Respirology – The Oscar Galaxy

Asthma Action Plan Adult 2025

John Robertson — Fri, 25 Jul 2025 00:47:01 +0000

Created at the request of Spectrum Medical and the Chilliwack Division of Family Practice. This eForm is based on the Government of BC Ministry of Health and Doctors of BC guidelines for Asthma Diagnosis Education and Management. It has a calculator for percentages of Peak Flow, It has drop down lists for medications, and it has links to the patient’s chart.

Update 2025/07/25/ 11:42 – added reference table of patients medications

This eForm is protected by the GNU General Public License version 2 (GPLv2)

COPD Assessment Test

John Robertson — Sat, 15 Mar 2025 02:16:53 +0000

Created at the request of the Chilliwack Division of Family Practice and Cedar Family Practice – The COPD self assessment test. This test is actually available on the web for patients to perform prior to being seen by a health care provider. The eform Calculates the total when the total button is clicked. Colour stratification is used to identify risk categories. Accordion Side Menu helps with interpretation.

This eForm is protected by the GNU General Public License version 2 (GPLv2)

Asthma Control Test

John Robertson — Fri, 03 Nov 2023 22:34:56 +0000

Dr. Hurwitz made this same eForm minus the logo and plus the ability to stand alone for patients.

Created 2023/11/03/ 15:28 at the request of The Chilliwack Division of Family Practice and Dr. Smit at Village Park Medical. This was originally designed for patients to take home and score themselves with respect to their Asthma Control. This eForm fills the score out based on the boxes checked. It totals the values and alerts the user if the individual questions are not answered. It also has pop ups corresponding to the advice given on the sheet.

This eForm is protected by the GNU General Public License version 2 (GPLv2) You may copy and distribute verbatim copies of the Program’s source code as you receive it, in any medium, provided that you conspicuously and appropriately publish on each copy an appropriate copyright notice and disclaimer of warranty; keep intact all the notices that refer to this License and to the absence of any warranty; and give any other recipients of the Program a copy of this License along with the Program.

Community Respiratory Services Referral Hope Clinic

John Robertson — Fri, 19 May 2023 19:49:31 +0000

Created at the request of Dr. Darby and the Chilliwack Division of Family Practice. Referral form for Community Respiratory Services in Hope (Fraser Health). Apart from the Fraser Health Logo, this form is pure HTML – using tables for part of the graphics.

This eForm is protected by the GNU General Public License version 2 (GPLv2)