HealthCORE

Documenting X-ray Findings

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This training demonstrates how to document X-ray findings.

Setting Defaults for X-ray Series

The left-side panel includes descriptions and CPT codes for common X-ray views. The right-side panel shows details about the views.

Work through the views you use most and customize the details on the right to default to views that are part of your regular practice. If a specific patient's views differ, you can modify information on the fly in the X-ray documentation window.

To add more views, click the end of a blank row on the right and select from the list.

Accessing X-ray Findings

Entering X-ray Findings

If you use an outside source for X-rays, use the pull down selector in the Ordered From box to choose the outside source

The Report

X-ray reports must be signed, in addition to the regular exam or visit signature

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