COPD – The Oscar Galaxy

Interior Health Integrated Health Programs eFORM

John Yap — Wed, 30 Jul 2025 16:35:06 +0000

Created by OSCAR BC, Dr. John Yap.

This eFORM includes referrals to Penticton area clinics supporting Diabetes care, vascular conditions, CHF, CKD, and Osteoporosis clinics, Respiratory services, and Nutrition Counselling.

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)

Special Authority: Inhalers for Chronic Obstructive Pulmonary Disease (COPD) eFORM

John Yap — Wed, 22 May 2024 04:21:26 +0000

This special authority eFORM provides access to single and multiple agent inhalers, including the newest triple therapy combination inhalers (LAMA, LABA, ICS).

V8 acknowledges that Spiriva (both Handihaler and Respimat) and Incruse covered without the need for Special Authority.

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.

Providence Health Care Pulmonary Diagnostics

John Yap — Wed, 02 Aug 2023 06:52:52 +0000

For St. Paul’s and Mount St. Joseph Hospital sites.

Breztri Aerosphere – BC Pharmacare SAR Inhalers for COPD

EMReach — Wed, 07 Jun 2023 15:35:25 +0000

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)

Referral to Island CPAP 2023

John Robertson — Sun, 30 Apr 2023 22:47:17 +0000

Created by request. Referral to Island CPAP Services and Supplies

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

COPD Advisor

John Yap — Fri, 24 Feb 2023 04:20:27 +0000

Originally developed as a Practice Support Program (PSP) EMR tool, advisory tool has links to Fraser Health-related services. You may need to adjust to your specific location.

Creates COPD Action Plan for patients.

Requires multiple measurements, some may already exist, and others may need to be added:

NOSK, FEVR, FEV1, CAT, PKYR, QUIT, MRC

V18_Feb23_2023 now has references to the newer tripleRx inhalers.

V19 updates to GOLD 2025 algorithm, with grades A, B, and E only.

Pulmonary Functions Testing requisition for Campbell River Hospital

John Robertson — Mon, 13 Feb 2023 01:11:56 +0000

Created by Günther Klein, this eForm is for referral to Campbell River Hospital’s Respiratory Services for Pulmonary Function Testing.