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PRIMAL can be used to route, modify and store DICOM Radiology image files.
Typically this tool is put between a image acquisition station (modality) and a PACS to route images and modify the DICOM tags in ways that are not easy to do on the acquisition station but needs to be done prior to the study arriving at the PACS.
PRIMAL is designed to turn a Fedora or Redhat Linux server into a DICOM routing appliance. Most information can be viewed through the web interface.
Commercial...
Healthcare Xchange Protocol for interoperative communications. Data exchange/transfer, platform independent,XML-RPC, HL7, SOAP, EDIFACT, simple,easy, authenticated, secure, transparent, no geo-restrictions, open sourced, peer reviewed, collab development
zWebit is a stable interface engine suitable for use in demanding environments. zWebit provides a framework for accepting data from one or more sources, optionally modifying and reliably delivering the data to multiple destinations. Hl7 support included.