ADMINISTRATION ORDER NO.
35 SERIES OF 1994 REQUIREMENTS FOR CONTROL OF
RADIATION HAZARD FROM CLINICAL DIAGNOSTIC FACILITIES AUG. 5, 1994
• Absorbed Dose
-It is the energy imparted per unit mass by
ionizing radiation to matter at a specified point.
• Beam Limiting Device
-It is a device that is used to restrict the
dimensions of x-ray beam such as the cone,
fixed diaphragm, or light beam diaphragm.
• Conventional Tomographic Machine
-It is an x-ray machine used to show in detail
the imaged of structures lying in
predetermined plane of tissue, while blurring or
eliminating details in imaged of structures in
other places.
• Cardiac Radiological Machine
-It is an x-ray machine that is specifically
intended for the radiological examination of the
heart or interventional x-ray procedure wherein
the heart is involves.
• Cine fluorography or Cineradiography
-It is the production of motion pictures
photographic record of the image formed on
the output of the phosphor of an image
intensifier by the action of x-ray transmitted to
the patient.
• Computed Tomographic Machine
-Type of x-ray machine that uses multiple x-ray
transmission measurements and a computer
program to generate tomographic images of
the patient.
• Dead Man Filter
-It is a switch that is used to construct a
circuit-closing contact that can only
maintained by continuous pressure on the
switch
• Dose Equivalent
-is a quantity which is defined for radiation
protection purposes
• Effective Dose Equivalent
-Is the sum over specified tissues of the
products of the equivalents in a tissue and the
weighting factor for that tissue.
a • Exposure
- A measure of the quantity of x-ray or gamma
radiation based upon its ability to ionize air
through which it passes.
• Exposure Rate
- The quantity of exposure per unit time.
• Facility
- Refers to clinical diagnostic x-ray facilities.
• Filtration
- Is a material that can absorb preferentially
the less penetrating radiation in the useful
beam.
• Inherent Filter
- It is type of filter that permanently in the
useful beam, it includes the window of the x-
ray tube and any permanent filter enclosure to
the tube.
• Added Filter
- Type of filter that is added to the inherent
filter or inherent filtration
• Total Filter
be
 ADMINISTRATION ORDER NO. 35 SERIES OF 1994 REQUIREMENTS FOR CONTROL OF
RADIATION HAZARD FROM CLINICAL DIAGNOSTIC FACILITIES AUG. 5, 1994

- the sum of added filter and inherent filter - Are specific technique factors which are used
in measuring leakage radiation.
• Fluoroscopic Equipment
• Light Beam Diaphragm
- Type of x-ray machine which is used to view
continuously dynamic processes of the body. - A beam limiting device with adjustable
aperture size provided with a light beam
• Gonad Shield
indicator where the light field coincides with
- A radiation absorbing material which is used the radiation field.
to reduce the radiation exposure to the
• Mammographic X-ray Machinery
gonads.
- An x-ray machine that is specially designed
• Half Value Layer
and intended for radiographic examination of
- Thickness of specified material which, when the breast only.
introduce into the path of a given beam of
• Medical Physicist
radiation will reduce the exposure rate by one
half. - An individual who has completed at least 24
units of the M.S Medical Physics course and
• Head of the Facility
incharge of medical/health physics work in
- The physician in-charge of the activities of radiology department.
the facility who has the qualifications stated in
• Transportable X-ray Facility
section 4.1.2
- An x-ray facility with an x-ray machine
permanently mounted inside a properly
• Image intensifier
shielded vehicle.
- It is an x-ray image receptor which
• Mobile X-ray Machine
increases the brightness of a fluoroscopic
- An x-ray machine that is permanently
image by electronic amplification and image
mounted on wheels and can be moved with
minification.
reasonable ease.
• Lead Equivalence
• Owner or Licensee
- Is the thickness of lead affording the sense
- A person, association, partnership, or
attenuation, under specified conditions, as the
corporate licensed by the Department of Health
material in question.
to operate and maintain an x-ray facility.
• Leakage Radiation
• Personnel Monitor
- A radiation coming from within the x-ray tube
assembly except for the useful beam.

