Automated Plan/Chart Data Congruency Verification between Raystation and RO-EMR Mosaiq In Compliance with Mppg 11.a
Abstract
Purpose
Initial plan/chart review requires significant effort and can be labor-intensive, time-consuming, and error-prone. This is particularly challenging when working with non-integrated systems, such as the RayStation treatment planning system and the RO-EMR Mosaiq, where the planner is often responsible for manually transferring treatment delivery parameters into the RO-EMR. In this study, we automated the initial plan/chart review process using a Python interface developed with the RayStation Scripting API to assess data congruency between RayStation and RO-EMR Mosaiq.
Methods
Using the RayStation Scripting API, we developed a Python-based interface (Python version 3.8) to directly compare photon and electron treatment plan parameters between the RO-EMR Mosaiq database (version 3.2.2.1) and the RayStation treatment planning system (version 2024A). The script evaluates the congruency of all relevant elements required for initial plan/chart review, as recommended by MPPG 11.a. These elements include, but are not limited to, prescription details and approval status, field parameters, treatment site setup, reference CT information, DRRs, tolerance tables, treatment schedule, dose tracking, and treatment machine configuration.
Results
The automated script successfully identified discrepancies and verified consistency between RayStation and RO-EMR Mosaiq plan/chart data across all evaluated parameters. The implementation significantly reduced manual review time while improving consistency and minimizing the risk of transcription and human errors during initial plan/chart review.
Conclusion
The RayStation Scripting API enables direct and automated comparison of plan/chart data between RayStation and RO-EMR Mosaiq in accordance with MPPG 11.a recommendations. This approach streamlines the initial plan/chart review process, reduces review time, and decreases the likelihood of errors. Additionally, the framework allows for expansion of verification checks due to full access to the RO-EMR Mosaiq database.