Radiation Oncologist Training Guide - UCSF Radiation Oncology

MOSAIQ 

Radiation Oncologist 

Training Guide 

MOSAIQ 1.20 

Module III: Quality Checklists, Documents, and 

Reports

Radiation Oncologist 

Training Guide 

MOSAIQ 

Oncology Management System 

MOSAIQ 1.20 

Module III: Quality Checklists, Documents, and Reports 

Copyright 2008 

All Rights Reserved 

IMPAC Medical Systems

PUBLISHED BY: 

IMPAC Medical Systems, Inc. 

100 Mathilda Place, Fifth Floor 

Sunnyvale, CA 94086 

COPYRIGHT 2008 by IMPAC Medical Systems 

All Rights Reserved 

Instructional Designer/Writer: Robin Bonke 

LTGRAD0003C – 1.0 – 6/18/2008 

This manual contains proprietary information to be used exclusively 

by customers of IMPAC Medical Systems. All rights reserved. 

No part of the contents of this book may be reproduced or transmitted 

in any form or by any means without the written permission 

of IMPAC Medical Systems.

Table of Contents 


Table of Contents ........................................................................................................................................................................................ i 

Introduction..................................................................................................................................................1 

What’s In This Module ..............................................................................................................................................................................1 

SupportPlus Online....................................................................................................................................................................................2 

Document Conventions.............................................................................................................................................................................3 

Text Conventions ......................................................................................................................................................................................3 

Mouse Conventions...................................................................................................................................................................................4 

Keyboard Conventions...............................................................................................................................................................................5 

Lesson 9 Using Quality Checklists .............................................................................................................7 

Objectives.....................................................................................................................................................................................................7 

Viewing the Quality Checklist Items........................................................................................................................................................8 

Using the Due Date Range Filter.............................................................................................................................................................8 

Viewing Patient Quality Checklists..........................................................................................................................................................11 

Viewing Daily Checklists..........................................................................................................................................................................13 

Viewing Staff Checklists..........................................................................................................................................................................14 

Viewing Location Quality Checklists........................................................................................................................................................16 

Viewing Completed Checklist Items by Staff.........................................................................................................................................18 

Using Set Date Range from the Options Menu...................................................................................................................................18 

Using the Status Filter.............................................................................................................................................................................20 

Using the Group View.............................................................................................................................................................................22 

Adding Quality Checklist Items..............................................................................................................................................................24 

Adding a Non-Billable Item to the Patient’s Quality Checklist ..............................................................................................................24 

Adding a Billable Item Associated with a Charge Code.........................................................................................................................29 

Adding a Billable Item Associated with a Code Group ..........................................................................................................................32 

Completing Quality Checklist Items......................................................................................................................................................35 

Completing a Non-Billable Item from a Quality Checklist Window ......................................................................................................35 

Completing an Item from the Quality Checklist Item Dialog Box........................................................................................................36 

Completing a Billable Quality Checklist Item..........................................................................................................................................37 

Skipping a Quality Checklist Item...........................................................................................................................................................39 

What’s Next..............................................................................................................................................................................................41 

The Quick Version ...................................................................................................................................................................................42 

Using the Due Date Range Filter...........................................................................................................................................................42 

Viewing Patient Quality Checklists..........................................................................................................................................................42 

Viewing Daily Checklists..........................................................................................................................................................................42 

Viewing Staff Checklists..........................................................................................................................................................................42 

Viewing Location Checklists.....................................................................................................................................................................42 

Viewing Completed Checklist Items by Staff.........................................................................................................................................43 

Using Set Date Range from the Options Menu...................................................................................................................................43 

Using the Status Filter.............................................................................................................................................................................43 

Using the Group View.............................................................................................................................................................................43 

Adding a Non-Billable Item to the Patient’s Quality Checklist ..............................................................................................................44 

Adding a Billable Item Associated with a Charge Code to the Patient’s Quality Checklist..................................................................44 

Copyright 2008, IMPAC Medical Systems i 

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Radiation Oncologist Training Guide 

Adding a Billable Item Associated with a Code Group to the Patient’s Quality Checklist ...................................................................45 

Completing a Non-Billable Item from a Quality Checklist Window ......................................................................................................45 

Completing a Non-Billable Item from the Quality Checklist Item Dialog Box .....................................................................................45 

Completing a Billable Quality Checklist Item..........................................................................................................................................46 

Skipping a Quality Checklist Item...........................................................................................................................................................46 

Lesson 10 Using Documents ..................................................................................................................47 

Objectives...................................................................................................................................................................................................47 

Using the Documents Window..............................................................................................................................................................49 

Using the View Field................................................................................................................................................................................49 

Using the Status Field .............................................................................................................................................................................51 

Using the Date Range............................................................................................................................................................................52 

Viewing Documents..................................................................................................................................................................................54 

Viewing Documents from the Documents Window .............................................................................................................................54 

Viewing Documents from the Documents Pane...................................................................................................................................55 

Viewing Documents from My Work List Pane......................................................................................................................................56 

Editing Documents ...................................................................................................................................................................................58 

Editing an eSCRIBE Document ..............................................................................................................................................................59 

Editing an eSCAN Document.................................................................................................................................................................61 

Editing a PhAST Note Document ..........................................................................................................................................................62 

Changing the Status of Documents.......................................................................................................................................................68 

What’s Next..............................................................................................................................................................................................69 


Using the View Field................................................................................................................................................................................70 

Using the Status Field .............................................................................................................................................................................70 

Using the Date Range............................................................................................................................................................................70 

Viewing Documents from the Documents Window .............................................................................................................................70 

Viewing Documents from the Documents Pane...................................................................................................................................70 

Viewing Documents from My Work List Pane......................................................................................................................................71 

Editing an eSCRIBE Document ..............................................................................................................................................................71 

Editing an eSCAN Document.................................................................................................................................................................71 

Editing a PhAST Note Document ..........................................................................................................................................................71 

Changing the Status of Documents.......................................................................................................................................................72 

Lesson 11 Viewing Reports ....................................................................................................................73 

Objectives...................................................................................................................................................................................................73 

Working with the Report Navigator.....................................................................................................................................................74 

Displaying the Report Navigator ............................................................................................................................................................74 

Using the Report Navigator Window.....................................................................................................................................................75 

Displaying the Find View of the Report Navigator Window..................................................................................................................76 

Searching for Reports .............................................................................................................................................................................77 

Running a Report ....................................................................................................................................................................................78 

Viewing Reports from a Window or Dialog Box................................................................................................................................80 

What’s Next..............................................................................................................................................................................................82 

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Displaying the Report Navigator Window..............................................................................................................................................83 

Using the Report Navigator Window.....................................................................................................................................................83 

Displaying the Find View of the Report Navigator Window..................................................................................................................83 

Searching for a Report............................................................................................................................................................................83 

Running a Report ....................................................................................................................................................................................83 

Viewing Reports from a Window or Dialog Box ...................................................................................................................................84 

Course Evaluation: Radiation Oncologist Module III ...................................................................................85 

Copyright 2008, IMPAC Medical Systems iii 

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iv Copyright 2008, IMPAC Medical Systems 

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Copyright 2008, IMPAC Medical Systems 1 

LTGRAD0003C/1.0/18-Jun-2008 

Notes 

Introduction 

Welcome to Module III of the Radiation Oncologist Training. This book is your 

guide to unlocking the possibilities of MOSAIQ v1.20 application software, hereafter 

referred to as MOSAIQ. It is designed to be used during your instructor-led training, 

and as a handy desk reference any time you need a quick reminder how to do 

something in MOSAIQ. We recommend that you keep this book near your 

workstation so you can find it easily when needed. 

This training guide is not intended to replace the MOSAIQ documentation, which is 

contained in the MOSAIQ Help system. The MOSAIQ Help system provides indepth 

information on all available MOSAIQ features. 

Radiation Oncologist Training is an Intermediate course that covers how to use checklists, 

documents, and reports in MOSAIQ. This course assumes that you have basic 

Windows skills and have taken, and are familiar with, the concepts presented in 

MOSAIQ General Introduction Training. Topics presented in this course build upon the 

concepts learned in the General Introduction. 

In the first module, you learned how to use the MOSAIQ user interface, view the 

scheduling and code-capturing system, view patient information, and enter diagnosis 

information. In the second module, you learned how to enter course/Care Plan 

information, add order sets, and work with radiation prescriptions, as well as work 

with labs, vitals, and assessments. In addition, you generated and viewed orders. 

What’s In This Module 

In this module, you will work with Quality check items and documents. In addition, 

you will view the Report Navigator and print reports from the Report Navigator and 

the Diagnoses and Interventions window. 

This module will not teach you basics on using MOSAIQ, which are covered in the 

General Introduction. 

Note that when you are working in the practice database, all activities are enabled for 

the practice ID. In your clinical database, you may or may not have security rights to 

do all the activities that you will do in this module.