• Leakage Technique Factors

 ADMINISTRATION ORDER NO. 35 SERIES OF 1994 REQUIREMENTS FOR CONTROL OF
RADIATION HAZARD FROM CLINICAL DIAGNOSTIC FACILITIES AUG. 5, 1994

- Is an appropriate sensitive device used to - Part of the x-ray machine consisting of

estimate the radiation dose received by the the tube housing and the tube insert where the
individual. cathode and anode assembly are found.

• Portable X-ray Machine • X-ray or Radiologic Technologist

An x-ray machine that is capable of being - A person who is qualified to use or

carried by not more than one able-bodied operate in x-ray machine in Accordance with
person. section 4.1.2

• Protective Apron • X-ray Service Engineer

An apron made of radiation absorbing -Is an individual with knowledge and skill in the
materials used to reduce radiation exposure. repair and maintenance of x-ray machine with
training in radiation protection.
• Protective Barrier
• X-ray Examination
A barrier made of radiation absorbing materials
used to reduce radiation exposure. Is a procedure done to help a patient diagnosis
using x-ray emitting devices.
• Protective Gloves
• X-ray Machine/Device
- It is a glove or hand shield made of absorbing
materials used to reduce radiation exposure to Is an apparatus equipped with a high vacuum
hands. tube that produces x-ray by bombarding a
target, usually metallic, with fast moving
• Radiation Safety Officer
electrons
- A person responsible for the conduct of
radiation safety programs in an x-ray facility
who is either medical physicist or a radiologic
or x-ray technologist.

• Serial Radiography

- A radiographic exposure in which a sequence

of radiographs is made rapidly by using an
automatic cassette charger, image intensifier,
etc.,

• Slice

- The body single section imaged in a

tomography procedure.

• Tube Assembly
 ADMINISTRATION ORDER NO. 35 SERIES OF 1994 REQUIREMENTS FOR CONTROL OF
RADIATION HAZARD FROM CLINICAL DIAGNOSTIC FACILITIES AUG. 5, 1994

6. Shoulder Girdle

• Is the set of bones in the appendicular

skeleton which connects to the arm on each
side.

7. Thoracic Cage

• Is the skeleton of the thoracic wall

CLASSIFICATION OF MEDICAL 8. Abdomen

DIAGNOSTIC X-RAY FACILITY • The part of the body where stomach,

intestines, liver, spleen, and pancreas are
contained inside a cavity lined by peritoneum.
FIRST LEVEL
9. Localization of the Foreign Body
are those facilities capable of performing
• Foreign bodies will typically appear
any of the non-contrast x-ray
hyperechoic (bright) as they are stronger
examination of the chest, bone , and
reflectors of sound than surrounding soft
abdomen:
tissues. Foreign bodies often produce artifacts
1. Chest for heart and lung that can help us to recognize them.

• The heart and lungs are located in the

thorax, or chest cavity.
SECOND LEVEL
2. Extremities
are those facilities capable of performing
• An extremity is a limb or appendage of the any x-ray examination done in the First
body, particularly the hands and feet Level category and any of the following

3. Skull non contrast and contrast examination:

• Is a bone structure that forms the head in

vertebrates. • Upper gastrointestinal series

4. Vertebral Column - A radiographic examination of the upper

gastrointestinal tract
• The flexible column extending from neck to
tail, made of a series of bones, the vertebrae. • Small intestinal series

5. Pelvis - It is an x-ray examination of the small

intestines.
• Is a basin-shaped structure that supports the
spinal column and protects the abdominal • Barium Enema

organs.
 ADMINISTRATION ORDER NO. 35 SERIES OF 1994 REQUIREMENTS FOR CONTROL OF
RADIATION HAZARD FROM CLINICAL DIAGNOSTIC FACILITIES AUG. 5, 1994

- A radiographic examination of the lower - It is a series of x-rays of all the bones in the
gastrointestinal (GI) tract. body

• Hysterosalpingography • Imperforated Anus

- Is an x-ray procedure that is used to view the - Complete absence of an anal opening
inside of the uterus and fallopian tubes. requires emergency surgery for the newborn.

