ARIA Oncology Information System for Radiation Oncology

Software Integration Advantages

Eclipse™ treatment planning system & ARIA® oncology information system

Advantages: Why Important:

• Patient and plan already exist in ARIA.

- No redundant data entry
Unified database

- This removes the human factor of importing/exporting treatment plans and images.
• Simplified pre-treatment QA process.
- Eliminates additional QA steps associated with manual data entry or incomplete data import.
- Eliminates the need to recreate setup fields, scale DRRs, and associate DRRs to the proper
treatment fields.

Prescription linking ability Safety features:

• Electronic RT prescription is linked directly to the plan.
• Changes in RT prescription trigger a transition to an unapproved plan status, resulting in the
inability to treat the plan.
- This helps keep desired changes to the fractional dose from being overlooked.
Simplified 3D plan revisions:
• Dose is automatically scaled to match the change in prescription when a plan revision is created.
• Scheduled fractions are automatically updated in ARIA to reflect changes.

Ability to generate digitally • There is no need to go back to the treatment planning system to create DRRs and export them over
reconstructed radiographs to the oncology information system.
(DRRs) within ARIA • This can be done in the Treatment Preparation workspace within ARIA.
Varian Treatment Console & ARIA
Advantages: Why Important:

Gated treatment interface TrueBeam®/VitalBeam™/Edge® systems

Safety feature:
• For gated plans, the gating interface is automatically connected to the plan at the treatment
console and cannot be bypassed without proper authorization.
Streamlined workflow:
• Users can attach the gating protocol to the treatment plan in advance within the ARIA Treatment
Preparation workspace.

Plan integrity check • A plan signature is calculated at the time of plan approval. Upon opening the patient treatment
plan at the machine treatment console, the system recalculates the signature to verify that
important plan parameters remain the same as at the time of plan approval.

DICOM RT treatment • In the event the treatment does not save back to the record-and-verify system (e.g., Power outage),
record recovery the care team will be able to recover the treatment data from the backup files and import them
back into ARIA (dose, images and couch coordinates).

Complete transfer of • Photos, setup notes, reference point dose, and fractional information will transfer with the patient
patient data to the machine plan and display on the in-room monitor.

No specific workflow • Mandatory workflow is not required for imaging and shift/matching information to be saved back
process required to enable to the ARIA oncology information system.
greater clinical efficiency

On-demand DRRs • DRRs generated at the treatment console will be saved back to ARIA Offline Review.

No additional workflow • Re-imaging not required to visualize images off-line in the treatment position.
required to view treatment
images

Adherence to industry • DICOM RT and DICOM Worklist means ARIA can easily interface with other DICOM RT and DICOM
standard communication Worklist compliant treatment devices, planning systems, and diagnostic imaging equipment.
protocols

In-line product development • As new functionality becomes available on the treatment machines, ARIA will be designed to accept
it. There is no waiting for the electronic medical record (EMR) to be developed.

Daily treatment queue • This queue, available at the machine console, displays all pertinent patient information.
- Patient alerts
- Schedule
- Check-in status

Unified workspace • Imaging functionality utilized online at the Varian treatment console is the same as what is used in
interfaces for imaging ARIA Offline Review.
• This may reduce the learning curve.

HDR integration • HDR treatment doses and fraction counts are integrated and tracked in the RT Summary
workspace.

ARIA
Advantages: Why Important:

User Home • Configurable, user-specific workspace that allows each user to launch favorite workpaces, and
access schedules, task lists, and InSightive™ analytics dashboards if purchased.

ARIA Unified Reporting • Provides static reports that can be modified to fit the clinical needs, but also allows the user to
Application (AURA) create their own unique reports.
• These reports can be set to run and deliver automatically to others via email.
• Allows the user to run large dataset reports without impacting the speed of the production system.
• Reports can be launched out of any workspace in ARIA.

InSightive analytics* • An end-to-end analytics solution that can enable improved decision-making by efficiently
aggregating data that can be used to quickly generate smart, interactive dashboards and
visualizations.
• Leverage pre-built templates to determine payer mix, referral sources, operational performance,
and more.
• Realize real-time insights.
• Discover important patterns and trends.
• Facilitate data-driven decision-making.
• Data exploration capabilities
• Customizable data e-mail alert mechanism (v1.6 and above)
 Visual Care Path • Intuitive, template-based flow charts that provide a consolidated, graphical view of each patient’s
treatment course, including the status and due dates of all activities and tasks related to their care
• When a clinical task has been completed, the staff member responsible for the next activity in the
sequence of events is automatically notified within the task list on the User Home.

