I work at a university where the ordering providers rarely put notes as to why this patient is getting an X-ray. I have to transcribe their order into Epic for a Rad read where a reason is required. I include when it happened, attention to what area, and an prior history to that area. Example- Rt Ankle Injury x 3 days, attn. lateral aspect, h/o sprains.
What else can I add that would be useful?
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source https://www.reddit.com/r/Radiology/comments/13s7whf/more_detailed_notes/
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