• Oral Cholegraphy

is an x-ray procedure used to look for

gallstones in the gallbladder or bile duct
• Intravenous Pyelography
• Esophagography
- an imaging test used to look at the kidneys
- Is a special type of imaging test that uses and ureters
barium and x-rays to create images of your
upper gastrointestinal (GI) tract.
THIRD LEVEL
• Pelvimetry
are those facilities capable of performing
- It is the measurement of the female pelvis.
any x-ray examination done in the First
• Fetography Level and Second Level category and

Radiography of the fetus within the uterus. any of the invasive procedures:

• Cardiac Studies with Barium 1. Sinugraphy

• Myelography - tells about the extent/origin of sinus.

- It is a type of radiographic examination that 2. Fistulography

uses a contrast medium to detect pathology of
the spinal cord
• Paranasal Sinuses
- It are a group of four paired air-filled spaces
that surround the nasal cavity.
• Scoliotic Series
- It is a relatively safe and painless test that
uses a small amount of radiation to create
detailed images of the spine.
- is an x-ray procedure used to view a fistula
3. Sialography
- An x-ray of the salivary ducts and glands.
4. Operative and Post-operative
Cholangiography
-Operative cholangiography is an important
adjunct to laparoscopic cholecystectomy, a
recently developed surgical procedure in which
cholecystectomy is performed through four

• Skeletal Survey abdominal ports under sustained

 ADMINISTRATION ORDER NO. 35 SERIES OF 1994 REQUIREMENTS FOR CONTROL OF
RADIATION HAZARD FROM CLINICAL DIAGNOSTIC FACILITIES AUG. 5, 1994

pneumoperitoneum and the direct vision of a • Is the use of X-ray to visualize the body’s
video laparoscope. lymphatic system.

-Postoperative (T-tube) cholangiography 12. Bronchography

is a fluoroscopic and radiographic examination
• a radiological technique, which involves x-
of the biliary tract that involves the injection of
raying the respiratory tree after coating the
a contrast medium through the T-tube inserted
airways with contrast.
during surgery.

5. Endoscopic Retrograde
Cholangiographic Pancreatography 13. Tomography

(ERCP) • Radiologic technique for obtaining clear X-ray

• Is a procedure that combines upper images of deep internal structures by focusing

gastrointestinal (GI) endoscopy and x-rays to on a specific plane within the body.

treat problems of the bile and pancreatic ducts. 14. Pace-maker implants

6. Retrograde Urography • A pacemaker is a small device that’s placed

• is a form of x-ray used to get detailed (implanted) in the chest to help control the

pictures of the ureters and kidneys. heartbeat

7. Retrograde Cystography

• Is a detailed x-ray of the bladder. SPECIALIZED

8. All non-cardiac percutaneous are those facilities capable of performing

procedures
9. Cerebral Angiography
• Is used to look for changes in the blood
vessels within or leading to the brain.
10. Visceral and Peripheral Angiography
- Are usually best investigated with CT
angiography.
- MR angiography is a good alternative,
mainly due to the reduced risk of kidney
damage and radiation, particularly for younger
patients who may require long follow up.
11. Lymphography
any x-ray examination done with a
dedicated x-ray unit such as:
1. Digital Subtraction Angiography
• Is a fluoroscopic technique used extensively
in interventional radiology for visualizing blood
vessels.
2. Bone Densitometry
• is used to measure bone mineral content and
density
3. Mammography
• is specialized medical imaging that uses a
low-dose x-ray system to see inside the breasts
 ADMINISTRATION ORDER NO. 35 SERIES OF 1994 REQUIREMENTS FOR CONTROL OF
RADIATION HAZARD FROM CLINICAL DIAGNOSTIC FACILITIES AUG. 5, 1994

4. Cardiac Catheterization

• Is a procedure in which a thin, flexible tube

(catheter) is guided through a blood vessel to
the heart

5. Percutaneous Transluminal
Angioplasties

• Is a procedure that can open up a blocked

blood vessel using a small, flexible plastic tube,
or catheter, with a “balloon” at the end of it.

