> For the complete documentation index, see [llms.txt](https://docs.unitlab.ai/llms.txt). Markdown versions of documentation pages are available by appending `.md` to page URLs; this page is available as [Markdown](https://docs.unitlab.ai/documentation/multimodal-annotations/medical-study-and-clinical-document.md).

# Medical study and clinical document

A medical Data Group can combine a study, synchronized planes, 3D context, and relevant documentation. This enables a richer decision while keeping the final label attached to the correct clinical source.

![Medical DICOM and document multimodal layout](https://292810646-files.gitbook.io/~/files/v0/b/gitbook-x-prod.appspot.com/o/spaces%2FGjVLUz4wthGkGlRKM6rM%2Fuploads%2FQZdWfKj1GQBxWRof1s7r%2Fmedical-dicom-document.png?alt=media\&token=217997de-1a0e-4883-b14f-b3e44ce83dad)

*The study remains the active clinical source while the document provides contextual evidence inside the same governed task.*

**Problem:** A finding must be understood across axial, sagittal, coronal, and 3D views, while a clinical document provides case context.

**Unitlab pattern:**

1. Upload or import the medical study and document.
2. Preserve study identity through grouping.
3. Use a custom layout with synchronized medical views and the document.
4. Annotate anatomy with geometry.
5. Record findings through conditional ontology properties.
6. Route the task through specialist review.
7. Export a controlled release after de-identification and governance checks.

This workflow keeps medical volumes and contextual documents together, allowing the specialist to review the case across synchronized views before release.

### Use this in production

* Apply least-privilege access to every member of the group.
* Define which source is authoritative when metadata or documentation conflicts.
* Preserve study, series, document, page, and group identifiers in provenance.
* Require specialist review for ambiguous or clinically significant disagreement.
* Review screenshot, export, and downstream storage policy before production.