Open Source Clinical Applications and Resources
Open Source Clinical Applications and Resources
Nuclear Medicine Requisition for London Health Sciences Centre (LHSC) – Victoria Hospital (VH) and University Hospital (UH), and St. Joseph’s Hospital (SJH). London, Ontario. Includes automatic signature and X-boxes for marking body. Created by Adrian Starzynski Code Copyright Adrian Starzynski
CT Spine Appropriateness Checklist South West LHIN / Spine CT Checklist SouthWest LHIN To be attached to CT Requisition if requesting CT scan of spine Includes automatic signature and body drawing diagram (draw with mouse). Created by Adrian Starzynski Code Copyright…
CT Requisition South West LHIN / SouthWest LHIN CT Requisition Includes automatic signature. Created by Adrian Starzynski See: CT Spine Appropriateness Checklist which is to be attached if requesting CT scan of spine Code Copyright Adrian Starzynski
London X-Ray Associates Ultrasound and Echocardiograms Requisition London, Ontario Includes one-touch submit & fax button. This requisition is for Ultrasound and Echocardiograms. See the other LXA requisitions for: “London X-Ray Associates General Diagnostic Imaging Requisition” and “London X-Ray Associates Obstetrical…
London X-Ray Associates General Diagnostic Imaging Requisition London, Ontario Includes one-touch submit & fax button. This requisition is for X-Ray, Bone Mineral Densitometry, and Digital Mammography services. See the other LXA requisitions for “London X-Ray Associates Ultrasound & Echocardiograms Requisition”…
MRI Requisition for the South West LHIN (Ontario) region / SouthWest LHIN MRI Requisition Includes automatic signature. Created by Adrian Starzynski See: MRI Knee Appropriateness Checklist which is to be attached if requesting MRI of knee Code Copyright Adrian Starzynski
Latest version of MyHealth Centre Requisition for Southwestern Ontario (V01-29–/2021) Provides diagnostic imaging, ultrasound, x-ray, nuclear medicine, mammography, bone mineral density, cardiology, ECG, pulmonary testing, spirometry… services. The second page is just a list of locations, so it is set…
Referral for Gam Diagnostic Imaging – Brampton, Oakville, Mississauga Ultrasound, Mammography, Bone Density, X-Ray diagnostic imaging Created by Adrian Starzynski v202401 This is a two page form. Uses Signature Image File for automatic signatures. Includes fax options. How to Import…
UHN General Medical Imaging Request Form GTA Toronto UHN (University Health Network), WCH (Women’s College Hospital), Sinai Health System, Toronto Requisition for Ultrasound, X-Ray, Breast Imaging, Nuclear Medicine. Created by Leo Pavone. Updated by Adrian Starzynski for 2023.
Created by Audrey Jones for Clinics in the Campbell River area.