6. Tumor Localization and Simulation

• Tumors can be localized by radioactive

isotope imaging techniques by two main
methods.

• Simulation is a process during which the

patient is prepared for therapy.

7. Computed Tomography

• Is a diagnostic imaging test used to create

detailed images of internal organs, bones, soft
tissue and blood vessels.

8. Angiocardiography

• Is used to evaluate patients for

cardiovascular surgery.
 ADMINISTRATION ORDER NO. 35 SERIES OF 1994 REQUIREMENTS FOR CONTROL OF
RADIATION HAZARD FROM CLINICAL DIAGNOSTIC FACILITIES AUG. 5, 1994

MANPOWER REQUIREMENTS less than 2.5 mm Al of which 1.5mm shall be

1. Head of the x-ray facility shall be the
qualified physician who shall be the person-in-
charge of the activities in the facility with the
permanent and this shall be clearly indicated in
the tube housing.
-The half value layer of the useful beam should

following qualifications: not be less that than show in table 5.1 for a
given tube potential, phase, and filtration.
 For government or private x-ray facility
 For first level and second level -The source skin distance (SSD) shall not be

government x-ray facilities less than 3’d cm and should not be less than

 For government hospitals 38m. For tabletop radiographic procedure, the

 For Philippine Tuberculosis Society (PTS) source to film distance shall not be less than
100 cm.
Facilities
-The control panel shall include devices (push
• In areas where there is a radiologist with
button or meter) for setting and/or for
qualifications in 4.1.1., but who, for some
indicating physical factors ( kVp, mA, or mAs)
reason, cannot act as head of the x-ray facility
used for exposure. - No radiation shall be
of other hospitals or clinics in other area:
detected when timer is set to zero.
 Radiologic or X-ray Technologist
-A device shall be provided which will
 Radiation Safety Officer
automatically terminate radiographic exposure
2. Each x-ray machines shall have at least one after a preset time interval or exposure at the
radiologic or x-ray technologist. receptor.

3. For third level and specialized facilities, the
services of a medical physicist should be made
available.
-The radiographic exposure switch shall be of
the ‘dead man or spring loaded type’ switch.
-The control panel shall provide positive
audible and visible indication of the production

X-RAY MACHINE REQUIREMENTS of x-ray whenever the tube is energised

• Stationary Radiographic Machine -Radiographic technique chart shall be

provided for each x-ray machine. The
-A diagnostic source housing assembly with an
technique chart shall be posted in a
attached beam limiting device shall be used.
conspicuous place near the control console.
-A mark on the visible existence of the source
-when safety procedure, tube rating chart,
assembly shall indicate the location of the focal
anode cooling charts and maintenance
spot.
procedures shall be provided to each x-ray
-The total filtration in the useful beam for equipment, including restrictions of the
diagnostic x-ray unit shall be equivalent to not particular technique.
 ADMINISTRATION ORDER NO. 35 SERIES OF 1994 REQUIREMENTS FOR CONTROL OF
RADIATION HAZARD FROM CLINICAL DIAGNOSTIC FACILITIES AUG. 5, 1994

-The actual kVp and radiation output shall be - For Mobile Radiographic x-ray machine, the
periodically checked by a qualified medical limiting device should have clear and
physicist or x-ray engineer. permanent markings to indicate the image
receptor size and source to image distance for
which it was designed.
Fluoroscopic Equipment, Fluoroscopic
- For mobile radiographic x-ray machine, the
Machine with Image Intensifier and
beam limiting device should have clear and
Digital Subtraction Angiographic
permanent markings to indicate the image
Equipment
receptor size and source to image distance
- For conventional fluoroscopic equipment, the (SID) for which it was designed.
fluorescent screen shall be covered with
• Means it shall be provided to align the center
protective glass sheet having a lead equivalent
of the x-ray beam and the center of indicated
of not less than:
light beam to the center of the image receptor.
 1.5mm for apparatus having a maximum
• For mobile fluoroscopic equipment, an
voltage up to and including 70kVp
adjustable collimator shall be provided to
 2.0mm for apparatus having a maximum
restrict the size of the beam to the area of
voltage above 70kVp up to and including
interest.
100kVp; an additional 0.01mm per kVp
above 100kVp. • Image intensification shall be provided on all
mobile fluoroscopic equipment. It should be
- An adjustable collimator shall be provided to
impossible to operate the mobile fluoroscopic
restrict the size of the beam to the area of
equipment unless they useful beam is
interest;
intercepted by the image intensifier.
• The x-ray tube and the collimating system
• For photofluorographic spot film cameras,
shall be linked with the image receptor
the entrance exposure rate to the image
assembly so that the beam is centered on the
intensifier at maximum tube potential and mA
image receptor assembly.
should not be greater than 0.3mrad per
• For spot film radiography, the shutter shall exposure.
automatically change to the required field size
• For photofluorographic equipment, the
before each exposure.
collimator shall restrict the beam to dimension
not greater than that of the fluorographic

