Data Administration Reference Guide
Data Administration Reference Guide
Reference Guide
ii
Contents
CHAPTER 1 INTRODUCTION ......................................................................1-1
Visual Cues ................................................................................................ 1-2
Associated Publications ............................................................................. 1-2
Contacting Support .................................................................................... 1-3
Ordering Additional Documents ....................................................... 1-3
Communicating Via the World Wide Web ........................................ 1-3
Sending E-Mail................................................................................. 1-4
About Data Administration ......................................................................... 1-4
Data Segmentation Feature ............................................................. 1-5
Tablet PCs and Wireless.................................................................. 1-5
About User Rights ...................................................................................... 1-7
Starting Data Administration ...................................................................... 1-7
About the User Interface ............................................................................ 1-9
Icons................................................................................................. 1-9
Tabs ................................................................................................. 1-9
Toolbar ........................................................................................... 1-10
Filters ............................................................................................. 1-10
Required Information...................................................................... 1-11
Context-sensitive Right-click Menus .............................................. 1-11
Columns ......................................................................................... 1-11
Accessing Online Help ............................................................................. 1-13
Viewing Data Administration Version Number ......................................... 1-13
Exiting Data Administration ...................................................................... 1-14
iii
Managing Departments.............................................................................. 2-7
Adding a Department ....................................................................... 2-7
Editing a Department Name........................................................... 2-11
Inactivating a Department .............................................................. 2-11
Managing Groups..................................................................................... 2-12
Adding a Group to a Department ................................................... 2-12
Editing a Group .............................................................................. 2-14
Inactivating a Group ....................................................................... 2-14
Managing Department Schedules............................................................ 2-15
Specifying Department Availability Hours ...................................... 2-16
Scheduling a Holiday ..................................................................... 2-17
Editing a Scheduled Holiday .......................................................... 2-19
Deleting a Scheduled Holiday ........................................................ 2-20
Setting System Preferences..................................................................... 2-20
Managing Lists ......................................................................................... 2-27
Adding a List Item .......................................................................... 2-29
Editing a List Item........................................................................... 2-31
Deleting a List Item ........................................................................ 2-32
Customizing Patient Labels...................................................................... 2-32
Adding a Patient Label ................................................................... 2-32
Editing a Patient Label ................................................................... 2-33
Deleting a Patient Label ................................................................. 2-34
Customizing Activity Attributes................................................................. 2-34
Adding an Activity Attribute ............................................................ 2-34
Editing an Activity Attribute ............................................................ 2-36
Deleting an Activity Attribute .......................................................... 2-37
Managing Global Settings ........................................................................ 2-37
Managing Users and User Groups........................................................... 2-39
Editing the Provider and Department for a User ............................ 2-39
iv
CHAPTER 3 IDENTIFYING RESOURCES ...................................................3-1
Managing Physicians and Staff Members.................................................. 3-2
Adding a Physician or Staff Member................................................ 3-2
Editing a Physician or Staff Member ................................................ 3-6
Inactivating a Physician or Staff Member......................................... 3-7
Managing Auxiliary Resources................................................................... 3-7
Adding an Auxiliary Resource .......................................................... 3-7
Editing an Auxiliary Resource ........................................................ 3-10
Inactivating an Auxiliary Resource ................................................. 3-10
Managing Venues .................................................................................... 3-11
Nonschedulable Venues ................................................................ 3-11
Machine Venues ............................................................................ 3-11
Schedulable Venues ...................................................................... 3-11
Adding a Venue.............................................................................. 3-11
Editing a Venue.............................................................................. 3-14
Inactivating a Venue....................................................................... 3-15
Assigning a Machine to a Venue.................................................... 3-15
Managing Resource Assignments ........................................................... 3-17
Assigning a Resource to a Department ......................................... 3-17
Assigning a Resource to a Resource Group.................................. 3-18
Specifying Availability Hours for a Resource ........................................... 3-20
v
CHAPTER 5 SETTING UP CHARGES .........................................................5-1
Configuring Default Settings for Activity Capture ....................................... 5-2
Managing Code Modifiers .......................................................................... 5-4
Adding a Code Modifier.................................................................... 5-4
Editing a Code Modifier.................................................................... 5-6
Inactivating a Code Modifier............................................................. 5-6
Managing Payor Plan Types ...................................................................... 5-7
Adding a Payor Plan Type ............................................................... 5-8
Editing a Payor Plan Type................................................................ 5-9
Deleting a Payor Plan Type ........................................................... 5-10
Managing Payor Plans (References) ....................................................... 5-10
Adding a Payor Plan (Reference) .................................................. 5-10
Editing a Payor Plan (Reference)................................................... 5-16
Deleting a Payor Plan (Reference) ................................................ 5-16
Deleting a Payor Authorization....................................................... 5-17
Managing Billing Services ........................................................................ 5-17
Adding a Billing Service ................................................................. 5-18
Editing a Billing Service.................................................................. 5-21
Deleting a Billing Service ............................................................... 5-21
Managing Procedure Codes .................................................................... 5-22
Adding a Procedure Code.............................................................. 5-22
Editing a Procedure Code .............................................................. 5-30
vi
Managing Care Path Template Treatment Cycles ................................... 6-15
Adding a Cycle to a Care Path Template....................................... 6-16
Editing a Cycle in a Care Path Template ....................................... 6-17
Deleting a Cycle from a Care Path Template................................. 6-18
Managing Care Path Template Cycle Activities ....................................... 6-19
Showing and Hiding Care Path Template Cycle Activities............. 6-22
Adding a Cycle Activity to a Care Path Template .......................... 6-22
Editing a Cycle Activity for a Care Path Template ......................... 6-24
Deleting a Cycle Activity from a Care Path Template .................... 6-26
Moving a Cycle Activity Within a Treatment Cycle......................... 6-27
Copying Cycle Activity Details........................................................ 6-27
vii
Managing the Master Favorite Drugs List ................................................ 7-35
Adding a Drug to the Master Favorite Drugs List ........................... 7-35
Editing a Drug in the Master Favorite Drugs List ........................... 7-41
Deleting a Drug from the Master Favorite Drugs List..................... 7-41
Managing the User Favorite Drugs List.................................................... 7-42
Adding a Drug to the User Favorite Drugs List .............................. 7-42
Editing a Drug in the User Favorite Drugs List............................... 7-44
Deleting a Drug from the User Favorite Drugs List ........................ 7-44
Managing the Education/Counseling Session List ................................... 7-44
Adding an Education/Counseling Session ..................................... 7-45
Editing an Education/Counseling Session ..................................... 7-47
Inactivating an Education/Counseling Session .............................. 7-47
Managing the Medical Problems History List ........................................... 7-48
Adding a Medical Problem ............................................................. 7-48
Editing a Medical Problem ............................................................. 7-50
Inactivating a Medical Problem ...................................................... 7-51
Managing the Surgical/Procedures History List ....................................... 7-51
Adding a Surgery or Procedure...................................................... 7-52
Editing a Surgery or Procedure...................................................... 7-54
Inactivating a Surgery or Procedure............................................... 7-54
Managing the Social History List.............................................................. 7-55
Adding a Social History .................................................................. 7-55
Inactivating a Social History ........................................................... 7-58
Managing Patient Document Templates and Types ................................ 7-59
Creating a List of Document Types................................................ 7-59
Creating a Document Template ..................................................... 7-62
Editing a Document Template........................................................ 7-67
Copying a Document Template...................................................... 7-68
Deleting a Document Template...................................................... 7-68
Using Data and Navigation Tags in your Document Template ...... 7-69
Managing Practice Documents and Document Types ............................. 7-70
Adding a Practice Document Type................................................. 7-70
Editing a Practice Document Type................................................. 7-72
Inactivating a Practice Document Type.......................................... 7-72
viii
Creating a Practice Document ....................................................... 7-73
Editing a Practice Document.......................................................... 7-75
Viewing a Practice Document ........................................................ 7-75
Deleting a Practice Document........................................................ 7-75
Managing RoS/PE Systems..................................................................... 7-76
Maintaining the Exam Systems Registry for RoS/PE Systems...... 7-76
Setting Up RoS/PE Assessment Descriptions for Providers.......... 7-78
Setting Up RoS/PE Abnormal Assessment Details for Providers .. 7-81
Maintaining RoS/PE Assessment Descriptions for Providers ........ 7-84
Managing Test Components .................................................................... 7-88
Creating a Custom Test Component.............................................. 7-88
Adding a Test Component ............................................................. 7-94
Editing a Test Component.............................................................. 7-95
Deleting a Test Component ........................................................... 7-95
Managing Test Component Groups ......................................................... 7-96
Adding a Test Component Group .................................................. 7-96
Editing a Test Component Group................................................... 7-99
Deleting a Test Component Group ................................................ 7-99
Managing Vital Sign Components.......................................................... 7-100
Adding a Vital Sign Component ................................................... 7-100
Editing a Vital Sign Component ................................................... 7-104
Deleting a Vital Sign Component ................................................. 7-104
Managing Recommended Toxicities ...................................................... 7-105
Adding a Toxicity Type................................................................. 7-105
Deleting a Toxicity Type............................................................... 7-107
ix
APPENDIX B BACKING UP THE VARIAN SYSTEM DATABASE .............. B-1
About Backing Up Data............................................................................. B-1
Preparing the Backup Tape ...................................................................... B-2
Verifying the Backup to Tape .................................................................... B-2
x
Time Planner Icons ................................................................................. C-31
Agenda Tab Icons ......................................................................... C-32
Appointment Tracker Tab Icons .................................................... C-34
Patient Care Path Tab Icons ......................................................... C-35
Patient Agenda Tab Icons............................................................. C-36
Patient Tracker Tab Icons ............................................................. C-37
My Patient Tracker Tab Icons ....................................................... C-38
Print Preview Window Icons.......................................................... C-40
GLOSSARY..................................................................................... GLOSSARY-1
INDEX........................................................................................................INDEX-1
xi
List of Figures
CHAPTER 1
Wireless Network Connection .....................................................................1-6
System Setup Window ................................................................................1-8
Data Administration Filter..........................................................................1-10
Column Chooser .......................................................................................1-12
Showing Column in Column Chooser .......................................................1-12
CHAPTER 2
Hospitals & Departments Lists, Adding a Clinic or Hospital........................2-3
Hospital Detail Dialog Box...........................................................................2-4
Hospitals & Departments Lists, Adding a Department ................................2-8
Department Details Dialog Box ...................................................................2-9
Department Details List.............................................................................2-13
Working Hours List....................................................................................2-16
Availability Dialog Box...............................................................................2-17
Holidays List..............................................................................................2-18
Holidays Dialog Box ..................................................................................2-18
Preferences List ........................................................................................2-21
Preferences Dialog Box ............................................................................2-22
Lists List ....................................................................................................2-30
List Details Dialog Box ..............................................................................2-30
User Defined Patient Labels List...............................................................2-33
User Defined Activity Attributes List ..........................................................2-35
Activity Attribute Values Dialog Box ..........................................................2-36
Global Settings, Preferences List..............................................................2-38
Global Settings, Edit Preferences .............................................................2-38
Users List ..................................................................................................2-40
User Details Dialog Box ............................................................................2-40
xiii
CHAPTER 3
Doctors & Staff List .....................................................................................3-3
Staff Detail Dialog Box ................................................................................3-3
Resources List ............................................................................................3-8
Resource Detail Dialog Box ........................................................................3-8
Resource Detail Dialog Box for Venue Resource Type ............................3-12
Resource Detail Dialog Box for Assigning Machines to Venue.................3-16
Staff/Resources List ..................................................................................3-17
Department List.........................................................................................3-18
Staff/Resource Groups List .......................................................................3-19
Group List..................................................................................................3-20
Availability Dialog Box...............................................................................3-21
Availability Dialog Box...............................................................................3-22
CHAPTER 4
Activities List ...............................................................................................4-3
Categories in Master to be copied in this
Department Dialog Box ...............................................................................4-4
Activity Category Detail Dialog Box.............................................................4-4
Activities in Master to be copied in this
Department Dialog Box ...............................................................................4-7
Activity Detail Dialog Box ............................................................................4-8
Assign/Detach Procedure Codes Dialog Box............................................4-11
Assign/Detach Tasks Dialog Box ..............................................................4-12
CHAPTER 5
Hospitals & Departments Lists ....................................................................5-2
Charges Control List ...................................................................................5-3
Code Modifiers List .....................................................................................5-5
Payor Plan Types List .................................................................................5-8
Payor Plan Type Detail Dialog Box .............................................................5-8
Payor Plans List ........................................................................................5-11
Payor Reference Detail Dialog Box, Contacts Tab ...................................5-11
xiv
Payor Reference Detail Dialog Box, Plan Tab ..........................................5-13
Payor Reference Detail Dialog Box, Authorization Tab ............................5-14
Payor Authorization Dialog Box ................................................................5-15
Billing Services List ...................................................................................5-18
Billing Service Dialog Box .........................................................................5-19
Procedure Codes List................................................................................5-22
Procedure Codes in Master to be copied
in this Department .....................................................................................5-23
Procedure Code Detail Dialog Box ...........................................................5-24
CHAPTER 6
Care Path Templates List............................................................................6-3
New Template Dialog Box...........................................................................6-4
Diagnosis Code Lookup Dialog Box............................................................6-5
Diagnosis Code Search Results .................................................................6-6
Select Staff Dialog Box ...............................................................................6-7
Payor Reference Dialog Box.......................................................................6-8
Copy Template Dialog Box .........................................................................6-9
Edit Template Dialog Box..........................................................................6-11
Template Cycle Activities Editor................................................................6-16
Add New Cycle Dialog Box .......................................................................6-17
Edit Cycle Dialog Box................................................................................6-18
Activity Lag Time Dialog Box ....................................................................6-24
Select Activity Proc Codes Staff/Resources from
Hospital-Department Dialog Box...............................................................6-25
CHAPTER 7
Allergies List................................................................................................7-3
Allergies Dialog Box ....................................................................................7-4
Comments List ............................................................................................7-6
Comments Dialog Box ................................................................................7-7
Diagnosis Method List...............................................................................7-10
Diagnosis Methods Dialog Box .................................................................7-11
xv
Diagnosis Code Type List .........................................................................7-13
Diagnosis Code Types Dialog Box............................................................7-14
Diagnosis Code List ..................................................................................7-15
Diagnosis Codes Dialog Box.....................................................................7-16
Default Diagnosis Code Type List.............................................................7-20
Drugs Formulary List.................................................................................7-23
Drugs@FDA Update Dialog Box...............................................................7-24
Drugs@FDA Update Dialog Box, Update Results ....................................7-26
Drug Formulary Dialog Box.......................................................................7-28
Drug Selection Dialog Box ........................................................................7-29
Drug Categories List .................................................................................7-32
Drug Formulary Categories Dialog Box ....................................................7-33
Favorite Drugs Dialog Box ........................................................................7-36
Drug Selection Dialog Box ........................................................................7-37
User Favorite List ......................................................................................7-43
Education/Counseling List.........................................................................7-45
Education/Counseling Dialog Box.............................................................7-46
Medical Problems List ...............................................................................7-48
Medical History List Dialog Box, Medical Problems Tab...........................7-49
Surgical/Procedures List ...........................................................................7-52
Medical History List Dialog Box, Surgical/Procedures Tab .......................7-53
Social List..................................................................................................7-56
Social History List Dialog Box ...................................................................7-57
Selected Document Types List .................................................................7-60
Document Types Dialog Box.....................................................................7-61
New Document Type Dialog Box ..............................................................7-62
Document Templates List .........................................................................7-63
Document Template Dialog Box ...............................................................7-64
Practice Document Types List ..................................................................7-70
Practice Document Types Dialog Box.......................................................7-71
Practice Document Dialog Box .................................................................7-73
Exam Systems Registry List .....................................................................7-77
xvi
RoS List.....................................................................................................7-79
Provider RoS/PE Setup Dialog Box ..........................................................7-80
Modify Abnormal Assessment Details.......................................................7-86
Test Components List ...............................................................................7-89
Test Components Dialog Box ...................................................................7-90
Creating a Custom Component.................................................................7-91
Test Groups Tab .......................................................................................7-97
Test Component Groups Dialog Box ........................................................7-98
Vital Signs List.........................................................................................7-100
Vital Sign Components Dialog Box .........................................................7-101
Toxicities List...........................................................................................7-105
Toxicities Management Dialog Box.........................................................7-106
xvii
Chapter 1 Introduction
In This Chapter
Topic Page
Visual Cues 1-2
Associated Publications 1-2
Contacting Support 1-3
About Data Administration 1-4
About User Rights 1-7
Starting Data Administration 1-7
About the User Interface 1-9
Accessing Online Help 1-13
Viewing Data Administration Version Number 1-13
Exiting Data Administration 1-14
1-1
Visual Cues
This manual uses the following notational conventions to help you locate and
identify information:
Note: A note describes actions or conditions that can help the user
obtain optimum performance from the equipment or software.
