Radiology & Diagnostic Imaging · Synthetic Review

Private · Enterprise Owner only · Read-only · Synthetic

Prototype / Synthetic Review Environment

Radiology & Diagnostic Imaging — Synthetic Review Environment

A private, Enterprise-Owner-only, read-only, synthetic review surface for the MaxArc Enterprise Radiology & Diagnostic Imaging Platform (CAP-RIP-001). It reuses the Enterprise Operations Center, the MaxArc design system, the enterprise authorization model, and the synthetic-event and audit-tray presentation. Nothing here is production: no PACS, RIS, DICOM, modality, or external-provider connection exists, no live patient or study data is present, and no production command can be executed.

Security posture: Read-only by default. A synthetic scenario executes only after explicit confirmation, and every confirmed run emits an attributable synthetic audit event. Viewing and acting are separate permissions; this surface cannot bypass module authorization; no production data is present.

Review areas21

Each shown with an honest maturity status.

Synthetic scenarios15

Preview → confirm → visible resulting state + audit event.

Production gateDEBT-17

Open & blocking; no production activation.

Status legend

Implemented — Present and working in this prototype surface.
Synthetic Prototype — Working against bounded synthetic data only; not production.
Monitor Only — Read-only visibility; no action can be taken from this surface.
Planned — Declared for extensibility; not implemented here and not shown as active.
Deferred — Explicitly deferred to a future directive.
Production Blocked — Blocked by the DEBT-17 production gate until implemented, tested, reviewed, and accepted.

Review areas

Imaging Operations Overview

Synthetic Prototype

Synthetic imaging operations snapshot: open orders, scheduled studies, studies in acquisition, unreported studies, unacknowledged critical findings, open follow-ups.

view rip.overview.view · act rip.overview.none

Imaging Order Queue

Synthetic Prototype

Radiology orders as specializations of EnterpriseOrder (family COO-FAM-RAD-001); each shows lifecycle state; order is never treated as scheduled or acquired.

view rip.order.view · act rip.order.none

Scheduling

Synthetic Prototype

Explicit synthetic scheduling events; scheduled is never treated as acquired. No production scheduling integration.

view rip.schedule.view · act rip.schedule.none

Modality Worklist

Synthetic Prototype

Synthetic modality worklist and device provenance. No production modality/device (DICOM MWL) integration.

view rip.modality.view · act rip.modality.none

Patient and Study Identity

Synthetic Prototype

Patient/study identity integrity; mismatch fails closed and routes to governed exception review. No silent study reattachment.

view rip.identity.view · act rip.identity.none

Acquisition Status

Synthetic Prototype

Synthetic acquisition status and turnaround. Acquired is never treated as reported. No production image acquisition.

view rip.acquisition.view · act rip.acquisition.none

Protocol Selection

Synthetic Prototype

Vendor-neutral procedure/protocol catalog abstraction; inactive/deprecated entries are not selectable; unsupported entries fail closed. No licensed/production terminology.

view rip.protocol.view · act rip.protocol.none

Contrast Review

Synthetic Prototype

Contraindication check precedes contrast; adverse reactions fail to a governed ContrastReaction state. No production allergy/renal data.

view rip.contrast.view · act rip.contrast.none

Radiation Exposure

Synthetic Prototype

Synthetic radiation-dose records; cumulative exposure preserved; a dose alert is never silent. No production dose registry.

view rip.dose.view · act rip.dose.none

Preliminary Reports

Synthetic Prototype

Preliminary reports are explicitly not final and are labelled as such.

view rip.report.view · act rip.report.none

Final Reports

Synthetic Prototype

Final reports require a human radiologist as final authority; AI may not finalize.

view rip.report.view · act rip.report.none

Report Addenda

Synthetic Prototype

Addenda and corrections append to history and preserve the original report; nothing is silently overwritten.

view rip.report.view · act rip.report.none

Critical Imaging Findings

Synthetic Prototype

Critical findings require escalation and acknowledgment; notification is not acknowledgment; a critical finding is not closed until acknowledged and followed up.

view rip.critical.view · act rip.critical.none

Provider Routing

Synthetic Prototype

Routing is distinct from review; a routed report is not treated as reviewed; no disclosure to unauthorized recipients.

view rip.routing.view · act rip.routing.none

Provider Acknowledgment

Synthetic Prototype

Provider acknowledgment is explicit and attributable and distinct from routing.

view rip.ack.view · act rip.ack.none

Follow-up Required

Synthetic Prototype

Follow-up-required findings remain open until explicitly resolved.

