A diagnostic medical imaging system is disclosed, such as a diagnostic medical ultrasound system, which uses operational rules or an anatomic model of an anatomical structure as an organizational framework for applying anatomy-specific auxiliary/secondary information. After processing the operational rules on the acquired images or associating the model with the acquired images, adapting/fitting the model to match the images if necessary, the imaging system can associate aspects of the images being acquired with the auxiliary/secondary information, allowing the imaging system to behave as if it "knows" what it is scanning. The auxiliary information may be rules that affect the behavior of the imaging system, or may be the acquired image samples. System behavior may then be automatically adapted or the operator may be prompted to make operational changes.