
DICOM Node Integration & Routing Service in Equatorial Guinea
Engineering Excellence & Technical Support
DICOM Node Integration & Routing Service High-standard technical execution following OEM protocols and local regulatory frameworks.
Centralized DICOM Routing Hub
Establishes a robust DICOM Node Integration & Routing Service acting as a central hub for all medical imaging data. This enables seamless and secure routing of DICOM studies to designated PACS, modalities, and workstations across Equatorial Guinea's healthcare network, improving data accessibility and workflow efficiency.
Interoperability & Standards Compliance
Ensures strict adherence to DICOM standards and facilitates interoperability between diverse imaging modalities and healthcare information systems. Our service bridges technological gaps, allowing for reliable data exchange and integration of legacy and modern DICOM devices within Equatorial Guinea's healthcare infrastructure.
Secure Data Exchange & Auditing
Implements advanced security protocols for DICOM data transmission and storage, safeguarding patient privacy. The service provides comprehensive audit trails of all data access and routing events, meeting regulatory compliance requirements and enhancing the security posture of Equatorial Guinea's medical imaging data ecosystem.
What Is Dicom Node Integration & Routing Service In Equatorial Guinea?
The DICOM Node Integration & Routing Service, in the context of Equatorial Guinea, refers to a specialized set of functionalities designed to facilitate the secure and efficient exchange of medical imaging data (conforming to the Digital Imaging and Communications in Medicine - DICOM standard) between healthcare institutions, imaging centers, and potentially remote diagnostic facilities within the nation. This service underpins the establishment of a robust Picture Archiving and Communication System (PACS) or Vendor Neutral Archive (VNA) infrastructure, enabling seamless data flow for diagnostic, archival, and research purposes. It encompasses the configuration, management, and maintenance of DICOM network entities (nodes) and the rules governing data transmission and routing between these nodes.
| Who Needs the DICOM Node Integration & Routing Service? | Typical Use Cases | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Hospitals and Clinics within Equatorial Guinea: To centralize image management, enable remote consultations, and improve diagnostic efficiency. | Inter-departmental Image Sharing: Facilitating the transfer of imaging studies between different departments within a single hospital (e.g., Radiology to Cardiology, Neurology). | Inter-institutional Image Exchange: Enabling secure sharing of imaging data between separate healthcare facilities for patient referral, secondary opinions, or tertiary care. | Remote Diagnostic Centers: Connecting specialized diagnostic imaging facilities that may be geographically dispersed to central healthcare hubs for interpretation. | Teleradiology and Telemedicine Providers: Supporting the transmission of DICOM images to remote radiologists and physicians for interpretation and diagnosis. | Research Institutions: Facilitating data aggregation and analysis for medical research studies. | Government Health Agencies: For public health surveillance, epidemiological studies, and national imaging initiatives. | Imaging Equipment Vendors and Integrators: Requiring robust integration services to ensure their modalities and PACS solutions can effectively communicate within the national healthcare network. | PACS/VNA Vendors: To ensure their solutions can be deployed and integrated seamlessly into existing or new DICOM network infrastructures. | "Pacs on Wheels" or Mobile Imaging Units: Enabling data transfer from temporary imaging sites to permanent archiving and diagnostic centers. | Disaster Recovery and Business Continuity Planning: Ensuring the ability to access and transmit critical imaging data even in the event of local system failures or natural disasters. |
Key Components and Responsibilities of the DICOM Node Integration & Routing Service:
- DICOM Node Configuration: Establishing and managing DICOM network AE Titles, IP addresses, port numbers, and communication protocols for all participating DICOM devices (e.g., imaging modalities, PACS workstations, RIS servers).
- DICOM Network Security: Implementing authentication, authorization, and encryption mechanisms to ensure the confidentiality and integrity of patient imaging data during transmission, adhering to relevant healthcare data security regulations.
- DICOM Routing Rules Definition: Defining and maintaining sophisticated routing logic based on various criteria, including modality type, study instance UID, patient ID, requesting physician, or destination institution, to ensure data is directed to the appropriate storage or viewing locations.
