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CARDIOVASCULAR DIAGNOSTIC IMAGING ORDER (SAHS0104) PATIENT & PROVIDER INFORMATION Patient Name: (Last Name, First Name)Date of BirthPatient Phone NumberPatient Height & Weight (lbs*)(PATIENT INSTRUCTIONS
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How to fill out cardiovascular diagnostic imaging order

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How to fill out cardiovascular diagnostic imaging order

01
Obtain the necessary patient information such as name, date of birth, and medical history.
02
Select the appropriate cardiovascular diagnostic imaging test based on the patient's symptoms and medical history.
03
Fill out the order form with the patient's information, the type of test requested, and any specific instructions from the healthcare provider.
04
Provide the order form to the radiology department or imaging center for scheduling and processing.
05
Ensure the patient is adequately prepared for the test by following any fasting or medication instructions provided.

Who needs cardiovascular diagnostic imaging order?

01
Patients with symptoms of cardiovascular disease
02
Patients at risk for cardiovascular conditions
03
Healthcare providers ordering further diagnostic evaluation
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Cardiovascular diagnostic imaging order is a medical order for imaging tests to diagnose heart and blood vessel conditions.
Healthcare providers such as cardiologists or primary care physicians are required to file cardiovascular diagnostic imaging orders.
Healthcare providers must fill out the order with patient information, specific tests needed, and relevant medical history.
The purpose of cardiovascular diagnostic imaging order is to assist in diagnosing and monitoring heart and blood vessel conditions.
The order must include patient demographics, referring provider information, detailed description of tests required, and any relevant clinical information.
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