Notes 

SupportPlus Online 

SupportPlus is IMPAC’s dedicated online support system, which gives you the most 

from your IMPAC oncology management system. SupportPlus contains valuable 

support information including installation and troubleshooting documents, training 

manuals, upgrade checklists, downloadable software tools, and much more. 

Access may be restricted based on your IMPAC service 

agreement. 

You can find this document under the Oncology Management tab in the Training 

Guides folder. 

Turn to SupportPlus for resources on implementation, training, support, and 

upgrades for all IMPAC products. 

For more information, contact support@impac.com, or call 800.488.4672. 

Log in to SupportPlus every week or two to check for new 

announcements, new document postings, and new training events. 

Please take a moment to send us a Product Suggestion. 

2 Copyright 2008, IMPAC Medical Systems 

LTGRAD0003C/1.0/18-Jun-2008

Introduction 


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Notes 

Document Conventions 

This document uses specific conventions, or rules, in the instructions to help you 

perform the exercises correctly. This section explains the text, mouse, and keyboard 

conventions used in this document. 

Text Conventions 

The instructions in this guide are formatted to make them easy to read and to 

recognize when you should perform a particular task. The following text conventions 

are used in the instructions: 

Bold Print Indicates menu or list items that you select. 

Example: Click File | Register New Patient…. 

Example: In the Select Patient window, click Lamb, 

Mary. 

Italics Indicates words or phrases that appear on the computer 

screen, references to text or a number as itself, or new terms 

that are being defined. 

Highlighted 

Print 

Example: Position the insertion point to the left of p in 

patient. 

Example: Annotation is the process of adding customized 

notes to a Help topic. 

Indicates something you type. 

Example: Type 3000. 

Explanations Located directly below the step. 

Menus Menu commands that are executed one directly after the 

other are separated by a vertical line. 

Buttons and 

Icons 

Example: Click File | System Utilities | Reset 

Window Settings… means from the menu 

bar, click File, from the File menu, point to the 

System Utilities command, and from the 

System Utilities menu, click the Reset Window 

Settings… command. 

Indicate items on which you click. 

Example: Click .


Notes 

Notes, Hints, 

and Warnings 

Note example: 

Hint example: 

Warning example: 

Mouse Conventions 

Example: Click . 

Notes, hints and warnings are preceded by unique symbols 

and are presented in a shaded box. Notes provide ancillary 

information, hints provide tips to help you use the system, 

and warnings provide important information on the 

consequences of performing a particular action. 

You can also display the eCHART Navigator window by pressing 

F5. 

You may find it helpful to print out illustrations from the Help 

reference tools to include with patient education materials. 

Once you change the status of an order to Voided, you cannot 

change the status again. 

The following terms are used to describe actions you perform with the mouse: 

Click Press and release the left mouse button. 

Double-click Click the left mouse button twice in rapid succession. 

Right-click Press and release the right mouse button. 

Drag Move the mouse while holding down the left mouse button. 

Highlight Drag the mouse pointer across data, causing the information 

to appear in reverse video. 


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Introduction 


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Notes Keyboard Conventions 

Keys that do not produce a character appear in all upper case bold print. These keys 

include: 

Function 

Keys 

F1, F2, F3, F4, F5, F6, F7, F8, F9, F10, F11, and F12. 

Booster Keys ALT, CTRL, and SHIFT. 

Pointer 

Movement 

Keys 

HOME, PAGE UP, PAGE DOWN, END, TAB, and the 

arrow keys. 

Other Keys BACKSPACE, DELETE, INSERT, CAPS LOCK, 

ESC, ENTER, SPACEBAR, PRINT SCRN, SCROLL 

LOCK, PAUSE, and NUM LOCK. 

Two or more keys that should be pressed simultaneously are separated by a plus sign. 

Example: Press CTRL+F4. 

Example: Press ALT+N.


Notes 


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Notes 

Lesson 9 Using Quality 

Checklists 

Objectives 

You will learn how to: 

• View Quality Checklist items 

• Add Quality Checklist items 

• Complete Quality Checklist items 

Refer to Quality Checklist Tutorial (LTG14001) for information on 

configuring the Quality Checklists and Quality Checklist Items. 

Quality Checklists are designed to help you track adherence to any type of procedure, 

including established clinical pathways, clinical trials, or any other type of quality 

assurance protocols used at your facility. You can track almost any activity at your 

facility for which you want to create accountability. 

Procedures such as simulations, follow-up protocols, or pre-treatment tasks, can all be 

tracked using Quality Checklists, then monitored on-line or in printed reports. Quality 

Checklists are especially useful to remind staff members which critical tasks must be 

accomplished, and when they must be completed. Quality Checklists are also useful 

for procedures that must have some type of verification recording that they were 

completed on time. 

In this lesson, you will work with quality checklist items. You will view, add, and 

complete quality checklist items. 

To select an existing patient, you must have Administrative | 

General | View rights. To admit a new patient, you must have 

Administrative | New Patient | Modify rights. 

To view the Quality Checklists, you must have Quality Checklist | 

View rights. 

All subsequent actions, such as adding an item, require Quality 

Checklist | Modify rights. 

To capture codes, you must have the following General Security 

rights: Administrative | Charge Capture | Modify rights.


Notes 

Viewing the Quality Checklist Items 

You can view quality checklists for a particular patient or set of dates, as well as quality 

checklist items associated with a selected staff member or location. In the following 

exercises, you will view Quality Checklists by patient, daily, staff, and location, and 

view completed checklist items by staff. In addition, you will also use the various 

filters, such as the Due Date Range. 

Using the Due Date Range Filter 

The Due Date Range filter is available from all views. In this exercise, you will use the 

Due Date Range filter to display items whose due date falls within a certain date range. 

1. Click Tools | Quality Checklist | Daily…. 

Displays the Daily Quality Checklist window for all patients, shown in Figure 1. 

2. Click next to the From field. 

Figure 1: Daily Quality Checklist Window 

Displays the Calendar dialog box, shown in Figure 2. 

Figure 2: Calendar Dialog Box 


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Lesson 9: Using Quality Checklists 


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Notes


Notes 3. Type the current year in the Year field. 

Specifies the year for which to display items. 

4. Type the current month in the Month field. 

Displays the calendar for the month and year you entered as shown in Figure 3. 

Figure 3: Calendar with Year/Month Selected 

5. Click the first day of the month in the calendar, then click . 

Displays all items whose due dates fall on or after the date you selected. Any 

items with an earlier due date no longer display as shown in Figure 4. 

Figure 4: Due Date Range From Field Changed 

6. Type a date two days before the current date in the To field. 

Displays all items for the specified date range. All items before and after these 

dates do not display as shown in Figure 5. 


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Notes 

Figure 5: Due Date Range To Field Changed 

Viewing Patient Quality Checklists 

The Patient Quality Checklist enables you to view items associated with a specific 

patient. In this exercise, you will view a patient’s Quality Checklist. 

1. Open the chart for your lesson patient, then click Tools | Quality Checklist 

| Patient…. 

Displays the Quality Checklist window for the currently selected patient, shown in 

Figure 6. 

Figure 6: Patient Quality Checklist Window


Notes 

If nothing displays, try changing the To date to a future date such 

as 12/31/2008 and/or changing the From date to a prior date 

such as 1/1/2008. 

The Patient Quality Checklist contains the quality checklist items that make up the 

quality checklist and consists of the following columns: 

Due Displays the due date for the item. The due date is either a 

fixed date you entered, or a calculated date based on the 

required date and a quality checklist group’s start date. 

Actual Displays the date that the item was actually completed. This 

day may or may not correspond to the due date listed in the 

first column. 

Procedure Displays the procedure or activity to perform. 

Device/Field Applies to Proton Therapy only. 

Req Displays the initials of the person or location requesting the 

item. 

Resp Displays the initials of the person or location responsible for 

performing the item. 

C/S Displays the initials of the person who actually completed or 

skipped the item. If the item has not been completed or 

skipped, this column is blank. 

MD Displays the initials of the attending physician for the patient. 

Status Displays the status of the item. If not completed or skipped, 

the status is blank. S displays if the item was skipped. C 

displays if the item was completed. ChC displays if the item 

was charged when completed. 

Note Displays whether the item has an associated note. Displays Y 

if a note exists or blank if there is no note. 

Comment Displays the any comments associated with the item. 


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Notes Viewing Daily Checklists 

The Daily Checklist enables you to view items for a specific date range, which you set 

using the Due Date Range section fields. In this exercise, you will view a daily quality 

checklist. 

1. In the Patient Quality Checklist window, click next to the View field. 

Displays the View field list, shown in Figure 7. 

2. Click By Date. 

Figure 7: View Field List 

You can also click Tools | Quality Checklist, then click the 

checklist to display a checklist. For example, click Tools | 

Quality Checklist | Daily… to display the Daily Quality 

Checklist. 

Displays the Daily Quality Checklist window, shown in Figure 8. 

Figure 8: Daily Quality Checklist Window 

The Daily Quality Checklist window contains the quality checklist items listed for 

the specified date(s).