In addition to the notational conventions shown above, this manual also uses
the following:
Associated Publications
This manual provides information identifying what is new, or what has
changed in ARIA. Please refer to the following manuals for information that
describes the ARIA applications and how to use those applications:
■ Database Reference Guide (100010105)
■ Oncology System Platform (OSP) Reference Guide (100021509)
■ Designing Reports Reference Guide (100010106)
■ InfoMaker Reports Reference Guide (100010105)
■ Global +1.702.938.4700
Then click Support from the menu list along the left side of the window.
Introduction 1-3
Sending E-Mail
Send your e-mails to the following locations for support:
■ Information Management
[email protected]
Systems
■ Digital Imaging Management
[email protected]
Systems
■ Delivery Systems
[email protected]
Introduction 1-5
The wireless network will support data link protocols 802.11b and 802.11g
along with full encryption.
ARIA database
With the assistance of your Varian representative and your IT department, your
hospital or clinic can set up a wireless network system. Using that wireless
network system your staff can access your Varian System database
information while examining a patient. For example, you can open Patient
Manager on a Tablet PC to directly check information dealing with treatments
or write follow-up reports during examinations using Dynamic Documents.
The use of ARIA applications on a wireless network system also allows for
support of an external mouse and keyboard while the Tablet PC resides in a
docking station.
Access points on a wireless network are dependent upon your specific hospital
or clinic. You may wish to have your IT department speak with your Varian
representative concerning the requirements and conditions of your specific
situation.
Introduction 1-7
Toolbar Tabs Columns
Note: ARIA allows three login attempts. After the third unsuccessful
attempt, ARIA closes the Login dialog box and Data
Administration. Contact your field service representative for
assistance.
Icons
In addition to standard Windows toolbar icons, Data Administration includes
icons specific to ARIA applications. You can view a list of the ARIA icons as
well as a description of each icon in Appendix C, ARIA 8 Icon Legend.
Tabs
Data Administration includes tabs for configuring data that is viewed and
accessed in other ARIA applications. When you start Data Administration, by
default, it opens to the Setup System tab.
Introduction 1-9
Toolbar
The Data Administration toolbar is located near the top of the window and
includes the following elements.
Filters
Data Administration includes filters you can use to show only the information
you want to view (see Figure 1-3). The filter allows you to choose the
information you want to filter from a list of items available in the column or to
type the information you want to find using the asterisk (*) wildcard to find
character patterns. For example, to find all activities that include the text 3D in
the name, type *3D*.
To apply a filter to a column, in the filter row, click in the column you want to
filter and choose the information you want to view from the list or type the
information you want to view. All other information in that column will be
hidden. For example, to view only task type activities, in the filter row, click
in the Activity Type column, and choose Task from the list. Only task type
activities appear in the column. To remove the filter, click the X.
Columns
In Data Administration, you can use Column Chooser to show, hide, and
rearrange columns in tables to show only the information you want to view in
the order in which you want to view it.
Showing a Column
To show a column:
Introduction 1-11
Click and drag the column
you want to show
2. In Column Chooser, click the column you want to add to the table and drag
it to the column header row.
Red arrows appear when the column is in place in an acceptable position
(see Figure 1-5).
Hiding a Column
To hide a column, right-click a column header, and choose Hide This Column
from the menu.
To rearrange a column:
1. Click the column you want to move, and drag it to a new location in the
column header.
Red arrows appear when the column is in an acceptable position.
2. Release the mouse button.
Introduction 1-13
3. To close the System Information dialog box, click OK.
4. To close the About Data Administration dialog box, click OK.
You use Data Administration to identify and set up your clinic or hospital
including labels, codes, time available for scheduling, and much more. It is
through these setup options that the other applications of ARIA—Activity
Capture, Patient Manager, and Time Planner—receive their structure. Setting
up Data Administration is essential to the operation of the various ARIA
applications.
In This Chapter
Topic Page
Managing Clinics or Hospitals 2-2
Managing Departments 2-7
Managing Groups 2-12
Managing Department Schedules 2-15
Setting System Preferences 2-20
Managing Lists 2-27
Customizing Patient Labels 2-32
Customizing Activity Attributes 2-34
Managing Global Settings 2-37
Managing Users and User Groups 2-39
2-1
Managing Clinics or Hospitals
Facilities in ARIA represent places—clinics or hospitals—where oncology
patients receive radiation therapy treatment.
Name and
location are
required fields
Web Address text box Type the Web address of clinic or hospital.
Street 1 text box Type the first line of the clinic or hospital
street address.
Street 2 text box Type the second line of the clinic or hospital
street address, if applicable.
Street 3 text box Type the third line of the clinic or hospital
street address, if applicable.
City text box Type the name of the city in which the clinic
or hospital is located.
State text box Type the name of the state in which the
clinic or hospital is located. If the hospital is
outside of the USA, use the province name.
Postal Code text box Type the postal (zip) code that identifies the
location of the city in which the clinic or
hospital is located. If the hospital is outside
of the USA, use the postal code for that
location.
County text box Type the name of the county in which the
clinic or hospital is located.
Managing Departments
Departments are second-level entities in the scheduling hierarchy of a clinic or
hospital, department, or resource structure.
Adding a Department
Once you have identified the clinic or hospital, you can then add the
departments that are associated with it. It is to these departments that you will
assign resources.
To add a department:
3. In the Select a hospital area, select the clinic or hospital for which you want
to add a department.
4. Click the Departments tab, and click New.
The Department Details dialog box opens (see Figure 2-4).
Groups check box Select this check box to copy groups from
the selected hospital and department.
Working Hours check Select this check box to copy working hours
box from the selected hospital and department.
Holidays check box Select this check box to copy holidays from
the selected hospital and department.
6. Click OK to save.
Note: If you try to add a department name that already exists in the
Varian System database for that clinic or hospital, you will get
an error message.
Inactivating a Department
If you no longer use a department, you can inactivate it.
To inactivate a department:
Managing Groups
Groups identify staff, equipment, and venues you can associate with a specific
medical function or treatment area. Once you have added a clinic or hospital
and identified its departments, you can add or assign groups that represent the
different professional specialties in your facility. Once you create a group, you
can assign nonscheduable activities or tasks to that group instead of individual
resources. This option is helpful when you do not know which resource in the
group will perform an assigned activity, or when the person performing the
activity is important.
The Varian System database includes predefined groups for your convenience.
These groups identify typical groups used by hospitals or clinics. To use
predefined groups, add staff, equipment, or processes to have a fully functional
resource group ready to schedule. You can also add your own groups then add
staff, equipment, and process resources.
To edit a group:
Inactivating a Group
If you no longer use a group, you can inactivate it.
Note: You cannot inactivate a group that has assigned resources or
assigned tasks in Time Planner.
To inactivate a group:
5. Click New.
The Availability dialog box opens (see Figure 2-7).
6. Choose the day of the week, or select the Apply to Mon-Fri check box to
choose all weekdays then select the start and end times.
7. In the Start Time text box, type the start time, or click the up and down
arrows to select the start time.
8. In the End Time text box, type the end time, or click the up and down
arrows to select the end time.
9. Click OK to save.
Scheduling a Holiday
To schedule a new holiday:
5. Click New.
The Holidays dialog box opens (see Figure 2-9).
Holiday text box Required. Type a name for the new holiday.
Holiday Date list Click Set Date to open the Repeat Pattern
dialog box and select the date of the holiday
and any repeat information. Click Close to
close the Repeat Pattern dialog box.
Start Time list Type the start time for the holiday or click the
up and down arrows to select the start time.
End Time list Type the end time for the holiday or click the
up and down arrows to select the end time.
7. Click OK to save.
To set preferences:
The Preferences dialog box includes setup options for different ARIA
applications. There are four areas in the preferences dialog box.
■ Activity Capture: The options and controls in this area allow you to
establish what type of data is available to be captured by other ARIA
applications. Procedure codes and activities must be defined on the
Activities & Codes tab before they are available in the Preferences
lists.
■ Queue in Treatment: The options and controls in this area allow you to
establish how treatment data is handled and presented by other ARIA
applications.
AutoCapture Area
6. Click OK to save.
3. Click New.
The List Details dialog box opens (see Figure 2-13).
4. In the List ID list, select the List ID to which you want to add a list item.
5. In the List Item text box, type the name of the new list item.
Note: You cannot delete list items from the DTS and HTS lists.
3. In the Label Name column, click a Not Defined label, and type a name for
the information you want to gather, for example, eye color.
4. Click Save on the toolbar.
3. In the Attribute Name column, click a Not Defined label, and type a name
for the information you want to gather, for example, Personal
Transportation Restrictions.
4. In the Default Values column for this new attribute, click .
The Activity Attribute Values dialog box opens (see Figure 2-16).
5. Click Add and type a default value for the activity attribute, for example,
Ambulatory.
6. To add additional default values, repeat step 5.
7. Click OK.
8. Click Save on the toolbar.
4. In the Review treatment records after text box, type the date or click the up
and down arrows to select the date.
■ To allow users to select and view records by the date that the service
was performed, choose Date Of Service.
6. Click OK to save.
1. Click the Setup tab then click the Users & Groups tab.
The Users list opens (see Figure 2-19).
Select the provider you want Select the department you want
to associate with the user to associate with the user
You configure these resources to enable users to access and schedule activities
for these resources in Time Planner. For example, you can:
■ Add, edit, and inactivate personal, professional, and contact information
about physicians and staff members associated with your clinic or hospital
(Doctors & Staff tab)
■ Manage auxiliary resources and venues (Resources tab)
■ Assign resources to departments (Assign To Departments tab)
■ Assign resources to groups (Assign To Groups tab)
■ Specify availability hours for resources (Resources tab)
In This Chapter
Topic Page
Managing Physicians and Staff Members 3-2
Managing Auxiliary Resources 3-7
Managing Venues 3-11
Managing Resource Assignments 3-17
Specifying Availability Hours for a Resource 3-20
3-1
Managing Physicians and Staff Members
You can record information about the physicians and staff members working
at your clinic or hospital.
Of the physician information you enter, only the physician’s name and title
appear in Time Planner. Physicians that you indicate as oncologists appear in
the Oncologists tab in the Add Patient dialog box in Time Planner.
1. Click the Staff & Resources tab then click the Doctors & Staff tab.
The Doctors & Staff list opens (see Figure 3-1).
2. Click New.
The Staff Detail dialog box opens (see Figure 3-2).
First Name text box Required. Type the staff member’s given
name.
Last Name text box Required. Type the staff member’s family
name or surname.
Middle Name text box Type the staff member’s middle name.
User list Select a user from the list, or click Add User
to add a new user.
Work Phone text box Type the staff member’s work telephone
number.
Home Phone text box Type the staff member’s home telephone
number.
Address Area
Street 1 text box Type the first line of the street address of the
staff member’s address.
Street 2 text box Type the second line of the street address of
the staff member’s address.
Street 3 text box Type the third line of the street address of the
staff member’s address.
State text box Type the name of the state in which the staff
member’s office is located.
Postal Code text box Type the postal code that identifies the
location of the staff member’s office.
County text box Type the name of the country in which the
staff member’s office is located.
4. In the Assign To Departments area, select the check boxes of the clinic or
hospital for which the physician or staff member will work.
Note: When you add a record for a new physician or staff member to
the Varian System database, you must assign that person to at
least one department.
5. Click OK to save.
1. Click the Staff & Resources tab then click the Doctors & Staff tab.
The Doctors & Staff list opens (see Figure 3-1).
2. Double-click the name of the physician or staff member you want to
change, or select the physician or staff member and click Edit.
The Staff Detail dialog box opens (see Figure 3-2).
3. Edit the information as needed.
4. Click OK to save.
1. Click the Staff & Resources tab then click the Doctors & Staff tab.
The Doctors & Staff list opens (see Figure 3-1).
2. Find the physician or staff member you want to inactivate, and
double-click in the Status column.
The Staff Detail dialog box opens (see Figure 3-2).
3. From the Status list, select InActive.
Note: If a physician or staff member has been scheduled to perform a
treatment activity, you cannot inactivate the record.
4. Click OK to save.
1. Click the Staff & Resources tab then click the Resources tab.
The Resources list opens (see Figure 3-3).
2. Click New.
The Resource Detail dialog box opens (see Figure 3-4).
Select Auxiliary
from the list
Select the
department
to which the
resource belongs
5. In the Assign To Departments area, select the check box for the department
to which the auxiliary resource belongs.
6. Click OK to save.
1. Click the Staff & Resources tab then click the Resources tab.
The Resources list opens (see Figure 3-3).
2. Double-click the row containing the auxiliary you want to edit, or select
the ID and click Edit.
The Resource Detail dialog box opens (see Figure 3-4).
3. Edit the auxiliary information as needed.
Note: If you try to enter an ID that belongs to another auxiliary
resource, you will get an error message.
4. Click OK to save.
1. Click the Staff & Resources tab then click the Resources tab.
The Resources list opens (see Figure 3-3).
2. Double-click the row containing the auxiliary you want to inactivate, or
select the ID and click Edit.
The Resource Detail dialog box opens (see Figure 3-4).
3. From the Status list, select InActive.
4. Click OK to save.
Nonschedulable Venues
Nonschedulable venues are rooms in which nonschedulable (task) activities
take place, for example, waiting rooms, laboratories, and block-cutting rooms.
When you indicate that a venue is nonschedulable, it will not appear in the lists
of schedulable venues in Time Planner.
Machine Venues
Machine venues are rooms that contain or can contain one or more treatment
machines. Once you indicate that a venue is a machine, you can assign the
specific machine that belongs to that venue.
Schedulable Venues
Schedulable venues are rooms in which schedulable activities can take place,
for example, a conference room.
Adding a Venue
When you add a new venue at your clinic or hospital, you create a profile for
that venue. Once a new venue profile is added to your Varian System database,
you can schedule activities for it.
