Documenting an oncology review
aurii drafts the progress note, the letters to the GP and the referrer, and the results notification from one spoken review.
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Spoken in the day unit
A review before the third cycle of treatment, on a synthetic patient.
"Review before cycle three. She got through cycle two with much less nausea on the new antiemetic."
"Fatigue is the main problem, worst on days three to five, and she has had no fevers."
"Neutrophils are one point eight, haemoglobin one hundred and eight, renal and liver function normal."
"No new pain, no neuropathy in the hands or feet, and her weight is stable."
"Proceed with cycle three at full dose today, continue the antiemetic, and repeat imaging after cycle four."
"Letters to her GP and to the referring surgeon with the counts, the plan and the fever advice."
Attending for review before cycle 3. Cycle 2 completed with improved nausea control on the revised antiemetic. Fatigue is the dominant symptom, worst on days 3 to 5. No febrile episodes.
Neutrophils 1.8, haemoglobin 108. Renal and liver function normal.
No new pain. No peripheral neuropathy in the upper or lower limbs. Weight stable.
- Proceed with cycle 3 at full dose today
- Continue the current antiemetic regimen
- Restaging imaging after cycle 4
- Letters to the GP and the referring surgeon
Illustration of the drafting view.
The cycle on one page
aurii drafts the progress note from the review as it is spoken: the cycle, the toxicity since the last one, the counts, the examination and the decision with its reasoning. The GP letter and the results notification draft from the same words. The oncologist signs each.
Documents from one day-unit review
Billing items are captured at the bedside against the episode, for your practice to claim. Billing.
Starter templates an oncology service draws on
Your letterhead and section order, set once, on every draft. The template set.
Correspondence between cycles
The letter is drafted from the same review as the note. It names the treatment running, the counts, the supportive medication and the advice about fever between cycles, and the oncologist signs it before it goes.
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