# Specification Analysis Report: FHIR Radiology Integration
**Feature**: 007-fhir-radiology-integration
**Date**: 2025-12-15
**Artifacts Analyzed**: spec.md, plan.md, tasks.md, data-model.md, research.md, contracts/, quickstart.md
---
## Executive Summary
| Metric | Value | Status |
|--------|-------|--------|
| Requirements Coverage | 19/19 (100%) | PASS |
| Tasks with FR Tracing | 53/53 (40 impl + 13 test) | PASS |
| Constitution Alignment | 6/6 Principles | PASS |
| Contract Completeness | 6/6 MCP tools | PASS |
| Underspecified Elements | 0 | PASS |
| Duplicate Definitions | 0 | PASS |
**Overall Status**: **PASS** - All issues resolved. Ready for implementation.
---
## Critical Findings
### CRITICAL-001: Missing Test Tasks (Constitution Principle VI Violation) - **RESOLVED**
**Severity**: ~~CRITICAL (blocks implementation)~~ **RESOLVED**
**Location**: `tasks.md` line 6-7
**Original Issue**:
```markdown
**Tests**: Not explicitly requested - test tasks omitted.
```
**Resolution Applied**:
- Updated tasks.md to include Phase 2.5: Test Setup with 13 test tasks
- Added 4 integration tests (T004a-T007a)
- Added 6 contract tests for MCP tools (T022a-T027a)
- Added 3 Playwright UX tests (T014a-T016a)
- Updated plan.md constitution check to reflect TDD compliance
- Total tasks updated from 40 to 53
---
## Detection Pass Results
### 1. Duplication Detection
| Finding | Severity | Details |
|---------|----------|---------|
| None | - | No semantic duplicates found |
All requirements are unique. MCP tool requirements (FR-011 through FR-019) are distinct from core linking requirements (FR-001 through FR-010).
### 2. Ambiguity Detection
| ID | Element | Ambiguity | Resolution |
|----|---------|-----------|------------|
| AMB-001 | FR-002 "subject_id matching" | What algorithm? Exact? Fuzzy? | Clarified in spec edge cases: exact first, fuzzy >90% threshold |
| AMB-002 | FR-005 "based on study date" | What window? | Clarified in assumptions: 24-hour window |
**Status**: Both ambiguities resolved via spec clarifications/assumptions.
### 3. Underspecification Detection
| ID | Element | Issue | Severity | Status |
|----|---------|-------|----------|--------|
| UND-001 | FR-007 Report format | "Report of unlinked data" - format unspecified | ~~MINOR~~ | **RESOLVED** - Added to data-model.md |
| UND-002 | Synthea integration | How to invoke Synthea? | ~~MINOR~~ | **RESOLVED** - Added to quickstart.md |
### 4. Constitution Alignment
| Principle | Status | Notes |
|-----------|--------|-------|
| I. Authorship & Attribution | PASS | No AI attribution in artifacts |
| II. MCP-First Architecture | PASS | 6 MCP tools defined for all radiology queries |
| III. Vector Database Purity | PASS | Using IRIS native vectors only |
| IV. Medical Data Integrity | PASS | MIMIC metadata preserved, FHIR R4 standards |
| V. Graceful Degradation | PASS | Unlinked images handled gracefully |
| VI. Test-Driven Development | **PASS** | 13 test tasks added in Phase 2.5: 4 integration, 6 contract, 3 Playwright UX |
### 5. Coverage Gap Analysis
| Requirement | User Story | Tasks Covering | Status |
|-------------|------------|----------------|--------|
| FR-001 ImagingStudy creation | US2 | T005, T021 | COVERED |
| FR-002 Patient linking | US1 | T010, T012 | COVERED |
| FR-003 Patient name display | US1 | T015 | COVERED |
| FR-004 DiagnosticReport | US3 | T006, T031 | COVERED |
| FR-005 Encounter association | US2 | T018-T21 | COVERED |
| FR-006 Mapping table | US1 | T004, T08, T12 | COVERED |
| FR-007 Unlinked report | Polish | T036 | COVERED |
| FR-008 Idempotent import | Polish | T035 | COVERED |