To add a venue:
1. Click the Staff & Resources tab then click the Resources tab.
The Resources list opens (see Figure 3-3).
2. Click New.
The Resource Detail dialog box opens (see Figure 3-5).
3. From the Resource Type list, select Venue.
The Resource Detail dialog box Venue Details opens (see Figure 3-5).
Select the
department
to which the
venue belongs
To assign a machine
to a venue, choose
Machine
Figure 3-5 Resource Detail Dialog Box for Venue Resource Type
5. In the Assign column, select the check boxes for the departments to which
the venue belongs.
Room # text box Type the room number of the venue within
your clinic or hospital.
Venue is options
Schedulable option Select to identify the venue as a schedulable
activity.
7. Click OK to save.
Editing a Venue
Occasionally, you will need to change information about a venue. For
example, you might need to change the venue name or number.
To edit a venue:
1. Click the Staff & Resources tab then click the Resource tab.
The Resources list opens (see Figure 3-3).
2. Double-click the row containing the venue you want to change.
The Resource Detail dialog box for Venue Resource Type opens (see
Figure 3-5).
3. Edit the information as needed.
Note: If you try to enter a venue ID that belongs to another venue, you
will get an error message.
4. Click OK to save.
To inactivate a venue:
1. Click the Staff & Resources tab then click the Resource tab.
2. Double-click the row containing the venue you want to inactivate.
The Resource Detail dialog box for Venue Resource Type opens (see
Figure 3-5).
3. From the Status list, select InActive.
4. Click OK to save.
1. Click the Staff & Resources tab then click the Resources tab.
The Resources list opens (see Figure 3-3).
2. Double-click the row containing the venue you want to assign to a
machine, or select the venue and click Edit.
The Resource Detail dialog box for Venue Resource Type opens (see
Figure 3-5).
Figure 3-6 Resource Detail Dialog Box for Assigning Machines to Venue
4. Select the check boxes for the machines you want to assign.
5. Click OK to save.
1. Click the Staff & Resources tab then click the Assign To Departments
tab.
The Staff/Resources list opens (see Figure 3-7).
To assign a resource to a
department, click Assign
2. From the Select a Hospital list, select the hospital to which you want to
assign a resource.
3. In the Departments area, double-click the department to which you want to
assign a resource.
4. Click Assign.
The Department list opens (see Figure 3-8).
Down arrow
1. Click the Staff & Resources tab then click the Assign To Groups tab.
The Staff/Resource Groups list opens (see Figure 3-9).
Down arrow
5. In the Available Staff/Resources area, select a resource, and click the down
arrow to move it to the Selected Staff/Resources list. To assign multiple
resources, hold down the Shift key, select the resources you want to assign,
and click the down arrow.
6. Click OK to save.
1. Click the Staff & Resources tab then click the Resources tab.
The Resources list opens (see Figure 3-3).
2. Double-click the row containing the resource whose hours you want to set,
or select the row and click Edit.
The Resource Detail dialog box opens (see Figure 3-4).
3. In the Assign To Departments list, select the appropriate hospital or
department by clicking once in the Working Hours column then clicking
.
The Availability dialog box opens (see Figure 3-11).
4. Click New.
The second Availability dialog box opens (see Figure 3-12).
5. Choose the day of the week or select the Apply to Mon-Fri check box to
choose all weekdays.
6. In the Start Time text box, type the start time, or click the up and down
arrows to select the start time.
7. In the End Time text box, type the end time, or click the up and down
arrows to select the end time.
8. Click OK to save.
9. In the Availability dialog box, click Cancel to close the dialog box
10. In the Resource Detail dialog box, click Cancel to close the dialog box.
Activity Categories are groups of similar activities that occur in the course of a
patient’s radiation treatment care. In ARIA, Activities are generally
treatment-related events that take place at a clinic; however, activities can also
be meetings and conferences.
In This Chapter
Topic Page
Managing Activity Categories 4-1
Managing Activities 4-6
4-1
You cannot edit or delete the following categories.
■ C-Port Film
■ Exam
■ Simulation
■ Treatment
These categories must remain in the Varian System database to ensure Time
Planner functions properly.
1. Click the Activities & Codes tab then click the Activities tab.
The Activities list opens (see Figure 4-1).
2. From the Hospital list, select the hospital to which you want to add the
activity category. If you have the Data Segmentation feature, and you want
to add the activity category to the Master, choose (Master).
3. From the Department list, select the department to which you want to add
the activity category. If you selected (Master) in step 2, (Master) is
automatically selected as the department.
4. In the Categories area, do one of the following:
■ If you have the Data Segmentation feature, and you want to copy the
activity category from the Master, click Copy From Master. In the
Categories in Master to be copied in this Department dialog box (see
Figure 4-2), select the activity category you want to copy and click
Select.
Note: If you try to save a category name that already exists in the
Varian System database, you will get an error message.
1. Click the Activities & Codes tab then click the Activities tab.
The Activities list opens (see Figure 4-1).
2. From the Hospital list, select the appropriate hospital.
3. From the Department list, select the appropriate department.
4. In the Categories area, select the name of the category you want to edit, and
click Edit.
The Activity Category Detail dialog box opens (see Figure 4-3).
Note: If a category is inactive, the category name is shown in light
gray in Data Administration.
5. Edit the category name as needed.
6. Click Save.
If you try to save a category name that already exists in the
L
Note:
Varian System database, you will get an error message.
1. Click the Activities & Codes tab then click the Activities tab.
The Activities list opens (see Figure 4-1).
2. From the Hospital list, select the appropriate hospital.
Managing Activities
Activities are treatment-related events that are associated with a patient’s care.
Activities are listed under Activity Categories. (For more information about
Activity Categories, see “Managing Activity Categories” on page 4-1.)
Adding an Activity
Occasionally, your clinic or hospital will require an activity that is not listed in
the Categories area. You can add a new activity for use with a specific
category. Part of adding an activity is specifying its details. You can specify
the type of activity and its associated details that will be available in the Time
Planner and Activity Capture applications. You can also select procedure
codes in the Varian System database and associate them with a specific
activity. The Attributes to Capture at Completion area in the Activity Detail
dialog box allows you to define patient-specific data based upon a specific
activity category your facility wants to capture at the completion of a treatment
session. You can add an activity by creating one from scratch or, if you have
the data segmentation feature, by copying from the master list.
Note: To add an activity, you must first add the category with which
the activity will be associated. For information on adding a
category, see “Adding an Activity Category” on page 4-2.
To add an activity:
1. Click the Activities & Codes tab then click the Activities tab.
The Activities list opens (see Figure 4-1).
or
■ Task Only – A task activity is an integral part
of a patient’s treatment plan and can occur
before, during, or after appointment activities
and can include such activities as X-rays, lab
tests, blood tests, and treatment planning.
Unlike appointment activities, task activities
are not required to take place at a specific time
or day, but they usually must be completed in
conjunction with an appointment activity, and,
therefore, require a due date.
Default Duration list Select the duration time appropriate for the
activity type. The Default Duration indicates
how long an activity will last.
Accept Changes from Select this check box to accept any changes
Master (To enable, made to the Master data. Clear the check box to
‘Copy From not accept changes made to the Master data.
Master...’) check box
b. In the Available Procedure Codes list, select the procedure codes you
want to associate with the activity, and click the down arrow to move
the procedure code to the Selected Procedure Codes list. To select
multiple procedure codes, hold down the Shift key.
c. Click OK.
9. To select tasks to associate with the activity, do the following:
a. Click Edit to the right of the Associated Tasks area.
The Assign/Detach Tasks dialog box opens (see Figure 4-7).
b. In the Available Tasks list, select the tasks you want to associate with
the activity, and click the down arrow to move the tasks to the Selected
Tasks list. To select multiple procedure codes, hold down the Shift
key.
c. Click OK.
10. To define patient-specific data based upon a specific activity category your
facility might want to capture at the completion of a treatment session, in
the Attributes to Capture at Completion list, select the appropriate check
boxes.
11. Click Save.
To edit an activity:
1. Click the Activities & Codes tab then click the Activities tab.
The Activities list opens (see Figure 4-1).
2. From the Hospital list, select the appropriate hospital.
3. From the Department list, select the appropriate department.
4. In the Categories area, select the category that includes the activity you
want to edit.
5. In the Activities area, double-click on the activity you want to edit, or
select the activity and click Edit.
The Activity Detail dialog box opens (see Figure 4-5).
6. Edit the information as needed.
7. Click Save.
Inactivating an Activity
If your clinic or hospital no longer uses an activity, but you want to keep the
history of that activity, you can inactivate the activity by changing the status to
Inactive.
To inactivate an activity:
1. Click the Activities & Codes tab then click the Activities tab.
The Activities list opens (see Figure 4-1).
2. From the Hospital list, select the appropriate hospital.
3. From the Department list, select the appropriate department.
4. In the Categories area, select the category that includes the activity you
want to inactivate.
Color-Coding an Activity
You can color-code activities (appointments and tasks) to visually identify
them in Chart QA, Patient Manager, Activity Capture, and Time Planner.
Visually identifying appointments and tasks helps users perform a quick check
by color of appointments and tasks that may be missing or out of place in a
patient’s treatment record.
To color-code an activity:
1. Click the Activities & Codes tab then click the Activities tab.
The Activities list opens (see Figure 4-1).
2. From the Hospital list, select the appropriate hospital.
3. From the Department list, select the appropriate department.
4. In the Categories area, select the category that includes the activity you
want to edit.
5. In the Activities area, double-click on the activity you want to edit, or
select the activity and click Edit.
The Activity Detail dialog box opens (see Figure 4-5).
6. Click Browse to view a color palette and choose a color-coding scheme for
the activity. (To remove the color option, click Remove.)
7. Click Save.
In This Chapter
Topic Page
Configuring Default Settings for Activity Capture 5-2
Managing Code Modifiers 5-4
Managing Payor Plan Types 5-7
Managing Payor Plans (References) 5-10
Managing Billing Services 5-17
Managing Procedure Codes 5-22
5-1
Configuring Default Settings for Activity Capture
You can describe the charge settings Activity Capture will use as standards for
your clinic. For example, you can:
■ Choose whether charge export is split into separate professional and
technical files
■ Choose whether billing code or activity code is the exported charge code
■ Determine whether Activity Capture exports Relative Value Units (RVUs)
or related charge data
■ Set the value required to calculate charges
1. Click the Setup tab then click the Charge Related tab.
2. Click the Code Modifiers icon.
The Code Modifiers list opens (see Figure 5-3).
1. Click the Setup tab then click the Charge Related tab.
2. Click the Code Modifiers icon.
The Code Modifiers list opens (see Figure 5-3).
3. Select the procedure code modifier you want to change, and click Edit.
4. Edit the information as needed.
5. Click Save on the toolbar.
Note: If you try to save a code modifier that already exists in the
Varian System database, you will get an error message.
1. Click the Setup tab then click the Charge Related tab.
2. Click the Code Modifiers icon.
The Code Modifiers list opens (see Figure 5-3).
3. Select the code modifier you want to inactivate.
4. In the Status column, select InActive from the list.
5. Click Save on the toolbar.
Note: If you try to inactivate a code modifier that is part of a patient’s
treatment strategy template, you will get an error message.
MEC Medicaid
MED Medicare
1. Click the Setup tab then click the Charge Related tab.
2. Click the Payor Plan Types icon.
The Payor Plan Types list opens (see Figure 5-4).
3. Click New.
The Payor Plan Type Detail dialog box opens (see Figure 5-5).
Type an abbreviation
and a description
for the payor plan
type
1. Click the Setup tab then click the Charge Related tab.
2. Click the Payor Plan Types icon.
The Payor Plan Types list opens (see Figure 5-4).
3. Double-click the payor plan type you want to edit, or select the payor plan
type and click Edit.
The Payor Plan Type Detail dialog box opens (see Figure 5-5).
4. Edit the description information as needed.
5. Click OK to save.
1. Click the Setup tab then click the Charge Related tab.
2. Click the Payor Plan Types icon.
The Payor Plan Types list opens (see Figure 5-4).
3. From the Payor Plan Types list, select the payor plan type that you want to
delete, and click Delete.
4. Click Yes to confirm the deletion.
5. Click Save on the toolbar.
Note: If you try to delete a predefined payor plan type or a plan type
associated with a payor reference, you will get an error
message.
1. Click the Setup tab then click the Charge Related tab.
3. Click New.
The Payor Reference Detail dialog box opens to the Contacts tab
(see Figure 5-7).
Name text box Type the name of the primary contact with
the payment plan.
FAX text box Type the FAX number, including the area
code, used by the primary contact with the
payment plan.
Street Address 1 text Type the first line of the street address of the
box payor.
Street Address 2 text Type the second line of the street address of
box the payor.
City text box Type the name of the city of the payor.
State text box Type the name of the state of the payor.
Postal Code text box Type the postal code of the payor.
Effective Date list Select the date the medical payment plan
became, or will become, active. Use the
standard MM/DD/YY (month, day, and
year) date format.
End Date list Select the date the medical payment plan
will no longer be in effect. Use the standard
MM/DD/YY (month, day, and year) date
format.
1. Click the Setup tab then click the Charge Related tab.
2. Click the Payor References icon.
The Payor Plans list opens (see Figure 5-6).
3. Double-click the payor plan you want to change, or select the payor plan
and click Edit.
The Payor Reference Detail dialog box opens (see Figure 5-7).
4. Edit the information as needed.
5. Click OK to save.
1. Click the Setup tab then click the Charge Related tab.
2. Click the Payor References icon.
The Payor Plans list opens (see Figure 5-6).
3. Select the payor plan that you want to delete, and click Delete.
4. In the Confirm Delete dialog box, click Yes.
1. Click the Setup tab then click the Charge Related tab.
2. Click the Payor References icon.
The Payor Plans list opens (see Figure 5-6).
3. Select the payor plan associated with the authorization you want to delete,
and click Edit.
The Payor Reference Detail dialog box opens (see Figure 5-7).
4. Click the Authorization tab.
5. Select the payor plan associated with the authorization you want to delete,
and click Delete.
6. In the Confirm delete dialog box, click Yes.
7. Click OK to save.
Once you add billing service records to the Varian System database, you can
assign a billing service to individual physicians.
1. Click the Setup tab then click the Charge Related tab.
2. Click the Billing Services icon.
The Billing Services list opens (see Figure 5-11).
3. Click New.
The Billing Service Detail dialog box opens (see Figure 5-12).
Primary Contact text Enter the telephone number, with area code,
box of the primary contact at the billing service
company.
Primary Contact Fax Enter the fax number, with area code, used
text box by the primary contact at the billing service
company to receive fax messages.
Street 1 text box Type the first line of the address used by
your primary contact at the billing service.
Street 2 text box Type the second line of the address used by
your primary contact at the billing service.
Street 3 text box Type the third line of the address used by
your primary contact at the billing service.
City text box Type the city in which your primary contact
at the billing service is located.
State text box Type the state in which your primary contact
at the billing service is located.
Postal Code text box Type the postal code that identifies the
location of your primary contact at the
billing service.
5. Click OK to save.
Note: If you try to save a billing service that already exists in the
Varian System database, you will get an error message.
1. Click the Setup tab then click the Charge Related tab.
2. Click the Billing Services icon.
The Billing Services list opens (see Figure 5-11).