Notes Viewing Staff Checklists 

The Staff Quality Checklist enables you to view items associated with a particular staff 

member. This staff member is the person responsible for the item. IMPAC 

recommends that you check your Staff Quality Checklist on a regular basis, such as 

every few hours. In this exercise, you will view a staff quality checklist. 

1. In a Quality Checklist window, click next to the View field, then click By 

Staff. 

Displays the Staff Quality Checklist window, shown in Figure 9. 

Figure 9: Staff Quality Checklist Window 

The Staff Quality Checklist window contains the quality checklist items for the 

staff member displayed in the Staff field. It does not display items for which the 

staff member may not have been responsible, but completed anyway. It also does 

not display items that the staff member may have requested. 

2. Click next to the Staff field. 

Displays the Staff Directory window, shown in Figure 10. 


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Notes Figure 10: Staff Directory Window


Notes 3. Double-click your practice ID. 

Displays the Quality Checklist for your practice ID, shown in Figure 11. 

Figure 11: Staff Quality Checklist Window 

Viewing Location Quality Checklists 

The Location Quality Checklist enables you to view the items for which a location is 

responsible. In this exercise, you will view a location quality checklist. 

1. In the Staff Quality Checklist window, click next to the View field, then click 

By Location. 

Displays the Location Quality Checklist window, shown in Figure 12. 

Figure 12: Location Quality Checklist Window 


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Notes The Location Quality Checklist contains the quality checklist items for the location 

that displays in the Location field. Note that the Location Quality Checklist 

window does not include the Resp (Responsible) column. 

2. Click next to the Location field. 

Displays the Location Directory window, shown in Figure 13. 

3. Double-click Registration RO. 

Figure 13: Location Directory Window 

Displays the Location Quality Checklist for Registration RO, shown in Figure 14. 

Figure 14: Registration RO Quality Checklist Window


Notes Viewing Completed Checklist Items by Staff 

You can also view only completed items. Skipped items also display. In this exercise, 

you will view a completed items for a staff member. 

1. In the Location Quality Checklist window, click next to the View field, then 

click By Staff Completed. 

Displays the Staff Completed Quality Checklist window, shown in Figure 15. 

Figure 15: Staff Completed Quality Checklist Window 

The Staff Completed Quality Checklist lists all of the quality checklist items 

completed or skipped by the selected staff member. You select the staff member 

whose completed items you want to display from the Staff field. 

Using Set Date Range from the Options Menu 

You can use the Due Date Range section from the Quality Checklist window or you 

can use the Set Date Range option from the right-click Options menu. In this exercise, 

you will use the Options menu method to filter the Quality Checklist window by date. 

1. In a Quality Checklist window, right-click anywhere on the window or press F4, 

then click Set Date Range. 

Displays the Checklist Date Range dialog box, shown in Figure 16. 


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Notes 

2. Click . 

Figure 16: Checklist Date Range Dialog Box 

Specifies that only items from the beginning of the current year to the current day 

display. Assuming today is 4/10/2008, the From field changes to 1/1/2008 and 

the To field changes to 4/10/2008. Your entry should look similar to the one 

shown in Figure 17. 

Figure 17: Checklist Date Range Changed to Year to Date 

3. Click . 

Sets the date filter to list items from the previous month. Assuming the current 

month is April, your entry should look similar to the one shown in Figure 18. 

Figure 18: Checklist Date Range Changed to Last Full Month 

4. Click . 

Sets the date filter to display all items scheduled for the current year, past, current, 

and future.


Notes 5. Click . 

Displays the Quality Checklist window filtered by date, shown in Figure 19. 

Figure 19: Quality Checklist Window with the Dates Filtered 

Using the Status Filter 

The status filter (Filter By section) enables you to view All items (completed or 

incomplete), only Complete items, or only Incomplete items. In this exercise, you will use 

the status filter to display items based on their status. 

1. Make sure the Due Date Range section is set to the first and last day of the current 

year by right-clicking (or pressing F4), clicking Set Date Range, then clicking 

. 

Displays the Quality Checklist window for the current year. 

2. Click Complete. 

Displays only those items that have been completed as shown in Figure 20. 


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Notes 

Figure 20: Display Only Completed Items 

Note that skipped items display as well. 

3. Click Incomplete. 

Displays only those items that have not yet been completed as shown in 

Figure 21. 

4. Click All. 

Figure 21: Display Only Incomplete Items 

Displays all items, regardless of status.


Notes Using the Group View 

The date range and status filters enable you to filter all items based on due date or 

status, but the Group View enables you to filter the Patient Quality Checklist based on 

the quality checklist groups. This feature is only available from the Patient Quality 

Checklist. In this exercise, you will use the Group View. 

1. In the Patient Quality Checklist window, right-click in the window or press F4. 

Displays the Options menu, shown in Figure 22. 

2. Click Group View. 

Figure 22: Quality Checklist Options Menu 

Displays the Select Checklist Group dialog box, shown in Figure 23. 

3. Double-click Simulation. 

Figure 23: Select Checklist Group Dialog Box 

Closes the Select Checklist Group dialog box, then returns to the Patient Quality 

Checklist, shown in Figure 24. 


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Notes 

Figure 24: Patient Quality Checklist Showing Only the Selected Group 

Once you have selected an initial group, only the items from the selected group 

display. Once you click Group View, a checkmark displays next to it if you 

display the Options menu again. To return to the normal view, right-click or press 

F4 to display the Options menu, then re-click Group View. 

4. Right-click or press F4, then click Group Select. 

Displays the Select Checklist Group dialog box. 

5. Double-click *Individual Items*. 

Selects only individually added items to display, closes the Select Checklist Group 

dialog box, then returns to the Patient Quality Checklist, shown in Figure 25. 

Figure 25: Patient Quality Checklist Showing Only Individual Items


Notes 

Adding Quality Checklist Items 

A quality checklist item may or may not be billable. A billable item generates a charge 

code when completed; non-billable items do not. You create and assign billable items 

the same way as non-billable items, except that you specify a code group or specific 

charge code to be charged to the patient for billable items. In the following exercises, 

you will add a non-billable item to the patient’s Quality Checklist with a note, as well 

add billable items with a charge code and a charge group. 

Adding a Non-Billable Item to the Patient’s Quality Checklist 

In this exercise, you will add a non-billable item to the patient’s Quality Checklist and 

include a note. 

1. In a Quality Checklist window, click . 

Displays the Quality Checklist Item dialog box, shown in Figure 26. 

Figure 26: Quality Checklist Item Dialog Box 

Note that MOSAIQ automatically fills in the Patient field with your lesson patient, 

the Due Date field with the current date, and the Requesting field with your name. If 

you clicked from the Staff Quality Checklist window, the 

Responsible field automatically displays your name. 

2. Click next to the Procedure field. 

Displays the Checklist Procedure window, shown in Figure 27. 


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Notes 

Figure 27: Checklist Procedure Window 

Procedures are those activities or items that are performed as part of a quality 

checklist item. 

3. Double-click Contour. 

You can also click the procedure, then click . 

Closes the Checklist Procedures window, adds the procedure to the item, then 

returns to the Quality Checklist Item dialog box. Leave the Due Date at the 

default, the current date. This is the date the responsible party performs the 

procedure. You can also click to display the Calendar dialog box, select a date, 

then click . 

4. Click next to the Requesting field, which defaults to the currently logged-in staff 

member. 

Displays the Staff/Location Directory window, shown in Figure 28. 

Figure 28: Staff/Location Directory Window


Notes The Requesting field enables you to indicate who (staff) or what (location) wants 

this procedure performed. For example, the attending physician for a patient may 

request a procedure, so you would select that staff member, such as Beverly 

Crusher. Or a department may have certain requirements, but no one specific 

person is requesting it. In that instance, you would select the location, such as 

Registration. 

5. Double-click Healey, Roger. 

You can also click the staff member/location, then click 

. 

Adds the requesting staff/location, closes the Staff/Location Directory window, 

then returns to the Quality Checklist Item dialog box. Your entries should look 

similar to the ones shown in Figure 29. 

Figure 29: Partially Completed Non-Billable Item 

6. Click next to the Responsible field, then double-click CLAMPET, JED. 

The Responsible staff or location is the person, department, or group that actually 

performs the procedure. 

While you do not have to select a Responsible staff member (or 

location), we strongly recommend that you do so. If you do not, 

you have no way of knowing who is responsible when you view 

items from any Quality Checklist window, the staff members who 

should perform the procedures may not know they are 

responsible, and those staff members cannot resolve the items 

from the Staff Quality Checklist window. 

For this exercise, skip the Billable checkbox. 


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Notes 7. Type Pt starts boost on 4/20/08 in the Comment field. 

The Comment field enables you to add additional information or short notes of up 

to 60 characters. If you need more, you can use the Note feature of the Quality 

Checklist Item dialog box. 

8. Click . 

Displays the Quality Checklist Item Note window, shown in Figure 30. 

