Abstract: In accordance with the principles of the present invention, an electronic medical record system is provided. A clinical web server connects to at least two information technology systems and providing real time exchange of data between existing databases. The clinical web server translates and maps existing databases into a common data structure format. A message to be transmitted is generated. Routing type and formatting routing are determined based on recipient delivery requirements. The message is parsed into segments and fields. The appropriate party to whom the message is directed is determined. Identifiers in the message are translated from a sender's value to a recipient's value. The message is translated from a sender's format to a recipient's format.

Abstract: A picture archiving and communication system (“PACS”) includes plural core components arranged in a cluster. These core components include an archive station which includes long-term storage for storing image data, and a reviewing station which includes a display for displaying images based on received image data. Also included is a network gateway which interfaces to a non-core component so as to receive image data therefrom, and which routes the image data to at least one of the archive station and the reviewing station based on a set of rules in the network gateway. Finally, a database server manages access to the image data, and stores information relating to the image data.