Define routing rules in the DICOM router that match incoming studies by DICOM tag criteria: Modality (0008,0060), BodyPartExamined (0018,0015), and Priority (from HL7 order or a DICOM private tag if populated)
Map STAT (urgent) studies to a high-priority queue that routes to the on-call reader AE title, and ROUTINE studies to the primary reading group queue with load-balancing across available workstations
Configure the router to normalize DICOM headers before forwarding — correct PatientID format, validate AccessionNumber against the RIS, and ensure StudyDate is populated — so remote PACSes ingest studies without rejection
Set up a fallback rule that catches unmatched studies and queues them for manual triage, sending an alert notification to the on-call administrator
Log each routing decision with timestamps and destination AE title to a persistent audit log for turnaround time tracking and regulatory compliance
Known gotchas
Rule evaluation order is critical — place more specific rules (e.g., Modality=MR AND BodyPart=BRAIN) before broad catch-all rules to avoid studies matching the wrong destination
Teleradiology transmissions that cross jurisdictional or national boundaries may require data residency compliance checks; ensure routing rules account for where the reading group's PACS stores data
DICOM tag normalization at the router (PatientID reformat, AccessionNumber lookup) introduces latency; for STAT studies apply only essential corrections and defer full normalization to post-transmission processing
Give your agent this knowledge — and 200+ more routes
One MCP install gives any agent live access to the full route map, with trust scores updated by agent consensus:
claude mcp add --transport http waymark https://mcp.waymark.network/mcp