3. Double-click the billing service you want to edit, or select the billing
service and click Edit.
The Billing Service Detail dialog box opens (see Figure 5-12).
4. Edit the information as needed.
5. Click OK to save.
1. Click the Setup tab then click the Charge Related tab.
2. Click the Billing Services icon.
The Billing Services list opens (see Figure 5-11).
3. Select the billing service you want to delete, and click Delete.
4. In the Confirm Delete dialog box, click Yes.
Note: If you try to delete a billing service associated with a physician,
you will get an error message.
1. Click the Activities & Codes tab then click the Procedure Codes tab.
The Procedure Codes list opens (see Figure 5-13).
General Area
Activity Type list Select the type of activity that occurs as part
of the patient’s treatment. Treatment
activities are the basis for billing a patient’s
account.
Exportable check box Select the check box to indicate that this
code can be exported to external billing
systems. Clear the check box to indicate that
this code cannot be exported to external
billing systems.
Accept changes from Select this check box to accept any changes
Master (To Enable, made to the Master data. Clear the check box
‘Copy from to not accept changes made to the Master
Master...’) check box data.
Work Unit text box Type the unitless value that can be used to
describe the amount of work required to
complete an activity. This is similar and in
addition to Relative Value Unit (RVU). The
main difference is that RVU is typically
based on standard values while Work Unit
can be set by the department.
Charge Forecast ($) Type the amount you are expecting to charge
text box for a specific activity. These numbers can be
used for budgetary forecasting tasks.
Actual Charge ($) text Enter the actual amount that you will charge
box for activity.
Medicare/Medicaid Area
RVU Area
Technical Charge text Type the technical portion of the RVU for an
box activity. RVU is a Medicare-based
multiplier used to determine charges. Type
an amount greater than zero.
7. Click OK to save.
Note: If you try to save an Activity Code that already exists in the
Varian System database, you will get an error message.
1. Click the Activities & Codes tab then click the Procedure Codes tab.
The Procedure Codes list opens (see Figure 5-13).
2. From the Hospital list, select the appropriate hospital.
3. From the Department list, select the appropriate department.
4. Double-click the procedure code you want to edit, or select the procedure
code and click Edit.
The Procedure Code Detail dialog box opens (see Figure 5-15).
5. Edit the information as needed.
6. Click OK to save.
Note: Any changes you make to charge information will not affect
activities that users have already marked as complete.
Care Path templates represent typical treatment plans for specific types of
cancer. Each template contains a series of activities that are grouped by
treatment cycles or treatment weeks. Activities in treatment strategy templates
are based on diagnosis and stages of the cancer.
Some Care Path Templates are predefined in Data Administration. You can
modify these templates or create new templates as required by your hospital or
clinic.
In This Chapter
Topic Page
About Care Paths 6-2
Creating a Care Path Template 6-3
Copying a Care Path Template 6-9
Editing a Care Path Template 6-10
Deleting a Care Path Template 6-12
Associating Care Path Templates 6-12
Managing Care Path Template Treatment Cycles 6-15
Managing Care Path Template Cycle Activities 6-19
6-1
About Care Paths
A Care Path represents a patient’s treatment plan based on the patient’s disease
diagnosis and consists of a list of activities required to treat the patient. The
activities are normally organized into cycles—each representing a treatment
week—and can contain both treatment and administrative activities. A
patient’s Care Path will likely have several treatment cycles such as:
■ Pre-Treatment — Includes consultation-related activities.
■ Treatment Planning — Includes simulation-related activities.
■ Treatment Cycle/Week (1-N) — Includes a set of five radiation treatments
delivered over a 5-day period and a weekly check. There are often multiple
treatment cycle weeks.
■ Post-Treatment — Includes follow-up-related activities and typically an
exit exam.
■ Added Activities — Includes ad hoc activities that are not in the initial
treatment plan.
Typically, your facility has a series of Care Path templates already available
based on disease diagnosis. These templates contain the activities organized
into cycles that are normally required to treat the diseases your facility handles.
To begin creating a patient’s Care Path, you usually attach a template from the
template library established at your facility. When you attach a Care Path
template, an instance of the template is copied into the patient’s Care Path,
forming the basis of the treatment plan. The instance of the template is not
linked to the originating template in that you can add or delete activities from
the patient’s Care Path as needed, and the template is not affected.
2. Click New.
The New Template dialog box opens (see Figure 6-2).
b. In the Diagnosis Code Search Criteria area, enter your search criteria.
Select the Match Anywhere check box to match the description you
entered in the Description text box anywhere in the description string
of the table standard (instead of only at the beginning of the string).
A list of diagnosis codes, based on your search criteria, appears in the
Diagnosis Code Search Results list (see Figure 6-4).
c. From the Diagnosis Code Search Results list, select the code you want
to use.
d. From the Summary Stage list, select the severity and prognosis of the
tumor.
e. Click OK.
The information you selected appears in the Diagnosis and Summary
Stage area of the New Template dialog box.
5. To select the staff from a list, do the following:
a. In the Template Filters, Hospital-Department Staff area, click Select.
The Select Staff dialog box opens (see Figure 6-5). This information
is maintained in the Hospitals & Departments list on the Setup >
System tab.
To search for
a plan, type the
plan number or
payor name
b. From the Selected Plan list, select the plan you want to use.
Note: If the Selected Plan list is too long, you can search for the plan
by typing your search criteria in the Plan Number or Payor
Name text boxes then selecting the plan you want to use.
c. Click OK.
7. In the New Template dialog box, click OK to save.
8. To add treatment cycles to the New Care Path template, see “Adding a
Cycle to a Care Path Template” on page 6-16. To add cycle activities, see
“Adding a Cycle Activity to a Care Path Template” on page 6-22.
3. From the To Hospital list, select the hospital to which you want to copy the
template.
4. From the Department list, select the department to which you want to copy
the template.
5. Click OK.
6. Click Refresh.
A copy of the template is saved in the template list.
■ To edit the template, see “Editing a Care Path Template” on page 6-10.
■ Pre-treatment
■ Treatment planning
■ Treatment
■ Post-treatment
■ Nonconventional phases
■ Added Activities
■ Customized cycles
Typically, more than one treatment cycle occurs in a care path, and the set of
activities in each treatment cycle is often the same.
A cycle can take place over one week. Although many clinics use a week to
define the duration of a cycle, you can define the duration as you need.
Select or type
a new cycle name
4. In the Cycle Name list, select a cycle name or type a new name. (If you
type a new name, the system adds it to the Cycle Name list.)
5. In the Cycle Description text box, type a description for the cycle.
6. Click OK.
The system assigns a sequence number to the cycle and adds it to the
bottom of the care path. The new cycle includes a cycle heading and a
blank row for an activity.
7. In the Template Cycle Activities Editor, click Close to save.
Column Description
Care Path Id The unique identification for the Care Path template.
Column Description
Lag Time The time required before the activity (appointments) can
start in relation to the previous appointment.
For tasks only, you can use a negative lag time to specify
the offset time with respect to the start time of the
immediately following appointment. In this way clinic
staff can coordinate the completion of a task with an
appointment.
There are other attributes you can drag from the Column
Chooser, although at the stage of inserting an activity,
only the Notes attribute is useful.
Column Description
■ To show the list of cycles, click the + to the left of the Care Path
Template name.
■ To hide the list of cycles, click the - to the left of the Care Path
Template name.
■ To show the cycle activities, click the + to the left of the cycle name.
■ To hide cycle activities, click the - to the left of the cycle name.
4. Click Close.
5. Click OK.
The cycle activity is deleted from the care path list, and the activities are
renumbered.
5. Click Save.
6. Click Close.
You use the Data Administration Clinical Assessment feature to review and
maintain Patient Manager data, such as lists of allergies, comments, drugs, and
patient documents.
The Clinical Assessment tab includes a series of icons. When you click an icon,
a summary of the respective information appears on the tab. That list provides
the point of access for managing Clinical Assessment data.
In This Chapter
Topic Page
Managing the Allergies List 7-2
Managing the Comments List 7-6
Managing Diagnoses 7-9
Managing the Drug Formulary and Drug Categories 7-20
Managing the Master Favorite Drugs List 7-35
Managing the User Favorite Drugs List 7-42
Managing the Education/Counseling Session List 7-44
Managing the Medical Problems History List 7-48
Managing the Surgical/Procedures History List 7-51
Managing the Social History List 7-55
Managing Patient Document Templates and Types 7-59
Managing Practice Documents and Document Types 7-70
Managing RoS/PE Systems 7-76
Managing Test Components 7-88
7-1
In This Chapter
Topic Page
Managing Test Component Groups 7-96
Managing Vital Sign Components 7-100
Managing Recommended Toxicities 7-105
1. Click the Clinical Assessment tab then click the Allergies icon.
The Allergies list opens (see Figure 7-1).
2. Click Edit.
The Allergies dialog box opens (see Figure 7-2).
Click to choose
the allergy type
Type allergy
description
1. Click the Clinical Assessment tab then click the Allergies icon.
The Allergies list opens (see Figure 7-1).
2. Click Edit.
The Allergies dialog box opens (see Figure 7-2).
3. Select the allergy you want to edit.
4. In the Details area, edit the information as needed.
5. To edit another allergy, repeat step 2 and step 4.
6. Click OK to save.
1. Click the Clinical Assessment tab then click the Allergies icon.
The Allergies list opens (see Figure 7-1).
2. Click Edit.
The Allergies dialog box opens (see Figure 7-2).
3. Select the allergy you want to delete, and click Delete. To delete another
allergy, repeat this step.
4. Click OK to save.
1. Click the Clinical Assessment tab then click the Comments icon.
The Comments list opens (see Figure 7-3).
1. Click the Clinical Assessment tab then click the Comments icon.
The Comments list opens (see Figure 7-3).
2. From the Hospital list, select the appropriate hospital.
3. Click Edit.
The Comments dialog box opens (see Figure 7-4).
4. Select the comment you want to change and in the Details area, edit the
information as needed. To edit additional comments, repeat this step.
5. Click OK to save.
1. Click the Clinical Assessment tab then click the Comments icon.
The Comments list opens (see Figure 7-3).
2. From the Hospital list, select the appropriate hospital.
3. Click Edit.
The Comments dialog box opens (see Figure 7-4).
4. Select the comment you want to delete, and click Delete. To delete
additional comments, repeat this step.
5. Click OK to save.
You can also select the default code type for diagnosis searches.
1. Click the Clinical Assessment tab then click the Diagnosis icon.
2. Click the Diagnosis Method tab.
The Diagnosis Method list opens (see Figure 7-5).
3. Click Edit.
The Diagnosis Methods dialog box opens (see Figure 7-6).
4. Click New.
A row is added to the bottom of the Diagnosis Methods list.
5. In the Diagnosis Method column, type the name of the new method.
6. In the Status column, leave the status Active.
7. Repeat step 4 and step 6 for each diagnosis method you want to add.
8. Click OK to save.
1. Click the Clinical Assessment tab then click the Diagnosis icon.
2. Click the Diagnosis Method tab.
The Diagnosis Method list opens (see Figure 7-5).
3. Click Edit.
The Diagnosis Methods dialog box opens (see Figure 7-6).
4. Find the diagnosis method you want to change, and edit the information as
needed.
5. Click OK to save.
1. Click the Clinical Assessment tab then click the Diagnosis icon.
2. Click the Diagnosis Method tab.
The Diagnosis Method list opens (see Figure 7-5).
3. Click Edit.
The Diagnosis Methods dialog box opens (see Figure 7-6).
4. Find the diagnosis method you want to inactivate, and in the Status
column, select Inactive from the list.
5. Click OK to save.
1. Click the Clinical Assessment tab then click the Diagnosis icon.
2. Click the Diagnosis Code Type tab.
The Diagnosis Code Type list opens (see Figure 7-7).
3. Click Edit.
The Diagnosis Code Types dialog box opens (see Figure 7-8).
4. Click New.
A row is added to the top of the Diagnosis Code Types list.
5. In the Diagnosis Code Type column, type the new diagnosis code type.
6. In the Status column, leave the status Active.
7. Click OK to save.
1. Click the Clinical Assessment tab then click the Diagnosis icon.
2. Click the Diagnosis Code Type tab.
The Diagnosis Code Type list opens (see Figure 7-7).
3. Click Edit.
The Diagnosis Code Types dialog box opens (see Figure 7-8).
1. Click the Clinical Assessment tab then click the Diagnosis icon.
2. Click the Diagnosis Code tab.
The Diagnosis Code list opens (see Figure 7-9).
5. Click New.
A row is added to the bottom of the Diagnosis Code list.
7. Click OK to save.
1. Click the Clinical Assessment tab then click the Diagnosis icon.
2. Click the Diagnosis Code tab.
The Diagnosis Code list opens (see Figure 7-9).
3. From the Diagnosis Code Type list, select the diagnosis code type.
4. Click Edit.
The Diagnosis Codes dialog box opens (see Figure 7-10).
5. Find the diagnosis code you want to change, and edit the information as
needed.
6. Click OK to save.
1. Click the Clinical Assessment tab then click the Diagnosis icon.
2. Click the Diagnosis Code tab.
The Diagnosis Code list opens (see Figure 7-9).
3. From the Diagnosis Code Type list, select the diagnosis code type.
4. Click Edit.
The Diagnosis Codes dialog box opens (see Figure 7-10).
5. Find the diagnosis code you want to inactivate, and in the Status column,
choose Inactive from the list.
6. Click OK to save.
1. Click the Clinical Assessment tab then click the Diagnosis icon.
2. Click the Default Diagnosis Code Type tab.
The Default Diagnosis Code Type list opens (see Figure 7-11).
You can also download the U.S. Food and Drug Administration’s (FDA) drug
database then update the list as updates become available. This will help
provide your Patient Manager users with a comprehensive, searchable, and
current drug database.
You use Drug Formulary Categories to create and manage the categories of
drugs from the formulary for each hospital on the network. Categories enable
users to search for drugs in the formulary more quickly. The same drug can be
added to multiple categories, when applicable. The categories are available in
Patient Manager’s Drug Selection dialog box when ordering drugs.
The FDA updates and publishes their drug list on a regular basis at their
Drugs@FDA Web site. You should check the Web site regularly to check for
any updates.
When you download the FDA Drug List, the following steps occur:
■ Update file is validated.
■ Data from the update file is loaded into memory.
■ Data from the update file is processed.
■ Existing data is deleted.
■ New data is inserted.
■ Updated data is saved to the database.
A download can be unsuccessful for the following reasons:
■ Product.txt file specified does not exist.
■ Product.txt file does exist, but not in the layout expected.
■ Product.txt file could not be read because it was locked.
■ path in the Full Path of Product Data File field was in invalid.
■ Deletion from or the saving to the database failed.
1. Click the Clinical Assessment tab then click the Drugs icon.
2. Click the Formulary tab.
The Drugs Formulary list opens (see Figure 7-12).
■ Update Results Area: Includes the default current date and time, and
any messages, warnings, errors, and steps that occurred during the
update process.
■ Updated FDA Drugs Area: Includes a list of the FDA drug data that
has been successfully loaded into your database from the specified
update file.
Includes the steps that occurred Includes the FDA data that was updated.
occurred in the update process.
Before users in Patient Manager and Data Administration can search the
Drugs@FDA database, you must set the database as the default drug database.
