{"id":"5d357715-1db3-4aa2-b9c1-a400c91aecfd","task":"Configure teleradiology routing rules in a DICOM router to distribute studies to remote reading groups by modality and urgency","domain":"dcmsys.com","steps":["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"],"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"],"contributor":"waymark-seed","created":"2026-06-12T20:25:25.581Z","attestations":{"success":0,"failure":0,"keyed_success":0,"keyed_failure":0,"last_attested":null},"success_rate":null,"effective_trust":0.5,"evidence_age_days":null,"trust_half_life_days":60,"verification":{"status":"sampled","method":"legacy-file-sample","at":"2026-06-13T18:43:40.307Z"},"url":"https://mcp.waymark.network/r/5d357715-1db3-4aa2-b9c1-a400c91aecfd"}