PAC Interoperability Services North America

Seamless radiology data exchange and image connectivity for healthcare providers across North America—fast, secure, and vendor-neutral.

PAC Interoperability Services for a Connected Imaging Ecosystem

Across North America, imaging departments grapple with siloed data, incompatible vendor systems, and the rising demand for instant access to diagnostic images. PAC Interoperability Services North America helps healthcare providers overcome these challenges by unlocking seamless data exchange between Picture Archiving and Communication Systems (PACS), Electronic Health Records (EHR), Vendor Neutral Archives (VNA), and modality workstations. Our cloud-enabled, standards-based integration framework supports DICOM, HL7, FHIR, and IHE profiles to ensure that images and associated reports move effortlessly between radiologists, referring physicians, and care teams—regardless of their existing infrastructure.

Our service doesn’t merely connect systems; it orchestrates intelligent routing, in-line image optimization, and granular access control. Whether you manage a multi-hospital network or an outpatient imaging center, we provide the interoperability toolkit to achieve faster diagnostics, reduce repeat studies, and enhance the patient experience. Backed by 24/7 monitoring, robust cybersecurity, and a team of certified interoperability experts, we deliver a reliable, future-proof solution that scales with your organizational growth.

OUR TECHNOLOGY STACK

Integration Standards
DICOM, HL7, FHIR, IHE XDS-I, CDA

Cloud Platforms
AWS, Microsoft Azure, Google Cloud Platform

Databases
PostgreSQL, MongoDB, Microsoft SQL Server

Security & Compliance
TLS 1.2+, AES-256, OAuth 2.0, OpenID Connect

Programming Languages
Java, Python, C#, JavaScript, Go

Image Processing
OpenJPEG, DCMTK, FFmpeg, CUDA

DevOps & Automation
Docker, Kubernetes, Terraform, Ansible

Monitoring & Logging
Prometheus, Grafana, ELK Stack, Splunk

Authentication
SAML 2.0, LDAP, Active Directory

Reporting & Analytics
Power BI, Tableau, Kibana

Messaging Queues
RabbitMQ, Apache Kafka, AWS SQS

Testing Frameworks
JUnit, PyTest, Selenium, Postman

Schedule a Free Interoperability Assessment

Why Choose Cabot for PAC Interoperability

Cabot brings over a decade of healthcare integration expertise, trusted by leading IDNs, community hospitals, and specialty imaging centers across North America. Our dedicated PAC interoperability team consists of CCNA-certified network engineers, CISSP security specialists, and healthcare IT consultants who collectively design, implement, and maintain mission-critical imaging workflows. We understand that a single delayed image can disrupt treatment timelines; therefore, performance and reliability are built into every layer of our service.

Unlike generic middleware vendors, Cabot focuses exclusively on healthcare and imaging. This domain specialization allows us to anticipate real-world radiology challenges such as hanging protocols, modality worklist accuracy, and large-file transfer optimization. Our interoperability engine employs lossless compression, adaptive routing, and automated retry logic to guarantee image integrity and availability.

Cabot’s white-glove onboarding includes a comprehensive gap analysis, stakeholder workshops, and a phased migration plan that eliminates downtime. Post-deployment, clients benefit from transparent SLAs, continuous compliance audits, and quarterly performance reviews that deliver measurable ROI—fewer repeats, faster report turnaround, and elevated patient satisfaction.

Our Proven Implementation Process

  1. Discovery & Assessment – Conduct onsite and virtual workshops to map clinical workflows and integration requirements.
  2. Design & Planning – Architect a scalable solution blueprint, select interface standards, and define success metrics.
  3. Development & Configuration – Build custom interfaces, configure routing rules, and set up security controls.
  4. Testing & Validation – Perform unit, system, and user acceptance testing with real-world imaging datasets.
  5. Deployment & Migration – Execute phased rollout with rollback safeguards and real-time performance monitoring.
  6. Training & Go-Live Support – Provide hands-on training, hyper-care support, and documentation.
  7. Optimization & Maintenance – Continuous monitoring, quarterly reviews, and feature enhancements.

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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Download the Implementation Guide

Frequently Asked Questions

Q1: Which imaging standards do you support?
A1: We natively support DICOM 3.0, HL7 v2/v3, FHIR R4, and IHE profiles such as XDS-I.b, XCA-I, and RAD-69. This broad standards coverage allows us to interface with virtually any modern or legacy PACS, RIS, or EHR solution. In practice it means your radiologists, cardiologists, and referring physicians can access images and reports directly within their preferred workflow without switching applications or performing manual data entry.

Q2: How quickly can we go live?
A2: The typical project spans 6–12 weeks. The timeline is influenced by the number of sites, the complexity of existing infrastructure, and the need for data migration. We break the engagement into parallel workstreams—interface development, security validation, and user training—so that tasks are completed in tandem rather than sequentially. A detailed Gantt chart and weekly status calls keep all stakeholders aligned on deliverables and milestones.

Q3: Is patient data encrypted during transfer?
A3: Absolutely. All data is encrypted in transit using TLS 1.2 or higher, and at rest using AES-256 encryption keys stored in a FIPS-140-2 compliant key management system. In addition, we implement Perfect Forward Secrecy (PFS) to mitigate the risk of key compromise. Access to Protected Health Information (PHI) is governed by role-based access controls, multi-factor authentication, and comprehensive audit logging that satisfies HIPAA, SOC 2, and regional privacy regulations.

Q4: Can you migrate data from legacy PACS?
A4: Yes. Our migration toolkit can extract data from proprietary or obsolete PACS platforms, map custom DICOM tags to standardized schemas, and validate checksums to ensure data integrity. We employ a phased cut-over strategy that performs incremental syncs during off-peak hours, minimizing downtime. Detailed reconciliation reports allow radiology administrators to verify that every study, report, and annotation has been transferred successfully.

Q5: What kind of support do you provide post-deployment?
A5: Post-deployment, clients receive 24/7 support via phone, email, and our secure customer portal. Our tiered escalation framework guarantees a 15-minute response for critical issues, backed by a financially backed Service-Level Agreement (SLA). Besides reactive support, we also provide proactive health monitoring, quarterly environment audits, and recommendations for performance tuning or capacity planning.

Q6: How does pricing work?
A6: Pricing is subscription-based and calculated on annual study volume, storage requirements, and selected service modules (e.g., disaster recovery, advanced analytics). A transparent Statement of Work (SOW) details all line items, and volume discounts are available for multi-year agreements. We also offer a fixed-fee implementation package that eliminates surprises and ensures budget predictability.