PAC Integration Services North America

Seamless PAC system integration for North American healthcare providers—boost interoperability, clinician efficiency, and patient care.

PAC Integration Services Tailored for North America

Picture Archiving and Communication (PAC) systems sit at the heart of modern diagnostic workflows—but only when they communicate flawlessly with EMRs, RIS, billing platforms, and regional HIEs. Our North America–based integration team helps hospitals, imaging centers, and specialty clinics create a unified data environment that speeds decision-making, eliminates manual data entry, and protects patient privacy. We start by mapping your existing infrastructure, then design interoperable interfaces using DICOM, HL7, and FHIR standards. Throughout every engagement, our clinicians, project managers, and engineers collaborate with your radiologists and IT staff to ensure zero workflow disruption. Whether you need a cloud migration, a merger of multiple PAC archives, or real-time image sharing across multi-facility networks, we deliver compliance-ready, future-proof solutions that lower total cost of ownership and elevate patient care. By combining proven methodology with cutting-edge technology, we reduce integration timelines by up to 35 % while maintaining full HIPAA and PHIPA compliance. The outcome: faster diagnoses, happier clinicians, and healthier patients.

Our Technology Stack

Healthcare Standards
HL7, FHIR, DICOM

Integration Engines
Mirth Connect, Cloverleaf, Rhapsody

Cloud Platforms
AWS, Microsoft Azure, Google Cloud

Database
PostgreSQL, MySQL, MongoDB

Programming Languages
Java, C#, Python

Security Frameworks
OAuth2, JWT, HIPAA-compliant encryption

DevOps & CI/CD
Docker, Kubernetes, Jenkins

Monitoring
Prometheus, Grafana, ELK Stack

Testing Tools
JUnit, Postman, Selenium

Interface Protocols
REST, SOAP, TCP/IP

Reporting & Analytics
Power BI, Tableau, Kibana

Version Control
Git, GitLab, Bitbucket

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Why Partner With Cabot for PAC Integration?

Cabot’s healthcare technology practice has delivered more than 120 successful integration projects across the United States and Canada. Our interdisciplinary team combines deep imaging-informatics expertise with rigorous software-engineering standards, resulting in solutions that simply work—no matter how complex your environment. We hold certifications in HL7, DICOM, and all major PAC platforms, and our proven methodology reduces implementation timelines by up to 35 percent. Security is never an afterthought: we incorporate end-to-end encryption, role-based access controls, and continuous compliance monitoring from day one. Clients choose us for transparent pricing, measurable KPIs, and a collaborative spirit that treats your clinicians as core contributors. With offices in New York, Toronto, and Austin, we bring local insight alongside global best practices, ensuring your PAC ecosystem is ready for tomorrow’s diagnostic innovations.

Our Proven 5-Step Integration Process

  1. Discovery & Assessment – Stakeholder workshops, infrastructure audit, and success-criteria definition.
  2. Architecture & Compliance Planning – Interface blueprint, security model, and regulatory alignment.
  3. Development & Configuration – Custom connectors, cloud provisioning, and automated deployment scripts.
  4. Validation & User Acceptance – Test-plan execution, clinician sign-off, and performance benchmarking.
  5. Go-Live & Continuous Optimization – Seamless cut-over, 30-day hyper-care, and quarterly health checks.

Our Industry Experience

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Healthcare

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Ecommerce

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Fintech

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Travel and Tourism

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Security

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Automobile

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Stocks and Insurance

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Restaurant

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Frequently Asked Questions

1. How long does a typical PAC integration project take?
While every environment is unique, most mid-sized hospital deployments go live within 12–16 weeks. The schedule typically breaks down as follows: 2 weeks for discovery and requirements gathering, 4–6 weeks for interface development and configuration, 2–3 weeks for validation testing, 1 week for user training, and a final 1–2 weeks for phased cut-over. Larger multi-facility networks or complex migrations that involve multi-vendor archives can extend the timeline to 20 weeks, but we drive efficiencies through parallel workstreams and pre-built interface accelerators.

2. Will my clinicians lose access to images during migration?
No. We employ a dual-archive, read-only strategy that maintains continuous access to historical images and reports. During migration, your legacy PAC remains online in read-only mode while new examinations are routed to the modernized archive. Once data integrity is verified—using checksum validation, point-in-time comparison, and radiologist spot checks—we update routing tables so that all queries point to the consolidated archive. This ensures diagnostic continuity, eliminates duplicate work, and satisfies regulatory requirements for data retention.

3. Do you support both on-premise and cloud PAC systems?
Yes. We design, deploy, and manage integrations across on-prem, private cloud, public cloud, and hybrid ecosystems. For on-premise deployments, we integrate with your existing VMware or Hyper-V infrastructure, optimizing storage tiers and ensuring disaster-recovery replication. For cloud or hybrid models, we leverage AWS HealthLake Imaging, Azure Healthcare APIs, or Google Cloud Healthcare Data Engine to deliver elastic scaling, pay-as-you-go cost models, and built-in redundancy. Our architects are certified across all three major public clouds.

4. How do you ensure HIPAA and PHIPA compliance?
Compliance is baked into every phase of our SDLC. We perform a formal Privacy & Security Risk Assessment (based on NIST 800-66 and ISO 27799) at project kickoff. All data in transit is encrypted with TLS 1.3, and data at rest uses AES-256. Role-based access controls (RBAC) map directly to clinician and radiologist privileges, while audit logs are streamed to a secure, immutable SIEM for 6–10 years depending on jurisdictional mandates. Annual penetration tests and quarterly vulnerability scans are part of our managed-services bundle, helping you demonstrate continuous compliance during HIPAA or PHIPA audits.

5. What level of post-go-live support is included?
Every integration includes 30 days of hyper-care support featuring 24 × 7 monitoring, response within 15 minutes for critical incidents, and daily health-check reports delivered to your IT leadership. After hyper-care, you can opt for our managed-services contract, which provides Tier-1 to Tier-3 support, quarterly optimization reviews, software patching, and annual disaster-recovery drills. Our mean time to resolution (MTTR) averages 42 minutes for P1 incidents, giving you confidence that clinical operations remain uninterrupted.

6. Can you integrate PAC data into analytics platforms?
Absolutely. We expose RESTful and FHIR-based APIs as well as direct database views for popular BI tools like Power BI, Tableau, and Qlik. Our data-pipeline architects implement ETL processes—complete with de-identification, delta loading, and data-quality dashboards—so you can track modality utilization, turnaround times, and radiologist productivity in near real-time. Advanced deployments can stream DICOM metadata to machine-learning frameworks, enabling AI-driven insights such as predictive workload balancing or anomaly detection.