Mobile Radiographic and Fluoroscopic screen.

Machine, Photofluorographic Machine

and Portable X-ray Machine
 ADMINISTRATION ORDER NO. 35 SERIES OF 1994 REQUIREMENTS FOR CONTROL OF
RADIATION HAZARD FROM CLINICAL DIAGNOSTIC FACILITIES AUG. 5, 1994
MAMMOGRAPHIC Z-RAY MACHINE
• For mammography, only an x-ray machine
designed specifically for this purpose shall be
use
• A diagnostic source housing (X-ray tube
house) assembly with an attached beam
limiting device shall be used. This assembly
shall be so constructed such that the exposure
due to leakage radiation measured at a
distance of 1 meter form the source does not
exceed 1mGy (0.1rad) in one hour when the
source if operated at its leakage technique
factor.
• A mark on the visible exterior of the source
assembly shall indicate the location of the focal
spot.
• Geometric unsharpness shall not exceed that
resulting from use of a 1mm focal spot as
measured by a star solution device, with a
50cm source-image receptor distance and a
5cm object-to-image distance. For
magnification studies, a very small focal spot,
as measured by a star resolution device is
required to achieve this level resolution:
<0.3mm for 2x magnification.
•Permanent radiation protection barriers for
the x-ray/radiologic
Technologist shall be provided in the
room for units that require
x-ray/radiologic technologist to remain
in the room during exposure.
• Suitable beam limiting devices capable of
restricting the beam to the area of interest
shall be provided
• The X-ray beam shall be collimated to the
strike only the area of the image receptor
support except the support designed to be
adjacent to the chest wall where the x-ray
filled shall not extend beyond the edge by
more than two percent of the SID, The image
receptor support shall transmit less than
0.0001cGy (0.1mrad) per exposure at 5cm
beyond the support with no breast present, for
maximum kVp and mAs values employed.
CARDIAC RADIOLOGIC MACHINE
• A diagnostic source housing (x-ray tube
housing) assembly with an attached beam
limiting device shall be used.
• A mark on the visible exterior of the of the
source assembly shall indicate the location of
the focal spot
a
• A mark on the visible exterior of the of the
source assembly shall indicate the location of
the focal spot
• Suitable beam limiting device (diaphragms,
cones, light beam diaphragm, adjustable
collimator) capable of restricting the beam to
the area of interest shall be provided.
• The SSD shall not be less than 30c (12inc)
the
and should not be less than 38cm (15in)
• (Labeled, control dials, push buttons, and/or
meters) shall be include devices for setting
 ADMINISTRATION ORDER NO. 35 SERIES OF 1994 REQUIREMENTS FOR CONTROL OF
RADIATION HAZARD FROM CLINICAL DIAGNOSTIC FACILITIES AUG. 5, 1994

and/or indicating physical factors such as; kVp,
mA, exposure time or mAs) used for exposure.
• When more than one tube can operated from
a single control panel with a single exposure
switch.
• The fluoroscopic exposure switch or switches
shall be of the dead man or spring loaded type
switch.
• A cumulative timing device, activated by the
fluoroscope exposure switch shall be provided.
Conventional Tomographic Machine
• A diagnostic source housing (x-ray tube
housing) assembly with an attached beam
limiting device shall be used.
• A mark on the visible exterior of the source
assembly shall indicate the location of the focal
spot.
• Means shall be provided to align the center of
the x-ray beam and center the center of the
indicator light beam to the center of the image
receptor.
• Scan plane position device such as light or
lights, shall indicate directly or indirectly the
position of the slice plane (s) on the patient

