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VA Technical Reference Model v 21.9

NEXO Dose Technology

General InformationGeneral Information help

Technologies must be operated and maintained in accordance with Federal and Department security and privacy policies and guidelines. More information on the proper use of the TRM can be found on the TRM Proper Use Tab/Section.

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Description: NEXO Dose is an ionizing radiation acquisition technology that compares and identifies dosage levels from radiation-emitting imaging equipment on a patient, study, or device. This technology creates an imaging study at the modality level, sends it to a Picture Archiving and Communication System (PACS), and then forwards it to the NEXO Dose server for processing. Users can access the fully-automated study through the browser-based application and receive customized alerts sent via email or Health Level Seven (HL7) messages. Additionally, the alert system can report a real-time patient summary, study-level statistics, and modality-level statistics that can be viewed by an entire clinical team for collaborative treatment.

NEXO Dose includes a server- and browser-based application. This technology operates within the VA`s own server infrastructure (hosted on VA premises) and stores data in a Microsoft Structured Query Language (SQL) Server database. No data is stored on the client side. The local server connects to the PACS/Radiology Information System (RIS) through Digital Imaging and Communications in Medicine (DICOM) connection for exchange of imaging and radiation dose data. The database can be encrypted using the encryption technology supported by the version of SQL Server used.
Technology/Standard Usage Requirements: Users must ensure their use of this technology/standard is consistent with VA policies and standards, including, but not limited to, VA Handbooks 6102 and 6500; VA Directives 6004, 6513, and 6517; and National Institute of Standards and Technology (NIST) standards, including Federal Information Processing Standards (FIPS). Users must ensure sensitive data is properly protected in compliance with all VA regulations. Prior to use of this technology, users should check with their supervisor, Information Security Officer (ISO), Facility Chief Information Officer (CIO), or local Office of Information and Technology (OI&T) representative to ensure that all actions are consistent with current VA policies and procedures prior to implementation.
Section 508 Information: This technology has not been assessed by the Section 508 Office. The Implementer of this technology has the responsibility to ensure the version deployed is 508-compliant. Section 508 compliance may be reviewed by the Section 508 Office and appropriate remedial action required if necessary. For additional information or assistance regarding Section 508, please contact the Section 508 Office at
Decision: View Decisions

Decision Source: TRM Mgmt Group
Decision Process: One-VA TRM v21.1
Decision Date: 01/25/2021
Aliases: DoseMonitor
Introduced By: TRM Request
Vendor Name: Bracco Diagnostics, LLC
- The information contained on this page is accurate as of the Decision Date (01/25/2021).