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Click ‘Get Form’ to open it in the editor.
Begin by entering the Interpreting Client's Name, Address, and Phone number at the top of the form. This information is essential for identification purposes.
Fill in the Patient's Name, Birth Date, Patient ID, and Radiograph Date. Accurate details here ensure proper tracking of patient records.
In Section 1, assess IMAGE QUALITY. Mark an 'x' in all applicable boxes that describe the radiograph quality. This includes options like Overexposed or Poor Contrast.
Proceed to Sections 2A and 2B to classify any parenchymal abnormalities and small opacities. Use the provided symbols for clarity.
Continue through Sections 3A to 4D, marking all relevant findings as indicated. Ensure you check each box that applies to capture a comprehensive interpretation.
Finally, review your entries for accuracy before saving or printing the completed form using our platform’s features.
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Chest RADIOGRAPH Classification FormCdc black lung
Related links
42 CFR 37.50 - film radiography systems. | Electronic Code of
Chest radiograph interpretations and classifications must be recorded on a paper or electronic Chest Radiograph Classification Form (CDC/NIOSH 2.8). (b)
Feb 1, 2024 This form must be completed by B Readers that interpret chest radiographs for the CWHSP. Email completed forms to cwhsp@cdc.gov. General Purpose
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