This Entity is Imaging Results
I need to figure out the attributes that I should have from these two forms for ImagingResults entity and possible candidate keys
Physi ician Order Form -Ima ging Services PATIENT INFORMATION Date of Birth: Please call Patient Patient will call to schedule Authorization # REQUESTING PHYSICIAN INFORMATION Phone Referring Physician Signature Results (check all that apply) D E-mail report (e-mail) O Fax report: (fax #) O CD with Images Special Request Phone Report: (phone #) EXAM FOCUS Brain MRI Brain MRA Neck MRI Neck MRA MRI Cervical Spine Thoracic Lumbar wol contrast who contrast O Other (specify) | O Vagal Nerve Stimulator. Program both generator output current and magnet output current to OMA to the MRI Cervical Spine Diagnostic Brain O Sinus ChestAbdomen Pelvis Thoracic Lumbar wol contrast w/wo contrast Other O Extremity (specify) Screening O Others (specify): Mammogram Abdomen O Pelvis OB/GYN Ultrasound Other Bone Liver PETICT Other Barium Enema (please select): O With air contrast O Without air contrast Upper G.I. (please select: O With small bowel series O Without small bowel series O X-ray (specfy): General Radiology Volding Cystourethrogram Fluoro Other (specify): Vascular Lab Chronic Venous Exam OPPG'S ABrs with waveform Dialysis Graft Eval. Peripheral Arial Exam Upper ExtremityTranscranial Doppler Carotid O Graft Flow O Temporal Artery Lower Extremity | O Nielsen Cold Challenge O Finger OToe(s) O R Arterial Duplex OAbdomen (please select) O Renal O Mesenteric O Portal Hepatic OAAA ORenal Transplant Other (specify): Left Other Specify Rev 0UDB Scan to PO-7070 Physi ician Order Form -Ima ging Services PATIENT INFORMATION Date of Birth: Please call Patient Patient will call to schedule Authorization # REQUESTING PHYSICIAN INFORMATION Phone Referring Physician Signature Results (check all that apply) D E-mail report (e-mail) O Fax report: (fax #) O CD with Images Special Request Phone Report: (phone #) EXAM FOCUS Brain MRI Brain MRA Neck MRI Neck MRA MRI Cervical Spine Thoracic Lumbar wol contrast who contrast O Other (specify) | O Vagal Nerve Stimulator. Program both generator output current and magnet output current to OMA to the MRI Cervical Spine Diagnostic Brain O Sinus ChestAbdomen Pelvis Thoracic Lumbar wol contrast w/wo contrast Other O Extremity (specify) Screening O Others (specify): Mammogram Abdomen O Pelvis OB/GYN Ultrasound Other Bone Liver PETICT Other Barium Enema (please select): O With air contrast O Without air contrast Upper G.I. (please select: O With small bowel series O Without small bowel series O X-ray (specfy): General Radiology Volding Cystourethrogram Fluoro Other (specify): Vascular Lab Chronic Venous Exam OPPG'S ABrs with waveform Dialysis Graft Eval. Peripheral Arial Exam Upper ExtremityTranscranial Doppler Carotid O Graft Flow O Temporal Artery Lower Extremity | O Nielsen Cold Challenge O Finger OToe(s) O R Arterial Duplex OAbdomen (please select) O Renal O Mesenteric O Portal Hepatic OAAA ORenal Transplant Other (specify): Left Other Specify Rev 0UDB Scan to PO-7070
