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Radiology Technician – Digital History

Mobile-friendly, dark-mode interface with autosave for trauma, stroke and body-region–based studies.

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1. Patient & Exam

Core identifiers + segment/context.

Patient name

Hospital / File number

Date of birth

Referring physician

Modality

Primary body segment

Side

Clinical indication / brief history

2. Presenting Complaints & Context

Tick relevant items; add free text if needed.

💡 Recommended Questions for Radiologist

Pain

Swelling

History of trauma / fall

Neurological symptoms

Fever / infection

Screening / follow-up

Trauma context (if applicable)

Mechanism

Time since injury (approx.)

Loss of consciousness

Stroke / neuro context

Last known well (time/date)

Onset to door (approx.)

Dominant symptoms

Thrombolysis / thrombectomy given?

3. Past Medical History & Medications

Tick all that apply.

Hypertension

Diabetes

Heart disease

Kidney disease

Prior stroke / TIA

Major prior surgery

Known drug / contrast allergy

Other relevant history

On antiplatelets / anticoagulants?

Other regular medications

4. Safety Screening (MRI / CT contrast)

Complete relevant items only.

MRI safety

Pacemaker / ICD

Aneurysm clip

Cochlear implant

Metal in eye / body

Orthopedic / other implant

CT contrast safety

Kidney function (if known)

Previous contrast reaction

5. Technician Notes (optional)

Anything that will help the radiologist.

6. Prior Reports & Attachments

Attach previous reports, images, or documents for radiologist reference.

Prior Report (Copy & Paste)

Images (JPG, PNG)

PDF Documents

Word Documents

Autosave: pending…

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