RT Summary workspace • An interactive graphical interface that allows the care team to review all aspects of the patient’s
radiation treatment including, but not limited to:
- Prescribed dose
- Delivered dose
- All treatment images
- Machine overrides
- Patient alerts

Patient encounters • Offers a consolidated view of data that easily and effectively allows the user to navigate specific
patient care events such as consultations, treatment visits, follow-up appointments, simulations,
and weekly chart checks.
• Customizable encounter templates allow users to design a workflow within the patient’s chart
to interact with the functional areas such as review of systems, test results, entering vitals, and
creating notes among many others.
• These encounters can also be utilized as a checklist to assist clinicians documenting Advancing
Care Information (ACI) and clinical quality measures (CQMs) related to the CMS Quality Payment
Program.

Patient alerts • Customizable alerts used to communicate to the therapists directly at the treatment console both
before and after treatment.
• Often used to communicate patient-specific requests such as:
- Physician needs to see patient prior to treatment
- Patient needs to meet with social worker, lab, etc.
- Requests from Offline Review when the physician determines a shift from a previous port film,
2D/3D match, and/or CBCT

Flexible remote access • Access to portions of the patient EMR over your secure virtual private network (VPN) or mobile
devices.

External applications • Can be configured to open outside URLs such as the OncoPeer™ cloud community, MyVarian, and
the American Cancer Society without closing or minimizing ARIA.

ONC Certified Health IT • (ONC-Health IT) 2015 Edition Health IT Module Certification via the Drummond Group LLC, an
Authorized Certification Body (ACB) that has been empowered to test software for compliance
with the requirements of the federal government’s program.† ARIA® OIS for radiation oncology
version 15.5 meets the criteria for the 2015 Edition of the Merit based-Incentive Payment System
(MIPS)/ Quality Payment Program (QPP)
• Advancing Care Information (ACI)
• Clinical quality measures (CQM)
* Purchasable option
† Please see www.varian.com/ARIA/ROMU for further ONC Certification details. United States only.

USA, Corporate Headquarters EMEIA and CIS Latin American Asia Pacific Australasian
and Manufacturer Headquarters Headquarters Headquarters Headquarters
Varian Medical Systems, Inc. Varian Medical Systems Varian Medical Systems Varian Medical Systems Varian Medical Systems
3100 Hansen Way International AG Brasil Ltda. Pacific, Inc. Australasia Pty Ltd.
Palo Alto, CA 94304 Steinhausen, Switzerland São Paulo, Brazil Kowloon, Hong Kong Sydney, Australia
Tel. 650.493.4000 | varian.com Tel. 41.41.749.88.44 Tel. 55.11.3457.2655 Tel. 852.2724.2836 Tel. 61.2.9485.0111

Not all features or products are available in all markets.

Intended Use Summary
The ARIA oncology information system and Radiation Therapy Management product are software solutions that provide the tools needed to manage admin-
istrative and financial activities in an oncology department along with treatment and image management associated with chemotherapy and radiotherapy
delivery.
Safety Statement
Side effects are related to the treatments delivered independent of our software and must be discussed by the clinician with the patient on a case-by-case
basis. Medical providers shall retain the authority to direct all medical decisions regarding the care and treatment of their patients. Varian Medical Systems is
not authorized or qualified to engage in activities that may be construed or deemed to constitute the practice of medicine.
Medical Advice Disclaimer
Varian Medical Systems is not authorized or qualified to engage in activities that may be construed or deemed to constitute the practice of medicine. Individual
treatment results may vary.
© 2018 Varian Medical Systems, Inc. All rights reserved. Varian, Varian Medical Systems, ARIA, Edge and TrueBeam are registered trademarks, and Eclipse, InSightive, OncoPeer, and
VitalBeam are trademarks of Varian Medical Systems, Inc. All other trademarks are the property of their respective owners.

RAD 10481 06/2018