| Qualification Fields | Medical specialist (%) | General practitioner (%) | Junior intern (%) | Unknown (%) |
| Indicationof requestername | 100 | 100 | 100 | 45.8 |
| Indication of requester first name | 100 | 88.3 | 0.8 | 8.3 |
| Indicationof unit name | 95,5 | 96.8 | 100 | 97.2 |
| Presenceof signature | 100 | 92.5 | 96.8 | 82 |
| Presenceof stamp | 100 | 100 | 100 | 100 |
| Mentionof patientname | 100 | 100 | 100 | 100 |
| Mention of patient first name | 100 | 100 | 100 | 100 |
| Indicationof patientage | 62,4 | 75.5 | 77.2 | 54.2 |
| Indication of patientsex | 90,2 | 66.3 | 63.5 | 60.8 |
| Indication ofanatomicalregion | 100 | 100 | 100 | 100 |
| Indication of reason | 97 | 97.9 | 97.6 | 88.9 |
| Indication of a valid reason | 85,7 | 69.1 | 56 | 30.5 |
| Indication of purpose | 77,4 | 52.1 | 33.8 | 26.4 |
| Indication of creatininemia | 4,5 | 3.2 | 2.4 | 0 |
| Indication of an allergy concept | 0 | 0 | 0 | 0 |
| Indication of date | 100 | 100 | 98.4 | 80.5 |