diff --git a/extensions/tmtv/src/getHangingProtocolModule.js b/extensions/tmtv/src/getHangingProtocolModule.js
index e123a791766..cfe5d65fe97 100644
--- a/extensions/tmtv/src/getHangingProtocolModule.js
+++ b/extensions/tmtv/src/getHangingProtocolModule.js
@@ -20,6 +20,7 @@ import {
  */
 const stage1 = {
   name: 'default',
+  id: 'default',
   viewportStructure: {
     layoutType: 'grid',
     properties: {
@@ -112,6 +113,7 @@ const stage1 = {
  */
 const stage2 = {
   name: 'Fusion 2x2',
+  id: 'Fusion-2x2',
   viewportStructure: {
     layoutType: 'grid',
     properties: {
@@ -131,6 +133,7 @@ const stage2 = {
  */
 const stage3 = {
   name: '2x3-layout',
+  id: '2x3-layout',
   viewportStructure: {
     layoutType: 'grid',
     properties: {
@@ -152,6 +155,7 @@ const stage3 = {
  */
 const stage4 = {
   name: '2x4-layout',
+  id: '2x4-layout',
   viewportStructure: {
     layoutType: 'grid',
     properties: {
diff --git a/platform/app/src/routes/Mode/Mode.tsx b/platform/app/src/routes/Mode/Mode.tsx
index 6d945eaaf7c..bf6cc9052f9 100644
--- a/platform/app/src/routes/Mode/Mode.tsx
+++ b/platform/app/src/routes/Mode/Mode.tsx
@@ -66,6 +66,7 @@ export default function ModeRoute({
   const { extensions, sopClassHandlers, hotkeys: hotkeyObj, hangingProtocol } = mode;
 
   const runTimeHangingProtocolId = lowerCaseSearchParams.get('hangingprotocolid');
+  const runTimeStageId = lowerCaseSearchParams.get('stageid');
   const token = lowerCaseSearchParams.get('token');
 
   if (token) {
@@ -216,6 +217,16 @@ export default function ModeRoute({
         ? runTimeHangingProtocolId
         : hangingProtocol;
 
+      // Determine the index of the stageId if the hangingProtocolIdToUse is defined
+      const stageIndex = hangingProtocolIdToUse
+        ? hangingProtocolService.getStageIndex(hangingProtocolIdToUse, {
+            stageId: runTimeStageId || undefined,
+          })
+        : -1;
+      // Ensure that the stage index is never negative
+      // If stageIndex is negative (e.g., if stage wasn't found), use 0 as the default
+      const stageIndexToUse = Math.max(0, stageIndex);
+
       // Sets the active hanging protocols - if hangingProtocol is undefined,
       // resets to default.  Done before the onModeEnter to allow the onModeEnter
       // to perform custom hanging protocol actions
@@ -265,7 +276,8 @@ export default function ModeRoute({
             dataSource,
             filters,
           },
-          hangingProtocolIdToUse
+          hangingProtocolIdToUse,
+          stageIndexToUse
         );
       }
 
@@ -277,7 +289,8 @@ export default function ModeRoute({
           filters,
           appConfig,
         },
-        hangingProtocolIdToUse
+        hangingProtocolIdToUse,
+        stageIndexToUse
       );
     };
 
diff --git a/platform/app/src/routes/Mode/defaultRouteInit.ts b/platform/app/src/routes/Mode/defaultRouteInit.ts
index 4a29201d1b0..c6af8d14bcb 100644
--- a/platform/app/src/routes/Mode/defaultRouteInit.ts
+++ b/platform/app/src/routes/Mode/defaultRouteInit.ts
@@ -17,7 +17,8 @@ const { sortingCriteria, getSplitParam } = utils;
  */
 export async function defaultRouteInit(
   { servicesManager, studyInstanceUIDs, dataSource, filters, appConfig }: withAppTypes,
-  hangingProtocolId
+  hangingProtocolId,
+  stageIndex
 ) {
   const { displaySetService, hangingProtocolService, uiNotificationService, customizationService } =
     servicesManager.services;
@@ -41,7 +42,9 @@ export async function defaultRouteInit(
 
     // run the hanging protocol matching on the displaySets with the predefined
     // hanging protocol in the mode configuration
-    hangingProtocolService.run({ studies, activeStudy, displaySets }, hangingProtocolId);
+    hangingProtocolService.run({ studies, activeStudy, displaySets }, hangingProtocolId, {
+      stageIndex,
+    });
   }
 
   const unsubscriptions = [];
diff --git a/platform/core/src/services/HangingProtocolService/HangingProtocolService.ts b/platform/core/src/services/HangingProtocolService/HangingProtocolService.ts
index f6be07e2708..929f31100cb 100644
--- a/platform/core/src/services/HangingProtocolService/HangingProtocolService.ts
+++ b/platform/core/src/services/HangingProtocolService/HangingProtocolService.ts
@@ -394,7 +394,7 @@ export default class HangingProtocolService extends PubSubService {
    *        the studies to display in viewports.
    * @param protocol is a specific protocol to apply.
    */
-  public run({ studies, displaySets, activeStudy }, protocolId) {
+  public run({ studies, displaySets, activeStudy }, protocolId, options = {}) {
     this.studies = [...(studies || this.studies)];
     this.displaySets = displaySets;
     this.setActiveStudyUID((activeStudy || studies[0])?.StudyInstanceUID);
@@ -406,7 +406,7 @@ export default class HangingProtocolService extends PubSubService {
 
     if (protocolId && typeof protocolId === 'string') {
       const protocol = this.getProtocolById(protocolId);
-      this._setProtocol(protocol);
+      this._setProtocol(protocol, options);
       return;
     }