MOSAIQ User's Guide - UCSF Radiation Oncology

CHAPTER 3: General Clinical Charting
7. In the Diagnosis field, select the diagnosis description, then type part of a diagnosis to
show only the applicable diagnoses.
If you close the Diagnosis field list, then go back to it again, the most
recent selections appear. The Morphology field also “remembers” your
most recent selections.
8. Scroll through the diagnosis groups, then click adjacent to one of the diagnosis groups
to show the applicable diagnosis codes.
9. Click a diagnosis.
10. Type information about the diagnosis in the Notes field. The information could include
lab results or the name of the physician who made the diagnosis.
11. Click OK to save the diagnosis.
Adding a Cancer Diagnosis
Adding a cancer diagnosis is much the same as adding a non-cancer diagnosis.
1. In the Chart Workspace, click on the upper-right of the Diagnosis and Problem List
pane to open the Options menu.
2. Click Add Diagnosis… to open the Diagnosis and Staging window.
Keep the Type field at the default, Primary. Primary shows the disease is under
treatment.
3. Type the current date in the Initial Diagnosis field to show the date of the initial
diagnosis.
You can also click adjacent to the Initial Diagnosis field to show a
calendar from which you can select a date.
The Dx at Age field shows the patient age. If you add the Initial Diagnosis date and the
Birth Date in the Patient Demographic Data dialog box, MOSAIQ calculates the patient
age. The Consultation field defaults to the current date and is the date of the diagnostic
consultation.
4. Click the Diagnosis.
If the diagnosis you select has an applicable Category, it automatically appears. If not,
you can select the Category.
5. Click the Laterality of the cancer diagnosis.
6. Click in the Morphology field, then type part of a morphology description.
You can also type part of a morphology code number to show only some morphology
codes.
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LUGMSQ0002/4.0/23-Sep-2010