- DICOM Gateway Implementation: Potentially deploying and managing DICOM gateways or proxies to bridge different network segments, translate DICOM protocols, or enforce security policies between disparate systems.
- Integration with Existing Infrastructure: Seamlessly integrating the DICOM node infrastructure with existing hospital information systems (HIS), radiology information systems (RIS), and electronic health records (EHR) to enable bidirectional data flow and enhance clinical workflows.
- Troubleshooting and Performance Monitoring: Proactively monitoring DICOM network traffic, identifying and resolving connectivity issues, and optimizing performance for timely image retrieval and transmission.
- DICOM Conformance Statement Management: Ensuring all integrated DICOM devices comply with established DICOM standards and managing their respective conformance statements.
- Data Archiving and Retrieval Strategies: Developing and implementing strategies for long-term storage and efficient retrieval of DICOM studies from the PACS/VNA.
Who Needs Dicom Node Integration & Routing Service In Equatorial Guinea?
The DICOM Node Integration & Routing Service is crucial for any healthcare organization that handles medical imaging data. In Equatorial Guinea, as the healthcare sector grows and adopts digital technologies, the need for efficient, secure, and standards-compliant medical image management becomes paramount. This service ensures that medical imaging devices (nodes) can communicate seamlessly with each other and with Picture Archiving and Communication Systems (PACS) and other healthcare IT systems. It facilitates the secure transmission, storage, and retrieval of DICOM (Digital Imaging and Communications in Medicine) images, enabling better patient care, improved diagnostics, and streamlined workflows. Without proper integration and routing, medical images can become siloed, inaccessible, and pose significant challenges for healthcare providers.
| Customer Type | Specific Departments/Use Cases | Benefits of DICOM Integration & Routing |
|---|---|---|
| Public Hospitals | Radiology, Cardiology, Oncology, Neurology, Emergency, General Wards (for image viewing) | Improved inter-departmental communication of images, faster diagnosis, support for teleradiology (if applicable), better patient record management, compliance with potential future healthcare data standards. |
| Private Hospitals & Clinics | Radiology, all specialized departments | Enhanced efficiency in image workflow, reduced turnaround times for reports, potential for remote consultations, competitive advantage through advanced IT infrastructure. |
| Diagnostic Imaging Centers | Radiology, Ultrasound, CT, MRI, X-ray | Streamlined image sending to referring physicians/hospitals, efficient archiving, integration with reporting software, improved operational throughput. |
| Government Health Ministry | Health Information Management, Public Health Surveillance | Potential for national imaging data aggregation (anonymized), improved public health monitoring, standardization of imaging practices, better resource allocation. |
| Medical Equipment Vendors | Technical Support, Service Departments | Remote diagnostics and troubleshooting of imaging equipment, proactive maintenance, faster resolution of technical issues, improved customer satisfaction. |
| Healthcare IT Providers | System Integrators, PACS Administrators | Facilitation of seamless PACS integration, effective routing of DICOM studies, management of network traffic for imaging data, enhanced security of medical images. |
Target Customers & Departments in Equatorial Guinea:
- Hospitals & Clinics: These are the primary beneficiaries, from large public hospitals to smaller private clinics, all of whom generate and utilize medical imaging data.
- Diagnostic Imaging Centers: Facilities solely dedicated to performing and interpreting medical imaging procedures.
- Radiology Departments: The core department responsible for acquiring, processing, and interpreting medical images.
- Cardiology Departments: Utilizes imaging modalities like echocardiography and cardiac MRI.
- Oncology Departments: Relies heavily on CT, MRI, and PET scans for diagnosis, treatment planning, and monitoring.
- Neurology Departments: Uses MRI and CT for brain imaging and diagnosis.
- Emergency Departments: Requires rapid access to imaging for acute patient assessment.
- Healthcare IT Departments: Responsible for the implementation and management of healthcare IT infrastructure, including PACS and HIS/EMR systems.
- Government Health Ministries & Agencies: Overseeing the national healthcare system and aiming to improve data management and patient care standards.
