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This document outlines the results of an expert Delphi consensus on a structured radiology request form for patients requiring musculoskeletal imaging, developed by the Italian Society of Medical

How to fill out structured radiology request form

How to fill out structured radiology request form

1. Start with the patient's full name and date of birth.
2. Include the referring physician's name and contact information.
3. Specify the type of imaging exam needed (e.g., X-ray, MRI, CT scan).
4. Provide clear clinical indications for the procedure.
5. Fill in the patient's medical history relevant to the imaging.
6. Include any pertinent allergies, especially to contrast materials.
7. Indicate the urgency of the request (routine, urgent, stat).
8. Sign and date the request form.

Who needs structured radiology request form?

1. Health care providers who are referring patients for imaging procedures.
2. Radiologists who require detailed information to perform imaging properly.
3. Administrative staff involved in processing and scheduling imaging appointments.
4. Insurance companies for claims processing and verification purposes.

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What is structured radiology request form?

A structured radiology request form is a standardized document used to ensure that all necessary information is collected for a radiology examination, facilitating communication between healthcare providers and radiology departments.

Who is required to file structured radiology request form?

Healthcare providers, such as doctors or physician assistants, who are ordering radiology services for patients are required to file the structured radiology request form.

How to fill out structured radiology request form?

To fill out a structured radiology request form, the healthcare provider must include patient information, the requested imaging study, clinical indications, relevant medical history, and any specific instructions related to the examination.

What is the purpose of structured radiology request form?

The purpose of the structured radiology request form is to streamline the ordering process, improve coordination of care, ensure completeness of information, and enhance patient safety by providing necessary details for the radiology procedure.

What information must be reported on structured radiology request form?

The structured radiology request form must report patient demographics, the type of imaging study requested, clinical history and indications for the study, previous imaging results if applicable, and any special considerations or instructions for the radiologist.