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MOSAIQ User's Guide - UCSF Radiation Oncology

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Select a Patient for Treatment<br />

CHAPTER 10: SEQUENCER<br />

You can open the Treatment Chart from the eChart menu or the Location Schedule<br />

window. Normally, you select patients for treatment from the Location Schedule.<br />

1. Click Schedule | Location…, to open the Location Schedule window.<br />

2. Click adjacent to the Location field.<br />

3. Double-click your linac to show the linac location whose appointments you want to see.<br />

Typically, all patients scheduled for treatment on a given day appear on the schedule.<br />

You can configure eCHART to automatically queue patients for treatment when they<br />

arrive. If not, you can queue patients manually.<br />

You can also click Select Patient to open a patient chart.<br />

4. Select the appointment, then right-click or press F4.<br />

5. In the Location Schedule Options menu, click Chart/Capture… to open the Treatment<br />

Delivery Table window.<br />

The Treatment Delivery Table shows all treatment fields that are currently available for<br />

treatment. It also lets you schedule portal images and more.<br />

6. Select the Treatment Calendar session to be treated.<br />

7. Click Treat on the Treatment Chart.<br />

Pre-Treatment Warnings<br />

SEQUENCER makes a series of checks after you click Treat. SEQUENCER informs you<br />

when you change the field size, jaws, gantry angle, collimator angle, mode, type, and arc<br />

start and stop positions of IMRT fields. You cannot change the leaf positions (at any control<br />

point) of IMRT fields. To prevent treating hidden fields within a Treatment Calendar session,<br />

you must change that session and specify the set of fields that you want to treat. You should<br />

change all sessions that have the wrong set of treatment fields.<br />

Treatment Readiness Check<br />

SEQUENCER performs routine pre-treatment checks every time you select a field for<br />

treatment, and send a treatment field or a plan to the treatment machine. These checks take<br />

place before the Treatment Delivery Table opens. For example, after you click Treat in the<br />

Treatment Chart window, before the Treatment Delivery Table opens. The Treatment<br />

Readiness Check dialog box opens whenever SEQUENCER finds issues with any<br />

prescription sites or treatment fields to correct or acknowledge/override before you treat.<br />

You must respond to the highlighted site and/or field information before you can continue to<br />

treat<br />

CAUTION<br />

You must have Clinical | Field Defs | Approve and Clinical | Tx<br />

Delivery | Approve security rights to override parameters in the<br />

Treatment Readiness Check dialog box.<br />

Copyright 2010, Elekta Impac Software 261<br />

LUGMSQ0002/4.0/23-Sep-2010

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