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A note that survives that request contains all seven of these: Joint or bursa treated, with the side named and the diagnosis linked Confirmation that real-time ultrasound guided the needle A statement that a permanent image was stored, with its location in the record The imaging report describing what the guidance showed Injectate type, concentration, and volume administered Patient response and the immediate post-procedure check Clinician name, credentials, and a signature with date and time One missing element is enough to lose the claim

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, van Loon, L