obtain an estimate of the upper bound of the organ dose. As discussed in Section III.E, the sum is used in the process of evaluating whether it was at least as likely as not that a veteran’s disease was caused by the radiation exposure.

IV.G DOCUMENTATION AND QUALITY ASSURANCE

IV.G.1 Documentation of Dose Reconstructions

The documentation of dose reconstructions for individuals required by the NTPR program is specified in the standard operating procedures (SOPs) (DTRA, 1997). However, the discussion in the SOPs appears to be limited to the documentation that is to be sent to the veteran or his representative, rather than a complete documentation requirement. The SOPs state that: “In order to consistently serve the veteran, the veteran (or his representative) needs disclosure of the information that leads to his dose.” The documentation requirements are summarized as follows:

  • Documentation pertaining to relevant generic (unit) dose reconstructions.

  • All scenario and radiological information pertinent to the dose determination (explicitly or by reference).

  • Detailed information or analysis not fully covered in previous documents, which is to be communicated in an individual dose memorandum attached to the case correspondence or in the body of the correspondence.

  • Information that is too complex or generic or that otherwise detracts from the presentation of the individual dose memorandum or correspondence, which is to be covered by fact sheets (or other written material) distributed to the correspondent.

  • Information on availability of cited formal reports and unpublished documents (subject to Privacy Act-related redactions), which is to be included in the case correspondence.

  • Appropriate disclosure of other information, including representations from the time of the operation, such as operational summary data or data entered into individual records, even if such information is not corroborated; explanation of when this information, if it is not the most credible, is not retained in the final analysis; and other types of information that do not necessarily furnish the dose of record, such as dose entries in medical records and information contradicted elsewhere in records.

Beyond the referenced information, an individual dose reconstruction or synopsis should include an explanation of what is specific to the veteran’s case, for example:

  • The adaptation from a published report of the dose for the veteran’s period of participation.



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