Table 2 RSSA-Arabsafe imaging request template
From: Improving inappropriate radiology referrals: a template for imaging requests in Saudi Arabia
Clinical information to include in a radiology request |
|---|
1. Patient demographics |
2. Clear clinical question relevant to the requested exam |
3. Contact information of the referring physician |
4. Relevant surgical history |
5. Relevant medical history |
6. Pertinent risk factors |
7. Past radiology tests if any |
8. Relevant laboratory tests |