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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.
Nanaimo Orthopaedics Referral
Referral to the Nanaimo Orthopaedics Clinic 2019-Sep-21
BCWH Ambulatory Clinic Referral 2019
2019-Aug-24 21:15 Updated to include buttons to open labs and documents. For referral to the Ambulatory Clinics at BC Women's Hospital - Internal Medicine, Infectious Diseases, Hematology and Anesthesia.
Red Cross Loan Program 2019
These eForms were created by Rachel, the MOA from Dogwood Medical Clinic in Campbell River. It is for the Red Cross Equipment Loan program (They were built using the Juno E-form generator so they may require further testing) These should be usable Canada wide. Dr. Klein has added a button to link to the local Red Cross branch lookup page.
CanSleep 2019 Referral eForm
Updated CanSleep referral eForm for 2019
Fraser Health Heart Function Clinic Referral 2019
This form was created for Surrey North Delta Division of Family Practice and is a referral for patients with heart failure.
Tampa Scale for Kinesiophobia
2019-Aug-21 08:07 Created by Gunther Klein
Obstetrics Internal Medicine Referral JPOCSC
Form Name: Obstetrics Internal Medicine Referral Description:for patient referral to JPOCSC for Obstetrics Internal Medicine
Maternity Clinics Dietitian Referral form
Form Name: Maternity Clinics Dietician Referral Description:For pregnancy concerns related to inadequate/excessive weight gain, poor nutrition
Postpartum contraception and IUD clinic eform JPOCSC
Form Name: Postpartum Contraception and IUD Clinic Description:Contraception and IUD insertion and counselling Key words: contraception, IUD
Rebalance MD orthopedic service based in Victoria, BC.
Eform Created by Crystal Ross
Synergy Rehabilitation Referral Form
Referral eForm for Synergy Rehabilitation.
FHA Specialized Seniors Clinic 2018
For referral to the Specialized Seniors Clinics in Fraser Health
Snore MD Sleep Apnea home oxygen referral eForm 2019
Snore MD Sleep Apnea home oxygen referral, Snore MD Canada Contact Phone: 7788817765 --- Description:Snore MD is Open 6-days per week at every location. Respiratory Therapists in every Clinic. All sleep studies are interpreted by an independent specialist. We provide same-day appointments and on-going patient care. Key words :OSA Sleep Apnea Snore MD Respiratory patient referral
Emgality Patient Support Program enrollment form
Lilly Support program for the prescription drug Emgality (Galcanezumab) for the treatment of migraines.
SCAT-5 Concussion eForm
Symptom questionnaire validated for head-injured athletes over 18 html only. --- Created by Peter Hutten-Czapski
MOT medical condition reporting form (2018)
Created by Peter Hutten-Czapski - For Ontario Ministry of Transport reporting of Medical conditions.
Maternal Fetal Medicine Fraser Health 2019
Updated Maternal Fetal Medicine Referral eForm as requested by the Surrey North Delta Division of Family Practice. The image for this form still dates back to 2012. The form I was given has been photoshopped to remove the 2 separate fax numbers and replaced with a single central fax referral line (which is the same as the old Jim Pattison OCSC fax number). As such, I have used HTML overlay to "edit" the original image. If you have previously uploaded this form, the image is unchanged and does not need to be uploaded (and won't be from the zip file). There were problems with the previous code and it would not zip and unzip properly. This has been solved, and other aspects of the code such as radio X boxes have been updated. JohnR.
Fraser Health VAPI Reporting Form
Now that severe pulmonary illness associated with Vaping has become a mandatory reporting issue, Fraser health has created a VAPI (vaping associated pulmonary illness) reporting form. I have converted this in to an eform. JohnR.
BCWH Fetal Diagnostics referral eForm 2017
Updated referral form for the BC Women's Hospital Fetal Diagnostics Services. It does a few extra things like remind you to fill required fields and it has a button to calculate the estimated gestational age.
Positive Health Services Referral Form
Created for the Surrey North Delta Division of Family Practice. For PHS patient referral to Jim Pattison Outpatient Care. There may be certain measurements that need to be added for full functionality - as per John Yap.
Pulse Cardiac Centre referral eForm
Created by Oscar BC for the Pulse Cardiac Centre. Description:Cardiology, Cardiac Diagnostics, Cardiac Rehabilitation. Key words :Cardiology, Cardiologist, Exercise stress test, Holter, ECG, Cardiac Rehabilitation, Cardiac Rehab
Coastal Sleep eForm BC 2019
Referral to Coastal Sleep for BC. Updated for 2019.
Advanced Sleep - PATIENT SLEEP APNEA REFERRAL
Description:Sleep Apnea testing requisition. Respirology report provided with Sleep Studies. Same-day testing. Provide CPAP and BPAP therapy with follow up care. Open 7 days a week. Key words: advanced sleep, sleep apnea referral, CPAP, med, coastal, BIPAP, APAP, respiratory, sleep, snore, oxygen, OSA, obstructive, RRT, independent, Patient sleep apnea referral, RT, breathing, west, snorecare, snore care, snorecare solutions, vital, snoring, coastal, respirology, Overnight Oximetry, sleep, well, Home Sleep Study,

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