Figure 30: Quality Checklist Item Note Window 

9. Type Reminder: Check Pre-Tx CT in the Subject field. 

Specifies what the note is about, up to 40 characters. 

10. Click in the text field below, then type You asked me to remind you to 

look closely at the pre-tx CT to see changes in the mid-tx CT. 

Specifies the contents of the note. 

11. Click . 

Adds the note to the item, closes the Quality Checklist Item Note window, then 

returns to the Quality Checklist Item dialog box. Your entries should look similar 

to the ones shown in Figure 31.


Notes 

Figure 31: Completed Non-Billable Item with Note 

Note that a green checkmark displays next to , which indicates that a 

note exists for this item. 

12. Click . 

Adds the quality checklist item to the Quality Checklist, closes the Quality 

Checklist Item dialog box, then returns to the Quality Checklist window, which 

should look similar to the one shown in Figure 32. 

Figure 32: Quality Checklist with Item Added 

Note that the text you typed in the Comment field displays in the Comment column if 

you scroll to the right. Note also that Y displays in the Note column, indicating 

that this item has an attached note. 


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Notes 

You can maximize the window so that all of the information 

displays. 

Adding a Billable Item Associated with a Charge Code 

When you complete a billable item, MOSAIQ generates a charge code and charges 

the patient for the quality checklist item. In this exercise, you will add a billable quality 

checklist item associated with a specific charge code to the Quality Checklist. 


Displays the Quality Checklist Item dialog box. 

2. Click next to the Procedure field, then double-click Tx: Consult. 

Specifies the procedure to perform. Leave the Due Date at the default, the current 

date. 

3. Click next to the Requesting field, then double-click GANNON, JOE F. 

Specifies the requesting party, which defaults to you. 

4. Click next to the Responsible field, then double-click your practice ID. 

Specifies the responsible party. Your entries should look similar to the ones 


5. Click the Billable checkbox. 

Figure 33: Partially Completed Billable Item 

Activates the Charge section. By default, MOSAIQ selects the Group radio button, 

which displays the Group field.


Notes 6. Click Code. 

De-activates the Group field and displays the Code field as shown in Figure 34. 

Figure 34: Billable Quality Checklist Item with Code Field Selected 

7. Click next to the Code field. 

Displays the Select Procedure dialog box, shown in Figure 35. 

Figure 35: Select Procedure Dialog Box 

8. Click Consultations in the Group column. 

Displays the charge codes associated with the selected group as shown in 

Figure 36. 


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Notes 

Figure 36: Select Procedure Dialog Box with Group Selected 

9. Double-click X99241 in the Code column. 

Adds the charge code to the Code field, closes the Select Procedure dialog box, 

then returns to the Quality Checklist Item dialog box. Your entries should look 

similar to the ones shown in Figure 37. 

10. Click . 

Figure 37: Completed Billable Item with Charge Code 


Checklist Item dialog box, then returns to the Quality Checklist window, shown 

in Figure 38.


Notes 

Figure 38: Quality Checklist with Billable Item 

Adding a Billable Item Associated with a Code Group 

In the previous exercise, you added a billable item that was associated with a specific 

charge code. In this exercise, you will add a billable item that is associated with a code 

group. 


Displays the Quality Checklist Item dialog box. 

2. Click next to the Procedure field, then double-click Tx: Isodose Plan. 

Specifies the procedure to perform. Leave the Due Date field at the current date. 

3. Click next to the Requesting field, then double-click GANNON, JOE F. 

Specifies the requesting party. 

4. Click next to the Responsible field, then double-click Manse, Nancy. 

Specifies the responsible staff member. 


Activates the Charge section, which selects the Group radio button by default and 

displays the Group field. From this field you can select a charge group. Your 

entries should look similar to the ones shown in Figure 39. 


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Notes 

Figure 39: Partially Completed Billable Item with Group Field Selected 

6. Click next to the Group field. 

Displays the Group window, shown in Figure 40. 

7. Double-click CTP. 

Figure 40: Group Window 

Closes the Group window, returns to the Quality Checklist Item dialog box, then 

adds the charge group to the Group field. Skip the Comment field. Your entries 

should look similar to the ones shown in Figure 41.


Notes 

8. Click . 

Figure 41: Completed Billable Item with Code Group 


Checklist Item dialog box, then returns to the Quality Checklist window, shown 

in Figure 42. 

Figure 42: Quality Checklist with Second Billable Item 

9. Add one or two additional quality checklist items (billable or non-billable). 


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Notes 

Completing Quality Checklist Items 

When you perform a quality checklist item, you mark it as completed. Completed 

items display the due date as well as the date it was marked as completed. If an item 

is billable, the Code Capture dialog box displays, which you can use to capture the 

charge. In the following exercises, you will complete, as well as skip, non-billable and 

billable quality checklist items. 

Completing a Non-Billable Item from a Quality Checklist Window 

In this exercise you will complete a non-billable quality checklist item from the Staff 

Quality Checklist window. 

1. In a Quality Checklist window, click a non-billable Quality Checklist item. 

Specifies the item to complete. 

2. Click . 

You can also right-click or press F4 to display the Options menu, 

then click Complete Item. 

Completes the item. The Quality Checklist window should look similar to the one 


Figure 43: Quality Checklist with Completed Item 

The current date displays in the Actual Date column (the date the item was 

completed/skipped), your initials display in the C/S column (who completed or 

skipped an item), and C displays in the Status column, indicating the item was 

completed.


Notes Completing an Item from the Quality Checklist Item Dialog Box 

In most cases, you can resolve a patient’s quality checklist items from the Patient, Staff, 

or Location Quality Checklist windows using . In some cases, 

however, you may need to use the Quality Checklist Item dialog box to complete 

items if, for example, the date of completion is not the current date. Or you need to 

read an attached note before completing the item. In this exercise, you will complete 

an item from the Quality Checklist Item dialog box. 

1. In a Quality Checklist window, double-click the checklist item with the attached 

note. 

Specifies the item to complete and displays the Quality Checklist Item dialog box. 

2. In the Complete section, click Yes. 

Specifies that you performed the item, de-activates the Due Date, Requesting, and 

Responsible fields, and fills in the Completed field with your name. The Actual Date 

field activates and displays the current date. 

3. Type yesterday’s date in the Actual Date field. 

Specifies the date the item was performed. Your entries should look similar to the 

ones shown in Figure 44. 

4. Click . 

Figure 44: Completed Non-Billable Quality Checklist Item 

Displays the Quality Checklist Item Note window. 

5. Read the note, then click . 

Closes the Quality Checklist Item Note window, then returns to the Quality 

Checklist Item dialog box. 


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Notes 6. Click . 

Completes the item, closes the Quality Checklist Item dialog box, then returns to 

the Quality Checklist window, shown in Figure 45. 

Figure 45: Quality Checklist with Second Completed Item 

Completing a Billable Quality Checklist Item 

Completing a billable item is much the same as completing a non-billable item. The 

only difference is that the Code Capture dialog box displays, enabling you to capture 

the charge. In this exercise, you will complete and charge a billable quality checklist 

item. 

1. In a Quality Checklist window, click Tx: Isodose Plan. 

Specifies the item to complete. 

2. Click . 

Displays the Select Procedure dialog box, shown in Figure 46. 

Figure 46: Select Procedure from: Clinical Treatment Planning 

Dialog Box


Notes 

If you selected a specific charge code for the item rather than a 

code group, this dialog box does not display. 

The dialog box displays the charge codes for the charge group that you selected 

in an earlier exercise. In this example, you specified a charge code group, rather 

than a charge code. Before you can charge the item to the patient, you must select 

a specific charge code. 

3. Double-click X77261. 

Selects the charge code, closes the Select Procedure dialog box, then displays the 

Code Capture dialog box, shown in Figure 47. 

4. Click . 

Figure 47: Code Capture Dialog Box 

Discussing the Code Capture dialog box is beyond the scope of 

this training guide. Refer to Code Capture Training Guide 

(LTG05001) for more information. 

Completes the item and captures the code for billing, closes the Code Capture 

dialog box, then returns to the Quality Checklist window, shown in Figure 48. 


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Notes 

Figure 48: Quality Checklist with Completed Billable Item 

Note that Ch displays to the left of C in the Status column, indicating that the item 

had a charge associated with it and that charge was captured when you 

completed the item. 

Skipping a Quality Checklist Item 

If for some reason you do not or cannot perform a quality checklist item, you can 

mark it as skipped. In this exercise, you will skip or cancel a quality checklist item. 

1. In a Quality Checklist window, double-click a quality checklist item. 

You can also click the item, then click . 

Specifies the item to skip or cancel and displays the Quality Checklist Item dialog 

box. 

2. In the Complete section, click Skip. 

Specifies that you skipped the item, de-activates the Due Date and Requesting fields, 

changes the Completed field to Skipped and fills in the field with your name, shown 

in Figure 49.


Notes 

Figure 49: Skipped Quality Checklist Item 

3. Click in the Comment field, then type PHYSICIAN CANCELLED 

SCHEDULED CONSULT. 

