|Reporting of appropriate use criteria categories of appropriate, may be appropriate (uncertain), and rarely appropriate (inappropriate)||Required∗|
|Development of DRLs for a variety of specific cardiac imaging tasks||Required∗|
|Implementation of continuous quality improvement programs||Required∗|
|Implementation of decision support tools||Recommended†|
|Continuing medical education for referring physicians||Recommended†|
|Creation of a repository from electronic health record data on each patient's history of medical imaging radiation exposure||Suggested‡|
Although these recommendations were made in 2013, it should be emphasized that all recommendations should in time become mandatory.
DRL = diagnostic reference level.
↵∗ Majority opinion that standardized laboratory practice of this recommendation is consistent with effective, patient-centered imaging.
↵† General agreement that standardized laboratory practice of this recommendation would enhance patient-centered imaging.
↵‡ Expert opinion that standardized laboratory practice of this recommendation would enhance patient-centered imaging.