• A diagnostic source housing (x-ray tube within 2mm.

housing) assembly with an attached beam • The manufacturer of the computed

limiting device shall be used. tomographic system shall provide the

• A mark on the visible exterior of the source appropriate capability (software or otherwise)

assembly shall indicate the location of the focal to adjust the CT numbers so that the data from

spot. a calibration scan of water phantom will

produce a CT number water equal to zero.
• Suitable beam limiting device (diaphragm,
cones, light beam diaphragm, adjustable
collimators) capable of restricting the beam to BONE DENSITOMETER
the area of interest shall be provided.
• The radiographic exposure switch shall be of
• It means shall be provided to align the center the “dead-man or spring loaded type” switch
of the x-ray beam and the center of the
• The control panel shall provide positive
indicator light beam to the center of the image
audible and visible indication of the production
receptor.
of x-rays whenever the tube is energized.
• The control panel shall include devices
• Written safety procedures, tube rating charts,
(labeled controlled dials, push buttons and /or
anode cooling charts and maintenance
meters) for setting and/or indicating physical
procedure shall be provided to each x-ray
factors such as kVp, mA, exposure time or
equipment including restrictions of the
mAs) used for exposure.
particular technique.
Computed Tomographic Machine
 ADMINISTRATION ORDER NO. 35 SERIES OF 1994 REQUIREMENTS FOR CONTROL OF
RADIATION HAZARD FROM CLINICAL DIAGNOSTIC FACILITIES AUG. 5, 1994
X-ray Imaging System used in Lithotripsy
Machine
• Total filtration in the useful beam for
diagnostic for diagnostic x-ray units shall be
equivalent to not less than 2.5mm AL of which
1.5m shall be permanent and this shall be
clearly indicated in the tube housing
• The half value layer (HVL) of the useful beam
should not be less than that shown in Annex 1
for given tube potentials, phase and filtration.
• Calibration and reports duly signed by the
physicist or x-ray engineer shall be kept and
shall be made available for inspection by the
Radiation Health Service and other types of x-
ray machine not in the above categories should
be considered new devices requiring
appropriate evaluation by the Radiation Health
Service.
• The Source Skin Distance (SSD) shall not be
less than 30cm (12in) and should not be les
than 38cm (15in). For table radiographic
procedures, the source to film distance (SFD)
should not be less than 100cm (40in. For
upright chest radiography, SFD not be less
than 180cm (72in).y
PHYSICAL PLANT REQUIREMENT
X-ray examination rooms shall be well lit, well
ventilated, clean and with the following
specifications:
• X-ray examination room not equipped with
table shall have a room size of at least 2.5m x
3.0m. For a t transportable facility the width of
the room shall be 2.0 meters.
• X-ray examination rooms equipped with a
fixed or stationary patient table shall have a
room size of at least 3.5 x 4m.
• For specialized facilities, the size of the x-ray
examination room should be in accordance
with the specification of the x-ray equipment
maintenance.
• At least 6 inches thick poured concrete with a
density of 2.35g/cm3 power or at least 1/16
inch (1.5mm) thick lead sheet with a density of
a 11.36g/cm3. Care should be taken to avoid
punctures in the lead sheet which may occur
during installation
• Doors leading to the x-ray examination room
shall be lined with 1/16 inch (1.5mm) thick
lead sheet from the edge to edge including
door jambs to a height of at least 2 meters
from the door.
• A protective barrier shall be constructed or
provided inside the x-ray room.
• Shall be provided for viewing and
communicating with the patient during
radiographic examination.
• The base of the x-ray room window/s shall
be located at a height of at least 2 meters from
the floor of the adjacent area or room.
• A red warning light bulb that is automatically
illuminated when the x-ray machine is switched
on shall be installed outside the x-ray
examination room above the x-ray room door.
• A warning notice shall be put outside the x-
ray examination door which shall be made of a
solid yellow equilateral triangle 180mm long on
each side.
 ADMINISTRATION ORDER NO. 35 SERIES OF 1994 REQUIREMENTS FOR CONTROL OF
RADIATION HAZARD FROM CLINICAL DIAGNOSTIC FACILITIES AUG. 5, 1994
“X-RAY ROOM – DO NOT ENTER – WHEN
THE RED LIGHT IS ON”
• There shall be separate darkroom
constructed near the x-ray examination room.
• The darkroom shall be well ventilated, light
tight and shall have a minimum dimensions of
2.0 x 1.5 meters.
• The darkroom shall be provided with a
standard safelight to be installed not lower
than 1.3m from the working table processing
tanks.
• For manual processing, the time-temperature
method of processing shall be observed.
• For manual processing, processing tanks shall
be used.
• For darkroom, processing, the facility shall
maintain a record of quality control test which
shall be made available for inspection by the
Radiation Health from service.
• Unprocessed films shall be properly shielded
in a cool dry place protected from x-rays.
• The darkroom shall be provided with an air
inlet and air outlet with an exhaust fan.
• There shall be an adequate supply water in
the darkroom.
• The facilities shall have waiting area, dressing
area, film storage are and film-reading room.
• Toilet for patients with a door opening
directly to the x-ray room shall be provided for
every room where examinations using contrast
media and performed.
• Each X-ray room shall be provided with the
following radiological accessories:
Caliper
A set of gonadal shields with minimum lead
equivalence of 0.5mm lead, which includes:
 Contract shields for male adult, female
adult, infant male and infant female.
 An upright gonadal shield for chest
examinations shall be required for
radiographic equipment using fixed
diaphragm and cones as beam limiting
devices.
• A pair of lead rubber gloves or a lead hand
protector with a minimum lead equivalence of
0.25mm lead.
• A lead rubber apron with a minimum lead
equivalence of 0.25 lead.
OPERATIONAL REQUIREMENTS
• All x-ray examinations shall be performed
inside a room that is properly shielded in
accordance with section 6
• Door leading to the x-ray examination room
shall be closed during x-ray examinations.
• The useful beam shall be collimated to the
area of clinical interest
• In order to minimize the frequency of
unintentional radiation of the embryo or fetus
the following advisory notice should be posted
at several places within diagnostic x-ray
departments (particularly at its reception area)
 ADMINISTRATION ORDER NO. 35 SERIES OF 1994 REQUIREMENTS FOR CONTROL OF
RADIATION HAZARD FROM CLINICAL DIAGNOSTIC FACILITIES AUG. 5, 1994