Specifies the reason the item was skipped. 

4. Click . 

Changes the status of the item to Skipped, closes the Quality Checklist Item dialog 

box, then returns to the Quality Checklist window, which should look similar to 

the one shown in Figure 50. 

Figure 50: Quality Checklist with Skipped Item 

Note that the skipped item displays an S in the Status column. 


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Notes What’s Next 

In this lesson, you learned how access a Quality Checklist and add individual nonbillable 

and billable items to the patient’s Quality Checklist. In addition, you 

completed and skipped billable and non-billable quality checklist items for the patient. 

Use the examples in the Quick Version as a concise, step-by-step guide when you 

must quickly apply any of the skills you’ve learned in this lesson or if you simply want 

to reinforce what you have learned. In the next lesson, you will learn about viewing 

eSCRIBE, eSCAN, and PhAST Note documents, as well as editing and statusing the 

documents.


Notes 

The Quick Version 

Using the Due Date Range Filter 

1. In a Quality Checklist window, type or select the starting date of the date range 

using the From field. 

2. Type or select ending date of the date range using the To field. 

3. Press TAB. 

Viewing Patient Quality Checklists 

1. Click Tools | Quality Checklist | Patient…. 

2. In the Patient Quality Checklist window, click next to the Patient field. 

3. In the Select Patient window, double-click the patient whose quality checklist you 

want to view. 

Viewing Daily Checklists 

1. In a Quality Checklist window, click next to the View field. 

2. Click By Date from the list. 

Viewing Staff Checklists 


2. Click By Staff from the list. 

3. In the Staff Quality Checklist window, click next to the Staff field. 

4. In the Staff Directory window, double-click the staff member whose items you 

want to view. 

Viewing Location Checklists 


2. Click By Location from the list. 

3. In the Location Quality Checklist window, click next to the Location field. 

4. In the Location Directory window, double-click the location whose items you 

want to view. 


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Notes Viewing Completed Checklist Items by Staff 


2. Click By Staff Completed from the list. 

3. In the Staff Completed Quality Checklist window, click next to the Staff field. 

4. In the Staff Directory window, double-click the staff member whose completed 

items you want to view. 

Using Set Date Range from the Options Menu 

1. In a Quality Checklist window, right-click anywhere on the window. 

2. In the Options menu, click Set Date Range. 

3. In the Checklist Date Range dialog box, click the button that most closely meets 

your criteria, such as or . 

4. Click . 

Using the Status Filter 

1. In a Quality Checklist window, click Complete to display only completed 

items. 

2. Click Incomplete to display incomplete or skipped items. 

3. Click All to display all items regardless of status. 

Using the Group View 

1. In the Patient Quality Checklist window, right-click anywhere on the window. 

2. In the Options menu, click Group View. 

3. In the Select Checklist Group dialog box, double-click the group whose items 

you want to display or double-click *Individual Items* to display only 

individually added items. 

4. In the Patient Quality Checklist window, right-click, click Group Select to 

display the Select Checklist Group dialog box, then select another group. 

5. In the Patient Quality Checklist window, right-click, then click Group View to 

return to the normal view.


Notes Adding a Non-Billable Item to the Patient’s Quality Checklist 


2. In the Quality Checklist Item dialog box, click next to the Procedure field. 

3. In the Checklist Procedure window, double-click the procedure. 

4. In the Quality Checklist Item dialog box, type the due date in the Due Date field. 

5. Click next to the Requesting field. 

6. In the Staff/Location Directory window, double-click the staff member or 

location requesting the item. 

7. Click next to the Responsible field, then double-click the staff member or 

location responsible for completing the item. 

8. Type a short note, if needed, in the Comment field. 

9. Click . 

10. In the Quality Checklist Item Note window, type what the note is about in the 

Subject field. 

11. Type the contents of the note in the text field. 

12. When finished, click . 

13. Click . 

Adding a Billable Item Associated with a Charge Code to the 

Patient’s Quality Checklist 


2. In the Quality Checklist Item dialog box, click next to the Procedure field, then 

double-click the procedure. 

3. Type the due date in the Due Date field. 

4. Click next to the Requesting field, then double-click the requesting staff member 

or location. 

5. Click next to the Responsible field, then double-click the responsible staff 

member or location. 


7. Click Code. 

8. Click next to the Code field. 


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Notes 9. In the Select Procedure dialog box, click the charge code Group. 

10. Double-click the charge Code. 

11. In the Quality Checklist Item dialog box, type a short note, if needed, in the 

Comment field. 

12. Click . 

Adding a Billable Item Associated with a Code Group to the 

Patient’s Quality Checklist 


2. In the Quality Checklist Item dialog box, click next to the Procedure field, then 

double-click the procedure. 

3. Type the due date in the Due Date field. 

4. Click next to the Requesting field, then double-click the requesting staff member 

or location. 

5. Click next to the Responsible field, then double-click the responsible staff 

member or location. 


7. Click next to the Group field. 

8. In the Group window, double-click the charge code Group. 

9. In the Quality Checklist Item dialog box, type a short note, if needed, in the 

Comment field. 

10. Click . 

Completing a Non-Billable Item from a Quality Checklist Window 

1. In a Quality Checklist window, click the quality checklist item you want to 

complete. 

2. Click . 

Completing a Non-Billable Item from the Quality Checklist Item 

Dialog Box 

1. In a Quality Checklist window, double-click the quality checklist item you want to 

complete. 

2. In the Quality Checklist Item dialog box’s Complete section, click Yes.


Notes 3. Type a new date in the Actual Date field if the completion date is different from 

the current date. 

4. Click next to the Completed field, then double-click the responsible staff 

member or location if different from you. 


6. Click . 

Completing a Billable Quality Checklist Item 

1. In a Quality Checklist window, click the billable quality checklist item. 

2. Click . 

3. Billable Items with Charge Groups ONLY. In the Select Procedure dialog 

box, double-click the specific charge code. 

4. In the Code Capture dialog box, click . 

Skipping a Quality Checklist Item 

1. In a Quality Checklist window, double-click the quality checklist item you want to 

skip. 

2. In the Quality Checklist Item’s Completed section, click Skip. 

3. Click next to the Skipped field, then double-click the responsible staff member 

or location if different from you. 


5. Click . 


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Notes 

Lesson 10 Using 

Documents 

Objectives 


• Viewing documents 

• Editing documents 

• Statusing documents 

MOSAIQ has three documentation needs: PhAST Note, eSCRIBE, and eSCAN. 

• eSCRIBE is an on-line transcription system that enables you to create or 

import patient documents. The resulting documents are available from 

eCHART, the MOSAIQ electronic charting system. You can also use 

eSCRIBE and MOSAIQ to manage your paper documents electronically. 

• eSCAN enables you to import PDF and other file types, such as GIFs and 

JPEGs. Typical documents include pathology reports and treatment plans. 

• PhAST Note (Physician Assisted Structured Template Note) enables you to 

develop a structured patient encounter note. You can select individual items 

as you assess a patient. When finished, MOSAIQ generates a narrative based 

on your selected findings. In addition, MOSAIQ suggests E & M code(s) 

based upon the document content. Note that you must purchase PhAST 

Note separately. 

In this lesson, you will work with eSCRIBE, eSCAN, and PhAST Note documents. 

You will view, edit, and approve documents. 

To run eSCRIBE, you must have Administrative | Import/Export | 

View rights. To import an eSCRIBE document, you must also have 

Modify rights. 

To view the Documents window and any documents, you must 

have Clinical | Documents | View rights. For pending or unfinished 

documents, you must also have Clinical | View Pending Docs | 

View rights. 

To change eSCRIBE or PhAST Note documents, you must have 

Clinical | Documents | Modify rights. 

To approve a document, you must have Clinical | Documents | 

Admin rights. To co-sign a document, you must also have Clinical 

Co-Sign Docs | Admin rights.


Notes 


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Lesson 10: Using Documents 


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Notes 

Using the Documents Window 

The Documents window is your main point of access to creating, editing, viewing, 

and printing documents. You can add, change, or delete documents from this 

window, as well as view, edit, print, and change document status. In the following 

exercises, you will use the different features of the Documents window. 

Using the View Field 

1. Open the chart of your lesson patient, then click eChart | Documents…. 

Displays the Documents window, shown in Figure 51. 

Type of document 

Indicates the document 

format, such E (eSCRIBE). 

Enables you to view by patient, 

by dictating MD, etc. 

Document status 

Date encounter 

record created. 

Click one of these to transcribe an 

eSCRIBE document, create a 

PhAST Note document, or import 

a scanned document. 

The buttons enable you to change, 

delete, print, or change the status 

of a document. 

Enter the To/From dates or click 

one of the buttons to filter the 

documents by date. 

Filters documents by status, 

such as Pending 

Figure 51: Documents Window 

The View field enables you to sort the documents by patient, dictating physician, 

and more. Depending on the View selected, certain columns, such as Dictating 

MD, Transcriptionist, or Dates / To, may or may not display.