- Medical Imaging Equipment Vendors & Service Providers: Those who install and maintain imaging equipment will benefit from integrated systems for remote support and troubleshooting.
Dicom Node Integration & Routing Service Process In Equatorial Guinea
This document outlines the typical workflow for integrating and routing DICOM (Digital Imaging and Communications in Medicine) services for healthcare providers in Equatorial Guinea. This process involves multiple stages, from initial inquiry to the final execution of data transmission and management.
| Stage | Key Activities | Responsible Parties | Deliverables/Outcomes |
|---|---|---|---|
| Inquiry & Requirements Gathering | Client expresses interest, defines needs for DICOM services, discusses existing infrastructure. | Healthcare Facility, DICOM Service Provider | Initial understanding of client needs, potential project scope. |
| Needs Assessment & Solution Design | Provider evaluates client's IT, network, and imaging equipment. Develops a tailored solution. | DICOM Service Provider | Technical assessment report, proposed solution architecture. |
| Proposal & Quotation | Provider presents detailed proposal, scope of work, timeline, and costs. SLAs defined. | DICOM Service Provider | Formal proposal document, quotation, SLA document. |
| Contracting & Agreement | Formal contract signed, outlining terms, conditions, data security, and responsibilities. | Healthcare Facility, DICOM Service Provider | Signed service contract. |
| Site Preparation & Infrastructure Setup | Client prepares premises (network, power, secure environment) as per specifications. | Healthcare Facility (with provider guidance) | Ready infrastructure for DICOM node installation. |
| DICOM Node Installation & Configuration | Provider installs and configures DICOM servers, gateways, workstations, and AE definitions. | DICOM Service Provider | Installed and configured DICOM node components. |
| Integration with Existing Systems | Connecting DICOM node to PACS, EMR/EHR, and medical imaging modalities. | DICOM Service Provider | Seamless data flow between systems. |
| Routing Rule Definition & Implementation | Defining and configuring rules for DICOM study distribution. | DICOM Service Provider (with client input) | Configured DICOM routing rules. |
| Testing & Validation | Thorough testing of functionality, data integrity, connectivity, and routing rules. UAT. | DICOM Service Provider, Healthcare Facility | Validated DICOM system, UAT sign-off. |
| Training & Handover | Training for client's IT and clinical staff. Formal handover of the system. | DICOM Service Provider | Trained personnel, system documentation, handover confirmation. |
| Go-Live & Monitoring | System becomes operational. Continuous performance and security monitoring. | DICOM Service Provider | Live DICOM services, ongoing performance metrics. |
| Ongoing Support & Maintenance | Technical support, maintenance, updates, and performance tuning. | DICOM Service Provider | Reliable and optimized DICOM services. |
DICOM Node Integration & Routing Service Workflow in Equatorial Guinea
- Inquiry & Requirements Gathering: The process begins with a healthcare facility (e.g., hospital, clinic, diagnostic center) in Equatorial Guinea initiating contact with a DICOM service provider. This involves understanding their current infrastructure, specific needs for imaging data management, and desired functionalities (e.g., PACS integration, remote access, research data sharing).
- Needs Assessment & Solution Design: The DICOM service provider conducts a thorough assessment of the facility's existing IT infrastructure, network capabilities, and existing medical imaging equipment. Based on this, a tailored solution is designed, which might include recommendations for hardware, software, network upgrades, and specific routing rules.
- Proposal & Quotation: A detailed proposal is presented to the client, outlining the proposed DICOM node integration and routing services, including scope of work, technical specifications, implementation timeline, and associated costs. This stage also includes defining Service Level Agreements (SLAs).
- Contracting & Agreement: Upon acceptance of the proposal, a formal contract is signed, detailing the terms and conditions of the service. This document will cover aspects like data security, privacy compliance (e.g., adherence to local health data regulations if applicable), payment terms, and support responsibilities.
- Site Preparation & Infrastructure Setup: The healthcare facility prepares its premises according to the agreed-upon specifications. This may involve installing new network cabling, ensuring adequate power supply, and creating a secure environment for the DICOM server or gateway. The DICOM service provider may offer guidance and oversight during this phase.
