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Some systems automate the sending of dose data, but send it as an image with the data hard burnt into it. Amazingly crap. I highly doubt that radiologists are recording dose as they very rarely do any examinations that give dose. It would usually be radiographers/Medical radiation technologists/Technicians etc (pick your naming convention!). DICOM is capable of handling data other than images, I believe some neurology systems produce data into the format. It has a ton of fields that seem to be able to be filled with user defined data and yet not break the DICOM spec. There are many things about hospital IT that are way more crap than hand recording of radiation doses.