Summary: As an admin, I want radiologists to confirm their reading location at login, so the correct location is recorded in PDF and HL7 reports.

Key Functionality:

Admin Setup:

• Configure reading locations in Radiologist > Reading Locations tab.​

• Add/edit location name + address (both required, must be unique).​

• Enable/disable “Report reading location” setting (on by default for new radiologist accounts).

Radiologist Experience:

• Upon login, a dialog prompts the radiologist to select a location.​

• Defaults to the last used location.​

• Selection required to proceed.​

• Selected location is inserted into:​

  • PDF signature line​

  • HL7 ORU (OBR 32.6)

System Behavior & Edge Cases:

• Locations can't be deleted, only disabled.​

• Deleted facilities still display ID if previously selected.

Summary: As a technologist or admin, I want to update DICOM tag metadata (e.g., Patient ID, Accession Number) so that data is accurate for PACS/RIS sync and billing.​

Key Functionality:

Permissions & Roles:

• New “Update DICOM Metafiles” permission (Update-only).​

• Enabled by default for Technologist and Global Admin roles.​

• Button only shown to users with this permission and for non-completed exams.

UI Behavior:

• Button Location: Top-right of the Exam Information tab.​

• Button disabled by default; enabled if user edits any of the following fields:​

  • Exam Type​

  • Accession Number​

  • Laterality​

  • Last Name / First Name​

  • DOB / Sex​

  • MRN​

• If field matches DICOM value → button remains disabled.

Modal Interaction:

• On click, modal shows:​

  • Prior values vs New values​

  • Cancel / Close → no changes applied​

  • Save → updates DICOM tags​

• Validation: All required fields must be filled; otherwise, prevent save.

Summary: As an admin/technologist, I want to move image series from one exam to another existing exam, so images are properly organized under the correct studies.

Key Features & Workflow:

• New ACL Permission: Split & Merge (CRUD), enabled for Technologist & Global Admin.​

• Accessible From: Report screen (Pending & Inflight tabs only).​

• Viewer Required: Vision only (icon not shown for others).

3-Step Wizard Modal:

• Select Exam: Choose target exam (must be unmatched or unsigned).​

• Move Series in Vision: Drag/drop series from source to target.​

• Confirm Split: Review series moved, source/target exams → Save.

Additional Behaviors:

• Split process locks both exams until complete.​

• Audit log records: who, when, which exams/series.​

• If source exam has 0 series after split, it is retained (not deleted).​

• Series-level movement only; not individual images.​

• Target exam must be from same facility.​

• Split does not allow moving into signed exams.

Use Cases:

• Split images between two orders for same patient.​

• Reassign part of an exam to a different patient.​

• Clean up shared accession errors.​

• Fix wrong patient ID or order-level mismatches.

Note:

• Until the new delete feature is released, users can delete specific series or images by:​

  • Using the current “Delete Series” functionality (Support Request tab → right-click on exam →

  • “Exam: Delete files” → Delete series).​

  • Contacting Support (L1 team) for assistance.​

• The enhanced deletion feature will be available in the November release.

Summary: As a technologist, I want to merge image series from one exam into another, so all relevant imaging is available in one exam for reporting and review.

Key Features & Workflow

• New Action: “Merge Exams” button on Reporting Screen (next to Split).​

• Permissions-Based: Visible only to authorized users (no viewer restriction).​

• Merge Mode Modal:​

  • Step 1: Select exam from same patient and modality only.​

  • Step 2: Confirm Merge Direction (which exam will be retained).​

  • Step 3: Save → series moved, primary exam updated, secondary exam deleted.

Rules & Safeguards:

• Cannot merge exams with signed reports.​

• Exams are locked during the merge process.​

• Audit log tracks: user, timestamp, affected exams/series.​

• If current exam is discarded → user is redirected to worklist.

What Gets Merged?

• Image Series from both exams.​

• Forms, documents, and structured reports are combined under the final exam.

Validation & Restrictions

• Same modality required; if not, user prompted to resolve mismatch.​

• Linked/cloned exam behavior and status rules TBD.​

• Merge can only be done with exams from the same patient.