- DICOM Node Installation & Configuration: The DICOM service provider installs and configures the necessary hardware and software components. This includes setting up DICOM servers, workstations, gateways, and any intermediary routing devices. Configuration involves defining DICOM Application Entities (AEs), setting up network connections, and establishing communication protocols.
- Integration with Existing Systems: The newly installed DICOM node is integrated with the facility's existing Picture Archiving and Communication System (PACS), Electronic Medical Records (EMR)/Electronic Health Records (EHR) systems, and other relevant medical equipment (e.g., CT scanners, MRI machines, X-ray units). This ensures seamless data flow.
- Routing Rule Definition & Implementation: Specific routing rules are defined and implemented. This dictates how DICOM studies are directed to different destinations, such as local PACS, cloud storage, remote viewing stations, or external research institutions, based on predetermined criteria (e.g., modality, patient type, urgency, requesting physician).
- Testing & Validation: Comprehensive testing is performed to ensure the DICOM node functions correctly and that data is routed as per the defined rules. This includes sending test DICOM objects, verifying data integrity, checking connectivity, and confirming adherence to imaging protocols. User acceptance testing (UAT) with the client's IT and clinical staff is crucial.
- Training & Handover: The healthcare facility's IT staff and relevant clinical personnel are provided with training on how to operate and manage the DICOM node, troubleshoot common issues, and understand the routing mechanisms. A formal handover of the system is then completed.
- Go-Live & Monitoring: The DICOM integration and routing service goes live. The service provider continuously monitors the system's performance, data flow, and security. This proactive monitoring helps identify and resolve potential issues before they impact operations.
- Ongoing Support & Maintenance: Post-implementation, the DICOM service provider offers ongoing technical support, system maintenance, software updates, and performance tuning to ensure the continued smooth operation of the DICOM node and routing services.
Dicom Node Integration & Routing Service Cost In Equatorial Guinea
Implementing a DICOM Node Integration & Routing Service in Equatorial Guinea involves a nuanced cost structure influenced by several key factors. The complexity of integration, the volume of data, the required level of support and maintenance, and the specific features needed for routing all contribute to the final price. While there isn't a standardized, publicly available price list for such specialized services in Equatorial Guinea, we can outline the typical pricing factors and provide estimated ranges in local currency (Central African CFA Franc - XAF).
| Service Component / Factor | Estimated Range (XAF) | Notes |
|---|---|---|
| Initial Setup & Integration (Small to Medium Hospital/Clinic) | 1,500,000 - 5,000,000 XAF | One-time cost for basic integration with a few systems. |
| Initial Setup & Integration (Large Hospital/Multi-site Facility) | 5,000,000 - 15,000,000+ XAF | More complex, multi-site integrations, extensive legacy system handling. |
| Monthly Data Processing / Throughput Fee (per TB) | 50,000 - 200,000 XAF | Varies based on volume and provider pricing models. |
| Advanced Routing Logic Configuration | 500,000 - 2,000,000 XAF | One-time or recurring, depending on complexity and updates. |
| Ongoing Support & Maintenance (Monthly) | 100,000 - 500,000+ XAF | Tiered support levels, SLA guarantees. |
| Custom Feature Development (per project) | 2,000,000 - 10,000,000+ XAF | Highly dependent on scope and complexity. |
| Cloud-based SaaS Subscription (Monthly) | 200,000 - 1,000,000+ XAF | Includes infrastructure, software, and basic support. Varies with features and scale. |
| On-Premises Software Licensing (Annual) | 1,000,000 - 5,000,000+ XAF | Perpetual licenses with annual maintenance fees. Hardware costs are separate. |
Key Pricing Factors for DICOM Node Integration & Routing Services in Equatorial Guinea