1. Click the Clinical Assessment tab then click the Drugs icon.
2. Click the General tab.
3. Select the check box Use Drugs@FDA as the default drug database.
The Drugs@FDA database is now available to your Patient Manager and
Data Administration users.
1. Click the Clinical Assessment tab then click the Drugs icon.
2. Click the Formulary tab.
The Drugs Formulary list opens (see Figure 7-12).
3. From the Hospital list, select the appropriate hospital.
4. Click Edit.
The Drug Formulary dialog box opens (see Figure 7-15).
5. Click New.
A row is added to the top of the Drug Formulary list.
6. In the Drug Name text box, type the name of the drug. To search for the
drug in the Drug Formulary or the FDA drug list, do the following:
a. To search for the drug in the Drug Formulary, click the Search icon
to the right of the Drug Name text box. To search for the drug in
the FDA drug list, click Drug List.
Note: The Drug List button only displays when the FDA drug list is
selected as the default drug database.
The Drug Selection dialog box opens (see Figure 7-20).
b. In the Drug Name text box, type at least the first two letters of the drug
name.
c. From your search results, select the drug you want, and click OK.
Strength text box Type the strength of the drug. This text box
corresponds with the Unit of Measure list.
Unit of Measure list Select the unit of measure for the drug, for
example, mg/dose. This list corresponds
with the Strength text box.
Form text box Select the form of the drug, for example,
capsule or cream.
1. Click the Clinical Assessment tab then click the Drugs icon.
2. Click the Formulary tab.
The Drugs Formulary list opens (see Figure 7-12).
3. From the Hospital list, select the appropriate hospital.
4. Click Edit.
The Drug Formulary dialog box opens (see Figure 7-15).
5. In the Drug Search text box, type the name of the drug you want to change.
6. In the search results list, select the drug you want to change.
7. Edit the information as needed.
8. Click OK to save.
1. Click the Clinical Assessment tab then click the Drugs icon.
2. Click the Formulary tab.
The Drugs Formulary list opens (see Figure 7-12).
3. From the Hospital list, select the appropriate hospital.
4. Click Edit.
The Drug Formulary dialog box opens (see Figure 7-15).
5. In the Drug Search text box, type the name of the drug you want to find.
6. From the search results list, select the drug/details you want to delete, and
click Delete.
7. Repeat step 5 and step 6 for each drug you want to delete.
8. Click OK to save.
1. Click the Clinical Assessment tab then click the Drugs icon.
2. Click the Categories tab.
The Drug Categories list opens (see Figure 7-17).
1. Click the Clinical Assessment tab then click the Drugs icon.
2. Click the Categories tab.
The Drug Categories list opens (see Figure 7-17).
3. From the Hospital list, select the appropriate hospital.
4. Click Edit
The Drug Formulary Categories dialog box opens (see Figure 7-18).
5. In the Drug Category list, find the drug category you want to change, and
in the Details area, edit the information as needed.
6. Click OK to save.
1. Click the Clinical Assessment tab then click the Drugs icon.
2. Click the Categories tab.
The Drug Categories list opens (see Figure 7-17).
3. From the Hospital list, select the appropriate hospital.
4. Click Edit
The Drug Formulary Categories dialog box opens (see Figure 7-18).
5. In the Drug Category list, select the category you want to delete, and click
Delete.
6. In the confirmation dialog box, click Yes.
7. Click OK to save.
Drugs can be added to the master list while writing drug orders through Patient
Manager’s Select Favorite Drug dialog box.
Note: Before favorite drugs will be available through Patient
Manager’s Select Favorite Drug dialog box, favorite drug lists
must be created for physicians and advanced practitioners.
1. Click the Clinical Assessment tab then click the Drugs icon.
2. Click Favorite Drugs.
The Favorite Drugs dialog box opens (see Figure 7-19).
Unit of Measure list Select the unit of measure for the drug, for
example, mg/dose, or type the unit of
measure. To clear the Strength and Unit
selections, click . This list corresponds
with the Strength text box.
Unit list Select the unit measure for the drug, for
example, mg/top.
Duration text box Required. This list appears only when the
Take As Directed check box is not selected.
Type the number. Completing the Duration
is optional when ordering a PRN drug with
either of the Pickup types.
Days of Week list This list appears only when the Take As
Directed check box is not selected. Select
the days of the weeks.
Weekly Freq. list This list appears only when the Take As
Directed check box is not selected. Select
the weekly frequency.
PRN check box This list appears only when the Take As
Directed check box is not selected. Select
this check box when this drug was ordered as
PRN.
Volume text box Type the number when entering the quantity.
Refills check box This field only appears when either of the
two Pickup types are selected. Select the
check box if this drug includes refills, and
type the number of refills allowed. Clear the
check box if this drug includes no refills.
7. Repeat step 4 through step 6 for each drug you want to add.
8. Click OK to save.
1. Click the Clinical Assessment tab then click the Drugs icon.
2. Click Favorite Drugs.
The Favorite Drugs dialog box opens (see Figure 7-19).
3. Click the Master Favorite Drugs tab.
4. In the drug Description list, select the drug you want to change, and in the
Details area, edit the information as needed.
5. Click OK to save.
1. Click the Clinical Assessment tab then click the Drugs icon.
2. Click Favorite Drugs.
The Favorite Drugs dialog box opens (see Figure 7-19).
3. Click the Master Favorite Drugs tab.
4. Select the drug you want to delete, and click Delete.
5. In the confirmation dialog box, click Yes.
6. Click OK to save.
The user’s favorite drugs list is available in Patient Manager’s Select Favorite
Drug dialog box.
1. Click the Clinical Assessment tab then click the Drugs icon.
2. Click Favorite Drugs.
The Favorite Drugs dialog box opens (see Figure 7-19).
3. Click the User Favorite Drugs tab.
The User Favorite Drugs list opens (see Figure 7-21).
4. From the User list, select the user for whom you want to add the drug.
5. From the Available list, select the drug you want to add, and click the right
arrow to add it to the Selected list.
6. To group drugs, do the following:
a. In the Group text box, type the name of the group you want to add.
b. In the Selected list, select the drug(s) that you want to add to the new
or existing group.
c. Click Group.
7. To move a drug out of a group, in the Selected list, select the drug(s) you
want to move, and click Ungroup.
8. Click OK to save.
1. Click the Clinical Assessment tab then click the Drugs icon.
2. Click Favorite Drugs.
The Favorite Drugs dialog box opens (see Figure 7-19).
3. Click the User Favorite Drugs tab.
The User Favorite Drugs list opens (see Figure 7-21).
4. In the User list, select the user for whom you want to delete the drug.
5. In the Selected list, select the drug(s) you want to delete, and click the left
arrow to move the drug(s) from the Selected list to the Available list.
6. Click OK to save.
The types and activities populate the respective lists in Patient Manager’s
Education/Counseling dialog box. Without a list, users will have to manually
add the activity each time they document such a session. Users can also add
activities that are not found in the list but are applicable to a particular patient.
When users add items on an ad hoc basis in a patient’s chart, they are not added
to this list.
4. Click New.
A row is added to the top of the Education/Counseling list.
5. In the Type column, type the name of education/counseling session, or
select the type from the list.
6. In the Activity column, type the name of the activity.
7. In the Status column, leave the status Active.
8. To add another education/counseling session, repeat step 4 through step 7.
9. Click OK to save.
1. Click the Clinical Assessment tab then click the Medical/Social History
icon.
2. Click the Medical Problems tab.
The Medical Problems list opens (see Figure 7-24).
Figure 7-25 Medical History List Dialog Box, Medical Problems Tab
1. Click the Clinical Assessment tab then click the Medical/Social History
icon.
2. Click the Medical Problems tab.
The Medical Problems list opens (see Figure 7-24).
3. From the Hospital list, select the appropriate hospital.
4. Click Edit.
The Medical History dialog box opens (see Figure 7-25).
5. Find the medical problem you want to change, and edit the information as
needed.
6. To re-sort the medical problems list, click Sort.
7. Click OK to save.
1. Click the Clinical Assessment tab then click the Medical/Social History
icon.
2. Click the Medical Problems tab.
The Medical Problems list opens (see Figure 7-24).
3. From the Hospital list, select the appropriate hospital.
4. Click Edit.
The Medical History dialog box opens (see Figure 7-25).
5. Find the medical problem you want to inactivate, and in the Active
column, clear the check box.
6. To re-sort the medical problems list, click Sort.
7. Click OK to save.
1. Click the Clinical Assessment tab then click the Medical/Social History
icon.
2. Click the Surgical/Procedures tab.
The Surgical/Procedures list opens (see Figure 7-26).
1. Click the Clinical Assessment tab then click the Medical/Social History
icon.
2. Click the Surgical/Procedure tab.
The Surgical/Procedures list opens (see Figure 7-26).
3. From the Hospital list, select the appropriate hospital.
4. Click Edit.
The Medical History dialog box opens to the Surgical/Procedures tab
(see Figure 7-27).
5. Find the surgery or procedure you want to change, and edit the name as
needed.
6. To re-sort a category’s list of descriptions, select the category from the list,
change the sort number in one or more rows, and click Sort.
7. Click OK to save.
1. Click the Clinical Assessment tab then click the Medical/Social History
icon.
2. Click the Surgical/Procedure tab.
The Surgical/Procedures list opens (see Figure 7-26).
1. Click the Clinical Assessment tab then click the Medical/Social History
icon.
2. Click the Social tab.
The Social list opens (see Figure 7-28).
1. Click the Clinical Assessment tab then click the Medical/Social History
icon.
2. Click the Social tab.
The Social list opens (see Figure 7-28).
3. From the Hospital list, select the appropriate hospital.
4. Click Edit.
The Social History List dialog box opens (see Figure 7-29).
5. In the Category area, select the category that includes the social history
you want to inactive.
6. In the Details area, in the Active column, clear the check box.
7. Click OK to save.
Before you can create a patient document template, you must first create a list
of document types for each hospital on the network. The document types list
appears in the lists of the same name in dialog boxes that are related to patient
documentation in Patient Manager and in Data Administration’s Document
Template dialog box.
Notes: At least one document type is required before patient templates
can be created in Data Administration for the selected hospital
and before users can enter patient documents in Patient
Manager.
1. Click the Clinical Assessment tab then click the Patient Documents icon.
2. Click the Document Types tab.
3. From the Hospital list, select the appropriate hospital.
The Selected Document Types list opens (see Figure 7-30).
4. Click Edit.
The Document Types dialog box opens (see Figure 7-30).
5. To add a document type from the Available Document Types list, select
the document type you want to add, and click the right arrow to move it to
the Selected Document Types list. To add multiple document types, hold
down the Shift key, click the starting row then click the ending row. To
select multiple, discrete rows, hold down Ctrl then click each row.
6. To create a new document type:
a. Click the New button.
The New Document Type dialog box opens (see Figure 7-32).
b. In the Document Type text box, type the name of the new document
type.
c. Click OK.
The new document type is added to the Selected Document Types list.
7. To remove a document type, from the Selected Document Types list, select
the document type you want to remove, and click the left arrow to move it
to the Available Document Types list. To remove multiple document
types, hold down the Shift key, click the starting row then click the ending
row. To select multiple, discrete rows, hold down Ctrl then click each row.
8. Click OK to save.
1. Click the Clinical Assessment tab then click the Patient Documents icon.
2. Click the Document Templates tab.
The Document Templates list opens (see Figure 7-33).
Document page
Note: For a detailed description of the text boxes and lists in the
Document Template dialog box, see step 8.
5. In the Name text box, type a name for the new template.
6. In the Document Type list, select the document type.
7. Begin typing your document. To insert a sample document template that
you can edit for your own use, do the following:
a. From the Microsoft Word toolbar, click Insert File (the paperclip
icon). (If you do not see the Insert File icon in the toolbar, exit Data
Administration, open Microsoft Word, and configure your toolbar to
include the Insert File icon.)
For example:
■ Selecting either Itemized option shows each of
the selected component’s results in a list, each
on a separate line.
■ Selecting any of the Sentence options shows
the selected component’s results, one after
another in a sentence format.
■ Selecting any of the Tabular options
automatically inserts the data into columns.
The name of the component will be in one
column, and the result will be in the adjacent
column. The table is four columns wide. When
the template is applied to a patient document,
the user has the option of not showing the table
grid lines. The grid lines are not shown in Print
Preview or on any printouts.
For example:
■ Selecting All Values shows all of the
component’s results.
■ Selecting Abnormal Only shows all of the
component’s abnormal results.
1. Click the Clinical Assessment tab then click the Patient Documents
icon.
2. Click the Document Templates tab.
3. From the Hospital list, select the appropriate hospital.
1. Click the Clinical Assessment tab then click the Patient Documents icon.
2. Click the Document Templates tab.
3. From the Hospital list, select the appropriate hospital.
4. Select the document template you want to copy, and click Copy.
The Document Template dialog box opens to the copy of the new template
(see Figure 7-34).
5. In the Name text box, type a name for the new template.
6. Edit the template information as needed (for a description of the text boxes
and lists in the Document Template dialog box, see “Creating a Document
Template” on page 7-62).
7. Click OK to save.
1. Click the Clinical Assessment tab then click the Patient Documents icon.
2. Click the Document Templates tab.
3. From the Hospital list, select the appropriate hospital.
4. Select the document template you want to delete, and click Delete.
5. In the confirmation dialog box, click Yes to save.
1. From the Document Template dialog box (see Figure 7-34), select the
applicable section, category, and component.
2. Type a heading or the sentence into which this tag will be inserted.
3. Click to place the cursor where the tag will be inserted. If you are inserting
text in front of the tag or after the tag, make sure you include a space to
separate the typed text from the data that will be inserted.
4. From the Section and Category lists, choose the applicable section and
category, when enabled.
5. From the Component list, choose the applicable components, when
enabled.
6. From the Format and Values lists, select the applicable format and value
options, when enabled.
7. Select the Navigable check box, when enabled and applicable.
8. Click Add to insert the tag to where the cursor is blinking.
9. Repeat step 1 through step 8 for each tag you want to add to this document
template.
10. Click OK to save.
1. Click the Clinical Assessment tab then click the Practice Documents
icon.
2. Click the Practice Document Types tab.
The Practice Document Types list opens (see Figure 7-35).
Select the hospital then click Edit to add a practice document type
5. Click New.
A row is added to the top of the Practice Document Types list.
6. In the Document Type column, type the document type.
7. In the Status column, leave the status Active.
8. Repeat step 5 through step 7 for each type you want to add.
9. Click OK to save.
1. Click the Clinical Assessment tab then click the Practice Documents
icon.
2. Click the Practice Document Types tab.
The Practice Document Types list opens (see Figure 7-35).
3. From the Hospital list, select the appropriate hospital.
4. Click Edit.
The Practice Document Types dialog box opens (see Figure 7-36).
5. Edit the information as needed.
6. Click OK to save.
1. Click the Clinical Assessment tab then click the Practice Documents
icon.
2. Click the Practice Document Types tab.
The Practice Document Types list opens (see Figure 7-35).
3. From the Hospital list, select the appropriate hospital.
4. Click Edit.
The Practice Document Types dialog box opens (see Figure 7-36).
5. Find the document type you want to inactivate, and in the Status column,
select Inactivate from the list.
6. Click OK to save.
1. Click the Clinical Assessment tab then click the Practice Documents
icon.
