The sonographer or examiner should:

• Review data acquired during the upper extremity venous duplex ultrasound exam to ensure that a complete and comprehensive evaluation has been performed and documented.
• Explain and document any exceptions and limitations to the protocol (i.e., study omissions or revisions).
• To determine any change in follow-up studies, review previous exam documentation to document any change in status; and/or duplicate prior imaging and Doppler parameters.
• Record the technical findings required to complete the final diagnosis on a worksheet or other appropriate method (e.g., computer software), so that the findings can be classified according to the laboratory diagnostic criteria
• Document the exam date, clinical indications, sonographer performing the evaluation, and exam summary in the patient’s medical record.