MOSAIQ User's Guide - UCSF Radiation Oncology

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MOSAIQ User’s Guide Entering Assessments.................................................................................................................................................................................. 34 Changing Assessment Views ...................................................................................................................................................................................... 34 Adding Assessments...................................................................................................................................................................................................... 35 Adding Assessment Notes........................................................................................................................................................................................... 35 Reviewing Assessment Observations ...................................................................................................................................................................... 35 Printing All Assessments............................................................................................................................................................................................. 36 Printing Charts............................................................................................................................................................................................................... 36 The Pharmacy Ordering List...................................................................................................................................................................... 37 Arranging the Order List Columns........................................................................................................................................................................... 40 Favorite Prescriptions................................................................................................................................................................................. 40 Adding a New Entry to Favorites............................................................................................................................................................................. 41 Using the Favorite Prescriptions Window Buttons............................................................................................................................................ 42 Adding a Favorite While Creating a Pharmacy Order...................................................................................................................................... 43 Editing a Favorite Prescription................................................................................................................................................................................. 43 Removing a Favorite Prescription........................................................................................................................................................................... 44 Setting an Entry as Inactive in the Favorites List............................................................................................................................................... 44 Adding an Order to a Patient................................................................................................................................................................................... 44 Viewing the Medications Formulary........................................................................................................................................................ 45 Medications Formulary Security.............................................................................................................................................................................. 45 Adding a New Formulary........................................................................................................................................................................................... 46 Adding Drugs to a Formulary List........................................................................................................................................................................... 47 CHAPTER 4: MOSAIQ Medical Oncology Clinical Charting.........................................................................................49 Using the Chart Workspace for Medical Oncology................................................................................................................................ 49 Using the Pharmacy Workspace ............................................................................................................................................................... 50 Configuring the Pharmacy Workspace .................................................................................................................................................................. 50 Viewing Pharmacy Tabs............................................................................................................................................................................................. 51 Viewing Pharmacy Order Detail ............................................................................................................................................................... 51 Adding a Medication Order Using Pharmacy Workspace .................................................................................................................... 52 Approving a Pharmacy Order................................................................................................................................................................................... 54 Batch Approving Orders ............................................................................................................................................................................................. 54 Voiding an Order........................................................................................................................................................................................................... 55 Completed Order Status.............................................................................................................................................................................................. 55 Pharmacy Order Security Rights............................................................................................................................................................... 55 Configuring Pharmacy Orders Security ................................................................................................................................................................. 55 Ordering Medications Using the Clinician Worksheet.......................................................................................................................... 56 Ordering Medications Using the Quick Orders Dialog Box.................................................................................................................. 57 Calculating Doses and Dose Changes ...................................................................................................................................................... 60 Adding Patient Height and Weight to Calculate the BSA................................................................................................................................ 60 Adjusting a Medication Dose.................................................................................................................................................................................... 61 Pharmacy Dispensing List.......................................................................................................................................................................... 62 Pharmacy Dispensing Detail Window ..................................................................................................................................................... 62 Customizing the Columns .......................................................................................................................................................................................... 62 Configuring the Pharmacy Label and Worksheet.............................................................................................................................................. 63 Setting Dispensing Statuses ....................................................................................................................................................................................... 64 Recording Medication Treatments from Medication Treatment (MAR)............................................................................................ 65 Recording a Medication Treatment........................................................................................................................................................................ 65 ii Copyright 2010, Elekta Impac Software LUGMSQ0002/4.0/23-Sep-2010
