The Chemo Order Entry values for cumulative dosing are derived from activated anthracyclines chemotherapy medication orders.
To display cumulative dosing from the current chemotherapy orders list, the regimen/protocol selection form, or the chemo regimen/protocol player , click Cumulative Dose (ALT+U).
To display the oncology treatment history for the patient in the LMR (Longitudinal Medical Record) and view what was actually administered, click LMR Treatment History. You can switch between the LMR and Order Entry (Orders) by clicking the application button in the the CAS toolbar on the left.
To continue ordering chemotherapy, click Close (ALT+C).
Orders included in the data:
Dana Farber Partners Cancer Care (DFPCC) sites: MGH inpatient and ambulatory, Dana Farber (DFCI), and BWH inpatient and ambulatory locations (all sites except NSMC inpatient)
Activated orders only—no orders awaiting activation
Anthracyclines Daunorubicin, Doxorubicin, Epirubicin, Idarubicin, Bleomycin, and Mitoxantrone for all patients
Duplicates, change to orders and discontinue orders; if there is more than one activation for the same chemo medication, for the same date, the higher dose is displayed
Additional information:
The dosing is listed separately for the same medication when it has been ordered with different dosing units—for example, mg/kg (milligrams of medication per kilogram of patient weight) and mg/m2 (milligrams of medication per square meter of patient body surface area)
The dosing listed is based on activated orders, and does not reflect ACTUAL doses administered
As of May 21, 2013, providers writing new orders for anthracyclines are notified automatically if the dose they are writing pushes the patient’s lifetime cumulative dose to equal or exceed the maximum lifetime dose for that medication.