The eHealth Image Exchange software is a flexible, standards-based platform for sharing images and integrating workflows across a healthcare community. The solution can reduce costs and inefficiencies caused by using CDs and film to share images, and by enhancing online patient review capabilities among multi-disciplinary teams in numerous locations. Physicians across the community (including in different countries) can review current and relevant prior images from their own PACS, as well as from the PACS of other institutions. Physicians are notified via email or SMS text message when new imaging results are available.