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MOSAIQ User's Guide - UCSF Radiation Oncology

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<strong>MOSAIQ</strong> User’s <strong>Guide</strong><br />

Automatically Staging a Cancer Diagnosis<br />

1. In the Diagnosis and Problem List pane, double-click a cancer diagnosis to open the<br />

Diagnosis and Staging window.<br />

The Staging tab contains two primary sections, Clinical and Pathologic. You can use<br />

them to stage the cancer based on both clinical and pathology findings. The N/A field<br />

that appears in the two sections is inactive unless you are staging placenta or testis cancer<br />

diagnoses. Also, your initials and the staging method automatically appear in the Staged<br />

By and Edition fields in each section.<br />

If a different staff member did the staging, click adjacent to the<br />

Staged By field to open the Physician Directory. Then, select the staff<br />

member.<br />

2. In the Clinical group, click the T hyperlink to open the T Selection dialog box.<br />

The T Selection dialog box shows the primary tumor staging options, along with notes.<br />

You can open a dialog box for each of the staging criteria.<br />

3. Select the Primary Tumor staging, then click Save Selection to close the T Selection<br />

dialog box.<br />

A message appears in the lower-left corner of the Diagnosis and Staging window. It<br />

shows the T staging was selected and <strong>MOSAIQ</strong> cannot stage the cancer based on that<br />

information.<br />

4. Click the Lymph Node staging in the N field.<br />

5. Type the Metastasis staging in the M field.<br />

The Stage field shows the staging from the T, N, and M values that you selected. A<br />

message in the lower left also shows the staging.<br />

Manually Staging a Cancer Diagnosis<br />

You can manually stage a cancer diagnosis if necessary.<br />

1. In the Pathologic group of the Diagnosis and Staging window, click the Manually Stage<br />

check box<br />

2. Select the T, N, and M field staging values.<br />

The Stage does not automatically appear, nor does a message appear in the lower left of<br />

the window. When you save the staging, a message does appear.<br />

3. Click the manual staging in the Stage field.<br />

4. Click the method by which you confirmed the diagnosis in the Confirm field.<br />

5. Select the HP Grade of the tumor(s).<br />

6. Save your changes.<br />

30 Copyright 2010, Elekta Impac Software<br />

LUGMSQ0002/4.0/23-Sep-2010

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