Notes 2. Click next to the View field, then click By Dictating MD. 

Displays a new field, Dictating MD, shown in Figure 52. 

Figure 52: Documents Window with Dictating MD Field 

Note that no documents display because the Dictating MD field is blank. In 

addition, the Patient and MedRc columns now display, and the Source ID column 

no longer displays. 

3. Click next to the Dictating MD field, then double-click the Attending Physician 

for your lesson patient. 

Selects the dictating physician, closes the Staff Directory window, then returns to 

the Documents window, shown in Figure 53. 

Figure 53: Documents Window Filtered by Dictating MD 

Note that documents associated with other patients display in addition to your 

lesson patient. 


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Notes 4. Click next to the View field, then click My Pending. 

Displays all of your Pending documents, shown in Figure 54. 

Figure 54: Documents Window Filtered by My Pending 

If a non-physician selected My Pending, the View field displays By Transcriptionist 

(another option in the View field) and the Status field displays Pending. A new field, 

Transcriptionist displays in the header. You can then select the non-physician in the 

Transcriptionist field to display the Pending documents for the staff member. 

Using the Status Field 

In addition to filtering using the View field, you can also use the Status field to filter the 

Documents window. In this exercise, you will filter the Documents window using the 

Status field. 

1. Click next the View field, then click By Patient. 

Specifies that you want to view only documents for the currently selected patient. 

Note that Pending displays in the Status field and that only Pending documents 

currently display, shown in Figure 55. 

Figure 55: Documents Window Displaying Only Pending Documents


Notes 2. Click next to the Status field, then click Approved. 

Displays only Approved documents. 

3. Click next to the Status field, then click All. 

Displays all documents regardless of status. 

Using the Date Range 

The Date Range filter enables you to display only those documents from a certain date 

range, based on the Encounter date of the document. By default, the Documents 

window displays the documents imported or created during the previous month. In 

this exercise, you will use the Date Range filter. 

1. In the Documents window, click in the Date Range section. 

Displays all documents regardless of Encounter date, shown in Figure 56. 

Figure 56: Documents Window Displaying All Documents Regardless of Date 


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Notes The button only displays when the selected View is By Patient, By Patient 

DocType, My Review Req, and My Co-Sign Req. 

2. Click By Encounter Date from the View field, then click . 

Displays only those documents added in the last four weeks, shown in Figure 57. 

Figure 57: Documents Window Displaying Documents from the Last Month 

Note that the button is inactive.


Notes 

Viewing Documents 

You can view eSCRIBE, PhAST Note, and eSCAN documents from the Documents 

window, the Documents pane in the Chart View, or from the My Work List pane in the 

Home View. In the following exercises, you will view documents from the different 

windows and panes. 

Viewing Documents from the Documents Window 

1. Open the chart of your lesson patient, then click eChart | Documents…. 

Displays the Documents window. The F column indicates the format of the 

document. For example, E indicates an eSCRIBE document, P indicates a PhAST 

Note document, and S indicates an eSCAN document. 

2. Click an eSCRIBE document, then click . 

Displays the eSCRIBE document. An example is shown in Figure 58. 

Figure 58: Selected eSCRIBE Document Displayed 


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Notes The Document Editor enables you to view or change an unapproved eSCRIBE, 

PhAST Note. You can only view approved eSCAN documents. If the eSCRIBE 

or PhAST Note document is approved, you cannot change the document, but 

you can copy the information to a new document. You will edit documents in 

another exercise. 

From the Document Editor, you can use the upper buttons to move from page 

to page. The lower buttons enable you to edit, print, or change the status of the 

document, as well as view or change the encounter record for the document 

from the Encounter dialog box. You can also move from document to 

document, viewing documents that display in the Documents window based on 

your current filters (such as the My Pending view and/or a date range). 

3. Click , then click . 

Closes the Document Editor, then closes to the Documents window. 

Viewing Documents from the Documents Pane 

You can also view documents for a specific patient from their Chart View. The 

Documents pane enables you to either display the Documents window or view the 

document directly. In this exercise, you will view documents from the Documents pane 

on the Chart View. 

1. In the toolbar, click . 

Displays the Chart View, shown in Figure 59. 

Figure 59: Documents Pane in the Chart View 

The Documents pane displays the same information as in the Documents window. 

However, unlike the Documents window, you can decide what information 

displays and in what order.


Notes 2. Double-click an eSCAN document. 

Displays the document in the Document Editor as shown in Figure 60. 

Figure 60: Selected eSCAN Document Displayed 

Note that a scroll bar displays below the arrow buttons, enabling you to scroll 

through the scanned document. You can also adjust the size of the document 

with the Fit to Page and Zoom fields. 

3. Click . 

Closes the Document Editor, then returns to the Documents pane in the Chart 

View. 

Viewing Documents from My Work List Pane 

The My Work List pane enables you to keep track of all your tasks, including quality 

checklists, schedules, orders, and documents. In this exercise, you will view documents 

from the My Work List pane. 

1. In the toolbar, click , then click next to the Documents work list in the My 

Work List pane. 

Displays the Documents work list in the My Work List pane, shown in Figure 61. 


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Notes 

2. Click a document. 

Figure 61: Document Work List in the My Work List Pane 

Displays the document in the Work List Detail pane, shown in Figure 62. 

Figure 62: Document Displaying in the Work List Detail Pane 

The Work List Detail pane displays information about the select worklist item. 

You can view the item. Depending on the worklist item, you may also be able to 

change or delete the work list item. 

3. Click . 

Displays the document in the Document Editor, shown in Figure 63.


Notes 

4. Click . 

Figure 63: Selected Document Displayed 

Closes the Document Editor, then returns to the My Work List pane in the Home 

View. 

Editing Documents 

You can edit eSCRIBE or PhAST Note documents that have not yet been approved. 

You cannot change the content of eSCAN documents, though you can add or 

remove pages from an eSCAN document. In the following exercises, you will edit an 

eSCRIBE, eSCAN, and PhAST Note document. 

For information on creating an eSCRIBE document, refer to 

eSCRIBE Self-Paced Tutorial (LTG08001). For information on 

creating a PhAST Note document, refer to PhAST Note Fast Start 

(LPN47001). 


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Notes Editing an eSCRIBE Document 

You can edit an eSCRIBE document, depending on status. You cannot edit a 

document with a status of Approved. In this exercise, you will edit an eSCRIBE 

document. 

1. Click an eSCRIBE document, then click . 

Displays the eSCRIBE Document Editor, shown in Figure 64. If you selected an 

approved document, the Cannot Edit message box displays. If you clicked 

, the Encounter dialog box displays first. 

Figure 64: New eSCRIBE Document 

Note that the patient information, such as name, medical record ID, and date of 

birth automatically display. You may briefly see a message box that indicates the 

Word template is merging fields. Note also that the eSCRIBE toolbar, shown in 

Figure 65, displays near the top. 

Figure 65: eSCRIBE Toolbar


Notes 


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Notes 2. Make your changes, then click . 

Closes the editor, then returns to the Documents window. 

Editing an eSCAN Document 

You cannot change the content of an imported eSCAN document, but you can add 

or remove pages or files from an eSCAN document. In this exercise, you will edit an 

eSCAN document. 

1. In the Documents window, select an existing eSCAN document, then click 

. 

Displays the Document Scan window, shown in Figure 66. 

Figure 66: Document Scan Window with Document 

2. Open the ESCAN folder in the Documents Available pane, then add one or two 

files to the Pathology Report folder in the Documents Saved pane. 

Specifies the file(s) or page(s) that you want to add to the document. Your entries 

should look similar to the ones shown in Figure 67.


Notes 

Figure 67: Document Scan Window with Page Added to Document 

3. Click one of the pages in the Pathology Report folder, then drag it to the ESCAN 

folder in the Documents Available pane. 

Removes a page from the document. 

4. Click . 

Saves the edited document, closes the Document Scan window, then returns to 

the Documents window. 

Editing a PhAST Note Document 

You can make any change you need to a PhAST Note document. In this exercise, you 

will change a PhAST Note document. 

1. In the Documents window, double-click a PhAST Note document. 

Displays the Document Editor, shown in Figure 68. 


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Notes 

Figure 68: Document Editor Showing PhAST Note to Edit 

Note that the Document Editor displays, but the PhAST Note document is 

structured differently. The PhAST Note document consists of headings and predefined 

selections, called findings. Although you can add free-form text, the bulk 

of the PhAST Note document is selected from headings and their findings. Once 

you have finished, the PhAST Note software generates a narrative based on the 

selected findings. 

2. Click , then click . 

Displays the Medcin License Agreement dialog box, then displays the PhAST 

Note window, shown in Figure 69.


Notes 

Work area – Contains headers/ 

findings of selected template. 

Note area displays currently selected 

finding or full narrative. 

Figure 69: PhAST Note Window 

The Template tab displays any default or user-defined templates. The Items tab 

enables you to add headers and findings to a template and build a template using 

the Template Builder feature of PhAST Note. The Template Builder helps you 

build templates by showing all findings related to a particular diagnosis or 

symptom that you select. 

