Frequently asked questions
Common questions from providers and staff.
General
What is Lumirai Echo?
Echo is an iPad app that works with Medstrat Joints. You sign into Joints inside Echo, open studies in open views, search for patients, and — with Pro — use History and Tab Sync.
See Getting started.
Is Echo available on iPad?
Yes. This guide is for Echo on iPad. A Windows and macOS guide is also available.
Does Echo replace Joints or our PACS?
No. Echo embeds Joints and opens study viewers from your existing systems.
Signing in
Do I need a separate Echo password?
No. You sign in with your Medstrat Joints account. Echo Pro licensing is tied to that email by your organization; you don’t create a second clinical password inside Echo.
Why didn’t Echo ask me to log in?
If enabled, Echo restores a valid Joints session when it can. You’ll see a short verification checklist, then the main screen. See Logging in.
Opening studies
How do I open more than one study for the same patient?
Use Search, select the patient, check several studies, and choose Open Selected. You can also adjust which studies are loaded from the viewer’s Studies panel.
See Opening studies.
Why can I only open one view?
Echo Free allows one open view at a time. Staff and Provider plans allow unlimited open views. Ask your clinic admin about upgrading, or see Plans and accounts.
What’s the difference between Study List and Search?
- Study List is the Medstrat Joints worklist inside Echo.
- Search looks up patients in PACS by name, ID, or date of birth and lets you open one or many studies deliberately.
Rotary scroll and drawing
Where is the rotary dial?
The rotary dial appears over an open study so you can scroll a series. It is available on Free and Provider, not Staff. See Rotary scroll and drawing.
Why don’t I see Draw?
Draw is in the viewer toolbar. It is available on Free and Provider, not Staff. Drawings are not saved to PACS. See Rotary scroll and drawing.
History and plans
What’s the difference between Free and Pro?
| Free | Pro (Staff / Provider) | |
|---|---|---|
| Open views | 1 at a time | Unlimited |
| History | Not saved | Up to 90 days |
| Tab Sync | No | Yes |
| Own/share sync folder | No | Provider only |
Why don’t I see History?
History requires Echo Pro. On Free you’ll see an explanation instead of a list.
Tab Sync
How do I share my open studies with an assistant?
If you are a Provider:
- Enable Tab Sync and sign in with Microsoft.
- Use Your list.
- Choose Share my list, enter the assistant’s work email, and send them the Share link.
The assistant (Staff or Provider) adds the list under Shared with you or Add shared list by link. Full steps: Tab Sync.
Why does Tab Sync ask my admin to approve?
Microsoft requires organization (tenant) admin consent the first time Echo needs Files access in your Microsoft 365 tenant. See Microsoft 365 admin consent.
Can I use a personal Microsoft account for Tab Sync?
No. Tab Sync needs a work Microsoft 365 account covered by your organization’s BAA. Personal accounts are not supported.
Does the share link give someone access by itself?
No. The Provider must share the list with that person’s email. The link only helps them add the list quickly afterward.
Updates and support
When do updates install?
Echo for iPad updates from the App Store. Settings → About shows the installed version. Settings → About shows update status.
Where can I read the full guide?
Start at the User Guide home.