Adding Patient Portal Document Templates to OpenEMR Patient Documents

gutiersa · July 25, 2020, 12:46pm

@sjpadgett
Is this insurance information supposed to populate the patient insurance in the demographics? It would be nice if it did!

Looks like my problem has to do with my newlines. It was my formatting. I had this:

<table>
<tr>
<td>{PatientName}</td>
<td>{PatientDOB}</td>
<td>{DOS}</td>
</tr>
</table>
<font size="4"><b><br></b></font></p><p align="CENTER"><font size="4"><b>Chronic Pain 
Medical History</b></font></p>
<p></p><pre style="font-size:14px">What are your symptoms?&nbsp;{TextInput} 
<p></p>
<p style="margin-bottom: 0in">Where is your pain?</p>
<table>
 <tr>
  <td><p style="margin-bottom: 0in">{CheckMark}Face</p></td>
  <td><p style="margin-bottom: 0in">{CheckMark}Shoulder: R</p></td>
<td><p style="margin-bottom: 0in">{CheckMark}Mid back</p></td>
<td><p style="margin-bottom: 0in">{CheckMark}Knee: R</p></td>
</tr>
<tr>
 <td><p style="margin-bottom: 0in">{CheckMark}Head</p></td>
 <td><p style="margin-bottom: 0in">{CheckMark}Shoulder: L</p></td>
 <td><p style="margin-bottom: 0in">{CheckMark}Low back</p></td>  
 <td><p style="margin-bottom: 0in">{CheckMark}Knee L</p></td>
  </tr>
  <tr>  
   <td><p style="margin-bottom: 0in">{CheckMark}Neck</p></td>
   <td><p style="margin-bottom: 0in">{CheckMark}Arm: R</p></td>
   <td><p style="margin-bottom: 0in">{CheckMark}Hip: R</p></td>
<td><p style="margin-bottom: 0in">{CheckMark}Leg: R</p></td>
</tr>
<tr> 
<td><p style="margin-bottom: 0in">	</p></td>
<td><p style="margin-bottom: 0in">{CheckMark}Arm: L</p></td>
<td><p style="margin-bottom: 0in">{CheckMark}Hip: L</p></td>
<td><p style="margin-bottom: 0in">{CheckMark}Leg: L</p></td>
</tr>
<tr> 
<td><p style="margin-bottom: 0in">	</p></td>
 <td><p style="margin-bottom: 0in">{CheckMark}Forearm: R</p></td>
<td><p style="margin-bottom: 0in">{CheckMark}Thigh: R</p></td>
 <td><p style="margin-bottom: 0in">	</p></td>
</tr>

but it works if I have this:

<table><tr><td>{PatientName}</td><td>{PatientDOB}</td><td>{DOS}</td></tr></table></p>
<h4 class="text-center"><em> Chronic Pain Medical History</em></h4>
<pre></p>What are your symptoms?&nbsp;{TextInput} </p>
<p></p>
<p>Where is your pain?</p>
<table><tr><td><p>{CheckMark}Face</p></td><td><p>{CheckMark}Shoulder: R</p></td><td><p> 
{CheckMark}Mid back</p></td><td><p>{CheckMark}Knee: R</p></td></tr>
<tr><td><p>{CheckMark}Head</p></td><td><p>{CheckMark}Shoulder: L</p></td><td><p>CheckMark}Low back</p></td><td><p>{CheckMark}Knee L</p></td></tr>
 <tr><td><p>{CheckMark}Neck</p></td><td><p>{CheckMark}Arm: R</p></td><td><p>CheckMark}Hip: R</p></td><td><p>{CheckMark}Leg: R</p></td></tr>
 <tr><td><p></p></td><td><p>{CheckMark}Arm: L</p></td><td><p>{CheckMark}Hip: L</p></td> 
<td><p>{CheckMark}Leg: L</p></td></tr>
<tr><td><p></p></td><td><p>{CheckMark}Forearm: R</p></td><td><p>{CheckMark}Thigh: R</p> 
</td><td><p></p></td></tr>
<tr><td><p></p></td><td><p>{CheckMark}Forearm: L</p></td><td><p>{CheckMark}Thigh: L</p> 
</td><td><p></p></td></tr></table><p></p>

gutiersa · July 25, 2020, 7:58pm

Regarding this, I believe it is related to me using PHP version 7.4, I will wait to go back to version 7.3

jfischburg · August 30, 2020, 2:47pm

I can see that one may render fields such from a variety of sources, such as:

{LBFxxx:fieldid} (data from the specified field of a LBF instance)
{DEM:fieldid} (data from the specified field of patient demographics)
{HIS:fieldid} (data from the specified field of patient history)

How does one create a form for the patient portal, such as a medical history, that ties responses back to the patient record rather than being read-only, or simply a value that exists only in the context of the form?

For instance, given the Layout “History”, my requirement is to create an array of checkboxes or dropdown lists for the portal user to select that will be populated by the list of risk factors from {usertext11}. The ideal outcome is that the user responds to each question, and once they have completed the form and it has been charted, medical history automatically updates each list item within risk factors i.e. {usertext11} to reflect their answers.

