The patient radiation dose application from QAELUM N.V. is called tqm|DOSE or Total Quality Monitoring. Even in its most basic form, Total Quality Monitoring by QAELUM is so much more than an average patient dose monitoring system. It is a tool to monitor quality in digital radiology departments, with a major focus on clinical relevant patient radiation dose monitoring. The base idea of the system is that it wants to collect more information than only dose related data; it collects meta-data of the clinical examinations. Next to dose related information, this also includes settings, processing details and information to monitor who was responsible for the specific studies. Having all this information, tqm|DOSE can provide a better and clearer view on the performance of medical imaging devices. We will give an overview of the possibilities of this complete quality solution.