2. Click the Practice Documents tab.
3. From the Hospital list, select the appropriate hospital.
4. Click New.
The Practice Document dialog box opens (see Figure 7-37).
6. In the Microsoft Word document area, type the content of the document.
7. Click OK to save.
1. Click the Clinical Assessment tab then click the Practice Documents
icon.
2. Click the Practice Documents tab.
3. From the Hospital list, select the appropriate hospital.
4. Select the document you want to edit, and click Edit.
5. Edit the information as needed.
6. Click OK to save.
1. Click the Clinical Assessment tab then click the Practice Documents
icon.
2. Click the Practice Documents tab.
3. From the Hospital list, select the appropriate hospital.
4. Select the document you want to view, and click View.
5. When you are done viewing the document, click Close.
1. Click the Clinical Assessment tab then click the Practice Documents
icon.
2. Click the Practice Documents tab.
3. From the Hospital list, select the appropriate hospital.
4. Select the document you want to delete, and click Delete.
The Delete Practice Document dialog box shows the document.
1. Click the Clinical Assessment tab then click the RoS/PE icon.
2. Click the Review of Systems or Physical Exam tab.
3. From the Hospital list, select the hospital.
4. Click Edit.
The Exam Systems Registry list opens (see Figure 7-38).
■ Re-sort the list by changing the sort number in one or more rows and
clicking Sort.
1. Click the Clinical Assessment tab then click the RoS/PE icon.
The Review of Systems list opens (see Figure 7-39).
3. From the Provider list, choose the provider. To apply the settings to all
providers, choose (Default).
4. Do one of the following:
You can set up abnormal assessment details for the selected Review of
Systems or Physical Exam component.
Note: These steps are intended to follow the initialization of the
Varian System database. During the initialization process the
default assessment descriptions were applied to each provider.
Use the following tips when setting up the provider’s abnormal descriptions:
■ Include the name of the component in the phrase of the first attribute. For
example, for the component appetite, the first attribute is severity. The
phrase should read Complains of appetite (not Complains of). If you do not
include the word appetite in the phrase, when you grade appetite in the
patient’s chart and you include severity in your abnormal description, the
sentence will read complains of (without the word appetite). You do not
need to include the name of the component in the subsequent attributes’
phrases because Patient Manager automatically adds your description to
the sentence.
1. Click the Clinical Assessment tab then click the RoS/PE icon.
The Review of Systems list opens (see Figure 7-39).
2. Click Provider Setup.
The Provider RoS/PE Setup dialog box opens to the Review of Systems tab
(see Figure 7-40).
3. From the Provider list, choose the provider. To apply the settings to all
providers, choose (Default).
4. Do one of the following:
■ Modify the phrase, and ensure that the @ sign is where you want the
assessment description to be inserted.
Note: You cannot modify the Base Component Name.
■ Repeat this step for each assessment description you want to add.
1. Click the Clinical Assessment tab then click the RoS/PE icon.
2. Click Provider Setup.
The Provider RoS/PE Setup dialog box opens (see Figure 7-40).
3. From the Provider list, choose the provider.
4. Click the Review of Systems or Physical Exam tab.
■ Edit the phrase ensuring that the @ sign is where you want the
assessment description to be inserted.
1. Click Add.
2. Type the attribute’s name.
3. Type the attribute’s phrase ensuring that the @ sign is where you want the
assessment description to be inserted.
4. Change the order number and click Sort, as needed.
5. Add one or more assessment descriptions, as needed, by doing the
following:
a. Click Add.
b. Type the assessment description.
1. Click the Clinical Assessment tab then click the Tests/Vitals icon.
2. Click the Test Components tab.
The Test Components list opens (see Figure 7-42).
Low text box This numeric field appears when the Result
Type is Numerical Results. This field is
blank for such components until you enter
the applicable value. Type the minimum
value of the test result’s min/max range.
Favorite check box Select this check box to add the component
to the list of favorites on the Test Results
dialog box’s Selected Components tab’s
Favorites tab. Adding it to the Favorites tab
hastens the selection process for users
entering data.
7. Click OK to save.
1. Click the Clinical Assessment tab then click the Tests/Vitals icon.
2. Click the Test Components tab.
The Test Components list opens (see Figure 7-42).
3. From the Hospital list, select the appropriate hospital.
4. Click Edit.
The Test Components dialog box opens (see Figure 7-42).
1. Click the Clinical Assessment tab then click the Tests/Vitals icon.
2. Click the Test Components tab.
The Test Components list opens (see Figure 7-42).
3. From the Hospital list, select the appropriate hospital.
4. Click Edit.
The Test Components dialog box opens (see Figure 7-42).
5. From the Selected list, select the component you want to edit.
6. Edit the information as needed.
7. Click OK to save.
1. Click the Clinical Assessment tab then click the Tests/Vitals icon.
2. Click the Test Components tab.
3. From the Hospital list, select the appropriate hospital.
4. Click Edit.
The Test Components dialog box opens (see Figure 7-42).
1. Click the Clinical Assessment tab then click the Tests/Vitals icon.
2. Click the Test Groups tab.
The Test Groups list opens (see Figure 7-45).
Select the hospital then click Edit to add a test component group
5. Click New.
A row is added to the top of the Group Name list.
6. In the Group Name text box, type the name of the new group.
7. To make the group a favorite, select the Favorite check box.
8. From the Available list (middle list), select the test component you want to
add to the group, and click the right arrow to add it to the Selected list (right
list).
9. Click OK to save.
1. Click the Clinical Assessment tab then click the Tests/Vitals icon.
2. Click the Test Groups tab.
The Test Groups list opens (see Figure 7-45).
3. From the Hospital list, select the appropriate hospital.
4. Click Edit.
The Test Component Groups dialog box opens (see Figure 7-46).
5. Edit the information as needed.
6. Click OK to save.
1. Click the Clinical Assessment tab then click the Tests/Vitals icon.
2. Click the Test Groups tab.
The Test Groups list opens (see Figure 7-45).
3. From the Hospital list, select the appropriate hospital.
4. Click Edit.
The Test Component Groups dialog box opens (see Figure 7-46).
5. From the Group Name list, select the group you want to delete, and click
Delete.
6. In the Confirmation dialog box, click Yes.
7. Click OK to save.
1. Click the Clinical Assessment tab then click the Tests/Vitals icon.
2. Click the Vital Signs tab.
The Vital Signs list opens (see Figure 7-47).
Select the hospital then click Edit to add a Vital Sign component
5. Click New>>.
A row is added to the bottom of the selected list.
6. Complete the following information.
7. To re-sort the components in the Selected list, select the component you
want to re-sort, change the Display Order number, and click Sort.
8. Click OK to save.
1. Click the Clinical Assessment tab then click the Tests/Vitals icon.
2. Click the Vital Signs tab.
The Vital Signs list opens (see Figure 7-47).
3. From the Hospital list, select the appropriate hospital.
4. Click Edit.
The Vital Sign Components dialog box opens (see Figure 7-48).
5. Edit the information as needed.
6. To re-sort the components in the Selected list, select the component you
want to re-sort, change the Display Order number, and click Sort.
7. Click OK to save.
1. Click the Clinical Assessment tab then click the Tests/Vitals icon.
2. Click the Vital Signs tab.
The Vital Signs list opens (see Figure 7-47).
3. From the Hospital list, select the appropriate hospital.
4. Click Edit.
The Vital Sign Components dialog box opens (see Figure 7-48).
5. In the Selected list, select the Vital Sign component you want to delete, and
click the left arrow to move the component from the Selected list to the
Available list. To delete another component, repeat this step.
6. To re-sort the components in the Selected list, select the component you
want to re-sort, change the Display Order number, and click Sort.
7. Click OK to save.
1. Click the Clinical Assessment tab then click the Toxicities icon.
The Toxicities list opens (see Figure 7-49).
1. Click the Clinical Assessment tab then click the Toxicities icon.
The Toxicities list opens (see Figure 7-49).
2. From the Hospital list, select the appropriate hospital.
3. Click Edit.
The Toxicities Management dialog box opens (see Figure 7-50).
4. From the Grading Criteria list, select the grading criteria.
5. From the Recommended Toxicities list, select the component you want to
delete, and click the left arrow to move it to the Available Toxicities list.
6. Click OK to save.
You may receive some important error messages while using Data
Administration. Some of these messages include information that can be
critical when you are using ARIA applications while treating patients. Some
error messages are common to most of the ARIA applications; other error
messages appear only in the Queue in Treatment application.
Note: Table A-1 and Table A-2 does not include all Data
Administration error messages.
In This Appendix
Topic Page
Common Error Messages A-2
Queue in Treatment Error Messages A-3
When a System Failure Occurs A-3
A-1
Common Error Messages
Table A-1 includes a list of error messages common to most ARIA
applications.
The <data> is The user did not enter or select required data
missing! This is a before closing the dialog box. The user must enter
required field. a value in the data area.
This <data> The user tried to enter duplicate data. The user
already exists. must enter unique data.
Please enter a
different <data>.
Invalid <data> The user tried to enter a code or other data that is
entered! not a recognized format in Data Administration—
for example, dates or ranges of values. The user
must enter valid data.
Delete not allowed. The user tried to delete data that has been
This <data> has associated with other data. The user must delete
associated <data>. the associated record (s) and try to delete again.
Troubleshooting A-3
Appendix B Backing Up the Varian System
Database
Backing up your Varian System database ensures that all records can be
restored in case of a disastrous event such as disk or system failure. You should
back up your Varian System database and transaction log daily to prevent a
catastrophic loss of data.
In This Appendix
Topic Page
About Backing Up Data B-1
Preparing the Backup Tape B-2
Verifying the Backup to Tape B-2
B-1
Preparing the Backup Tape
To ensure that the data is successfully backed up to tape, you need to insert a
fresh backup tape cartridge in your tape device every day. Make sure that the
tape includes sufficient storage space for your data as the system backs up data
from the server. In addition, identify on the tape the date of the backup.
Note: Backup tape cartridges wear out and should be replaced
approximately every six months to a year.
The backup file is located in the ARIA\BACKUP directory. To access the file,
double-click its icon in the group of icons on your desktop. The backup file
appears as a text file, typically titled Results.txt.
The backup file lists all the database maintenance transactions that occurred
the night before. You should not see any error messages.
CAUTION: If you see or suspect errors in the output file, contact Varian
Technical Support immediately.
For example, the text file that identifies the contents of a backup might look
like the following:
Remember that this log file is written for each backup. The file name is not
incriminated for each backup. Instead, each backup overwrites the log file. If
you want to save the log record of a backup, you must manually copy the log
file, perhaps adding a date to the name of each saved log file.
Icons are used throughout the ARIA applications. Some icons are found on the
toolbar, others in the task pane (left side of an application window) when
available, and still other icons are found in the columns of data. This appendix
identifies the icons you will find in those applications, with the icons from each
application found in a separate list. Icons found in more than one application
are identified in each application.
Applications Page
Activity Capture Icons C-3
Review View Icons C-3
Audit View Icons C-5
Care Path View Icons C-6
Patient Review View Icons C-9
Print Preview Window Icons C-10
Chart QA Icons C-11
Toolbar Icons C-11
Patient Information C-12
Treatment History Tab C-12
Print Preview Window Icons C-13
Data Administration Icons C-14
Toolbar Icons C-14
Print Preview Window Icons C-15
Setup Tab - System Sub-tab Icons C-15
Setup Tab - Charge Related Sub-tab Icons C-16
C-1
Application Icons Identified (continued)
Applications Page
Care Path Templates Tab C-17
Clinical Assessment Tab C-19
Long-Term Archive C-21
Toolbar Icons C-21
Print Preview Window Icons C-22
Print Archive List Window Icons C-23
Patient Manager Icons C-27
Patient Information C-27
Summary, Registration, Diagnosis, Health, and Evaluation C-27
Tabs
Care Path Tab C-28
Print Preview Window Icons C-30
Time Planner Icons C-31
Agenda Tab Icons C-32
Appointment Tracker Tab Icons C-34
Patient Care Path Tab Icons C-35
Patient Agenda Tab Icons C-36
Patient Tracker Tab Icons C-37
My Patient Tracker Tab Icons C-38
Print Preview Window Icons C-40
The Activity Capture application icon from the desktop folder is shown at left.
The following tables identify the icons found in both the toolbar and data tables
of a particular view. The icons are grouped by view as follows:
■ Review View
■ Audit View
■ Care Path View
■ Patient Review View
■ Print Preview Window
You can create views in Activity Capture to display information, with each
view being one of the four views. While some icons are found in each view,
other icons are specific to one view.
Icon Usage
Refresh — Reads the data from the database and then updates
your display with any changes.
Refresh — Reads the data from the database and then updates
your display with any changes.
Care Path — Accesses the Care Path menu from the tool bar or
the right-click menu from the down arrow to the right of the
icon.
Delete Activity — Removes the selected appointment or task
from the list on the Care Path.
Refresh — Reads the data from the database and then updates
your display with any changes.
Refresh — Reads the data from the database and then updates
your display with any changes.
Icon Usage
Toolbar Icons
Patient Information
Icon Usage
Toolbar Icons
Refresh — Reads the data from the database and then updates
your display with any changes.
Care Path — Accesses the Care Path menu from the tool bar or
the right-click menu from the down arrow to the right of the
icon.
Delete Activity — Removes the selected appointment or task
from the list on the Care Path.
Icon Usage
Toolbar Icons
Archive (or Restore) — The icon remains the same,
with only the text changing as you switch between the
Archive and Restore modes. Use the Archive mode to
extract patient records for long term archiving. Use the
Restore mode to return archived records to your Varian
system database.
Archive Information — Found on the Restore
window, selecting the Archive Information icon opens
an information window. If you have first selected an
archived patient record, that information window offers
information about the archived patient record.
Back — When selected, returns the display back to the
patient selection focus.
Icon Usage
Patient Information
Care Path — Accesses the Care Path menu from the tool bar or
the right-click menu from the down arrow to the right of the
icon.
Delete Activity — Removes the selected appointment or task
from the list on the Care Path.
You can create tabs in Time Planner to display information, with each tab
being one of the views. While some icons are found in each view, other icons
are specific to one view.
Day View — When selected, displays the schedule for the current
date.
New Task — Opens the Task dialog box so a new task can be
added.
Refresh — Reads the data from the database and then updates your
display with any changes.
Work Week — Displays the agenda for the current work week,
from Monday through Friday only.
Date Range — Opens a Select Date Range dialog box from which
you can select a predefined date range from the list, or identify a
from and to date in month, day, and year format.
Refresh — Reads the data from the database and then updates your
display with any changes.
New Task — Opens the Task dialog box so a new task can be
added.
Care Path — Accesses the Care Path menu from the tool bar or the
right-click menu from the down arrow to the right of the icon.
New Task — Opens the Task dialog box so a new task can be
added.
Refresh — Reads the data from the database and then updates your
display with any changes.
Work Week — Displays the agenda for the current work week,
from Monday through Friday only.
Date Range — Opens a Select Date Range dialog box from which
you can select a predefined date range from the list, or identify a
from and to date in month, day, and year format.
New Task — Opens the Task dialog box so a new task can be
added.
Refresh — Reads the data from the database and then updates your
display with any changes.
Date Range — Opens a Select Date Range dialog box from which
you can select a predefined date range from the list, or identify a
from and to date in month, day, and year format.
New Task — Opens the Task dialog box so a new task can be
added.