and other areas where diagnostic x-ray • The radiation safety officers shall be
equipment is used; responsible for the conduct of radiation safety
program facility.
• IF IT IS POSSIBLE THAT YOU MIGHT BE
PREGNANT NOTIFY THE PHYSICIAN EFFECTIVITY
BEFORE YOUR X-RAY EXAMINATION.
• These requirements shall take effect 15 days
• When pregnant women require other x-ray after publication in the official gazette or in a
examinations in which the x-ray beam newspaper of general circulation and shall
irradiates the fetus directly, special care has to supersede all issuances inconsistent therewith.
be taken to ascertain that the x-ray
examination is indeed indicated at the time and
that it should not be delayed until after
pregnancy.

Request for x-ray for x-ray examination

shall be signed by the referring by the
physician and shall include the following
information in legible form.

 Patient’s name, age, sex, status and

address
 Date of request, brief clinical history and
examination requested
 Tentative diagnosis
 Name of referring physician

ADMINISTRATIVE REQUIREMENTS

• The owner/licensee shall ensure that the

facility complies with the requirements set
herein and other relevant standards, rule,
regulations and policies by the Department of
Health.

• Shall provide radiation dose monitors to all

radiation workers in the facility.

• The head of facility shall establish a quality

control program for the x-ray facility in
accordance with the radiation Health Service of
the Department.