- {"title":"Integration Complexity","description":"The number and type of existing DICOM nodes to integrate, the legacy systems involved, and the need for custom middleware development significantly impact costs. Integrating with diverse PACS, RIS, or modality vendors can increase complexity."}
- {"title":"Data Volume and Throughput","description":"Services are often priced based on the volume of DICOM studies processed or the data transfer rate. Higher volumes and real-time routing requirements will generally lead to higher costs."}
- {"title":"Routing Rules and Logic","description":"The sophistication of routing rules (e.g., routing based on study type, modality, patient demographics, or destination) will affect the initial setup and ongoing maintenance costs. Advanced, dynamic routing can be more expensive."}
- {"title":"Scalability and Performance Requirements","description":"The need for high availability, low latency, and the ability to scale the service to accommodate future growth will influence the infrastructure and software choices, thereby impacting cost."}
- {"title":"Security and Compliance","description":"Ensuring adherence to local and international healthcare data security regulations (though specific Equatorial Guinean regulations might be nascent, international standards are often followed) can add to the cost, especially if advanced encryption or audit logging is required."}
- {"title":"Vendor Expertise and Support","description":"The experience and reputation of the service provider, along with the level of ongoing technical support (e.g., 24/7, tiered support), will directly influence pricing."}
- {"title":"Hardware and Software Infrastructure","description":"Whether the service is delivered as a cloud-based solution (SaaS) or requires on-premises hardware and software installation will have a substantial impact on the initial and recurring costs."}
- {"title":"Customization and Additional Features","description":"Any bespoke development, custom reporting, integration with EMR/EHR systems, or specific workflow automation beyond basic routing will incur additional charges."}
Affordable Dicom Node Integration & Routing Service Options
Integrating DICOM nodes and implementing robust routing services can be a significant undertaking for healthcare organizations, often burdened by complex workflows and the need for specialized software. This service focuses on providing cost-effective solutions for establishing and managing these critical DICOM functionalities. We offer flexible value bundles and implement strategic cost-saving measures to ensure accessibility without compromising on essential features.
| Value Bundle Name | Included Services | Target Audience | Key Benefits | Estimated Price Range (USD) |
|---|---|---|---|---|
| Starter Node Integration | Basic DICOM node configuration (up to 3 nodes), simple routing rules, basic monitoring. | Small clinics, single-department imaging centers. | Establishes essential DICOM connectivity, cost-effective entry point. | $500 - $1,500 per month |
| Standard Workflow Suite | Advanced DICOM node configuration (up to 10 nodes), complex routing rules, HL7 integration (basic), detailed monitoring & auditing. | Mid-sized hospitals, multi-department imaging facilities. | Optimizes study flow, enhances interoperability, ensures compliance. | $1,500 - $4,000 per month |
| Enterprise DICOM Hub | Unlimited DICOM node configuration, highly customizable routing, advanced HL7 integration, high availability, dedicated support, custom reporting. | Large hospital networks, research institutions, teleradiology providers. | Centralized DICOM management, maximum flexibility, robust scalability, enhanced security. | $4,000+ per month (custom pricing) |
Key Service Offerings
- DICOM Node Configuration & Integration: Seamlessly connect PACS, modalities, workstations, and other DICOM-compliant devices.
- DICOM Routing Rules Engine: Define intelligent rules for directing studies to appropriate destinations based on modality, patient demographics, study type, and more.
- Secure Data Transfer: Implement secure communication protocols (e.g., TLS/SSL) for DICOM traffic.
- HL7 Integration (Optional): Integrate DICOM routing with HL7 messaging for enhanced workflow automation.
- Monitoring & Auditing: Real-time monitoring of DICOM traffic and comprehensive audit trails for compliance.
- Scalable Architecture: Solutions designed to grow with your organization's needs.
