Enterprise Veterinary Imaging and Workflow Platform

The vendor required to provide enterprise veterinary imaging and workflow platform that is order-driven and natively integrated with instinct vet and other institutional systems.
- Solution must improve imaging data accuracy and accessibility, streamline clinical workflows, comply with applicable standards, and scale to support ambulatory and on-campus use now and in the future.
- Deployments in academic and research environments and proven EMR integrations.
- The platform must provide robust security and auditing, role-based access with SSO, secure information sharing, and comprehensive reporting and analytics to support clinical care, teaching, and research.
- Core business objectives
1. Enable order-driven clinical imaging workflow
•    Enable instinct vet–initiated imaging orders to drive accurate association of patient and order identifiers with imaging studies, minimizing manual data entry and reducing the risk of duplicate or mismatched records. 
•    The solution should operate in a vendor-neutral manner and avoid reliance on PACS-vendor-branded imaging equipment, acquisition hardware. 
•    Support results write-back to instinct with deep, secure links to the viewer. 
•    Support offline and field (ambulatory) image capture, including secure manual upload workflows where connectivity or equipment limitations require it, with support for subsequent association and reconciliation of studies to the originating imaging order.
2. Strengthen security, privacy and compliance
•    Support applicable components of the current DICOM standard (NEMA ps3, current edition) relevant to image acquisition, storage, retrieval, and interoperability. 
•    Maintain audit logs for system access and image activity. 
•    Vendors must clearly describe their logging and data retention capabilities.
3. Ensure scalability, resilience and future-readiness
•    Support scalable deployment models that accommodate growth in imaging volume and provide resilience and continuity of access during network or connectivity disruptions. 
•    Utilize standards-based interfaces and data formats to enable integration with future imaging modalities, and avoid proprietary dependencies that would create vendor lock-in. 
•    Support telemedicine and teleradiology for remote consultations and second opinions with secure sharing.
4. Data portability and operations
•    Provide appropriate operational visibility and monitoring for vendor-managed PACS components, including mechanisms to detect service issues and notify CVM of service impacting events. 
•    Include implementation, migration, training, and go-live support with clear acceptance testing and rollback plans.
- System requirements
1. Platform overview
•    Platform components and deployment options (on-prem, hosted, hybrid).
•    List all imaging modalities and media types you support 
•    We require CR/DR, CT, ultrasound, fluoroscopy, endoscopy, and MRI.
•    Solution must support simultaneous multi-user access across clinic-based and ambulatory imaging workflows without impacting clinical performance.
2. Order-driven workflow and modality worklist
•    The proposed solution must support order-driven imaging workflows initiated from instinct EMR. 
•    Solution must include mechanisms to associate and reconcile imaging studies to the correct patient, visit, and order when automated association is incomplete or unavailable. 
•    The reconciliation process, including applicable matching rules, user interface functions, exception handling, and audit trail capabilities. 
•    Provide one or more workflow diagrams illustrating representative imaging workflows, including if applicable:
o    Order-to-acquisition via DICOM modality worklist (MWL); and 
o    Manual acquisition or upload with subsequent reconciliation. 
o    If the vendor supports any optional, non-standard mechanisms that assist with metadata population at acquisition, these may be illustrated separately and must be clearly identified as non-standard.
3. Diagnostic viewing (zero-footprint)
•    The proposed solution must include core diagnostic viewing tools suitable for routine veterinary imaging workflows. 
•    These tools shall include:
o    Window/level (WL/WW) and manual brightness and contrast adjustments. 
o    Basic color mapping and grayscale inversion. 
o    Measurement tools for distance, angle, and area applicable to common veterinary imaging use cases. 
o    Annotation tools such as text, arrows, and freehand markup. 
o    Cine playback for ultrasound and fluoroscopy studies; and 
o    Study comparison capabilities for reviewing current and prior images.
•    Provide a complete list of all diagnostic tools included with the proposed solution and may describe any optional or value-added tools (such as multiplanar reconstruction, fusion, or other advanced visualization features) that further enhance diagnostic workflows but are not required for baseline compliance.
4. Reporting and documentation
•    Solution must support the association of diagnostic imaging reports or clinical imaging notes with imaging studies.
•    Reporting and documentation workflows are implemented, including where reports are authored, how users access and review reports within the web-based environment, and how report status (e.g., preliminary, final) is represented.
•    The platform must support report archival and distribution in standard formats (e.g., pdf) and provide secure deep linking that allows authorized users to access associated studies and images directly from the electronic medical record (EMR) or other institutional systems.
•    Reports are stored, retrieved, and shared over time, including retention considerations and audit traceability for report access and modifications.
5. Ambulatory and field capture
•    Solution must support imaging workflows for ambulatory and field operations. 
•    The system must enable images acquired in locations without reliable network connectivity to be securely captured and later incorporated into the PACS environment, with appropriate association to the patient record and, where available, the originating order.
•    Solution supports ambulatory and field capture workflows, including any offline functionality, local storage or caching, manual or automated import processes, and reconciliation workflows that allow imaging data collected off-network to be securely associated with the correct patient, visit, and order.

- Contract Period/Term: 5 years