Dosimetrist/Physicist Training Guide - UCSF Radiation Oncology

MOSAIQ Dosimetrist/Physicist Training Guide Module III
Copyright 2009, IMPAC Medical Systems 94
LTGRAD0005C/1.0/31-Mar-2009
Appendix A Getting Your
System
Started
After your system is configured, you can add patients currently under treatment and
begin tracking them the same as new patients. There are 2 basic tasks when you add
an existing patient: add the patient with the diagnosis, prescription, and treatment
fields, then manually record all dose delivered to date. This appendix provides 4
different options to retrofit and populate your system with your current patient
information. Each option includes a typical example for the option, a basic outline of
the steps, a list of benefits for the option, and a list of drawbacks for the option. For
details about the steps in each option, refer to the applicable lesson in this guide, or
refer to the MOSAIQ documentation.
Option 1: Add the Prescription, Manually Record
Treatments, Then Treat Remaining Fields from
the System
Patient Setup
Consider the patient information below as a typical example for Option 1:
• The physician prescribes 4500cGy at 180 per day (25 fractions and Daily
fractionation). The radiation oncologist adds 1 basic radiation prescription.
• Before you changed to MOSAIQ, the patient received 4140 cGy at 180 per day
(23 fractions). The clinician manually records the 23 treatments and adds the start
date and the correct total MU per field.
• The remaining dose to be delivered is 360 cGy (2 fractions). The clinician uses the
Treatment Chart/Calendar to schedule and treat the remaining dose.
Use the steps below to set up the patient per Option 1:
1. Add a diagnosis and course of therapy for the patient, the same as for new
patients. Refer to Lesson 2 in Module I of this guide for details.
2. Add a prescription for the patient, the same as for new patients. Refer to Lesson
2 in Module I of this guide for details.
3. Add treatment fields for the patient, the same as for new patients. Refer to
Lesson 3 in Module I of this guide for details. You can also import/export MLC
files and RTP files (such as IMRT files). Refer to Appendix A in Module II