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3DP Case Form: Imaging Description and Indication

Imaging Exam


One imaging exam may be used to create virtual models. Enter the patient age (in years) at the time of exam. If the patient is 90 years of age or greater, select the option shown below:
This section describes the fields used to specify the imaging exam used for this 3D printing case. One imaging exam may be specified. For the exam, certain fields are used to describe the anatomic area imaged or diagnosed. These anatomic descriptors (region, system, diagnosis) are specified by using the corresponding dropdown menus.



3D Printing Indication


Enter the indication or diagnosis which constitutes the most significant reason for creating this 3D printed model. One indication may be provided.


For further information on specific data elements, refer to the 3DP Registry Data Dictionary.

Next: Digital Modeling

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