Configure teleradiology routing rules in a DICOM router to distribute studies to remote reading groups by modality and urgency

Steps

1. 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)
2. 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
3. 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
4. Set up a fallback rule that catches unmatched studies and queues them for manual triage, sending an alert notification to the on-call administrator
5. Log each routing decision with timestamps and destination AE title to a persistent audit log for turnaround time tracking and regulatory compliance