3. Click next to the ROS header. 

Displays templates available. 

Whether Template 

Builder displays. 

Displays the Text tab and the findings for the selected heading, shown in 

Figure 70. 


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LTGRAD0003C/1.0/18-Jun-2008 

Notes 

Record, stop and play dictations. 

Save free text. 

Text library 

Free text area 

Figure 70: PhAST Note Window Showing Findings and Text Tab 

The Text tab enables you to enter text or record dictation and attach the text or 

recording to a finding or heading within your PhAST Note. The Free Text area 

lets you use standard phrases, create your own Text Library, or add free-text 

specific to the current document. The Dictation area lets you record findings and 

save them as a .wav file. You can click a finding and dictate a recording into a 

microphone connected to your workstation. 

4. Click the chest pain finding. 

Displays the Form tab, shown in Figure 71. 

Clear dictations. 

Displays keyboard dialog box. 

Save dictations. 

Clear free text.


Notes 

Displays before 

the finding. 

Result, such as whether 

finding is normal. 

Show all or filter 

by finding. 

Figure 71: PhAST Note Window Showing Findings and Form Tab 

Some findings take you automatically to the Form tab. Clicking selections in the 

Form tab enhances the finding with more information, such as severity and status. 

This information can increase the weight of the E&M code generated by the 

finding. You can select only one Prefix, Modifier, Result, or Status for a finding. You 

can use the Onset, Value, Duration, and Unit fields to further define when the 

finding began and how long it lasted. 

5. Click next to the chest pain finding. 

Displays the subfindings for the selected finding. Click to contract. A finding 

can have a status of Positive (abnormal) or Negative (normal). Click to 

select a finding as positive and change it to . Or click to select a finding as 

negative and change it to . 

6. Click the causing awakening at night subfinding. 

Specifies the type of chest pain. 

7. Click Moderate-Severe in the Modifier text box. 

Specifies the modifier for the finding. 

When/how long finding occurred. 

Also value, such as temperature. 

Defines the finding, such 

as “severe.” 

Status of the finding. 


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LTGRAD0003C/1.0/18-Jun-2008 

Notes 8. Click abnormal in the Result text box. 

Specifies the result of the finding. Note that the subfinding displays in bold and 

the Positive (abnormal) indicator is selected. 

9. Type the date for the previous day in the Onset field. 

Specifies when the symptom began. You can also click to display the Calendar 

dialog box, then select the date. Your entries should look similar to the ones 


10. Click . 

Figure 72: PhAST Note Window Showing Added Finding 

Saves the changes, closes the PhAST Note window, then displays the Record 

Status dialog box. 

11. In the New Status section, click Pending. 

Changes the document status to Pending. 

12. Type your Password, then click . 

Closes the Record Status dialog box, then returns to the Documents window. 

Note that Pending displays in the Status column.


Notes 

Changing the Status of Documents 

Once you have completed the document, you can approve the document. In this 

exercise, you will approve a document. 

1. In the Documents window, select one of the documents you added. 

Specifies the document that you want to approve. 

2. Click . 

Displays the Record Status dialog box. Note that the Tiered Security Info section 

now displays. If the document requires a co-signer, the information displays in 

this section. 

3. In the New Status section, click Approved. 

Specifies that you want to approve the document. 


Approves the document, closes the Record Status dialog box, then returns to the 

Documents window, shown in Figure 73. 

Figure 73: Documents Window Showing Approved Document 

Note that the Status column now displays Approved and the Approved and By 

columns display the date of approval and the initials of the approving staff 

member(s). 


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LTGRAD0003C/1.0/18-Jun-2008 


In this lesson, you learned how to view eSCRIBE, eSCAN and PhAST Note 

documents, as well as how to edit and status the documents. Use the examples in the 

Quick Version as a concise, step-by-step guide when you must quickly apply any of 

the skills you’ve learned in this lesson or if you simply want to reinforce what you 

have learned in this lesson. In the next lesson, you will learn about viewing reports 

from the Report Navigator and from windows and dialog boxes, such as the 

Diagnoses and Interventions window.


Notes 


Using the View Field 

1. Open the chart of your patient, then click eChart | Documents…. 

2. In the Documents window, click next to the View field, then click By 

Dictating MD. 

3. Click next to the Dictating MD field, then double-click the dictating physician. 

4. Click next to the View field, then click My Pending. 

5. Click next to the Transcriptionist field, then double-click another staff member. 

Using the Status Field 

1. In the Documents window, click next the View field, then click By Patient. 

2. Click next to the Status field, then click a status, such as Approved. 

3. Click next to the Status field, then click All. 

Using the Date Range 

1. In the Documents window, click in the Date Range section. This button 

only displays when the selected View is By Patient, By Patient DocType, My Review 

Req, and My Co-Sign Req. 

2. Click By Encounter Date from the View field, then click . Note 

that the button does not display. 


1. Open the chart of your patient, then click eChart | Documents…. 

2. In the Documents window, click a document, then click . 

3. In the Document Editor window, click , then click . 

Viewing Documents from the Documents Pane 

1. In the toolbar, click . 

2. In the Documents pane, double-click a document. 

3. In the Document Editor window, click . 


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Notes Viewing Documents from My Work List Pane 

1. In the toolbar, click , then click next to the Documents work list in the My 

Work List pane. 

2. In the Documents work list of the My Work List pane, click a document. 

3. In the Work List Detail pane, click . 

4. In the Document Editor window, click . 

Editing an eSCRIBE Document 

1. In the Documents window, click an eSCRIBE document, then click . 

2. In the eSCRIBE Document Editor, make your changes, then click . 

Editing an eSCAN Document 

1. In the Documents window, select an eSCAN document, then click . 

2. In the Document Scan window, open the ESCAN folder in the Documents 

Available pane, then add files to the document folder in the Documents Saved pane. 

3. To remove a page, click the page in the document folder, then drag it to the 

ESCAN folder in the Documents Available pane. 

4. Click . 

Editing a PhAST Note Document 

1. In the Documents window, double-click a PhAST Note document. 

2. In the Document Editor, click . 

3. Click next to a header, such as ROS, then click a finding, such as chest pain. 

5. Click next to the finding to display subfindings. 

6. Click a subfinding, such as causing awakening at night. 

7. In the Form tab, click a Prefix and/or Modifier, such as Moderate-Severe, in 

the applicable text box. 

8. Click a Status or Result, such as abnormal, in the applicable text box. 

9. Type the date the finding began in the Onset field and how long it lasted in the 

Duration field. 

10. Type the value of finding, such as the patient temperature, in the Value field, then 

click the Units, such as degrees Fahrenheit.


Notes 11. In the PhAST Note window, click . 

12. In the New Status section of the Record Status dialog box, click Pending. 


Changing the Status of Documents 

1. In the Documents window, select a document. 

2. Click . 

3. In the New Status section of the Record Status dialog box, click Approved. 



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LTGRAD0003C/1.0/18-Jun-2008 

Notes 

Lesson 11 Viewing 

Reports 

Objectives 


• Display reports from the Report Navigator 

• Display reports from a dialog box or window 

In this lesson, you will display the Report Navigator and run reports from the Report 

Navigator and from dialog boxes or windows such as the Diagnoses and 

Interventions window. 

To print a report you must have the following security rights: 

Administrative | General | View . 

Note that you must have Administrative | Charge Capture | View 

rights to print the Charges by Patient/Date report.


Notes Working with the Report Navigator 

In the Report Navigator, you can display a brief description of each report, run a 

compiled report, or determine the window or dialog box with which the report is 

associated. 

Displaying the Report Navigator 

In this exercise, you will display the Report Navigator window. 

1. Click . 

Alternately, you can press F3 or click File | Print Reports… 

to display the Report Navigator window. 

Displays the Report Navigator window, Main view, shown in Figure 74. 

Description of report when 

report is selected. 

Folders containing individual reports. 

Displays different 

groups of reports. 

Figure 74: Report Navigator Window – Main View 

The Report Navigator window has multiple folders and uses a “tree” structure 

similar to that of Windows Explorer. Each folder has a title and contains one or 

more related reports that you can display on the computer screen, print to a 

printer, or print to a file. 


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Lesson 11: Viewing Reports 


LTGRAD0003C/1.0/18-Jun-2008 

Notes Using the Report Navigator Window 

The Report Navigator window has multiple folders, each with one or more reports 

that you can run. In this exercise, you will use the Report Navigator window to move 

through the folders and sub-folders. 

1. In the Report Navigator window, click next to the Code Capture folder. 

Displays the reports for that folder (or any subfolders) as shown in Figure 75. 

Figure 75: Report Navigator with Folder Selected 

Note the inactive , which displays in the lower right-hand corner of 

the Description section. If a selected report is available directly from a dialog box 

or window elsewhere in MOSAIQ, this button becomes active. Clicking it opens 

the dialog box or window. From there, you can bring up the right-click Options 

menu to select the report(s). If this button is inactive after you select a report, the 

report is only available from the Report Navigator window. 

