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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.
Halton Healthcare Sleep Lab Referral eForm
Created by Dr. Voros
Surrey Comprehensive Orthopaedics referral eForm
Created by OSCAR BC
Island Health Gynecology Referral Form 2019
2020-Feb-06 19:57 Level of Urgency Table is now clickable. Created by James Saunders. Referral to the Gynecologists working in the Vancouver Island Health Region in and around Victoria
Diagnostic Vascular Lab Test Requisition Abbotsford Regional Hospital 2020
Created 2020-Feb-09 08:37
Annual History and Physical based on the Formedic form.
Created by Dr. Reza Montazeri
Thornhill Endoscopy Clinic Referral eForm
Created by Dr. Reza Montazeri
Walking Mobility Clinics Ontario 2020 referral eForm
Provided by Dr. Reza Montazeri
KidneyWise Clinical Toolkit's Outpatient Nephrology Referral Form
Provided by Dr. Reza Montazeri
Mississauga Vascular Lab
This eFORM was developed by Konrad Paliga for use by physicians in the GTA. Version 3 created February 24th
Scarborough Health Network Request for MRI circa 2020
Created by Leo Pavone
PCRM Referral 2016
Referral to the Pacific Centre for Reproductive Medicine Burnaby, BC. Fertility, First Trimester Screening, NIPT, Amniocentesis, Tubal Ligation, Andrology Services, Urology.
Live Well Lifestyle Prescription
This eForm was Created for LIVE WELL Exercise Clinic by OSCAR BC. *** Description:LIVE WELL is a medical fitness clinic specializing in supervised exercise and healthy lifestyle coaching for people who have chronic health conditions such as heart disease, diabetes, obesity, and for prevention. Our medically-designed and clinically supervised programs are geared towards preventing and managing these chronic diseases along with other health issues. We have seen a significant decrease in the use of prescribed medication, those going off blood pressure medications, reduced insulin levels, and weight reduction, all due to the results of adopting healthy behaviour changes which lead to a healthier and more active lifestyle. **** Key words:Exercise, Obesity, Diabetes, Cardiovascular Disease Prevention, Bone Health, Wellness, Prevention, Nutrition, Brain, Mind, Chronic.
Fraser Health Diabetes in Pregancy referral eForm updated to 2020
Updated by JohnY and JohnR.
FHA Antepartum HomeCare referral 2020
Created for Fraser Health
Burnaby Iron Infusion Order 2020
Burnaby Medical Day Care Fe Infusion - adapted from ERAS @ RCH, John Yap, Requires measurements HB (hemoglobin) and Fer (Ferritin) to be available/created; and mapped.
MedSleep Vancouver 2020
Created by OSCAR BC for MedSleep
Caregiver Checklist
Created by Stanley Hurwitz using the Juno eForm Generator. Appears to work on the trunk version of OSCAR 15
Pacific Geriatricians Referral eForm
Created by Stanley Hurwitz using the Juno eForm Generator. Appears to work on the trunk version of OSCAR 15
Public Health Ontario COVID-19 Virus Test Requisition
Created by Peter Hutten-Czapski
Fraser NW DoFP Influenza Sx Testing Centre
Created by John Yap, tweaked by Herb Chang and now being used for COVID-19 testing. A great deal of feedback and front-line beta-testing has gone into creating 3 related eFORMS. Many thanks to Drs. Carllin Man and Ali Okhowat. These can be adapted to your specific location - you can substitute your own logo with a bit of PhotoShop work. Note that many new measurements are required for full functionality. There is a PDF reference to these measurements attached.
Mackenzie Health COVID-19 Assessment Centre Referral eForm
Created by Reza Montazeri
Emgality Patient support program Lilly 2020
Lilly Support program for the prescription drug Emgality (Galcanezumab) for the treatment of migraines.
Lower Mainland MRI Requisition 2020
Update 2020-Mar-30 08:09 - Mostly revisions to the second page. As of October 29th 2018, everyone in the Lower Mainland of BC is supposed to be using this form to book MRIs. Thanks to JohnY for working tirelessly on this. Annotation is as follows: <!-- V1_Jul23_2018, created for Lower Mainland MRI Central Intake Project. Initiated with draft backgrounds JohnY --> <!-- V2_Oct12_2018 backgrounds c/o A Kirkpatrick. Additional features as per V1. Merged req and checklist: JohnY --> <!-- Checklist warning scripts as per K Yap --> <!-- V3_Oct14_2018 additional features/fixes as per Drs David Page, Herbert Chang, John Robertson --> <!-- WARNING: this eForm assumes you have: 1. latest version of onBodyLoad.js file in image library. If not sure, please ask your OSP to upload the onBodyLoad.js that is included in the zip file for this eForm. This requires careful deletion of the existing onBodyLoad.js on the server, and the reload of the file of the same name for this zip folder. 2. EDC as your due date for your pregnant women. Some servers have used EDD instead, but there is no due date version check or converter in this eForm. 3. Lab requisition eForm named "1.1 Lab Requisition". This name is case sensitive. If you have named it differently, that name must be reflected in the oscarOPEN reference below, for the input line with name="LabReq_Link". --> The original background had yellow highlights that, unfortunately, print very dark, and fax even darker, making the labels all but useless. Corrected in V6_Nov24_2018
Burnaby Division of Family Practice COVID-19 central referral site eForm
Created by Khai Phan: The new Burnaby central COVID-19 site opened on March 28. The site operates by referral only. Please DO NOT send patients directly to this site. This form is only for use by Burnaby FPs/NPs or FPs/NPs that have patients residing in Burnaby: 1. To refer a patient for testing who have moderate symptoms and that you have deemed to be at risk of hospitalization. 2. To refer patients suspected of being exposed to or having contracted COVID-19 who need an in-person primary care visit following a virtual or telephone visit with you.

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