30th 2017 - Referral form provided by Leo Pavone - Xray clinic and Physio/Massage/Acupuncture etc clinic
Toronto East General Hospital Vascular Laboratory Requisition Diagnostic Imaging
July 30th 2017 - Requisition supplied by Leo Pavone.
Scarborough Hospital Diabetes Education Program Referral 2017
Shared July 30th By Leo Pavone
Geriatric Assessment and Intervention Network (GAIN) clinics referral Updated 2017
New Update posted July 30th 2017 - Updated version posted April 2015 - Referral to the Geriatric Assessment and Intervention Network in Lakebridge, Scarborough, Rouge Valley and Peterborough. Provided November 2013 by Leo Pavone.
Scarborough Hospital Cardiac Testing Outpatient Referral Form 2017
Provided by Leo Pavone July 30 2017
Scarborough Hospital Diagnostic Imaging Angiography/Interventional Radiology Referral Form 2017
Provided by Leo Pavone July 30th 2017
Toronto East General Hospital Breast Diagnostic Clinic Referral Form (Michael Garron Hospital)
Provided July 30th by Leo Pavone
Centres for Pain Management Central Intake Referral Form
provided by Leo Pavone
Central East Community Care Access Centre Referral Form
provided by Leo Pavone
Midland Ellesmere Vascular Imaging Centre
Provided by Leo Pavone
Fast Track Diagnostic Imaging Scarborough Ontario 2017
Provided by Leo Pavone
Toronto East General Hospital Nuclear Medicine Requisition 2017
Provided by Leo Pavone
EXR Medical Imaging Requistion Form Greater Toronto Area 2017
EXR Medical Imaging Requisition created by Katrina Eden.
The Prenatal/Postnatal resources sourced from the Ontario Prenatal Forms 2017
Calculators for PHQ2 GAD2 T-ACE and the Edinburgh and norms and recommendations for weight gain taken from the 4th page of the Ontario Prenatal form released this July
Postpartum Visit form, from the 2017 Ontario Prenatal Record
From Peter Hutten-Czapski
Fraser Cardiology Referral Form 2017
I was asked to make up this form for a group of Cardiologists in Abbotsford. I was unable to get an electronic original of their referral form. All I got was a photocopy of a fax. I have downloaded their Logo. I replaced all the text with html code. JohnR.
The Scarborough Hospital Pulmonary Function Test 2017
provided by Leo Pavone
Geriatric Education and Research in Aging Sciences (GERAS) Centre Osteoporosis and Falls Assessment Form 2017
Provided by Leo Pavone
COPD and Heart Failure Telehomecare Referral Form 2017
Provided by Leo Pavone
Med Image Diagnostic Centre Scarborough 2017
Provided by Leo Pavone
The Vein Institute of Toronto Referral From 2017
provided by Leo Pavone
The Scarborough Hospital Shared Care Obstetrical Program Referral Form 2017
provided by Leo Pavone
Regional Cardivascular Rehabilitation Service Referral 2017
provided by Leo Pavone
King-Mar Diagnostic Centre Referral Form 2017
provided by Leo Pavone

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