OpenRIMS: an open architecture radiology informatics Management system.

The following are benefits of an integrated picture archiving and communication system/radiology information system archive built with open-source tools and methods: open source, inexpensive interfaces can be updated as needed, and reduced risk of redundant and inconsistent data. Also, wide adoption would promote standard data mining tools, reducing user needs to learn multiple methods to perform the same task. A model has been constructed capable of accepting orders, performing exam resource scheduling, providing Digital communications in Medicine (DICOM) work list information to modalities, archiving studies, and supporting DICOM query/retrieve from third-party viewing software. The multitiered architecture uses a single database communicating via an open database connectivity bridge to a Linux server with Health Level 7 (HL7), DICOM, and HTTP connections. Human interaction is supported via a browser, whereas other informatics systems communicate over the HL7 and DICOM links. The system is still under development, but the primary database schema is complete, as are key pieces of the Web user interface. Additional work is needed on the DICOM/HL7 interface broker and completion of the base DICOM service classes.