Interior Health Polysomnogram Requisition

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  • Create Date January 20, 2023
  • Last Updated January 20, 2023

Interior Health Polysomnogram Requisition

This current version of this eForm is not fax-enabled. It has oscarOPEN links to "STOP-BANG" and "Epworth Sleep Scale" (ESS) eForms, which you may need to also import. Or you can use the built-in Epworth Scale.

This eForm requires the ESS measurement:

type="ESS" typeDesc="ESS" typeDisplayName="Epworth Sleepiness Scale" measuringInstrc=""

If unsure how to create this measurement, ask your OSP for assistance.

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IH172Polysomnogram.zipDownload