Integration of medical imaging is the goal of many standards. Interfile and
Digital Imaging and Communications in Medicine (DICOM) standards have made
great strides in this area. The impact of DICOM is greater owing to its wi
der acceptance. However, the lack of conformance testing makes interoperabi
lity difficult, often requiring expensive consulting teams in a mixed-vendo
r environment. DICOM is difficult to learn and deploy because it does not u
se modern software paradigms. Many hardware and software advances in comput
er architectures and communications could greatly enhance diagnostic imagin
g if they could be quickly incorporated into medical imaging standards. The
se problems led to consideration of a solution able to take advantage of st
ate-of-the-art technology and to allow diverse implementations while ensuri
ng the accurate interchange of information between health care providers. I
t is an object-oriented system information model, with the common object re
quest broker architecture (CORBA) as the vehicle to ensure interoperability
between different implementations of the model, This report presents the m
odel, Copyright (C) 2000 by W.B. Saunders Company.