Refresh — Reads the data from the database and then updates your
display with any changes.
One Page — Shows the current single page of the display or report.
Page Setup — Opens the Page Setup dialog box. It is from this
dialog box that you define paper, orientation, margins, and printer
for the printed results.
Previous Page — Moves the display to the previous page of the
information or report.
Print — Sends the display or report to the default printer.
Next Page — Moves the display to the next page of the information
or report.
Two Page — Displays two pages, side-by-side of the display or
report.
This glossary provides some of the standard terms used with ARIA and other
Varian Medical System products. However, this short glossary is not all
inclusive.
Term Definition
Action rights (ARIA) Permission to perform privileged actions in ARIA. For
example, you may have the action right to beam on a Clinac and
treat a patient, change course status, or authorize overrides. The
service administrator assigns action rights to individual users in
the Administration application. See also user rights.
Active field (ARIA) A treatment field that is scheduled for treatment during
the current treatment session. Contrast with Inactive Field.
Administration (ARIA) An application that the service administrator uses to
configure the Varian System database and the treatment
machines at your facility.
Area Screen (ARIA) The first screen displayed when you select an area (or
option) from a menu. For example, the History screen is the first
screen that appears when you select the History option in the
Chart application.
Area (ARIA) A sequence of screens related to a specific record type or
function. For example, the Course/Prescription area in the Chart
application includes the screens you need to define a course of
treatment for a patient. Also referred to as an option (for
example, the History option).
Glossary-1
ARIA An advanced information platform designed to unify the clinical
and administrative aspects of radiation oncology. This Varian
product consists primarily of software that will run on Customer
or Varian-supplied computer hardware. The effect of Varian
System database on the architectural requirements is limited to
an increase in the control console size requirement. The Clinac
and Ximatron Workstations can be linked by the Network
Fileserver to form a local area Network. Editing Workstations
are optional stations located away from the Clinacs and/or
Ximatron consoles. See also network.
Ascending Order (ARIA) A method of arranging items in a list or table in which
the items are sorted alphabetically from A to Z or
chronologically from first to last. Contrast with Descending
Order.
Back up 1) To make a copy of a program or data set that is kept for
reference in case the original file or data set is lost, damaged, or
otherwise inaccessible. 2) To so duplicate hardware, software, or
data.
Box (ARIA) A screen element for displaying and/or selecting data
(message box, list box, dialog box), grouping related data (group
box), or entering data (text box).
Cell (ARIA) The intersection of a row and a column in a table or
spreadsheet.
Charges (ARIA) An application that translates billable activities into
procedure codes and prepares information for output or transfer
to a central billing system.
Chart (ARIA) An application used to record and review patient
diagnoses, plan courses of treatment, define sites and site
breakpoints, define treatment fields, and view treatment
histories. See Patient Chart.
Contact A person you may need to talk to on the patient's behalf.
Course ID (ARIA) Unique alphanumeric identifying code for a treatment
course. Used as a record selector on several screens to identify
RT prescriptions, sites, treatment fields or treatment sessions for
the course selected. The unique alphanumeric code that identifies
a course of treatment in the Varian System database.
Glossary-2
Course (ARIA) Course of treatment for a patient.
Data field Data entry field. Input space on a ARIA screen. See text box.
Database A collection of data organized in logically related records or files
for rapid search and retrieval. The Varian System database
defines the essential relationships between the patient, course of
treatment, and schedule.
Default 1) An assumption made by the system when no specific choice is
made by the user. 2) An assigned value or choice in a menu or
data entry box. A default value is usually the most common or
safest answer. The default dose rates for fixed and dynamic
treatments are selected in Physics mode, but can be changed
before beam-on. 3) (ARIA). A value or setting used by a
computer system when the user does not supply one. For
example, unless you enter a specific date, the default starting date
for a new course of treatment is the current date.
Descending order (ARIA) A method of arranging items in a list or table in which
the items are sorted alphabetically from Z to A or
chronologically from last to first. Contrast with Ascending
Order.
Diagnosis The cause of a disease inferred from the analysis of symptoms
and diagnostic test results.
Dialog window/box A window (box) appearing on a screen in which a message is
displayed and the user is asked to respond by pressing a key or
typing something. The Chat window in Communications mode
is an interactive dialog window which the Clinac operator can
use to communicate with Varian service personnel via the
modem.
Digital image A computerized display of an image.
Directory (ARIA) Table on the area screen listing all area records.
Double-clicking on a row in the directory table opens the record
details screen in Edit mode.
Dose rate A measure of the dose delivered per unit time. Determined in
Clinacs by the number of high energy beam pulses delivered per
servo period times the dose delivered by each pulse.
Glossary-3
Dose The mean energy imparted to a defined site by ionizing radiation,
usually measured in Gray or cGray.
Dosimeter A radiation sensitive device, e.g., film, monitor ion chamber,
TLD, etc., with a known sensitivity that is placed in the beam
path to measure the integrated dose delivered by the beam. Also
called an integrating dose meter.
Dosimetry The calculations, measurements, and other activities required for
determining the radiation dose to be delivered.
Drag-and-drop (ARIA) A method of moving data in Windows. Drag-and-drop
editing is useful for moving data between tables and boxes.
Drop-Down List (ARIA) Windows screen element consisting of a text box that is
always onscreen and a list box that drops down when you click
on the scrolling arrow to the right of the text box. The text box
displays the current selection from the list box.
Enabled/Disabled ARIA) Command buttons can be enabled (made active) or
disabled. Certain command buttons are enabled only if you have
the correct user rights for the function and certain conditions are
met. For example, the Save button on the Treatment Field Details
screen is enabled only if you have No Delete or All Rights user
rights and all required items have valid data.
Error Code A hexadecimal number code that identifies any of several
diagnostic self-tests performed sequentially by the
communications and control microprocessors at power-up and
continuously during runtime. If a test fails, a CTRL interlock is
asserted and the test number (error code) is reported using the
LED arrays on the processor piggyback boards. An event log is
also created. See diagnostics and event log.
Glossary-4
Event log A record of the status of the Clinac at the time of an unusual
incident or event. Events include any interlock occurring during
beam-on, all major interlocks and communications errors,
Cal/Check interlocks and power-up diagnostic tests. The
contents of the event log indicate the status of the Clinac at the
time of the event and include in addition to date, time, and
operating mode, the dose delivered, the dose rate, the treatment
settings, the position readouts, the interlock status, the status of
all machine meters and digital I/O, and a summary of dynamic
beam treatment data, if applicable. Up to 99 Event logs can be
stored in the C:\VARIAN\LOG subdirectory of the console hard
disk. They can be printed, displayed, or transferred via modem to
Varian service personnel in Communications mode.
Event The activity during a patient appointment (for example, a
complex treatment).
Field Dose The amount of dose absorbed by a related site when the treatment
field is treated.
Field Format (ARIA) Field format is a validation criteria based on the
conventions we use in writing uppercase and lowercase, initial
caps, and the familiar conventions for writing dates and times.
Field Radiation field. 1) On a computer screen, an area in which data
may be entered or edited (data field). 2) In a data management
system, the smallest unit of information. 3) A plane section of the
beam perpendicular to the beam axis.
Granularity (ARIA) The interval between time slots on the schedule screens.
Therefore, also the minimum length of an appointment.
Group Box (ARIA) Box enclosing a set of screen elements of various types
(data fields, tables, list boxes, command buttons) that perform a
common function. The group box title in the upper left-hand
corner usually identifies the function of the group elements.
History Treatment history. In the Chart application, ARIA maintains a
treatment history for each course of treatment. The history lists
all treatment sessions, which fields were treated, and how much
dose was absorbed at each defined site. In the history, you can
review the treatment plan for each fraction, site breakpoints, and
overrides.
Glossary-5
Images A Vision/ARIA application that integrates simulation,
computerized tomography (CT), and portal images into the
Varian System database for image management and reference
during treatment sessions.
Inactive Field (ARIA) A treatment field not scheduled for treatment during the
current treatment session. The field may have been treated in a
previous session or may be scheduled for treatment in a future
treatment session. Contrast with Active Field.
Insert mode A data entry mode on a computer screen in which characters to
the right of the cursor are automatically shifted one space to the
right each time a new character is entered.
Interface Database Database that ARIA Session Manager uses to pass treatment data
to the Verification Interface and download to the C-Series
machine.
Interface The circuitry that interconnects and provides compatibility
between a computer and an operator, support device (e.g., timer,
DAC) or communications medium (e.g., serial interface) in a
computer system. An interface may be physical (involving a
connector) or logical (involving software).
International System The standard metric system of measurement adopted in 1975 for
of Units (SI) worldwide use. SI units commonly used in radiotherapy include
the gray (measures absorbed dose), sievert (measures the dose
equivalent), coulomb per kilogram (measures exposure), and the
becquerel (measures the disintegration rate of a radionuclide).
List Box (ARIA) Windows screen element containing a number of
options that can be selected with a movable highlight. See
drop-down list.
Local Area Network A system of interconnected computers confined to a small area
(LAN) that communicate along dedicated communications channels and
share resources such as disk storage and printers. The RMS local
network consists of several workstations (RV, editing, and
simulator) and a network file server, which controls the data flow
between stations and stores all the system software and the entire
patient database.
Glossary-6
Lookup table A list containing all valid entries for a data field on an
OncoManager screen. Lookup tables are accessed by pressing
the F5 or F6 soft key when the cursor is in a data field for which
entries are restricted. The cursor is transferred into the lookup
table when it is accessed, enabling the user to select a valid entry,
which is entered directly into the data field when it is chosen.
Network See local area network (LAN).
Operating software The integrated collection of programs used by the Clinac system
computer to interface the system with the operator and control
the machine.
Patient chart A complete record of all radiotherapy treatments performed on
the patient, recorded sequentially throughout the course of
treatment. The chart includes for each treatment the station ID,
the energy mode, the treatment site and field, the treatment dose,
cumulative field dose and total site dose, the mechanical
positions of the treatment unit, the name of any accessory used,
and the name of the RTT who performed the treatment. It is
arranged chronologically by the date and time at which each
treatment was performed.
Patient file A file that contains treatment fields for a particular patient.
Pattern The sequence of days (for example, one week) defined as normal
machine operating hours at your facility. Each day in the pattern
is called a cycle day. See also cycle day.
Plan (ARIA) The set of console and machine position settings and the
setup note (if any) for a treatment field. See also treatment plan.
Port film exposure A radiograph taken with the patient interposed between the
machine portal and an x-ray film. The purpose is to demonstrate
that the treatment field on the patient is properly set up.
Provider Anyone, doctor or staff, who has login access to ARIA.
Range error Error indicating that a value, usually input by the user, is out of
a pre-determined range.
Glossary-7
Real time 1) Performance of a computer system that receives and processes
data quickly enough to produce output to control, direct or affect
the outcome of an ongoing activity or process. 2) Performance of
the computations necessary to update an image or a parameter
reading quickly enough so that the image sequence appears
correct and the parameter reading is current.
Record (ARIA) A collection of related data fields treated as a unit. The
description of an item in the database. Each item is represented
by a record consisting of one or more fields.
Refresh The process of constantly reactivating or restoring information
that decays or fades away when left idle. For example, the
phosphorescent image on a CRT screen must be regenerated at a
rate of 30 to 60 Hz to avoid flicker.
Required Field (ARIA) A data field or text box in which you must make a valid
entry in order to enable the OK or Save command button.
Reset (ARIA) Command button on the Machine Weekly Schedule
screen that cancels all cell selections you have made.
Schedule (ARIA) An application that provides a graphical scheduler to
display and manipulate accelerator, simulator, and oncologist
schedules. Other department resources can also be scheduled.
Session (ARIA) The interval between the time you log into a ARIA
application and the time you log out of it. An event in which one
or more fields are treated.
Table Standard A diagnosis coding system. The Varian System database
includes the ICD-9 coding system to use, or your facility may use
a customized coding system.
Text box (ARIA) Windows screen element that accepts data entered
directly from the keyboard, provided the data is of the type
specified in the database and does not exceed the maximum
number of characters for the field.
Total Dose (ARIA) The dose prescribed for a course of treatment by an
oncologist. Or, the maximum cumulative dose allowed for a site
without override authorization. Or, the current cumulative dose
recorded in the patient’s history in the Chart application.
Glossary-8
Treatment course A sequence of treatment visits at which specified procedures will
be performed on a designated patient, using specified treatment
machine(s). The visits are scheduled to occur at the same time on
specified days of the week until the fractionation is complete. A
treatment course may be scheduled for a specified patient on
OncoManager and downloaded to the RV workstation(s) on
which it will be carried out. OncoManager will then bill for
completed treatments as they are performed at the workstations.
Treatment field The area projected at Target to Surface Distance (TSD) on a
plane perpendicular to the radiation beam axis by the Clinac
collimator jaws.
2. (ARIA) Also, the data required for complete specification of
an individual treatment beam, including radiation energy, field
size, use of wedges and blocks, orientation with respect to the
patient, prescribed exposure time, dose, and distance.
Treatment Plan (ARIA) The prescribed radiation beam, patient setup
information, and machine settings for all fields to be treated
during a treatment session. See also plan.
Treatment plan An ensemble of radiation beams or sources designed to produce
a prescribed dosage pattern in and for the patient; includes spatial
and temporal distributions.
Treatment planning A complex process carried out prior to the administration of
radiation therapy. The planning process usually includes such
items as tumor localization, treatment volume determination,
contour preparation, and treatment dose determination to
prescribe the dosage pattern required.
User Name The name you enter to log into a ARIA application.
User Rights The level of access to ARIA records you have, based on the User
Name and Password you enter. The three general categories of
user rights are Read Only, No Delete, and All Rights. See also
action rights, password, and user name.
Validation A process in which ARIA verifies that the data you enter is of
valid type and number. For example, ARIA verifies that you
enter a number for Total Dose. If you enter letters or punctuation
marks, ARIA displays an error message.
Glossary-9
Verification A process in which ARIA compares the actual treatment settings
on the Clinac to the plan settings in ARIA and prevents treatment
if the actual settings differ from the plan settings by more than
the allowed tolerance. See also verification interface.
Window (1) Either of two ceramic plates that separate the pressurized rf
waveguide from the evacuated klystron at one end and from the
evacuated accelerator structure at the other while allowing the
microwave to pass through. (2) A thin plate, made of aluminum
or beryllium, through which electrons are extracted from the
accelerator guide with minimal loss of energy while preserving
the vacuum in the accelerator structure. (3) A rectangular portion
of a monitor screen used for input from the operator or to display
information to the operator.
Windows NT Microsoft’s multitasking network operating system.