Table of Contents Adding a Co-Signer....................................................................................................................................................................................................... 70 Printing Medication Administration Records ..................................................................................................................................................... 70 Correcting Medication Documentation Errors.................................................................................................................................................... 71 CHAPTER 5: MOSAIQ Radiation Oncology Clinical Charting ......................................................................................73 Defining Radiation Prescriptions ............................................................................................................................................................. 73 Adding Radiation Prescription Information ....................................................................................................................................................... 73 Defining Fractionation Patterns.............................................................................................................................................................................. 74 Appending Fractionation Phases ............................................................................................................................................................................ 75 Using Site Sequencing for Multiple Radiation Prescriptions ......................................................................................................................... 76 Viewing and Changing Radiation Prescriptions ................................................................................................................................................ 77 Approving Radiation Prescriptions......................................................................................................................................................................... 77 Approving Multiple Radiation Prescriptions....................................................................................................................................................... 78 Copying Radiation Prescriptions from Another Patient.................................................................................................................................. 78 Changing Prescribed Doses ....................................................................................................................................................................... 78 RTP Import ................................................................................................................................................................................................... 79 Importing Treatment Plans....................................................................................................................................................................................... 79 Importing Files for the Treatment Plan.................................................................................................................................................. 84 Viewing/Changing Treatment Plans....................................................................................................................................................................... 85 Manually Defining Simulation and Treatment Fields.......................................................................................................................... 87 Adding a Site Simulation ........................................................................................................................................................................................... 87 Adding a Simulation Field When a Prescription Exists.................................................................................................................................... 89 Adding a Simulation Field When a Prescription Does Not Exist................................................................................................................... 90 Capturing Geometric Settings/Parameters for a Simulation Field............................................................................................................... 91 Copying a Simulation Field....................................................................................................................................................................................... 91 Manually Creating Treatment Fields ..................................................................................................................................................................... 92 Creating a Treatment Field by Copying a Simulation Field........................................................................................................................... 95 Creating a Treatment Field by Copying an Existing Treatment Field......................................................................................................... 96 Changing a Treatment Field ..................................................................................................................................................................................... 98 Approving a Treatment Field.................................................................................................................................................................................... 99 Viewing the Field Delta View.................................................................................................................................................................................... 99 Reviewing IMRT...........................................................................................................................................................................................................101 Site Setup Definition.................................................................................................................................................................................102 Adding Site Setup Definition...................................................................................................................................................................................102 Approving Site Setup Definition ............................................................................................................................................................................103 Setting Up Dose Tracking.........................................................................................................................................................................105 Creating Primary Dose Tracking Sites..................................................................................................................................................................105 Adding Secondary Dose Tracking Sites................................................................................................................................................................107 Adding and Changing Dose Coefficients .............................................................................................................................................................108 Adding Prior Dose.......................................................................................................................................................................................................109 Defining Total Cumulative Dose and Dose Tracking Sites............................................................................................................................109 Using Dose Site Summary ........................................................................................................................................................................................110 Creating Dose Action Points....................................................................................................................................................................................110 Creating Dose Limit Dose Action Points..............................................................................................................................................................111 Using the Treatment Calendar ...............................................................................................................................................................112 Scheduling Treatment Sessions ..............................................................................................................................................................................112 Deleting Treatment Sessions in the Treatment Calendar..............................................................................................................................115 Copyright 2010, Elekta Impac Software iii LUGMSQ0002/4.0/23-Sep-2010
