Abstract: Collection, access and management of controlled-access digital image data across disparate image data protocols from different sources, for example, clinical-quality and communicative-quality images of all types used in the practice of medicine, is achieved using a digital image collection and library system over a wide area network. The system includes a database connectivity module configured for automatic uploading of image data from image repositories employing data protocols of various types for image data, in association with subject data. A central library system manages distribution and control of collected images to qualified requesters.