Features

Each page explains how a feature works, then how to set it up.

Routing

Page	Covers
Sources	Who may send, header conditions, what changes on arrival.
Destinations	Where instances go, queues, retries and dead letters.
Routes	First-match routing, priority, waiting for whole studies, the route tester.
Destination groups	Failover and load balancing.
Schedules and bandwidth	Pausing and limiting by time of day.
Transfer syntaxes	What sources accept and destinations are sent, and conversion.

Changing studies

Page	Covers
Tag edits and scripts	Header edits on the way in and out, and JavaScript.
De-identification	Profiles, pseudonyms, date shifts, burned-in text.
Patient ID maps	Translating patient IDs between domains.

Getting studies back

Page	Covers
Query/retrieve and archives	Searching and retrieving through the router.
Prior studies	Fetching a patient’s relevant earlier studies.

Orders, HL7 and the cloud

Page	Covers
Modality worklist and MPPS	Orders from HL7, worklist queries, performed procedure steps, status to the RIS.
HL7 routing	Routing and transforming HL7 messages.
DICOMweb	Azure, Google Cloud and other services; uploads; web viewers.
AI workflows	Sending studies to AI services and bringing results back.
Patient reconciliation	Holding studies whose patient does not match their order.

Reliability and oversight

Page	Covers
Deletions and corrections	Rejection notes reach every system that got the images (IHE IOCM).
Storage commitment	Confirming custody, both ways.
DICOM TLS	Encrypted DICOM and certificates.
Monitoring, history and alerts	The live grid, history, problems, alerts, reports, metrics, logs.
Security and audit	Roles, encryption at rest, two-person approval, the audit log and ATNA.