Image Name: for Page

- Please include the extension of the image file(.gif's, .jpg's, or .png's)
- Make sure the image file is in the same folder as this html file.

Orientation of form:
Portrait (image width should be 1500 pixels, resized to 750 pixels on screen)
Landscape (image width should be 2000 pixels, resized to 1000 pixels on screen)
Custom (enter an integer)

If the eform image extends past the red outline, you've cropped the image too long and it won't fit on a letter-sized printout. Try typing a number smaller than 750 in the "Custom" field.

Enter a name for the eForm here

Gender boxes used in this eForm (M/F)? If yes, click here
Add Gender Checkboxes
Add Gender Xboxes

Radioboxes used in this eForm (only one valid)? If yes, click here
Add Radio Checkboxes
Add Radio Xboxes

Parent Child Contols (subcategory inputs)? If yes, click here
Add Parent Checkbox
Add Parent Xbox

Add Freehand Signature Fields

Single-line text input Multi-line text input Checkbox Xbox

• Custom text
• From Oscar Database ---NONE--- today appt_date next_appt_date next_appt_time nextf_appt_date current_user current_user_ohip_no current_user_specialty_code current_user_cpsid current_user_id patient_name UPPER CASE first_last_name Mixed Case Patient SURNAME patient FIRSTNAME patient_id label address addressline address_street_number_and_name province city postal dob dobc-dd/mm/yyyy dobc2-yyyy/mm/dd dob_year dob_month dob_day NameAddress hin with version hinc hinversion hc_renew_date chartno email phone phone2 cell phone_extension phone2_extension age ageComplex sex social_family_history other_medications_history medical_history dxregistry OHIPdxCode ongoingconcerns reminders allergies_des allergies_des_no_archived recent_rx today_rx druglist_generic druglist_trade druglist_line doctor doctor_ohip_no doctor_specialty_code doctor_cpsid provider_name provider_name_first_init doctor_work_phone appt_provider_name appt_provider_id appt_no referral_name referral_address referral_phone referral_fax bc_referral_name bc_referral_address bc_referral_phone bc_referral_fax bc_referral_no clinic_name clinic_phone clinic_fax clinic_label clinic_addressLine clinic_addressLineFull clinic_address clinic_city clinic_province clinic_postal _eform_values_first _eform_values_last _eform_values_count _eform_values_countname _eform_values_count_ref _eform_values_countname_ref _eform_values_count_refname _eform_values_countname_refname _other_id dtap_immunization_date flu_immunization_date fobt_immunization_date mammogram_immunization_date pap_immunization_date guardian_label guardian_label2
• Importing from Measurements
  

  Measurement Type

  ---NONE--- HT WT BP BMI WAIS (waist) WC (waist circ.) Gravida Para LMP Smoking HbAi A1C FBS TG LDL HDL TCHD TCHL EGFR SCR (Cr) ACR or custom

  Field Value Date Observed Comment

• Pre-check the checkbox

i)Automatic Sequential Naming (quicker method for most cases).
- automatic name prefix:(One Continuous Word)
ii)Custom UNIQUE Name:
- Must be one continuous word with letters/numbers only (no spaces/symbols)
- Use day or date in the name to identify date fields (eg. appt_date)
- Custom naming eases later modification or data extraction
iii)If you would like to export the value of this input field to Measurements, select the Measurement Type and Field here:

Measurement Type

---NONE--- HT WT BP BMI WAIS (waist) WC (waist circ.) Gravida Para LMP Smoking HbAi A1C FBS TG LDL HDL TCHD TCHL EGFR SCR (Cr) ACR  or custom

Field Value Date Observed Comment

Class none parent child (specify parent below) radio (specify group below)
Parent or Group Name

- Drag a box from the top left corner to the bottom right corner of the box.

- Click on the top left corner of the checkbox

Repeat step # 3 until all input boxes are done.

Maximise
Useful for lower resolution monitors.

Add date
Add date calander

Emphasize Checkmarks
Blackbox changes an X box into an entirely black mark. Very high visibility even when using small Xbox
Scaling up Checkmarks
"Drawing" in checkmarks during printing

Fax
Include options for OSCAR faxing this eForm.
Corresponding default fax number xxx-xxx-xxxx:

Generating the code:
The html code should open up in a new window. Now you got two options:
1. Highlight everything and copy and paste it into a text editor (ex. Notepad), then save it as filename.html.
2. In the new window (in Firefox), select "File", then "Save Page As...", then select "Text Files" as the file type, then type in a filename.html.

Uploading the files:
Go to Admin -> Eforms -> "Upload a Form", and upload the newly generated html file.
Go to Admin -> Eforms -> "Upload an Image", and upload:
- the eform background image
- "jSignature.min.js"for signing signatures if you have not already done so