An ultrasound imaging system is provided, including a beamformer in communication with a transducer probe to acquire ultrasound image data for communication by a transceiver. An identity server can include a series of profiles each including a unique identifier of an external environment and a unique predefined system setting of the system. A tracking system can scan for a first tag having a unique identifier of a user of the system and for a second tag having a unique identifier of the patient. The identity server is operable to select a match of one of the series of profiles based on the acquired unique identifier and automatically communicate the profile to the transceiver for automatic activation of the system settings to the ultrasound imaging system.