Abstract: A system and process generate a closed loop test and transactions which removes the variable of lack of data and verifies that each system in the network is indeed moving data instead of simply showing that the software in the network is running. In some embodiments, a unique digital imaging and communications in medicine (DICOM) image is generated. The image may be retrieved from each system in the network so that individual network elements are tested. A new DICOM image may in some embodiments be generated and sent to a first system and retrieved from a second system in the network verifying the integration between the two connected systems. The sum of these tests may automatically monitor all devices in the overall system. The process may be automated so that system administrators may be notified when there is a problem via for example, an electronic dashboard, email or SMS text message.