Verified Providers In Equatorial Guinea
In Equatorial Guinea, navigating the healthcare landscape to find reliable and qualified providers is crucial for residents and visitors alike. "Franance Health" stands out as a leading entity, offering a robust network of verified medical professionals and facilities. Their stringent credentialing process ensures that every provider associated with them meets the highest standards of expertise, experience, and ethical practice. This commitment to quality assurance provides peace of mind, guaranteeing access to safe and effective medical care. Choosing Franance Health is synonymous with opting for a healthcare experience that prioritizes patient well-being through vetted excellence.
| Provider Type | Franance Health Verification Criteria | Benefits of Choosing Verified Providers |
|---|---|---|
| Doctors (General Practitioners & Specialists) | Medical degree, valid licensure, board certification, documented years of practice, peer reviews, and background checks. | Accurate diagnoses, effective treatment plans, access to up-to-date medical knowledge, and specialized care. |
| Hospitals & Clinics | Accreditation from recognized national or international bodies, adherence to safety protocols, quality of facilities, and patient satisfaction scores. | Safe and clean environment, access to advanced medical equipment, comprehensive diagnostic and treatment capabilities, and coordinated care. |
| Nurses & Allied Health Professionals | Nursing degrees/diplomas, valid professional licenses, specialized certifications (e.g., CPR, first aid), and a demonstrated commitment to patient care. | Skilled and compassionate support, assistance with recovery, patient education, and continuity of care. |
Why Franance Health Credentials Matter
- Rigorous Verification Process: Franance Health employs a multi-faceted approach to verify the qualifications, licenses, and certifications of all their healthcare professionals.
- Emphasis on Experience: Beyond basic qualifications, they assess the practical experience and specializations of their providers to match patients with the most suitable experts.
- Commitment to Ethical Standards: All Franance Health providers adhere to a strict code of ethics, ensuring patient confidentiality and respectful care.
- Access to a Comprehensive Network: Their verified network spans various medical disciplines, offering a wide range of services from general practitioners to specialized surgeons.
- Patient-Centric Approach: The focus is always on the patient's needs, with verified providers committed to delivering personalized and high-quality medical attention.
Scope Of Work For Dicom Node Integration & Routing Service
This document outlines the Scope of Work (SOW) for the integration and routing of a DICOM (Digital Imaging and Communications in Medicine) node. The objective is to establish a reliable and efficient mechanism for receiving, processing, and routing DICOM studies and series to designated destinations. This includes technical deliverables and adherence to standard specifications.
| Deliverable | Description | Standard Specification / Requirement | Acceptance Criteria |
|---|---|---|---|
| DICOM Node Installation & Configuration | Installation and configuration of the DICOM node software on the designated server(s). This includes setting up AE Titles, network protocols, and port configurations. | DICOM Part 3 (Information Object Definitions), DICOM Part 4 (Service Class Specifications), DICOM Part 7 (Message Exchange). Specific implementation guides (e.g., IHE profiles) may apply. | Node is discoverable and reachable on the network. AE Title and network parameters are correctly configured and validated. |
| DICOM Connectivity Testing | Verification of successful communication between the new DICOM node and other DICOM entities (e.g., PACS, modalities, archiving systems). This includes C-STORE, C-FIND, and C-MOVE operations. | DICOM Part 8 (Network Communication), DICOM Part 4 (Service Class Specifications). | Successful C-STORE of test DICOM objects to the new node. Successful C-FIND and C-MOVE operations from the new node to configured destinations. |
| DICOM Routing Rules Configuration | Definition and implementation of routing logic based on incoming DICOM metadata (e.g., Study Instance UID, Patient ID, Accession Number, Modality, Referring Physician). | DICOM Part 5 (Data Structures and Encoding), DICOM Part 6 (Data Dictionary). Application-specific routing logic based on business requirements. | Demonstrated routing of test DICOM studies to pre-defined destination AE Titles based on configured rules. Verification of correct data extraction for routing decisions. |
| Routing Engine Performance | Ensuring the routing engine can handle the expected volume of DICOM objects efficiently. | No specific DICOM standard, but performance metrics (e.g., throughput, latency) will be defined based on expected load. | The system can process X DICOM objects per minute/hour with acceptable latency (e.g., less than Y seconds per object). |
| Error Handling & Logging | Implementation of mechanisms to detect, log, and report errors during DICOM reception, processing, and routing. This includes malformed DICOM objects, connectivity failures, and routing exceptions. | DICOM Part 15 (Security and System Management), industry best practices for logging and error reporting. | All errors are logged with timestamps, error codes, and relevant context. Alerting mechanisms are functional for critical errors. |
| Security & Compliance | Ensuring all DICOM data transfers are secure, encrypted (if required), and compliant with relevant healthcare regulations (e.g., HIPAA). | DICOM Part 15 (Security and System Management), TLS/SSL protocols, encryption standards (e.g., AES). | Data is encrypted in transit if specified. Access controls are implemented. Audit logs are generated for data access and transfer. |
| Documentation | Comprehensive documentation including installation guides, configuration manuals, user guides, and troubleshooting steps. | Standard technical documentation practices. | All documentation is delivered in a clear, concise, and organized manner and reviewed by the client. |
| Training (Optional) | Training session for IT staff on the operation, maintenance, and basic troubleshooting of the DICOM node and routing service. | N/A | Training session successfully delivered with participant sign-off. |
Key Objectives
- Integrate a new DICOM node into the existing PACS (Picture Archiving and Communication System) or DICOM network.
