Chemotherapy is unforgiving of ambiguity: the wrong drug, dose or cycle carries real harm. EloHIMS runs the day-care unit as a sequence of checks the system enforces — the regimen, the pre-cycle labs, the signed consent, a second person checking the prepared drugs, toxicity grading after the cycle and the date of the next one.

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Chemo cycle

FOLFOX · Cycle 3 of 6

Pre-cycle labs

Cleared

Consent

Regimen · signed

Prepared by

Pharmacist A

Checked by

Nurse B · own login

Both checks recorded · cycle may now go to infusing

A regimen up front. Every cycle through the same gates.

At its core is a chemotherapy plan held against each patient: the regimen from the Regimen Library, its cycle length, and the number of cycles planned. Each cycle then moves through fixed states — scheduled, pre-meds, infusing, completed — and the server decides whether it may move on: the labs must clear the regimen's thresholds, a signed consent must be on file, and the prepared drugs must be checked by a second person. After the cycle, toxicity is graded and the next cycle date is set from the regimen.

What you get

Safety-first oncology, from plan to next cycle

Enrol from the consultThe oncologist opens the chemo plan form from the consultation, already filled with the patient, doctor and diagnosis — nothing re-keyed.

Per-patient chemotherapy planThe regimen, its drugs and doses, the cycle length and the number of cycles held as a structured course, not free text.

Pre-cycle safety gateThe server checks ANC, platelets, creatinine, bilirubin, ALT and weight loss against the regimen's thresholds. A held cycle needs an authorised override and a written reason.

Consent before the cycle startsA cycle starts only on a signed cycle or regimen consent — a drawn signature, an uploaded scan or a printed form signed and received.

Two-person drug checkOne user marks the drugs prepared; a different user checks them under their own login. Infusing is refused until both are recorded.

Controlled cycle statesScheduled, pre-meds, infusing, completed. A cycle can never be created as completed, and completes only from infusing.

CTCAE v5 toxicity gradingGraded on 16 day-care terms after each cycle. The worst grade is kept and grade 3 or above is flagged on the plan before the next cycle.

Next-cycle date from the regimenOn completion, the next date is day 1 plus the regimen's cycle length. The plan shows it, amber when overdue, and the next booking defaults to it.

Charged on completionFor an admitted patient the chair charge posts to the admission when the cycle is completed, not when it is booked, with the doctor on the charge line.

Before the cycle

The labs decide whether a cycle goes ahead — not a tick box

When a cycle is booked or started, EloHIMS works out the fitness status itself from the labs entered: ANC, platelets, creatinine, bilirubin, ALT, and weight loss against the weight on the plan. The thresholds are set per regimen in the Regimen Library. A "fit" status sent by the screen is ignored — the server recalculates it.

If the labs fall outside the thresholds, or no labs have been entered, the cycle is held. Going ahead needs a user who holds the chemo override permission and a written override reason, both stored on the cycle. A held cycle cannot be saved as completed, and held cycles show as on hold on the chemo work queue.

6 checks

ANC, platelets, creatinine, bilirubin, ALT and weight loss, against the regimen's own thresholds.

Held

out-of-range or missing labs stop the cycle until an authorised user overrides it with a reason.

Signed

a cycle or regimen consent must be on file before the cycle starts; a withdrawn consent no longer counts.

1. Prepared

The preparer marks the drugs prepared under their own login.

2. Checked by someone else

A different user checks them under their own login — no shared password, and the preparer cannot check their own work.

3. Infusing

Only now can the cycle move to infusing. A cycle cannot be booked straight into infusing.

4. Completed

Completion is allowed only from infusing; the chair charge for an admitted patient posts at this point.

At the chair

Two people, two logins, before any drug is infused

An independent double-check of the prepared drugs is only independent if the system can tell the two people apart. In EloHIMS the preparer records the preparation under their own login, and a different user records the check under theirs. Until both are on the cycle, the move to infusing is refused.

The gate result, any override and its reason, the consent and the two users who prepared and checked the drugs all stay on the cycle, so the record shows who cleared each stage.

After the cycle

Toxicity graded, the next cycle dated

Once a cycle is completed, the team grades toxicity on CTCAE v5 across 16 terms used in day-care — alopecia graded 0–2, nausea and fatigue 0–3, the rest 0–5. The worst grade is kept on the cycle, and any grade 3 or above is flagged on the patient's plan, where the oncologist sees it before booking the next cycle.

Completion also sets the next cycle date: day 1 of this cycle plus the regimen's cycle length. The plan shows the date, turns it amber when it is overdue, and pre-fills it on the next booking. After the last planned cycle, no next date is set.

CTCAE v5

16 day-care terms graded after every completed cycle.

Grade 3+

flagged on the plan before the next cycle is booked.

Day 1 + cycle length

the next cycle date, amber when overdue, defaulted into the next booking.

The outcome

A chemotherapy day-care unit where no cycle starts without cleared labs or an authorised override, a signed consent and a second person's drug check — and every cycle ends with graded toxicity and a dated next cycle.

Connected specialty care

Dialysis ManagementA four-week session calendar, monthly package billing and programme outcomes.

Hospital Pharmacy & DispensingDispensing from the selected batch, part-dispensing, and returns back to stock.

Billing & AccountingDay-care charges post to the patient's account and the built-in ledger.

See EloHIMS run your chemo day-care.

A pre-cycle lab gate, signed consent, a two-person drug check, CTCAE v5 toxicity and the next cycle dated from the regimen — on one patient record.

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