MOSAIQ User's Guide - UCSF Radiation Oncology

MOSAIQ User’s Guide
Using Dose Site Summary
CAUTION
You must have Clinical | Tx Status View security rights to view the
Dose Site Summary window.
Click eChart | Radiotherapy Treatment... | Summary, or eChart | Diagnoses and
Interventions…, press F4 or right-click, then select Dose Site Summary... to open the
Dose Site Summary window. The Dose Site Summary shows the radiation dose administered
to each treatment site defined as a dose tracking site. You can add secondary dose tracking
sites to the table list from the Dosimetry Setup window and the Secondary Dose Tracking
Site dialog box. You can add/change/delete Dose Actions Points with the Action button.
Creating Dose Action Points
Once you have created dose tracking sites, you can add Dose Action Points. When you use
eCHART to track dose to patients under treatment, you can use the Dose Action Points
feature to automatically warn you when a specified dose is approaching at a specified site.
1. In the Dosimetry Setup window, click Action to open the Dose Action Points window.
The Dose Action Points window lists all past and current Dose Action Points created for
the patient. Depending on the View selected, you can view all Dose Action Points, only
acknowledged Dose Action Points, or only unacknowledged Dose Action Points.
2. Click Add to open the Dose Action Point dialog box.
You can add a new Dose Action Point or change an existing one. The only two required
fields are Dose Site and Comment. While it is not a required field, also type the Action
Dose or the dose at which the action entered in the Comment field should be performed.
If you do not type the Action Dose, then it is zero.
3. Click adjacent to the Dose Site field, then select the dose site for which to create a
Dose Action Point.
4. Type the Action Dose field or the dose at which the Dose Action Point is triggered.
5. The Lead Dose field displays the dose quantity that is subtracted from the Action Dose
and the Dose Action Point becomes active. Active Dose Action Points trigger notification
at treatment delivery that an Action Point is approaching. If Use Default check box is
checked, the default lead dose specified in the Department Setup dialog box is entered.
6. In the Dose Action Point Type group, click the option button to specify the type of Dose
Action Point: Standard, or Mandatory, or Dose Limit.
A standard Dose Action Point shows an alert after the Action Dose is reached, but you
do not have to acknowledge it to continue with treatment. You must acknowledge a
mandatory Dose Action Point to continue with treatment. Dose Limit Dose Action
Points (DAP) are mandatory and continue to trigger warning notes during treatment
delivery even after acknowledgment.
7. Type the action in the Comment field.
110 Copyright 2010, Elekta Impac Software
LUGMSQ0002/4.0/23-Sep-2010