(1) This section applies to a professional service that is a diagnostic imaging service.
R-type diagnostic imaging services
(2) For an R-type diagnostic imaging service, the following particulars are prescribed:
(a) the name of the person who requested the service;
(b) the address of the place of practice, or the provider number in respect of the place of practice, or the requester number, of the person who requested the service;
(c) the date on which the service was requested.
Use of equipment
(3) If the service is rendered using a diagnostic imaging procedure that is carried out using:
(a) diagnostic imaging equipment that is ordinarily located at registered diagnostic imaging premises; or
(b) diagnostic imaging equipment that, when not in use, is ordinarily located at a registered base for mobile diagnostic imaging equipment;
a prescribed particular is the location specific practice number for the premises or base.
Recording application of exemptions
(4) If the service is rendered in the circumstances mentioned in:
(a) subsection 16B(6) of the Act (consultant physicians and specialists); or
(b) subsection 16B(7) of the Act (remote area); or
(c) subsection 16B(10) of the Act (additional services); or
(d) subsection 16B(11) of the Act (pre-existing diagnostic imaging practices);
a prescribed particular is the letters "SD" (for self-determined).
(5) If the service is rendered in the circumstances mentioned in subsection 16B(8) of the Act (emergencies), a prescribed particular is the word "emergency".
(6) If the service is rendered in the circumstances mentioned in subsection 16B(9) of the Act (lost requests), a prescribed particular is the words "lost request".
(7) If the service is rendered in the circumstances mentioned in subsection 16B(10A) of the Act (substituted services), a prescribed particular is the letters "SS".