Guide
A patient's records may come from several providers and languages. Organizing them by date and type is easier to review than sending disconnected screenshots.
Do not repeat tests solely to complete a file. Submit what you have. Ask the hospital which imaging, pathology, or lab results need updates.
01
Start with a one-page case summary
Include the diagnosis date, symptoms, key findings, treatment history, medicines, allergies, and your goal. Oncology cases should also list pathology, stage, genomic tests, and treatment dates.
02
Separate reports, imaging, and pathology
Keep complete, legible report originals. Provide readable DICOM imaging with its report when possible. For pathology, state where the report, slides, blocks, or digital files are held. Use the date, test type, and body area in each file name.
- Separate originals and translations
- Pair imaging with its report
- Name files by date and type
03
Decide what needs translation
Start with the case summary and decision-critical reports. Do not translate every old file automatically. Follow any hospital request for a format or certified translation and keep every original document.