Page 1: MOSAIQ User’s Guide MOSAIQ Versio
Page 4 and 5: PUBLISHED BY: Elekta Impac Software
Page 8 and 9: MOSAIQ User’s Guide Working with
Page 10 and 11: MOSAIQ User’s Guide Managing the
Page 12 and 13: MOSAIQ User’s Guide Site Setup Ve
Page 15 and 16: Introduction MOSAIQ User’s Guide
Page 17 and 18: Disclaimer Training Introduction El
Page 19 and 20: Notes, Hints, and Warnings Note exa
Page 21 and 22: Abbreviations and Acronyms BEV Beam
Page 23 and 24: CHAPTER 1: International Formats In
Page 25 and 26: Configuring Department Setup CHAPTE
Page 27 and 28: WARNING CHAPTER 1: International Fo
Page 29 and 30: CHAPTER 2: MOSAIQ Online Help MOSAI
Page 31 and 32: MOSAIQ User’s Guide CHAPTER 3: Ge
Page 33 and 34: CHAPTER 3: General Clinical Chartin
Page 39 and 40: Entering and Completing Course Info
Page 41 and 42: 3 In the New Status group, click Ap
Page 45 and 46: Using the Diagnosis and Staging Tab
Page 47 and 48: Adding Oncology Details CHAPTER 3:
Page 49 and 50: Adding Assessments CHAPTER 3: Gener
Page 51 and 52: The Pharmacy Ordering List CHAPTER
Page 53 and 54: In House Pickup External Pickup CHA
Page 55 and 56: Adding a New Entry to Favorites Adm
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Adding a Favorite While Creating a
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Viewing the Medications Formulary W
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Adding Drugs to a Formulary List CH
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MOSAIQ User’s Guide CHAPTER 4: MO
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Viewing Pharmacy Tabs CHAPTER 4: MO
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CHAPTER 4: MOSAIQ Medical Oncology
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Voiding an Order CHAPTER 4: MOSAIQ
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CHAPTER 4: MOSAIQ Medical Oncology
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Waving Orders from Quick Orders CHA
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Adjusting a Medication Dose CHAPTER
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Configuring the Pharmacy Label and
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Printing the Pharmacy Worksheet CHA
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Documenting IV Details CHAPTER 4: M
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Documenting VAD Details CHAPTER 4:
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Correcting Medication Documentation
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MOSAIQ User’s Guide CHAPTER 5: MO
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CHAPTER 5: MOSAIQ Radiation Oncolog
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Adding Field Setup Information CHAP
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Approving a Treatment Field CHAPTER
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Reviewing IMRT CHAPTER 5: MOSAIQ Ra
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Setting Up Dose Tracking CHAPTER 5:
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Adding Secondary Dose Tracking Site
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Adding Prior Dose CHAPTER 5: MOSAIQ
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8. Click OK. CHAPTER 5: MOSAIQ Radi
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9. Click OK. CHAPTER 5: MOSAIQ Radi
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Changing Treatment Session Due Date
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Scheduling a QA Mode Treatment Sess
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3. Click Current in the Patient(s)
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Reviewing eCHART Chart Check Notes
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CHAPTER 6: MLC Fit MOSAIQ User’s
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Creating an MLC Leaf Plan 1. Click
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MLC Conversion CHAPTER 6: MLC Fit M
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CHAPTER 6: MLC Fit The display may
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CHAPTER 6: MLC Fit 8. In the Treatm
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MOSAIQ User’s Guide CHAPTER 7: Im
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CHAPTER 7: Image Management-ViewSta
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Request Review Status CHAPTER 7: Im
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Print Scaling CHAPTER 7: Image Mana
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Viewing and Enhancing Images CHAPTE
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Using Ellipse Tools CHAPTER 7: Imag
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Using the Fill and Color Options CH
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Curve Registration CHAPTER 7: Image
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Setup Alerts CHAPTER 7: Image Manag
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Localization Trend Review CHAPTER 7
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Completing the Setup Offset CHAPTER
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CHAPTER 8: MOSAIQ DICOM MOSAIQ User
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DCM System Preferences CHAPTER 8: M
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Setting Up Auto-forwarding for a DI
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CHAPTER 8: MOSAIQ DICOM Do this…
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In the… To… CHAPTER 8: MOSAIQ D
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DICOM AE Edit CHAPTER 8: MOSAIQ DIC
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For DICOM Images Group These contro
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CHAPTER 9: MOSAIQ Oncology PACS MOS
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DICOM Configuration Admin Rights CA
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CHAPTER 9: MOSAIQ Oncology PACS The
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Manage Data CHAPTER 9: MOSAIQ Oncol
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Doing a Check for Eligible Patients
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Selecting Patients CHAPTER 9: MOSAI
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CHAPTER 9: MOSAIQ Oncology PACS 3.
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Selecting Images b. Click the Refre
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Managing the Restore Queue CHAPTER
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CHAPTER 10: SEQUENCER MOSAIQ User
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QA Mode Field Change Warnings (chec
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10. Click Close in the Treatment De
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CHAPTER 10: SEQUENCER 7. Click Reco
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Select a Patient for Treatment CHAP
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Treatment Chart CHAPTER 10: SEQUENC
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Unhiding a Treatment Field CHAPTER
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CHAPTER 10: SEQUENCER 3. In the Tre
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CHAPTER 10: SEQUENCER 6. Click the
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Consolidated Field Sequences (CFS)
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Using the Override Feature CHAPTER
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CHAPTER 10: SEQUENCER The prescript
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Troubleshooting Abnormal Treatment
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Appendix A: Contact and Regulatory
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MOSAIQ User’s Guide Appendix B: W
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Appendix B: Warnings and Cautions i
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When Rounding Error 2 is exceeded:
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MOSAIQ User’s Guide Appendix C: I
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MLC Fit Intended Use Appendix C: In
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Appendix D: Measurement of Accuracy
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Index A Abbreviations/Acronyms, 7 A
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DICOM AE Edit, 231 DICOM Communicat
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using, 130 MLC leaf plan report, 13
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selecting patients for treatment, 2
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Index Copyright 2010, Elekta Impac
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