Abstract: A system for automated conversion and delivery of medical images. A data storage system is configured to store medical images, associated metadata, converted medical images, standardized format specifications for destination devices and services, and message templates. A server is coupled to the data storage system and a communication interface. The server is configured to receive a medical image file, comprising medical data and metadata, in a medical data format, determine an output destination type based on the metadata, correlate the output destination type with a standardized format specification, convert the medical data based on the correlated standardized format specification, and assemble and translate an output message that includes the converted medical data based on message templates that correlate with the output destination type.