2. Click one of the reports. 

Displays the report description in the Description section, shown in Figure 76.


Notes 

. 

Selected 

report. 

Description of 

selected 

report. 

Figure 76: Report Navigator with Report Selected 

Note that is active, indicating that you can run the report from the 

Report Navigator window. is also active, indicating that you can also 

run the report from the dialog box or window listed next to the button. 

If your facility has MOSAIQ Medical Billing, you can also view and 

print reports from the Billing View. 

Displaying the Find View of the Report Navigator Window 

File name of 

report(s). 

Another 

location from 

which to run 

report. 

The third view, Find, displays all reports. It enables you to search for a specific report, 

which is covered in the next exercise. In this exercise, you will display the Find view of 

the Report Navigator window. 

1. In the Report Navigator window, click next to the View field, then click Find. 

Displays the Find view of the Report Navigator window, shown in Figure 77. 


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LTGRAD0003C/1.0/18-Jun-2008 

Notes 

Name of 

report. 

Folder in 

which to find 

the report. 

Description of report 

when selected. 

Searching for Reports 

Figure 77: Report Navigator Window – Find View 

If you do not know which folder a report resides in or even the view (Billing or Main), 

you can use the Find view to search for it. In this exercise, you will search for a report 

from the Find view of the Report Navigator window. 

1. In the Find view of the Report Navigator window, click in the Find field, then 

type treatment. 

Indicates the criteria for which you want to search. The Find feature searches the 

titles of the reports, as well as their descriptions. 

2. Press ENTER. 

Displays any reports matching the criteria you entered as shown in Figure 78.


Notes 

Running a Report 

Figure 78: Report Navigator with Results of Search 

Once you have found the report, you can run it from the Report Navigator window. 

In this exercise, you will run a report. 

1. In the Main view of the Report Navigator window, select 

Diagnosis/Staging/Course from the Patient Chart folder, then click 

. 

Displays the filtering criteria for the selected report. Each report has its own 

filtering criteria. An example is shown in Figure 79. 

2. Click . 

Figure 79: Report Filter for Selected Report 

Displays the Print dialog box, shown in Figure 80. 


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LTGRAD0003C/1.0/18-Jun-2008 

Notes 

Figure 80: Print Dialog Box 

The Print dialog box enables you to display the report directly on the computer 

screen, print the report to the network or local printer, or print the report to a file 

(such as an Microsoft Excel file). 

3. In the Print Report section, click Printer. 

Specifies that you want to print the report to the printer. If you want to select a 

printer other than the default, or want to change the printer settings, click 

. For this exercise, accept the default settings. 

4. Type 2 in the Copies field. 

Specifies that you want two copies of the report printed. Your changes should 

look similar to the ones shown in Figure 81. 

5. Click . 

Figure 81: Print Dialog Box with New Settings 

Displays the Printing Records dialog box, then prints the report. Depending on 

the size of the report, the Printing Record dialog box may display for only a few 

seconds.


Notes 

Viewing Reports from a Window or Dialog Box 

You can also view and print reports from most dialog boxes and windows, such as 

the Diagnoses and Interventions window. In this exercise, you will view a report from 

the Diagnoses and Interventions window. 

1. Open the Diagnoses and Interventions window, then right-click or press F4. 

Displays the Diagnoses and Interventions Options menu, shown in Figure 82. 

2. Click Reports. 

Figure 82: Diagnoses and Interventions Options Menu 

Displays the Reports submenu, shown in Figure 83. 

Figure 83: Reports Submenu 

The Reports submenu displays the reports that you are most likely to use. 

3. Click Diagnosis/Staging/Course…. 

Displays the Diagnosis/Staging/Course Report dialog box, shown in Figure 84. 


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LTGRAD0003C/1.0/18-Jun-2008 

Notes 

4. Click . 

Figure 84: Diagnosis/Staging/Course Report Dialog Box 

Displays the Print Setup dialog box. 

5. Accept the default settings (Print Report to Screen), then click . 

Displays the report on your computer monitor, shown in Figure 85. 

Figure 85: Diagnosis/Staging/Course Report



Congratulations! You have finished the Radiation Oncologist Module III training. 

In this lesson, you learned how to display the Report Navigator, view the different 

types of reports, use the Find feature to display a report, display reports, and view 

reports from a dialog box or window. Use the Quick Version as a concise, step-bystep 

guide when you must quickly apply any of the skills you’ve learned in this lesson 

or if you simply want to reinforce what you have learned. 


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LTGRAD0003C/1.0/18-Jun-2008 

Notes 


Displaying the Report Navigator Window 

1. Click in the toolbar, or press F3, or click File | Print Reports…. 

Using the Report Navigator Window 

1. In the Report Navigator window, click next to the report folder whose 

reports you want to view. 

2. Click one of the reports to display the description of the report in the Description 

section. 


1. In the Report Navigator window, click next to the View field, then select 

Find. 

Searching for a Report 

1. In the Find view of the Report Navigator, click in the Find field, then type one or 

more keywords describing the report that you want. 

2. Press ENTER. 

Running a Report 

1. From any view of the Report Navigator window, select a report, then click 

. 

2. In the Setup window or Filter dialog box for the selected report, set the criteria 

you want (varies with each report). 

3. Click 

(Setup window) or (Filter dialog box). 

4. In the Print dialog box, indicate whether you want to print to a printer, display 

the report on a computer screen, or print it to a file. 

5. If printing to a printer, click to configure the printer setup if 

needed, then type the number of copies in the Copies field. 

6. Click .


Notes Viewing Reports from a Window or Dialog Box 

1. Open the dialog box or window, such as the Diagnoses and Interventions 

window, then right-click or press F4. 

2. In the Diagnoses and Interventions Options menu, click Reports. 

3. In the Reports sub-menu, click a report. 

4. In the Setup window or Filter dialog box for the selected report, set the criteria 

you want (varies with each report). 

5. Click 

(Setup window) or (Filter dialog box). 

6. In the Print dialog box, indicate whether you want to print to a printer, display 

the report on a computer screen, or print it to a file. 

7. If printing to a printer, click to configure the printer setup if 

needed, then type the number of copies in the Copies field. 

8. Click . 


LTGRAD0003C/1.0/18-Jun-2008

Course Evaluation: Radiation Oncologist 

Module III 

Now that you have completed Module III of the Radiation Oncologist Training, please answer the following by 

placing a check mark in the appropriate box. Mark the tasks that were covered in class on the left, then indicate your 

“comfort” level with each task that was covered in class. Each task is followed by a lesson reference. If you answer 

“Cannot do” for any of the tasks, you can refer to the appropriate lesson in the Training Guide to review the course 

information. 

Check tasks 

covered 

Can you do the following tasks? 

Can do 

Can do 

with 

help 

Cannot 

do 

Using the Due Date Range Filter (Lesson 9) 

Viewing Patient Quality Checklists (Lesson 9) 

Viewing Daily, Staff, and Location Checklists (Lesson 9) 

Viewing Completed Checklist Items by Staff (Lesson 9) 

Using Set Date Range from the Options Menu (Lesson 9) 

Using the Status Filter (Lesson 9) 

Using the Group View (Lesson 9) 

 

Adding a Non-Billable Item to the Patient’s Quality 

Checklist (Lesson 9) 

 

Adding a Billable Item Associated with a Charge Code to 

the Patient’s Quality Checklist (Lesson 9) 

 

Adding a Billable Item Associated with a Code Group to 

the Patient’s Quality Checklist (Lesson 9) 

 

Completing a Non-Billable Item from a Quality Checklist 

Window (Lesson 9) 

 

Completing a Non-Billable Item from the Quality Checklist 

Item Dialog Box (Lesson 9) 

Completing a Billable Quality Checklist Item (Lesson 9) 

Skipping a Quality Checklist Item (Lesson 9) 

Using the View Field (Lesson 10) 

Using the Status Field (Lesson 10) 

Using the Date Range (Lesson 10) 

 


(Lesson 10) 

Viewing Documents from the Documents Pane (Lesson 10) 

Viewing Documents from My Work List Pane (Lesson 10)

Check tasks 

covered 

Can you do the following tasks? 

Can do 

Can do 

with 

help 

Cannot 

do 

Editing an eSCRIBE Document (Lesson 10) 

Editing an eSCAN Document (Lesson 10) 

Editing a PhAST Note Document (Lesson 10) 

Changing the Status of Documents (Lesson 10) 

Displaying the Report Navigator Window (Lesson 11) 

Using the Report Navigator Window (Lesson 11) 

 


(Lesson 11) 

Searching for a Report (Lesson 11) 

Running a Report (Lesson 11) 

 

Viewing Reports from a Window or Dialog Box (Lesson 

11) 

Name: Date: 

Facility:

100 Mathilda Place, Fifth Floor, Sunnyvale, CA 94086

Radiation Oncologist Training Guide - UCSF Radiation Oncology

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