Sync template from atomicqms-style deployment

Forms/Treatment-Logs/FRM-TMS-001-Treatment-Session-Log.md

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+# TMS Treatment Session Log
+
+| Form ID | FRM-TMS-001 | Revision | 1.0 |
+|---------|-------------|----------|-----|
+
+---
+
+## Patient Information
+
+| Field | Entry |
+|-------|-------|
+| Patient Name | |
+| MRN | |
+| Date of Birth | |
+| Diagnosis | ☐ MDD ☐ OCD ☐ Other: _______ |
+| Treatment Protocol | ☐ Standard rTMS ☐ iTBS ☐ Other: _______ |
+| Prescribing Physician | |
+
+---
+
+## Session Information
+
+| Field | Entry |
+|-------|-------|
+| Date | |
+| Session Number | ____ of ____ |
+| Start Time | |
+| End Time | |
+| Operator Name | |
+| Operator Credentials | |
+
+---
+
+## Pre-Treatment Assessment
+
+### Daily Safety Screening
+
+| Question | Response |
+|----------|----------|
+| Any new medications since last session? | ☐ Yes (list below) ☐ No |
+| Any changes to existing medications? | ☐ Yes (list below) ☐ No |
+| Did you get at least 4 hours of sleep? | ☐ Yes ☐ No |
+| Any alcohol in past 24 hours? | ☐ Yes (amount: _____) ☐ No |
+| Any recreational drugs? | ☐ Yes ☐ No |
+| Any new medical symptoms or illness? | ☐ Yes (describe below) ☐ No |
+| Any problems since last treatment? | ☐ Yes (describe below) ☐ No |
+
+**Notes on positive responses:**
+
+---
+
+### Vital Signs (if indicated)
+
+| Parameter | Value |
+|-----------|-------|
+| Blood Pressure | / mmHg |
+| Heart Rate | bpm |
+
+---
+
+## Treatment Parameters
+
+### Motor Threshold
+
+| Field | Entry |
+|-------|-------|
+| Motor Threshold (%) | |
+| MT Determination Date | |
+| Rechecked This Session? | ☐ Yes ☐ No |
+
+### Stimulation Parameters
+
+| Parameter | Prescribed | Delivered |
+|-----------|------------|-----------|
+| Target Site | | |
+| Coil Type | | |
+| Frequency (Hz) | | |
+| Intensity (% MT) | | |
+| Pulses per Train | | |
+| Inter-Train Interval (sec) | | |
+| Number of Trains | | |
+| Total Pulses | | |
+| Session Duration | | |
+
+### Coil Position
+
+| Field | Entry |
+|-------|-------|
+| Positioning Method | ☐ 5-cm Rule ☐ Neuronavigation ☐ Other |
+| Coil Position Verified? | ☐ Yes |
+| Coil Angle | |
+| Position Markings Used? | ☐ Yes ☐ No |
+
+---
+
+## Treatment Delivery
+
+| Field | Entry |
+|-------|-------|
+| Full Treatment Delivered? | ☐ Yes ☐ No |
+| If No, Reason | |
+| If No, Pulses Delivered | |
+
+### Interruptions (if any)
+
+| Time | Duration | Reason |
+|------|----------|--------|
+| | | |
+| | | |
+
+---
+
+## Patient Tolerance
+
+### During Treatment
+
+| Symptom | Present? | Severity (1-10) | Notes |
+|---------|----------|-----------------|-------|
+| Scalp pain/discomfort | ☐ Yes ☐ No | | |
+| Facial twitching | ☐ Yes ☐ No | | |
+| Neck pain | ☐ Yes ☐ No | | |
+| Dizziness/lightheadedness | ☐ Yes ☐ No | | |
+| Anxiety | ☐ Yes ☐ No | | |
+| Other: | ☐ Yes ☐ No | | |
+
+**Comfort Measures Used:**
+☐ Repositioning  ☐ Intensity adjustment  ☐ Break taken  ☐ Other: _______
+
+### Post-Treatment Assessment
+
+| Symptom | Present? | Severity (1-10) |
+|---------|----------|-----------------|
+| Headache | ☐ Yes ☐ No | |
+| Scalp tenderness | ☐ Yes ☐ No | |
+| Fatigue | ☐ Yes ☐ No | |
+| Difficulty concentrating | ☐ Yes ☐ No | |
+| Other: | ☐ Yes ☐ No | |
+
+### Overall Tolerance Rating
+
+☐ Excellent - No discomfort
+☐ Good - Mild, tolerable discomfort
+☐ Fair - Moderate discomfort requiring intervention
+☐ Poor - Significant discomfort, treatment modified
+☐ Intolerable - Treatment stopped early
+
+---
+
+## Adverse Events
+
+☐ No adverse events this session
+
+| Event | Details |
+|-------|---------|
+| Description | |
+| Time of Onset | |
+| Duration | |
+| Severity | ☐ Mild ☐ Moderate ☐ Severe |
+| Action Taken | |
+| Resolved? | ☐ Yes ☐ No ☐ Ongoing |
+| Physician Notified? | ☐ Yes ☐ No ☐ N/A |
+| Physician Name/Time | |
+
+**Adverse Event Report Filed?** ☐ Yes (Report #: _____) ☐ No ☐ N/A
+
+---
+
+## Clinical Observations
+
+**Patient's subjective report of symptom change:**
+☐ Much worse  ☐ Somewhat worse  ☐ No change  ☐ Somewhat better  ☐ Much better
+
+**Comments:**
+
+---
+
+## Weekly Outcome Assessment (if applicable)
+
+| Assessment | Score | Date |
+|------------|-------|------|
+| PHQ-9 | | |
+| HAM-D | | |
+| Y-BOCS | | |
+| Other: | | |
+
+---
+
+## Equipment
+
+| Field | Entry |
+|-------|-------|
+| Device Model/Serial # | |
+| Coil Serial # | |
+| Equipment Functioning Normally? | ☐ Yes ☐ No |
+| Issues Noted | |
+
+---
+
+## Next Session
+
+| Field | Entry |
+|-------|-------|
+| Next Appointment Date | |
+| Next Appointment Time | |
+| Parameters to Modify? | ☐ Yes (describe) ☐ No |
+| MT Recheck Needed? | ☐ Yes ☐ No |
+| Physician Review Needed? | ☐ Yes ☐ No |
+
+---
+
+## Signatures
+
+### Operator Attestation
+
+I certify that this treatment session was administered in accordance with the prescribed protocol and documented accurately.
+
+| Field | Entry |
+|-------|-------|
+| Operator Signature | |
+| Date | |
+| Time | |
+
+### Supervising Physician Review (if required)
+
+| Field | Entry |
+|-------|-------|
+| Physician Signature | |
+| Date | |
+| Comments | |
+
+---
+
+*Form FRM-TMS-001 Rev 1.0 - TMS Treatment Session Log*