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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.
Interior Health Newborn Hearing Screening 2017
This eForm was commissioned by Malachite Midwives.
UBC Pharmacists Clinic Referral eForm 2017
This eForm was created by the UBC Pharmacists Clinic for Consultation or Education/Information regarding their medications.
Abbotsford Regional Hospital and Cancer Centre Neurodiagnostics Referral Form
Requested by the Chilliwack Division of General Practice
ViHA Echocardiography Requisition 2017
This form replaces the 2016 version.
North Shore Neurology Referral eForm 2017
This form was made by Dr. Timothy McDowell of the North Shore Neurology group for his referral colleagues. Posted with some slight modifications.
Wharton Weight and Diabetes Management Clinic 2017
provided by Leo Pavone
Toronto East General Hospital Mental Health Services Referral Form
supplied by Leo Pavone
North Toronto Sleep Centre
supplied by Leo Pavone
Centre for Addiction and Mental Health 2017
supplied by Leo Pavone
Malvern Sleep Clinic Referral eForm 2017
supplied by Leo Pavone
AdvantDerm Dermatology Rapid Access Clinic Referral eForm
provided by Leo Pavone
Toronto East General Hospital Diagnostic Imaging Requisition 2017
provided by Leo Pavone
Toronto East General Hospital MRI Requisition 2017
provided by Leo Pavone
RCH EMG Requisition 2017
EMG requisition for Dr. Chahal - From Khai Phan - Removed Dr Ho - he's retired according to Pathways- and address/fax changed.
FHA Induction of Labour booking form September 2017
Dina Ryan Davidson noted: The IOL form for FHA unwisely didn't include a field for PHN (never mind that the PHN was included in the label on the URQ of the page... sigh). I began getting faxes from the RCH Antepartum clinic a couple of weeks ago insisting that I use the new form "for safety reasons". It turns out that when they added *one* field for the PHN, they moved almost everything else around. Sigh. Dina has updated the form. JohnR.
Lakeridge Health Diagnostic Imaging Bowmanville 2017
This form was provided by Leo Pavone
BCCH Endocrine and Diabetes Referral Eform Sept 2017
Updated with buttons to insert history, allergies, medications, and Lab row display as well as lab grid display.
Chilliwack General Hospital (CGH) Arthroscopy Clinic 2017
I was asked by The Chilliwack division of Family Practice to make this form. There is a BMI calculator, there are some drop down lists. There is a circle function for Male/Female that automatically circles the appropriate one. It checks to see if they are a smoker and checks that box ( it checks both measurements SKST and SMK - why are there 2 again?) If one says yes and one says no it will check off that the patient is a smoker. It will pull the HbA1c if there is a value in the chart (and if it is mapped, but I think A1c mapping is standard). It will also check off the A1c box if the value for A1c is >0. There are also some radio X boxes. JohnR.
Fraser Health Heart Health Nutrition Education Referral 2017
This eForm was commissioned by Dr. Sarab Lalri of First Canadian Medical Centre.
Lifelabs Specific Allergen IgE request 2017
I have created a form for Lifelabs allergy testing. It comes in 2 versions - Generalist version and Allergist version. In BC MSP will only allow generalists to order testing for 5 allergens in a year. I have inserted a counting mechanism in to the Xbox script to warn the user when they have selected more than 5 allergens. To do this, I have had to change all the other Xboxes to the old version of the code. The allergist version does not have the counter. The Selection boxes are invisible, so just click where the box would normally be. JohnR.
BCWH Transfusion Medicine Laboratory Post Natal Maternal Fetal Investigation Request 2017
This form was created by Kat Montgomery for Rh testing of cord blood after deliver (presumably for home births).
Lakeridge Health Familial Oncology Referral Form
provided by Leo Pavone
Lakeridge Health MRI 2017
Provided by Leo Pavone
Lakeridge Health Physiotherapy Ambulatory Rehab Centres 2017
Provided by Leo Pavone - for Oshawa, Port Perry, Bowmanville, and Whitby
Lakeridge Health Neurological Rehabilitation
Provided by Leo Pavone
Lakeridge Health Respiratory Rehabilitation
Provided by Leo Pavone
Lakeridge Health Feeding and Swallowing evaluation Paediatrics 2017
Provided by Leo Pavone
Lakeridge Health Referral to Clinical Genetics 2017
Provided by Leo Pavone
Lakeridge Health Hand Therapy Clinic 2017
Provided by Leo Pavone
BioPed Referral Scarborough
Provided by Leo Pavone
Ontario Breast Screening Program High Risk Screening
Provided by Leo Pavone
Central East Thoracic Clinic and Diagnostic Assessment Program
Provided by Leo Pavone
CML Radiology 2017
Provided by Leo Pavone
Dynecare Cytology 2017
Provided by Leo Pavone
Friendly Rehab 2017 referral form
Provided by Leo Pavone
Lakeridge Health MRI 2017 Screening Questionnaire
Provided by Leo Pavone
Lakeridge Health Mental Health Psychiatry Adult Referral Form 2017
Provided by Leo Pavone
Lakeridge Health Telemedicine Referral Form 2017
Provided by Leo Pavone
Referral for Medical Cannabis Assessment Canadian Cannabis Clinics 2017
Provided by Leo Pavone
North York General Hospital Diabetes Education Centre referral form 2017
Provided by Leo Pavone
North York General Hospital Mental Health Services referral form 2017
Provided by Leo Pavone
Rouge Valley General Neurology Referral Form 2017
Provided by Leo Pavone
Rouge Valley Shoniker Clinic Child and Adolescent Mental Health Referral Form 2017
Provided by Leo Pavone
Accubreath Sleep Therap Requsition 2017
Provided by Leo Pavone - for the GTA
Accucare Pulmonary Function Tests 2017
Provided by Leo Pavone - for the GTA
AIM Centre for pain management 2017
Provided by Leo Pavone - Central intake form for Toronto, Mississauga, Brampton, Scarborough, Oakville, Oshawa, London, Ottawa, Hamilton.
Grandview Children's Centre Referral form
Provided by Leo Pavone
Humber River Regional Hospital MRI Requisition 2017
Provided by Leo Pavone - GTA form
Mt Sinai Hospital Special Pregnancy Program 2017
Provided by Leo Pavone GTA form
North York General Hospital MRI Requsition 2017
Provided by Leo Pavone
Rothbart Centre For Pain Management Referral Form 2017
Provided by Leo Pavone GTA Form
Rouge Valley Outpatient Mental Health Referral 2017
Provided by Leo Pavone
Scarborough Psychology Clinic referral form 2017
Provided by Leo Pavone
Scarborough Hospital Child Development program
Provided by Leo Pavone
Scarborough Hospital History and Physical exam
Provided by Leo Pavone
Scarborough Hospital MRI requsition 2017
Provided by Leo Pavone
Scarborough Hospital Nephrology and Dialysis Referral 2017
Provided by Leo Pavone
Scarborough Hospital Pediatrics Referral 2017
Provided by Leo Pavone
St. Michael's MRI Requisition 2017
Provided by Leo Pavone
St. Michael's CT Requisition 2017
Provided by Leo Pavone
VitalAire Home Oxygen Referral Ontario 2017
Provided by Leo Pavone

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