view rip.followup.view · act rip.followup.none

Imaging Audit Tray

Synthetic Prototype

Append-only synthetic audit tray with prior/new state, actor, role, reason, approvals, workflow, correlation/causation IDs, enterprise event, and provenance.

view rip.audit.view · act rip.audit.none

Enterprise Events

Monitor Only

Normalized Enterprise Operations Events (radiology families). Reuses the enterprise event architecture; no parallel event bus.

view rip.events.view · act rip.events.none

Exceptions and Overrides

Synthetic Prototype

Governed exceptions and emergency overrides require reason, authorization, audit, and later review.

view rip.exception.view · act rip.exception.none

Operations Center Health

Monitor Only

Read-only synthetic service-health signals for the radiology review surface. No live telemetry.

view rip.health.view · act rip.health.none

Deferred Production Integrations

Production Blocked

Production PACS, RIS, live DICOM, production image acquisition, production AI interpretation, and production routing are blocked by DEBT-17 until implemented, tested, reviewed, and accepted.

view rip.deferred.view · act rip.deferred.none

Synthetic testing scenarios

Read-only by default. Preview plans a scenario without executing it; running requires explicit confirmation (confirm=confirm-synthetic-radiology) and emits an attributable synthetic audit event. No real patient data, no live imaging data, no production command.

Imaging audit tray synthetic

Append-only synthetic audit tray. Corrections and addenda preserve the original report; nothing is silently overwritten.

Event	Changed	Prior → New	Actor / role	Reason	Approval	Workflow	Correlation / event	Provenance
`AUD-RIP-0001`	Order state	`Validated` → `Scheduled`	Synthetic Scheduler radiology-scheduler	Slot assigned	n/a	`CAP-CWE-001:rad-schedule`	cor COR-RIP-0001 · cau CAU-RIP-0001 `radiology.scheduling.assigned`	synthetic
`AUD-RIP-0002`	Report status	`PreliminaryReported` → `FinalReported`	Dr. Synthetic Radiologist radiologist	Interpretation finalized by human radiologist	radiologist-final-authority	`CAP-CWE-001:rad-report`	cor COR-RIP-0002 · cau CAU-RIP-0002 `radiology.report.finalized`	synthetic
`AUD-RIP-0003`	Critical finding	`Unacknowledged` → `ProviderAcknowledged`	Synthetic Provider ordering-provider	Critical result acknowledged after escalation	provider-acknowledgment 2nd: escalation-supervisor	`CAP-CWE-001:rad-critical`	cor COR-RIP-0003 · cau CAU-RIP-0003 `radiology.critical.acknowledged`	synthetic
`AUD-RIP-0004`	Report addendum	`FinalReported` → `Addended`	Dr. Synthetic Radiologist radiologist	Addendum added; original preserved	radiologist-final-authority	`CAP-CWE-001:rad-report`	cor COR-RIP-0004 · cau CAU-RIP-0004 `radiology.report.addended`	synthetic
`AUD-RIP-0005`	Identity check	`PendingVerification` → `ExceptionReview`	System (fail-closed) system	Patient/study identity mismatch — fail closed	n/a	`CAP-CWE-001:rad-identity`	cor COR-RIP-0005 · cau CAU-RIP-0005 `radiology.identity.mismatch`	synthetic

Enterprise events

Radiology emits normalized Enterprise Operations Events; it reuses the enterprise event architecture and introduces no parallel event bus.

radiology.order — Radiology order lifecycle transitions (specializes EnterpriseOrder).
radiology.scheduling — Scheduling events (explicit; scheduled ≠ acquired).
radiology.acquisition — Acquisition events (acquired ≠ reported).
radiology.contrast — Contrast administration and reaction events.
radiology.dose — Radiation-dose records and alerts.
radiology.report — Preliminary/final/addendum/correction report events.
radiology.critical — Critical-finding escalation and acknowledgment.
radiology.routing — Routing events (routed ≠ reviewed).
radiology.identity — Identity verification and mismatch (fail closed).

Operations Center health

Review surfaceSynthetic

Prototype / Synthetic Review Environment — fixture-backed.

info

Production integrationsBlocked

PACS/RIS/DICOM/acquisition/AI blocked by DEBT-17.

high

Audit trayAppend-only

Prior/new state, actor, role, reason, approvals, provenance.

healthy

Deferred production integrations · DEBT-17

Production gate DEBT-17 is open and blocking. Until implemented, tested, reviewed, and accepted by the Enterprise Owner, the following remain blocked:

production PACS
production RIS
live DICOM
production image acquisition
production AI interpretation
production routing
deployment