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Dosimetrist/Physicist Training Guide - UCSF Radiation Oncology

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Lesson 2: Adding Diagnoses, Care Plans, and Prescriptions<br />

Copyright 2009, IMPAC Medical Systems 73<br />

LTGRAD0005A/2.0/26-Feb-2009<br />

Notes Affirming a Diagnosis<br />

1. In the Diagnosis and Staging window, click .<br />

2. Click to save the diagnosis and close the Diagnosis and Staging<br />

window.<br />

3. Click to close the Diagnosis and Problem List dialog box.<br />

Assigning Care Plans<br />

1. In the Diagnoses and Interventions window, click in the Add group to<br />

open the Patient Care Plan dialog box.<br />

2. Click adjacent to the Care Plan field to open the Care Plans window.<br />

3. Click .<br />

4. In the Patient Care Plan dialog box, click the treatment intent from the Intent field,<br />

such as Curative (primary).<br />

5. In the Treatment Modality group, select the treatment modality, such as External<br />

Beam field.<br />

6. Click to add the course of treatment to the patient chart.<br />

Adding Prescriptions<br />

1. In the Diagnoses and Interventions window, click the course of treatment, then<br />

click in the Add group.<br />

2. In the <strong>Radiation</strong> Prescriptions dialog box, click to open the <strong>Radiation</strong><br />

Prescriptions dialog box in edit mode.<br />

3. Type the name of the prescription site in the Rx Site field.<br />

4. Click the technique, such as AP/PA, from the Technique field.<br />

5. Click the treatment modality, such as x06, from the Modality field.<br />

6. Click adjacent to the Dose Spec field, then select the dose specification name,<br />

such as Isodose.<br />

7. Type the isodose percentage in the second field (text field to the right of the Dose<br />

Spec field), then select % in the adjacent field.<br />

8. Type the total dose in the Rx Dose field.<br />

9. Type the dose to deliver for each treatment fraction in the Fractional Dose field.<br />

10. Click adjacent to the Fractionation Pattern field to open the Wave Setup Form<br />

dialog box.

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