Key Takeaways
- Scenario 62 is nuclear-med thyroid-uptake 08:20 attend DLR — not IUI 07:55, ENT 09:50, eye 14:10, dialysis, GI-prep 16:00, chemo pre-med, or phlebotomy.
- An 08:20 that sits queued while the capsule is already drawn is a wasted tracer slot, not a tidy RIS log.
- Priced by devices and SMS send volume. You use your own phone and operator SMS credit. Free is 300 SMS lifetime, 1 device. Developer is 25,000 SMS per year.
- Starter is 2 devices; the NM spare still counts.
- Hold raffle CSV until thyroid DLR drains.
- Canary the NM SIM at 08:00, not at last night’s portal job.
Summary
Scenario 62 is nuclear-med thyroid uptake: 08:20 SMS with DLR before the first capsule, undelivered flags on the same accession_id, raffle CSV held until reports drain. Service pricing is based on device count and total SMS sent through the gateway. You need a working Android phone with a SIM and SMS credit from your mobile operator. Operator message costs are yours—we do not sell carrier SMS balance.
If RIS shows sent and the patient never received it, you decayed a tracer. You did not confirm attendance.
Not a CodeCanyon “clinic SMS” pack. Device meters apply — Twilio vs Android SMS gateway.
Key takeaways
- Scenario 62 is nuclear-med thyroid-uptake 08:20 attend DLR — not IUI 07:55, ENT 09:50, eye 14:10, dialysis, GI-prep 16:00, chemo pre-med, or phlebotomy.
- An 08:20 that sits queued while the capsule is already drawn is a wasted tracer slot, not a tidy RIS log.
- Priced by devices and SMS send volume. You use your own phone and operator SMS credit. Free is 300 SMS lifetime, 1 device. Developer is 25,000 SMS per year.
- Starter is 2 devices; the NM spare still counts.
- Hold raffle CSV until thyroid DLR drains.
- Canary the NM SIM at 08:00, not at last night’s portal job.
Related reading
SMS delivery reports (DLR), how an Android SMS gateway works, how an Android SMS gateway works, NHS nuclear medicine scan.
Context
First capsule is 08:35. Patients travel from 07:50. Friends of the hospital still want a raffle CSV.
Free (300 SMS lifetime) is a rehearsal clinic. Developer is 25,000 SMS per year.
Core scenario guidance
08:20 is thyroid DLR, not IUI 07:55 or ENT 09:50. Timezone is the NM unit, not the trust HQ.
Thyroid DLR roles
| Role | When | Typical fail |
|---|---|---|
| 08:20 attend SMS + DLR | Clinic local, before first capsule | Phone in a locked hot-lab after 07:45 |
| Undelivered flag | Same accession_id same morning | Second 08:20 treated as a new blast |
| Staff OTP | Transactional, own pool | Dumped onto the NM radio |
| Friends / raffle | Held until last thyroid DLR | Released at 08:05 into clinic SMS |
Cost and ownership
Priced by devices and SMS send volume. You use your own phone and operator SMS credit. The NM spare is a billed device. DLR retries burn airtime.
Name a 07:45–11:00 on-call for uptake lists, not only weekday RIS.
Operations
08:00 canary. Abort: hold raffle, keep staff OTP, skip a second “all patients” blast. Do not “resend the list.”
Security and compliance
Short attend texts. No isotope names in SMS. Authenticate RIS hooks. Raffle lists are promotional.
Decision guide
Ship when 08:00 canary is green and DLR is watched, not only RIS 200s. Delay if the phone sleeps in the hot-lab. If handsets are forbidden, CPaaS for staff OTP.
Checklist
- NM SIM paired before 07:45.
- 08:00 canary.
- DLR webhook live.
- Staff OTP isolated.
- Raffle held.
- Airtime before 07:45.
- Battery exemptions.
- Unit locale.
- Uptake-list on-call named.
- Device cap includes spare.
Next steps
Review device and SMS volume pricing, device setup, SMS API documentation.
Deep dive: production hardening
Housekeeping killing USB at 07:50 is an outage at 08:20. Watch DLR, not RIS 200s.
Deep dive: scaling and failure modes
Two-site NM mornings add devices before inventing a hidden unlimited-handset SKU. Raise OEM ceilings; fair-use remains.
Deep dive: integration discipline
Idempotency on accession_id + date + kind (attend|undelivered). MCP is a REST wrapper — live fields in Developer Center.
Priced by devices and SMS send volume. You use your own phone and operator SMS credit.
08:00 NM drill
Canary. Force an undelivered on a staff SIM; confirm RIS flags it. Hold raffle during the wave.
Related product pages
Jump to the live product docs for this topic—not another long-form article.
- SMS delivery reports (DLR)Delivery status tracking
- transactional SMS for orders and alertsEvent-driven messages
- SMS webhook integrationInbound and status events
- SMS API documentationLive endpoint reference
