MOSAIQ User's Guide - UCSF Radiation Oncology

Setting Up Dose Tracking
CHAPTER 5: MOSAIQ Radiation Oncology Clinical Charting
Once you have added the diagnosis, Care Plan, prescription, and treatment fields, you use the
Dosimetry feature to create primary dose tracking sites. This feature also assigns default
coefficients for field contributions to the primary dose tracking sites. You can not only track
doses from the current prescription site, but also doses from other past or current
prescription sites.
Dose tracking sites enable you to monitor and track cumulative dose delivered to sites when
treating prescription sites and treatment fields. The Dosimetry Setup window automatically
displays Primary Dose Tracking sites and Cumulative Primary Dose Tracking Sites. You can
also add Secondary Dose Tracking Sites and Secondary Cumulative Dose Tracking sites to
the Dosimetry Setup window. This enables you to monitor and track dose to all sites related
to the prescribed site.
Creating Primary Dose Tracking Sites
The Dosimetry feature creates dose tracking sites from the field and prescription information.
Primary Dose Tracking Sites are defined automatically. The Primary Dose Tracking Site
dialog box enables you to enter or change the prior dose and add a note for the selected dose
tracking site.
CAUTION
To create a primary dose tracking site, you must have Clinical |
Coefficients | Modify rights
1. Open the chart for your patient, then open the Diagnoses and Interventions window.
2. Click Dosimetry or right-click in the Diagnoses and Interventions window, then click
Dosimetry… to open the Dosimetry Setup Information window.
The Dosimetry Setup Information window appears if you select
Dosimetry option for the first time after a prescription site has been
added.
The Dosimetry Setup Information shows the prescription sites, treatment fields, and
cumulative dose sites that have not been setup before or those that have been changed.
Dose tracking is automatically set up for the prescription, and dose coefficients are
automatically assigned for each treatment field, with a default coefficient of 1.000. Dose
coefficients define the relative dose contribution of a treatment field or radiation
prescription to a volume of interest.
This window also shows details of any missing information for newly defined
prescription sites or treatment fields, as well as identifying those fields for which
coefficients have already been generated. If you change the prescription site or
add/change treatment field(s), you can click the Dosimetry… button again and
MOSAIQ automatically changes primary dose tracking sites, and recalculates dose
coefficients.
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LUGMSQ0002/4.0/23-Sep-2010