We designed the image-enabled EHR sharing solution (i-EHR) for cross-enterprise and cross-domain with
SOA architecture and combined the grid-based image management and distribution capability, which are
compliant with IHE XDS-I/XCA integration profiles. We selected one districts with four hospitals and two
hospital groups as image sharing pilot testing bed. Our approach presented in this presentation uses
peer-to-peer mode to share and exchange image data cross enterprise PACSs and domains, which provides
single point of services to local systems so it is easy to integrate with different vendor's PACS and easy to
deploy to different hospitals to implement the i-EHR.