{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T13:53:59Z","timestamp":1791986039704,"version":"4.4.0"},"reference-count":12,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,2,15]],"date-time":"2026-02-15T00:00:00Z","timestamp":1771113600000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aapm.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Applied Clin Med Phys"],"published-print":{"date-parts":[[2026,2]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Merging two radiation oncology information systems (ROISs) is often necessary due to system changes or hospital integrations. ROIS integration is a high\u2010risk procedure, that requires clear procedural guidelines and comprehensive QA methods to ensure safe practice.<\/jats:p>\n <\/jats:sec>\n \n Purpose<\/jats:title>\n This paper presents checklists, procedures, and challenges associated with integrating a ROIS into a centralized system, providing procedural guidelines and QA methods. It also shares our experience of merging with one ROIS into another.<\/jats:p>\n <\/jats:sec>\n \n Method<\/jats:title>\n The integration process comprised five major components: machine information; under\u2010treatment patients\u2019 information (treatment plans, history, images, and electronic medical records [EMR]); user\u2010generated workflows; ROIS user information; and beam\u2010related information, if any (e.g., beam calibration). The procedures were divided into three parts: site survey and preparation\u2010phase activities, QA during integration, and QA after integration. Software tools were developed to compare data before and after the merger. Integration of legacy data was not considered in this process.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n We successfully integrated a standalone practice site into a main ROIS, which may serve multiple sites, over the course of a single weekend using the developed tools and checklists. By the following Monday, after 45\u2010person hours of integration work by therapists, dosimetrists and physicists, the newly integrated practice site was able to seamlessly use the centralized ROIS to continue radiation treatment for its patients already under care. The entire procedure was completed without any downtime at any site.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n We have developed and successfully tested a structured set of checklists, procedures, and tools for the seamless integration of a practice site into an existing ROIS. This approach provides the radiation oncology community with a framework for achieving safe and efficient practice integration.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/acm2.70435","type":"journal-article","created":{"date-parts":[[2026,2,15]],"date-time":"2026-02-15T12:59:27Z","timestamp":1771160367000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Checklist and quality assurance tools for integration of two radiation oncology information systems (ROISs)"],"prefix":"10.1002","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8805-0250","authenticated-orcid":false,"given":"ByongYong","family":"Yi","sequence":"first","affiliation":[{"name":"Department of Radiation Oncology University of Maryland School of Medicine Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shafiq Ur","family":"Rahman","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology University of Maryland School of Medicine Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shifeng","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology University of Maryland School of Medicine Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1605-070X","authenticated-orcid":false,"given":"Baoshe","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology University of Maryland School of Medicine Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,15]]},"reference":[{"issue":"25","key":"e_1_2_9_2_1","first-page":"00179","article-title":"Changes in employment and practice locations among radiation oncologists: 2015\u20132023","volume":"0360","author":"Lu SG","year":"2025","journal-title":"Int J Radiat Oncol Biol Phys"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2023.0334"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2021.06.009"},{"key":"e_1_2_9_5_1","unstructured":"ARIA Oncology Information System. accessed May 27 2025https:\/\/www.varian.com\/products\/software\/digital\u2010oncology\/oncology\u2010management\u2010systems\/aria\u2010oncology\u2010information\u2010system"},{"key":"e_1_2_9_6_1","article-title":"The automatized workflow of a radiation oncology department: a complete integration of the oncology information system MOSAIQ with hospital information system","volume":"9","author":"Coeli M","year":"2022","journal-title":"World Cancer Res J"},{"key":"e_1_2_9_7_1","unstructured":"YiB ZhangB KimH MutafY ParkY Is a series of comprehensive QA for pre\u2010 and post\u2010upgrade necessary? 2025 AAPM accessed August 4 2025.https:\/\/aapm.confex.com\/aapm\/2025am\/meetingapp.cgi\/Session\/3226"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejmp.2019.11.024"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/acm2.12886"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1118\/1.598691"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adro.2021.100768"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1118\/1.4947547"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.prro.2024.04.002"}],"container-title":["Journal of Applied Clinical Medical Physics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aapm.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/acm2.70435","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aapm.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/acm2.70435","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aapm.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/acm2.70435","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T13:42:15Z","timestamp":1791985335000},"score":1,"resource":{"primary":{"URL":"https:\/\/aapm.onlinelibrary.wiley.com\/doi\/10.1002\/acm2.70435"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":12,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1002\/acm2.70435"],"URL":"https:\/\/doi.org\/10.1002\/acm2.70435","archive":["Portico"],"relation":{},"ISSN":["1526-9914","1526-9914"],"issn-type":[{"value":"1526-9914","type":"print"},{"value":"1526-9914","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2]]},"assertion":[{"value":"2025-06-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70435"}}