X-ray pass

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An X-ray passport is a document in which the examining doctor or dentist enters information about the patient's X-ray examinations that are carried out on him. This should avoid unnecessary repeat examinations and create opportunities for comparison with previous recordings.

Germany

In Germany, the X-ray Ordinance (RöV) has stipulated in Section 28 since 2002 that the attending physician had to keep X-ray passports ready and offer them to the person being examined. The patient had the right to request an X-ray passport during an X-ray examination; if he presents his passport during an examination or if a passport is issued, the above information has to be entered.

According to the new Radiation Protection Ordinance (StrlSchV), practices and clinics are no longer obliged to offer their patients X-ray passports and to enter examinations in them since January 1, 2019. The Radiation Protection Ordinance came into force on December 31, 2018 together with the Radiation Protection Act (StrlSchG), which was passed in 2017 and replaces the previous Radiation Protection Ordinance and X-ray Ordinance. The Federal Office for Radiation Protection (BfS) nevertheless advises patients to keep records of radiation diagnostic examinations themselves. The Federal Office has made a document available for download on its website that can be used for personal documentation.

For each examination, the doctor's practice or the hospital department carrying out the examination can enter the date and the examined body region and confirm this with a stamp and signature. The radiation dose , as well as information that could suggest the dose, is not noted. The passport remains with the patient. Radiotherapy measures are not noted in the X-ray passport; Imaging examinations without ionizing radiation such as sonographies ( ultrasound ) and magnetic resonance tomographies ( magnetic resonance tomographies ) also do not.

X-rays are used to diagnose health disorders , but radiation can also cause damage . The documentation of all x-ray examinations should help avoid unnecessary examinations. A doctor can find out about existing recordings and limit the individual radiation exposure to what is absolutely necessary, as required by the minimization of radiation protection.

Since January 1, 2019, practices and clinics are no longer obliged to offer their patients X-ray passports.

Austria

In Austria , X-ray passports are currently only available on a voluntary basis.

European Union

The European Union has currently (2013) not issued any guidelines on X-ray passports.

Switzerland

In Switzerland , the X-ray pass has been offered by the Swiss Patient Organization (SPO) since 1998 . It is not required by law in this country either.

United States

In the USA, the Food and Drug Administration (FDA) recommends that the population keep a personal document on the X-ray examinations received on a voluntary basis and offers a template for an X-ray record card for download. There are no legal regulations for this.

Related documents

A radiation pass is not issued to patients, but to persons who are professionally exposed to radiation and who work in external facilities.

Sources and individual references

  1. ↑ Ordinance on the further modernization of radiation protection law , Federal Law Gazette Part I No. 41 of December 5, 2018. Accessed January 30, 2019.
  2. ↑ Röntgenpass, Federal Office for Radiation Protection. Accessed January 30, 2019.
  3. ^ X-ray passport - a farce? OERG News 2/2011
  4. ↑ Avoid unnecessary X-rays: New X-ray passport. BAG, September 10, 1998
  5. ↑ Reducing Radiation from Medical X-rays. (PDF; 266 kB) FDA Consumer Health Information, February 2009

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