Essential (E) RADIOLOGY Available Desired (D) MEDICAL IMAGING CAPABILITY A documented process for referring pediatrics to appropriate facilities for necessary radiologic 1. procedures when medical capabilities are unavailable E □ □ Yes No (Policy can be covered through interagency agreements/guidelines). 2. Computed Tomography (CT Scan) D □ □ Yes No 3. Magnetic Resonance Imaging (MRI) Recommended □ □ Yes No 4. Radiography (X-ray) □ E □ □ Bone Yes No □ E □ □ Chest Yes No 5. Ultrasound Capabilities D □ □ Yes No Ability to transmit/transfer radiographic images to referring center □ Electronic (i.e. Image Grid) 6. D □ □ Yes No □ Hard copy disk D □ □ Yes No
RADIOLOGY Essential (E) Desired (D) Available MEDICAL IMAGING CAPABILITY 1. A documented process for referring pediatrics to appropriate facilities for necessary radiologic procedures when medical capabilities are unavailable (Policy can be covered through interagency agreements/guidelines). E □ Yes □ No 2. Computed Tomography (CT Scan) D □ Yes □ No 3. Magnetic Resonance Imaging (MRI) Recommended □ Yes □ No 4. Radiography (X-ray) □ Bone E □ Yes □ No □ Chest E □ Yes □ No 5. Ultrasound Capabilities D □ Yes □ No 6. Ability to transmit/transfer radiographic images to referring center □ Electronic (i.e. Image Grid) D □ Yes □ No □ Hard copy disk D □ Yes □ No
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