| FR-009 Patient navigation | US1 | T14-T15 | COVERED |
| FR-010 Source ID traceability | US1 | T12, T16 | COVERED |
| FR-011 get_patient_imaging_studies | US4 | T023 | COVERED |
| FR-012 get_imaging_study_details | US4 | T024 | COVERED |
| FR-013 get_radiology_reports | US4 | T025 | COVERED |
| FR-014 search_patients_with_imaging | US4 | T026 | COVERED |
| FR-015 get_encounter_imaging | US2 | T022 | COVERED |
| FR-016 FHIR query parameters | US4 | T029 | COVERED |
| FR-017 LLM-consumable format | US4 | Contracts | COVERED |
| FR-018 list_radiology_queries | US4 | T027 | COVERED |
| FR-019 Cross-resource queries | US4 | T026 | COVERED |
**Coverage**: 19/19 requirements have task coverage (100%)
### 6. Inconsistency Detection
| ID | Artifact 1 | Artifact 2 | Inconsistency | Status |
|----|-----------|------------|---------------|--------|
| INC-001 | plan.md | tasks.md | plan.md states "Playwright tests for UI" but tasks.md omits all tests | **RESOLVED** |
| INC-002 | plan.md line 37 | tasks.md line 6 | plan.md says "VI. Test-Driven Development: PASS" but tasks omit tests | **RESOLVED** |
**Resolution**: tasks.md now includes Phase 2.5 with 13 test tasks (4 integration, 6 contract, 3 Playwright UX). plan.md and tasks.md are now consistent.
---
## Contract Verification
All 6 MCP tool contracts validated:
| Contract | Input Schema | Output Schema | Examples | Status |
|----------|--------------|---------------|----------|--------|
| get_patient_imaging_studies.json | Valid | Valid | 1 | PASS |
| get_imaging_study_details.json | Valid | Valid | 1 | PASS |
| get_radiology_reports.json | Valid | Valid | 1 | PASS |
| search_patients_with_imaging.json | Valid | Valid | 1 | PASS |
| get_encounter_imaging.json | Valid | Valid | 1 | PASS |
| list_radiology_queries.json | Valid | Valid | 1 | PASS |
---
## Metrics Summary
| Category | Count |
|----------|-------|
| Total Requirements (FR) | 19 |
| Total Success Criteria (SC) | 9 |
| Total User Stories | 4 |
| Total Tasks | 53 (40 impl + 13 test) |
| Total Phases | 8 (incl. Phase 2.5 Test Setup) |
| MCP Tools | 6 |
| Critical Issues | 0 (1 resolved) |
| Minor Issues | 0 (2 resolved) |
---
## Recommended Next Actions
### All Issues Resolved
All identified issues have been addressed:
1. ~~**MUST**: Update tasks.md to add test tasks per Constitution Principle VI~~ **DONE**
- Added Phase 2.5: Test Setup with 13 test tasks
- Includes Playwright UX tests for US1 UI components
- Includes contract tests for all 6 MCP tools
2. ~~**MUST**: Update plan.md constitution check to accurately reflect test task status~~ **DONE**
3. ~~Add specifics for Synthea invocation in quickstart.md~~ **DONE**
4. ~~Define unlinked data report format in data-model.md~~ **DONE**
### Ready for Implementation
The feature specification is now complete and ready for implementation. Run `/speckit.implement` to begin.
---
## Appendix: Task-to-Requirement Traceability Matrix
| Task | Requirements Covered |
|------|---------------------|
| T001-T003 | Setup infrastructure |
| T004 | FR-006 |
| T005 | FR-001 |
| T006 | FR-004 |
| T007 | FR-001, FR-004 |
| T008 | FR-006 |
| T009-T012 | FR-002, FR-006, FR-010 |
| T013-T014 | FR-002, FR-003 |
| T015-T016 | FR-003, FR-009 |
| T017 | FR-006 |
| T018-T021 | FR-005 |
| T022 | FR-015 |
| T023 | FR-011 |
| T024 | FR-012 |
| T025 | FR-013 |
| T026 | FR-014, FR-019 |
| T027 | FR-018 |
| T028 | FR-016, FR-017 |
| T029 | FR-016 |
| T030-T034 | US3 narrative requirements |
| T035 | FR-008 |
| T036 | FR-007 |
| T037-T040 | Polish/deployment |
---
**Analysis Generated**: 2025-12-15
**Status**: **PASS** - All issues resolved. Ready for implementation.