Robert_Andrews · September 8, 2020, 4:22pm

This is a great feature. I appreciate the work you have put into it. I am attempting to do something that is not in the forum from what I can see, but it seems like it should be easier than I am making it. I want to add a dropdown box with options to be select rather that have then typed in each time. Here is the code:

< div class=“input-group mb-3” >
< div class=“input-group-prepend” >
< label class=“input-group-text” for=“inputGroupSelect01”>Dimension:< /label>
< /div>
< select class=“custom-select” id=“inputGroupSelect01”>
< option selected="">Choose…< /option>
< option value=“1”>Acute Intoxication and/or Withdrawl potential< /option>
< option value=“2”>Biomedical Conditions and Complications< /option>
< option value=“3”>Emotional, Behavioral, Cognative (EBC) Conditions and Complications < /option>
< option value=“4”>Readiness to Change< /option>
< option value=“5”>Relapse, Continued Use, or Continued Problem Potential< /option>
< option value=“6”>Recovery Environment< /option>

I can select, but it is not sticking on the save. Any ideas? (I had to add a space after the <'s to show the code)

madmax · October 7, 2020, 12:59am

@sjpadgett I would also like to know this, is it possible to have the field so the patient can enter data into it rather then it just pulling what is already in the database?

sjpadgett · October 7, 2020, 1:11am

Check out this as something new I added for patch(5)(I gave a pre-patch in thread) Implementation of LBF visit forms in Onsite Portal

And also check out the Portal Dashboard Template Management for some examples of default canned forms for portal.

madmax · December 10, 2020, 1:28am

Is there going to be the ability for patients to send in documents via the portal? Have you planned out how that might work? Will we be able to make forms with a directive in the future with a file attach/upload open?

gutiersa · December 13, 2020, 7:34pm

How do I access the signature module? I do not have the “app:” option in my openemr loging screen.

gmhmd · January 15, 2021, 4:51am

I am having problems with the patient signature saving. I keep getting

Jmiller · December 16, 2022, 7:40pm

So I’ve looked everywhere (or missed it)

SETUP:
Creating HTML based Privacy Policy in Portal Dashboard Templates.
Document uses google chart API to produce a QRcode with patient ID on document, using this code:
<img alt="" src="https://chart.apis.google.com/chart?cht=qr&chs=100x100&chl={PatientID}" style="margin: 5px; width: 100px; height: 100px;" />

However when document is loaded in dashboard the {PatientID} is not being replaced with appropriate variable.

Directive is use else where in document (displaying as text) and works properly.

Please advise if their is a workaround or a possible patch.

Screenshots Attached:
chrome_jxPrE0VZ5t

sjpadgett · December 16, 2022, 8:41pm

Hi @Jmiller Glad you’re interested in this feature.
I’ll have to take a look and if there is a bug I’ll help get a fix to you.
I’ll PM you email if you could send me the template to test with.

sjpadgett · December 16, 2022, 11:49pm

@Jmiller
As I did some fixes recently that will be in next patch looks like they fix your issue.

Pdf after review:
Privacypolicy_4.pdf (96.3 KB)

I spoke to soon. The barcode image is missed in PDF. I should have gotten by purifier.

Jmiller · December 17, 2022, 1:34am

When you check you will have to make sure the image encodes with the correct ID. I use a barcode scanner on my phoen to check. Otherwise it will just be the {PatientID} in the QRCODE

sjpadgett · December 17, 2022, 1:40am

oh okay. Guess I missed the point.

sjpadgett · December 18, 2022, 2:44am

I’ve been working on this in secret with @Jmiller Really by DM.
I had to parse out style tag and content then readd after document was purified so we have that capability.
Also changed rendering to allow URL HTTPS requests for QR codes and base64 image data.

I’ve posted a fix here and will add to patch 3.
Files go into directory portal/lib

download_template.php (25.6 KB)
doc_lib.php (6.4 KB)

PDF from Dashboard(I added the red color style to test the style tag)
Privacypolicy_2.pdf (97.2 KB)

Jmiller · December 18, 2022, 3:19am

I can verify it works!
Thanks so much!

Jmiller · December 18, 2022, 5:08am

#Suggestion
I see there is a way to downloads the files as PDF’s, and I know some PDF generation libraries have ways to implement forced page breaks.

It’s not super important, but could be beneficial for document control.

Jmiller · December 23, 2022, 8:49pm

Is there a reason the print button in the clinician view is hidden?

We have some document we would like to generate, that require a wet signature legally, and would like to print them direct not download and print.

Downloading of documents on the clinician side should be discouraged, as this can be a HIPAA violation in some instances. (PDF of a patient document on a computer)

@sjpadgett After the new update the styles are showing on the screen, but when you hit the download button on the clinician side it strips them again…

sjpadgett · December 28, 2022, 4:44pm

Can be done in documents. I assumed there’d be no reason for admin to print but I’ll take a look to see if I can turn on.
If I had time I’d redevelop the config/setup page for portal and add more ability for users to turn stuff like this on and off.

Looking into the style stuff

sjpadgett · December 28, 2022, 4:58pm

@Jmiller
I thought the style tag wasn’t working for you for some reason so I’ve retested and is working okay.

As for the Print i’m going to turn that on for users to print from dashboard audit;