Mediloop
IMAGING CONNECTORS

Overview

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Securely connect Mediloop with PACS, VNA, RIS, modalities and enterprise imaging repositories using DICOM, DICOMweb, FHIR and governed interoperability patterns.

DICOM / DICOMwebFHIR ImagingPACSRISVNAOrthancSecure by Design
Architecture Overview
Mediloop Platform
EHR / HIS & clinical applications
Medical imaging viewers
APIs & services
Patient, study and report metadata
Mediloop Imaging Connectors
Routing & orchestration
DICOMweb gateway
Worklist manager
Metadata synchronization
Security & access control
Audit & monitoring
Imaging Systems
PACS
VNA / archive
RIS
Modalities
Reporting systems
External Organizations
Hospitals
Imaging centers
Labs
Referring providers
The connector layer provides standards-based exchange without replacing the existing PACS, VNA, RIS or modality estate.
Key Capabilities
Interoperable

DICOM, DICOMweb, FHIR and IHE-based exchange

Image access

Retrieve and stream studies, series and instances

Worklists

Query and manage modality worklists and scheduled procedures

Metadata sync

Keep patient, study and series metadata aligned

Reporting

Exchange structured reports and measurements

Security

Encryption, scopes, consent and auditable access

Scalable

Caching, async processing and resilient high-volume transfer

Supported Standards
StandardUsage
DICOM PS3.4Image storage, query/retrieve, modality worklist and procedure status
DICOMwebQIDO-RS discovery, WADO-RS retrieval, STOW-RS ingestion
FHIR R4 / R4BImagingStudy, DiagnosticReport, Observation, ServiceRequest, Task
IHE profilesXDS-I, XCA, XDS-I.b, PIX/PDQ and scheduled workflow patterns
OAuth 2.1 / OpenID ConnectApplication and user authentication
TLS / mTLSSecure service-to-service transport
End-to-End Data Flow
1
Patient scheduled
Patient and exam data registered in RIS
2
Worklist sent
Scheduled procedure made available to modality
3
Images acquired
Modality performs acquisition
4
Images stored
PACS / VNA receives images and metadata
5
Metadata synchronized
Study and patient context synchronized
6
Clinician views
Images streamed into Mediloop viewer
7
Report created
Structured report linked to study
Component Overview
PACS / VNA adapters

Secure query, retrieve, store, cache and repository abstraction

RIS / Worklist adapter

Orders, appointments, DICOM MWL, MPPS and status reconciliation

Modality connector

Acquisition status, device metadata, routing and storage commitment

Report connector

DICOM SR, HL7 ORU and FHIR DiagnosticReport exchange

Imaging Data in Mediloop
ImagingStudyStudy-level metadata and references
Series / instancesDICOM series and image-instance hierarchy
DiagnosticReportStructured and finalized imaging reports
ObservationMeasurements and structured findings
Patient / Practitioner / OrganizationLinked clinical and organizational context
Derived objectsKey images, segmentations, MPR/3D outputs and AI artifacts with provenance
Common Use Cases
Enterprise imaging

Connect hospitals and clinics to multiple imaging repositories

Cross-organization sharing

Exchange studies and second opinions across organizations

Prior image access

Find external or historical studies at the point of care

AI / CAD workflows

Route studies to AI services while preserving provenance

Long-term archiving

Use VNA / archive tiers for retention and disaster recovery

Patient access

Make images and reports available through patient-facing workflows

Benefits
Standards-based portability and vendor neutrality
Unified access across PACS, VNA, RIS and modality systems
Better traceability, auditability and security
Consistent imaging metadata across clinical workflows
Scalable retrieval, caching and progressive viewing
Supports collaboration, AI and patient-access scenarios
What’s Next
Configure PACS / VNA connectivity and routing
Connect RIS and modality worklists
Map imaging metadata to FHIR ImagingStudy
Validate security, consent and audit policies
Test retrieval, upload and report exchange
Move to sandbox and production onboarding