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MOSAIQ User's Guide - UCSF Radiation Oncology

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Using the Diagnosis and Staging Tabs<br />

CHAPTER 3: General Clinical Charting<br />

Along with T, N, M staging, use the Diagnosis and Staging tabs to add Diagnosis Specific<br />

Values, tumor measurements. You can also use it to add information about patient diagnosis,<br />

additional classifiers (if applicable), and collaborative staging.<br />

Adding Diagnosis Specific Values<br />

DSVs or Diagnosis Specific Values are tumor markers or other test results that apply to the<br />

initial diagnosis of cancer. The Diagnosis Specific Values list shows the test results for tumor<br />

markers that can apply to the diagnosis. You can use the default tumor markers. You can<br />

also add or change tumor markers or DSVs.<br />

1. In the Staging tab of the Diagnosis and Staging window, click Add Value to open the<br />

Add Diagnosis Specific Value dialog box.<br />

The Add Diagnosis Specific Value dialog box lets you add or change the DSVs or tumor<br />

marker results. The Date and time default to the current date and time, but you can<br />

change them. If the patient has test results, they appear in the Previous Values group<br />

when you select the tumor marker.<br />

2. Click the Value cell for a tumor marker, then type in the lab result value.<br />

3. Type the lab result value in the Value cell for a tumor marker, then click a different row<br />

(but do not enter a value).<br />

If you add a value not in the normal reference range of the tumor marker, the tumor<br />

marker is selected in red. This shows a warning condition.<br />

4. Click OK to save the results.<br />

Red highlighting also appears in the Diagnosis Specific Values list of the Diagnosis and<br />

Staging window.<br />

5. Click Flowsheet to open the Laboratory tab of the Flowsheet window.<br />

6. Change the View to Tumor Markers.<br />

7. Right-click, then click Detail View.<br />

8. Double-click the column containing the tumor marker results to open the Flowsheet<br />

window in Entry/Edit mode. You can also click Add to add a new set of tumor marker<br />

results.<br />

9. Click the tumor marker in the Date/Time column, then type the lab results in the text<br />

field.<br />

10. Click OK, then click Cancel to close the Flowsheet window.<br />

Copyright 2010, Elekta Impac Software 31<br />

LUGMSQ0002/4.0/23-Sep-2010

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