A distributed network of diagnostic radiology requires use of a teleradiology platform for reporting, regardless of whether this is an outsourced private teleradiology network or an in-sourced collaborative network.
Current images for reporting are transmitted from local hospital PACS to the teleradiology platform sent via DICOM push.
PACS also transmits the recent "relevant" prior via DICOM push (e.g., a previous CT head exam will be sent, if the CT head report is required).
Request information (electronic request or scanned request card) and scheduling information (date and time of appointment) is sent via HL7 ORM message from hospital RIS to the teleradiology platform.
Reports created on the teleradiology platform are sent back to hospital RIS and PACS by HL7 ORU message.