Windows A software program that runs on DOS but provides its own
features and functions. (MLC)
Glossary-10
Index
Index-1
code modifiers, 5-4 assigning
comments, 7-6 a resource to a group, 3-18
component to list of recommended machines to a venue, 3-15
toxicities, 7-105, 7-107 resource to a department, 3-17
custom test component, 7-88 associating templates
cycle activity, 6-22 about, 6-12
cycle to a Care Path, 6-16 with a diagnosis, 6-12
department, 2-7 with a payor, 6-14
diagnosis code, 7-15 with a physician, 6-13
diagnosis code type, 7-13 attributes, activity, adding, 2-34
diagnosis method, 7-9 attributes, activity, deleting, 2-37
document type, 7-61 attributes, activity, editing, 2-36
drug to drug formulary, 7-27 auxiliary resources
drug to master favorite drugs list, 7-35 adding, 3-7
drugs to favorite drug lists for editing, 3-10
providers, 7-42 inactivating, 3-10
education/counseling session list, 7-45 managing, 3-7
groups to departments, 2-12 availability hours
list items, 2-29 specifying for a department, 2-16
medical problem, 7-48 specifying for a resource, 3-20
payor plan types, 5-8
payor plans, 5-10 B
payor references, 5-10
backing up Varian System database, B-1
physician or staff, 3-2
billing services
practice document type, 7-70
adding, 5-18
social history, 7-55
deleting, 5-21
surgery or procedure, 7-52
editing, 5-21
test component, 7-94
managing, 5-17
test component group, 7-96
user-defined activity attributes, 2-34
user-defined patient label, 2-32 C
venue, 3-11 Care Path templates
Vital Sign Component, 7-100 associating with
allergies a diagnosis, 6-12
adding, 7-2 a payor, 6-14
deleting, 7-5 a physician, 6-13
editing, 7-5 copying, 6-9
managing list of, 7-2 creating, 6-3
ARIA deleting, 6-12
described, 1-4 editing, 6-10
error messages, A-2 Care Paths
icons, list of, 1-9 about, 6-2
adding a cycle to, 6-16
deleting a cycle from, 6-18
editing in a cycle, 6-17
Index-2
categories components
activity adding to list of recommended toxicities,
adding, 4-2 7-105
editing, 4-5 deleting from the list of recommended
inactivating, 4-5 toxicities, 7-107
managing, 4-1 editing abnormal details for, 7-85
drug formulary configuring
creating, 7-31 abnormal assessment details, 7-81
deleting, 7-34 Activity Capture, 5-2
editing, 7-34 activity lag time, 6-24
managing, 7-20 charges default settings, 5-2
charges Global Settings, 2-37
default, configuring, 5-2 RoS/PE assessment descriptions for
managing, 5-1 providers, 7-78
Clinical Assessment, about, 7-1 contacting help desk support, 1-3
clinics copying
about, 2-2 Care Path template, 6-9
adding, 2-2 cells of cycle activity row, 6-27
editing, 2-6 cycle activity details, 6-27
inactivating, 2-6 cycle activity details on columns, 6-28
closing Data Administration, 1-14 document template, 7-68
code modifiers creating
adding, 5-4 activity cycle, 6-19
editing, 5-6 Care Path Templates, 6-3
inactivating, 5-6 drug formulary category, 7-31
managing, 5-4 patient document template, 7-62
code type, selecting default for searches, 7-19 practice documents, 7-73
color-coding creating new document type, 7-61
activities, 4-14 custom test component, adding, 7-88
Column Chooser, using, 1-11 customizing activity attributes, 2-34
columns customizing patient labels, 2-32
about, 1-11 cycle activities
copying cycle activity details on, 6-28 adding, 6-22
hiding, 1-12 copying cells of row, 6-27
rearranging, 1-13 copying details on columns, 6-28
showing, 1-11 deleting, 6-26
comments details, filling-down, 6-27
adding, 7-6 inserting, 6-22
deleting, 7-8 managing the order of, 6-19
editing, 7-8 moving in a treatment cycle, 6-27
managing list of, 7-6 cycles
common error messages, A-2 adding to a Care Path, 6-16
deleting from a Care Path, 6-18
editing in a Care Path, 6-17
Index-3
D inactivating, 2-11
Data Administration managing information for, 2-7
about, 1-4, 1-7 managing schedules for, 2-15
backing up data, B-1 scheduling a holiday for, 2-17
closing, 1-14 specifying availability hours for, 2-16
licenses and rights, 1-9 diagnoses, managing, 7-9
logging in, 1-7 diagnosis code types
viewing version number for, 1-13 about, 7-13
data segmentation, about, 1-5 adding, 7-13
data tags, about, 7-69 inactivating, 7-14
database, backing up, B-1 diagnosis codes
default code type, selecting for searches, 7-19 about, 7-15
deleting adding, 7-15
allergy, 7-5 editing, 7-18
billing service, 5-21 inactivating, 7-19
Care Path template, 6-12 diagnosis methods
comments, 7-8 about, 7-9
cycle activity, 6-26 adding, 7-9
cycle from a Care Path, 6-18 editing, 7-12
document template, 7-68 inactivating, 7-12
drug formulary category, 7-34 diagnosis, associating templates with, 6-12
drug from master favorite drugs list, 7-41 document types
drug in drug formulary, 7-31 about, 7-59
drug in favorite drug list for providers, 7-44 adding, 7-61
list items, 2-32 creating new, 7-61
payor authorization, 5-17 removing, 7-62
payor plan, 5-16 documents
payor plan type, 5-10 adding practice type, 7-70
payor reference, 5-16 ordering additional, 1-3
practice document, 7-75 practice, managing, 7-70
scheduled holiday, 2-20 downloading
test component, 7-95 FDA Drug List, 7-22
test component group, 7-99 about, 7-22
user-defined activity attributes, 2-37 drug formulary
user-defined patient label, 2-34 about, 7-20
Vital Sign Component, 7-104 adding a drug to, 7-27
departments deleting drug in, 7-31
about, 2-7 editing drug in, 7-30
adding, 2-7 managing, 7-20
adding groups to, 2-12 drug formulary categories
assigning a resource to, 3-17 about, 7-20
deleting a scheduled holiday for, 2-20 creating, 7-31
editing for a user and provider, 2-39 deleting, 7-34
editing name of, 2-11 editing, 7-34
Index-4
Drug List patient document templates, 7-67
FDA, 7-21 payor plan, 5-16
drugs payor plan type, 5-9
adding to drug formulary, 7-27 payor reference, 5-16
adding to favorite drug lists for physician or staff, 3-6
providers, 7-42 practice document, 7-75
adding to master favorite drugs list, 7-35 practice document type, 7-72
deleting from master favorite drugs procedure code, 5-30
list, 7-41 provider and department for user, 2-39
deleting from the drug formulary, 7-31 scheduled holiday, 2-19
deleting in the favorite drug list for template cycles and cycle activities, 6-15
providers, 7-44 test component, 7-95
editing favorite drug list for providers, 7-44 test component group, 7-99
editing in drug formulary, 7-30 user-defined activity attribute, 2-36
editing in master favorite drugs list, 7-41 user-defined patient label, 2-33
venue, 3-14
E Vital Sign Component, 7-104
education/counseling session list
editing
about, 7-44
activity, 4-13
adding, 7-45
activity category, 4-5
editing, 7-47
allergies, 7-5
inactivating, 7-47
auxiliary resources, 3-10
e-mail support, 1-4
billing services, 5-21
error messages
Care Path templates, 6-10
about, A-1
clinic or hospital, 2-6
common, A-2
code modifiers, 5-6
Queue in Treatment, A-3
comments, 7-8
Exam Systems Registry, maintaining, 7-76
component’s abnormal details, 7-85
exiting Data Administration, 1-14
cycle in a Care Path, 6-17
department name, 2-11
diagnosis code, 7-18 F
diagnosis method, 7-12 favorite drug list for providers
drug formulary category, 7-34 adding a drug to, 7-42
drug in drug formulary, 7-30 deleting, 7-44
drug in the master favorite drugs list, 7-41 editing, 7-44
drugs in favorite drug list for FDA Drug List
providers, 7-44 about, 7-21
education/counseling session list, 7-47 about downloading, 7-22
Global Settings, 2-37 downloading, 7-22
group, 2-14 setting as default, 7-27
list items, 2-31 filling-down cycle activity details, 6-27
medical problem, 7-50
Index-5
G group, 2-14
Global Settings medical problem, 7-51
about, 2-37 physician or staff, 3-7
managing, 2-37 practice document type, 7-72
grayed out tab, icon, or button, 1-5, 1-9, 4-1 social history, 7-58
groups surgery or procedure, 7-54
about, 7-96 venue, 3-15
adding to departments, 2-12 inserting a cycle activity, 6-22
assigning a resource to, 3-18 interface, using, 1-9
editing, 2-14 Internet support, 1-3
inactivating, 2-14
L
H labels
help desk support, 1-3 patient, adding, 2-32
hiding patient, deleting, 2-34
columns, 1-12 patient, editing, 2-33
holiday legend of icons, C-1
editing for department, 2-19 list of
scheduling, 2-17 common error messages, A-2
hospitals predefined lists, 2-27
about, 2-2 predefined payor plan types, 5-7
adding, 2-2 Queue in Treatment error messages, A-3
editing, 2-6 lists
inactivating, 2-6 adding items to, 2-29
hours deleting items from, 2-32
specifying for a resource, 3-20 editing items for, 2-31
specifying for department, 2-16 managing, 2-27
medical history, managing, 7-48
predefined, 2-27
I logging in to Data Administration, 1-7
icons
about, 1-9
legend, C-1
M
inactivating machine venues, about, 3-11
activity, 4-13 machines, assigning to a venue, 3-15
activity category, 4-5 managing
auxiliary resources, 3-10 activities, 4-6
clinic or hospital, 2-6 activity categories, 4-1
code modifiers, 5-6 allergies, 7-2
department, 2-11 auxiliary resources, 3-7
diagnosis code, 7-19 billing services, 5-17
diagnosis code type, 7-14 clinics or hospitals, 2-2
diagnosis method, 7-12 code modifiers, 5-4
education/counseling session list, 7-47 comments, 7-6
cycle activity order, 6-19
Index-6
department schedules, 2-15 modifiers, code
departments, 2-7 adding, 5-4
diagnoses, 7-9 editing, 5-6
diagnosis code types, 7-13 inactivating, 5-6
diagnosis codes, 7-15 managing, 5-4
diagnosis methods, 7-9 moving
drug formulary and categories, 7-20 cycle activity in treatment cycle, 6-27
Global Settings, 2-37
lists, 2-27 N
master favorite drugs list, 7-35
nonschedulable venues, about, 3-11
medical history lists, 7-48
order of cycle activities, 6-19
patient document templates, 7-59 O
payor plan types, 5-7 Oncology HelpDesk
payor plans, 5-10 contact information, 1-3
payor references, 5-10 ordering additional documents, 1-3
physicians and staff, 3-2
practice documents, 7-70 P
procedure codes, 5-22
patient document templates
procedures and charges, 5-1
copying, 7-68
resource assignments, 3-17
creating, 7-62
RoS/PE systems, 7-76
deleting, 7-68
social history list, 7-55
editing, 7-67
surgical/procedure list, 7-51
managing, 7-59
test components, 7-88
patient labels
test components groups, 7-96
adding, 2-32
toxicities, 7-105
customizing, 2-32
user favorite drugs list, 7-42
deleting, 2-34
user groups, 2-39
editing, 2-33
users, 2-39
payor authorization, deleting, 5-17
venues, 3-11
payor plan types
vital sign components, 7-100
adding, 5-8
master favorite drugs list
deleting, 5-10
adding to, 7-35
editing, 5-9
deleting drug from, 7-41
managing, 5-7
editing drugs in, 7-41
predefined, 5-7
managing, 7-35
payor plans
medical history lists, managing, 7-48
adding, 5-10
medical problems
deleting, 5-16
adding, 7-48
editing, 5-16
editing, 7-50
managing, 5-10
inactivating, 7-51
Index-7
payor references R
adding, 5-10 rearranging a column, 1-13
deleting, 5-16 removing a document type, 7-62
editing, 5-16 required fields, about, 1-11
managing, 5-10 resource assignments, managing, 3-17
payor, associating templates with, 6-14 resources
phone number, Oncology HelpDesk, 1-3 assigning to a department, 3-17
physicians assigning to a group, 3-18
adding, 3-2 auxiliary
associating templates with, 6-13 adding, 3-7
editing, 3-6 editing, 3-10
inactivating, 3-7 inactivating, 3-10
managing, 3-2 managing, 3-7
practice document types specifying availability hours for, 3-20
adding, 7-70 RoS assessment, setting provider’s
editing, 7-72 descriptions for, 7-82
inactivating, 7-72 RoS/PE systems, managing, 7-76
practice documents RoS/PE, setting up assessment descriptions for
creating, 7-73 providers, 7-78
deleting, 7-75
editing, 7-75
managing, 7-70 S
viewing, 7-75 scheduled holiday
predefined adding, 2-17
lists, 2-27 deleting, 2-20
payor plan types, 5-7 editing, 2-19
preferences, setting system, 2-20 schedules, managing for department, 2-15
procedure codes scheduling a holiday, 2-17
editing, 5-30 searches, selecting default code type for, 7-19
managing, 5-22 selecting default code type for searches, 7-19
procedures, managing, 5-1 setting
protocols activity lag time, 6-24
802.11b, 1-6 charges default, 5-2
802.11g, 1-6 FDA Drug List as default, 7-27
provider provider’s RoS assessment descriptions,
editing for a user and department, 2-39 7-82
provider’s RoS assessment description, setting, RoS/PE assessment descriptions for
7-82 providers, 7-78
system preferences, 2-20
showing columns, 1-11
Q social history
Queue in Treatment error messages, A-3 adding, 7-55
inactivating, 7-58
list, managing, 7-55
Index-8
specifying test components
availability hours of a resource, 3-20 adding, 7-88, 7-94
department availability hours, 2-16 deleting, 7-95
staff editing, 7-95
adding, 3-2 managing, 7-88
editing, 3-6 toolbar, about, 1-10
inactivating, 3-7 toxicities
managing, 3-2 about, 7-105
support, 1-3 adding component to list of recommended,
via e-mail, 1-4 7-105
via Internet, 1-3 deleting component from the list of
surgery or procedure recommended, 7-107
adding, 7-52 managing, 7-105
inactivating, 7-54 treatment cycle, moving a cycle activity in,
surgical/procedure list, managing, 7-51 6-27
system failure, about, A-3 troubleshooting, A-1
system preferences, setting, 2-20
U
T UI, using, 1-9
tablet PC use, 1-6 user favorite drug list
technical support, 1-3 adding a drug to, 7-42
telephone support, 1-3 deleting a drug from, 7-44
template editing a drug in, 7-44
Care Path managing, 7-42
copying, 6-9 user groups
deleting, 6-12 managing, 2-39
patient user rights
copying, 7-68 about, 1-7
patient document user-defined activity attributes
creating, 7-62 adding, 2-34
deleting, 7-68 deleting, 2-37
editing, 7-67 editing, 2-36
template cycles and cycle activities, editing, user-defined patient labels
6-15 adding, 2-32
templates deleting, 2-34
associating with a diagnosis, 6-12 editing, 2-33
associating with a payor, 6-14 users
associating with a physician, 6-13 editing the provider and department for,
patient, managing, 7-59 2-39
test component groups managing, 2-39
adding, 7-96 using the Data Administration interface, 1-9
deleting, 7-99
editing, 7-99
managing, 7-96
Index-9
V
Varian System database
backing up, B-1
table PC use, 1-6
wireless network, 1-6
venues
about nonschedulable, 3-11
adding, 3-11
assigning machines to, 3-15
editing, 3-14
inactivating, 3-15
machine, about, 3-11
managing, 3-11
version number, viewing, 1-13
viewing
Data Administration version number, 1-13
list of icons, 1-9
practice document, 7-75
Vital Sign Components
about, 7-100
adding, 7-100
deleting, 7-104
editing, 7-104
managing, 7-100
W
wireless network use, 1-6
Index-10