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The software that holds a radiotherapy patient's plan, checks that the machine settings match it before every beam is switched on, and keeps the record of every dose given. Almost every department runs one of two systems.
Record-and-verify systems appeared in the 1980s after a series of treatment errors: the system receives the approved plan from the treatment planning software, compares each machine parameter (gantry and collimator angles, leaf positions, monitor units, energy, couch position) with the plan before the beam is enabled, and logs what was delivered. Modern oncology information systems have grown around that core into the department's electronic record: scheduling, imaging review and approval, adaptive workflows, chemotherapy prescribing, charge capture and clinical trial flags. Varian's ARIA and Elekta's MOSAIQ dominate; MOSAIQ is vendor-neutral and runs many mixed-vendor departments, ARIA is tightly integrated with Varian machines and the Eclipse planning system, and both connect to hospital electronic records through HL7 and DICOM-RT.
The systems are the department's single point of failure. Elekta's cloud outage in 2021 stopped treatment at dozens of North American centres for days, ransomware attacks have done the same, and interoperability between planning systems, machines and records from different vendors remains imperfect despite the IHE-RO profiles. A record-and-verify check also cannot catch an error already in the plan, which is why independent dose checks and patient-specific QA exist.
A database of approved plans is compared parameter by parameter with the treatment machine state before each beam is enabled, and the delivered parameters are recorded, with the same system serving as the department's scheduling and clinical record.
Query for this technology: (TITLE:"Oncology information and record-and-verify systems" OR ABSTRACT:"Oncology information and record-and-verify systems" OR TITLE:"ARIA, MOSAIQ" OR ABSTRACT:"ARIA, MOSAIQ" OR TITLE:"Record and verify systems" OR ABSTRACT:"Record and verify systems") AND (cancer OR tumor OR tumour OR oncology OR carcinoma OR lymphoma OR leukemia OR leukaemia OR myeloma OR sarcoma OR melanoma OR glioma). Results are unfiltered search hits about Oncology information and record-and-verify systems (ARIA, MOSAIQ), not a curated reading list.
Shares In vivo dosimetry and patient-specific quality assurance, Radiotherapy QA phantoms and dosimeters (Sun Nuclear, IBA Dosimetry, PTW), Radiotherapy treatment planning and QA software and the tag machines-wave2.
Shares Adaptive radiotherapy (online replanning), Radiotherapy QA phantoms and dosimeters (Sun Nuclear, IBA Dosimetry, PTW), Elekta, Varian (Siemens Healthineers) and the tag machines-wave2.
Shares In vivo dosimetry and patient-specific quality assurance, Radiotherapy QA phantoms and dosimeters (Sun Nuclear, IBA Dosimetry, PTW), C-arm medical linear accelerators (TrueBeam, Versa HD and others), Varian (Siemens Healthineers) and the tag machines-wave2.
Shares In vivo dosimetry and patient-specific quality assurance, Radiotherapy QA phantoms and dosimeters (Sun Nuclear, IBA Dosimetry, PTW) and the tag machines-wave2.
Shares C-arm medical linear accelerators (TrueBeam, Versa HD and others), Varian (Siemens Healthineers), Head and neck squamous cell carcinoma, Breast cancer (all types) and the tag machines-wave2.
Shares C-arm medical linear accelerators (TrueBeam, Versa HD and others), Elekta, Varian (Siemens Healthineers), Breast cancer (all types) and the tag machines-wave2.
Shares Elekta, Varian (Siemens Healthineers), Breast cancer (all types), Prostate cancer and the tag machines-wave2.
Shares Head and neck squamous cell carcinoma, Breast cancer (all types) and the tag machines-wave2.
Open-source projects that implement or serve this technology, from OnCo's own catalogue: licence and last activity as the repository reported them on the day of the fetch. Listing is not endorsement; check the licence before reuse and the validation before clinical use.
The HL7 FHIR implementation guide that defines a core set of cancer data elements every EHR should be able to exchange.
MITRE's tool that extracts mCODE-shaped cancer data from EHR and CSV sources into FHIR bundles.
An open platform for structured precision oncology data capture and research.
Commercial and regulated products that serve this technology. Each card says what is behind it: a regulator's database, the literature, a public body's list, or only the company's own words. Listing is not endorsement, and a clearance is a regulatory fact, not a clinical one.
The oncology record and record-and-verify system that sits between a radiotherapy plan and the machine that delivers it, holding the prescription, the images, the schedule and the delivered dose.
Elekta's oncology information system, the other half of the record-and-verify duopoly in radiotherapy departments, covering scheduling, prescription, delivery records and medical oncology.
RaySearch's oncology information system, built to sit beside RayStation so planning and the record share one data model.
The current generation of Varian's oncology management system, sold as the record layer across radiotherapy, systemic therapy and theranostics.
The chemotherapy side of ARIA: regimen libraries, dose calculation and the prescribing and administration checks a day unit works through before a drug is given.
Elekta's bundle of planning, delivery and information software sold as one environment, with MOSAIQ as its record layer.