Radiology – The Oscar Galaxy

Greig Ultrasound Requsition

John Robertson — Thu, 30 Apr 2026 15:23:43 +0000

created 2026/04/30/ 08:15 at the request of Dina Davidson. It has a side menu for Obstetrical Ultrasounds. Updated background, updated code, link to back page, faxing code, drop down list for location of delivery.

Island Health General Imaging 2026

John Robertson — Sun, 01 Mar 2026 20:51:56 +0000

Created by Crystal in Dr. Klein’s office. General Imaging Requisition for Island Health

North York General Hospital Imaging Requisition

John Robertson — Fri, 23 Jan 2026 18:35:57 +0000

Requisition for Xray, Breast imaging, BMD, Ultrasound, Nuclear Medicine for North York General Hospital. This eForm has a circling function when you click on a numbered finger, toe, etc. There is a drawing function for the breast imaging section. There is a tickler function and a faxing function.

Created 2026/01/23/ 10:33

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

MedRay Breast Imaging Requisition 2021

John Robertson — Wed, 03 Sep 2025 20:24:54 +0000

Created at the request of The Chilliwack Division of Family Practice and the Newcombe Family Practice, Breast Imaging requisition for MedRay. Please note – the signature is set to “electronically signed”. If you wish to create a wet signature, please do this BEFORE you do any drawing. Otherwise the signature will not work.

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

BCWH Placental health / PRISM referral eForm 2025

John Robertson — Fri, 27 Jun 2025 19:11:38 +0000

Thanks to Kat Montgomery for alerting me to the re-branding of the EMMA clinic – now the Placental Health or PRISM clinic. There is a link in the PDF that is faulty. Do not click on the MFM OBIM Provincial Guideline link in the PDF. This eForm has the proper link to the recommendations for ASA use. This eform will also calculate the gestational age at the time of referral. It will pull the standard “G” for gravida and “P” for para measurements and determine if the patient is nulliparous. It also checks the maternal age and BMI.

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

Providence Breast Centre (PBC) Referral eFORM

John Yap — Wed, 21 May 2025 04:26:10 +0000

Created by Dr. John Yap, for OSCAR BC. Intended for patients with suspected or known breast cancer, for rapid work-up and treatment at Mount St. Joseph’s Hospital in Vancouver.

Compliments MSJ Breast Imaging Requisition, found here.

Providence Health Vascular Lab 2021

John Robertson — Sat, 15 Feb 2025 20:43:49 +0000

Referral to the St. Pauls Providence Health Vascular Lab based on the 2021 form. Created at the request of the Chilliwack Division of Family Practice and the Newcombe House Family Practice.

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

Michael Garron Hospital Outpatient Diagnostic Imaging Requisition

John Robertson — Sun, 22 Dec 2024 21:58:02 +0000

Created at the request of Leo Pavone. Requisition for Diagnostic Imaging at the Michael Garron Hospital. This eform has a drawing function for the breast diagram. It has a weight check for the BMD requests. If there is a LMP saved in the chart it will pull this for the dating ultrasounds. There are links to other parts of the chart, a web link to the hospital, faxing code, and an email link.

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

BCCH Spine Referral eForm 2024

John Robertson — Mon, 09 Dec 2024 20:39:15 +0000

Created as part of a package of Orthopaedic referrals for BC Children’s hospital. This eForm deals with Scoliosis and Kyphosis, but also back pain with red flags in children and other spine injuries/conditions. There is a linked handout for scoliosis.

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

RBT Mammography age 41-49

John Robertson — Fri, 06 Dec 2024 15:11:07 +0000

Created in collaboration between Dr. Balchandra Dhawan and Mike Dodd. A search to find all eligible mammogram patients and see who has done mammograms and who has not done or null value. With Added check to patient’s Lab Results to check if Mammograph or BCCASMP has been done and list that as well, for active patients.