Background:
Exchange and share of different medical images as one of the critical parts of patients’ medical records between different departments of the same hospital or even different hospitals have always been in demand in recent years. Medical universities in Iran include affiliated hospitals and medical centers. Most of those hospitals were equipped with picture archiving and communication systems (PACS) from different vendors in the past years. The main challenges concerning the functionality of current PACS-based workflow with those vendors are the lack of functionality to capture, store, and view DICOM and non-DICOM images from other departments other than radiology, as well as the lack of communication and exchange of medical imaging among hospitals since each vendor has its own protocol of communication.