- Configure routing rules for incoming DICOM objects based on various criteria (e.g., study type, modality, destination AE Title).
- Ensure secure and compliant data transfer according to DICOM standards and relevant regulations (e.g., HIPAA).
- Provide robust error handling and logging for troubleshooting.
- Facilitate the routing of images for modalities such as CT, MRI, X-ray, Ultrasound, etc.
Service Level Agreement For Dicom Node Integration & Routing Service
This Service Level Agreement (SLA) outlines the performance and availability guarantees for the DICOM Node Integration & Routing Service. It defines the expected response times for critical operations and the guaranteed uptime of the service. This SLA applies to all customers utilizing the DICOM Node Integration & Routing Service.
| Metric | Target | Measurement Method | Remedy for Failure |
|---|---|---|---|
| Monthly Uptime Percentage | 99.9% | Calculated based on 5-minute intervals, excluding Scheduled Maintenance and Downtime Exclusions. | Service Credits: 5% of monthly fee for <99.9% but >=99.0% uptime; 10% of monthly fee for <99.0% uptime. |
| DICOM Ingestion Response Time | < 1 second for 95% of requests | Measured from the time a DICOM message is successfully sent by a customer's node to the service, to the time an acknowledgement is received. | Not applicable for response time targets. Focus is on overall service availability. |
| DICOM Routing Response Time | < 2 seconds for 95% of requests | Measured from the time a DICOM message is processed by the service for routing to the time the routed message is successfully delivered to its destination (or an acknowledgement of delivery failure is sent). | Not applicable for response time targets. Focus is on overall service availability. |
| Scheduled Maintenance Notification | At least 48 hours prior notice | Communication via email to designated customer contacts. | Not applicable for notification targets. |
Definitions
- Downtime: Any period during which the DICOM Node Integration & Routing Service is unavailable to customers, as measured by our internal monitoring systems.
- Emergency Maintenance: Planned or unplanned downtime required to address critical security vulnerabilities, hardware failures, or other urgent issues.
- Downtime Exclusions: Periods of unavailability caused by factors outside of our reasonable control, including but not limited to: force majeure events (e.g., natural disasters, acts of war), customer-side network issues, customer-initiated configuration errors, or third-party service outages that are not directly attributable to our service.
- Response Time: The time elapsed from when a request is initiated by a customer's DICOM node to when a response is successfully received from the DICOM Node Integration & Routing Service.
- Critical Operations: Key functions of the DICOM Node Integration & Routing Service, including but not limited to: DICOM message ingestion, routing, and acknowledgement.
- Monthly Uptime Percentage: The total number of minutes in a calendar month minus the number of minutes of Downtime during that month, divided by the total number of minutes in that month, expressed as a percentage.
- Scheduled Maintenance: Planned downtime communicated to customers in advance, typically for software updates, hardware upgrades, or routine maintenance.
- Service Credits: A percentage of the monthly service fee credited to a customer's account as a remedy for failure to meet the uptime guarantee.
Frequently Asked Questions

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