Abstract: An automated high definition/resolution image storage, retrieval and transmission system for use with medical X-ray film or other documents to provide simultaneous automated access to a common data base by a plurality of remote subscribers upon request, the automated high definition/resolution image storage, retrieval and transmission system comprising an image scanning and digitizing subsystem to scan and digitize visual image information from an image film or the like; an image data storage and retrieval subsystem to receive and store the digitized information and to selectively provide the digitized information upon request from a remote site, a telecommunication subsystem to selectively transmit the requested digitized information from the image data storage and retrieval subsystem to the requesting remote visual display terminal for conversion to a visual image at the remote site to visually display the requested information from the image data storage and retrieval subsystem.