Multi-location exchange of medical images and data

A method to exchange medical data between a cloud repository on a cloud server and a plurality of local repositories on a plurality of local servers connected to the cloud server, wherein the plurality of local servers comprises a first local server coupled to at least one of an external device, an external medium, and an imaging device, and the plurality of local repositories comprises a first local repository on the first local server, the method comprising causing the first local server to:

• obtain raw image data from the at least one of the external devices, the external medium, and the imaging device;
• transmit, in response to a request by a user to access a medical image associated with a predetermined patient, an image retrieval request to the cloud server, wherein the image retrieval request is associated with the predetermined patient and causes the cloud server to determine whether the raw image data associated with the image retrieval request is stored in the cloud repository or stored in the first local repository as local data;
• when the cloud server determines that the raw image data is stored in only the cloud repository, receive the medical image that the cloud server generates using the raw image data stored in the cloud repository by a cloud image generation program stored in the cloud server;
• when the cloud server determines that the raw image data is stored in both of the cloud repository and the first local repository, receive, from the cloud server, an instruction to generate the medical image locally using the raw image data stored in the first local repository without receiving the raw image data from the cloud server;
• generate the medical image, using the raw image data stored in the first local repository as the local data, by a local image generation program stored in the first local server;
• and
• display the generated medical image on a display.

A non-transitory computer-readable medium (CRM) storing instructions that cause a first local server coupled to a computer to perform an operation to exchange medical data between a cloud repository on a cloud server and a plurality of local repositories on a plurality of local servers connected to the cloud server, wherein the plurality of local servers comprises a first local server and the plurality of local repositories comprises a first local repository on the first local server, the operation comprising causing the first local server to:

• transmit, in response to a request by a user to access a medical image associated with a predetermined patient, an image retrieval request to the cloud server,
• wherein the image retrieval request is associated with the predetermined patient and causes the cloud server to determine whether raw image data associated with the image retrieval request is stored in the cloud repository or stored in the first local repository as local data;
• when determining that the raw image data is stored in only the cloud repository, receive the medical image that the cloud server generates using the raw image data stored in the cloud repository by a cloud image generation program stored in the cloud server;
• when determining that the raw image data is stored in both of the cloud repository and the first local repository, receive, from the cloud server, an instruction to generate the medical image locally using the raw image data stored in the first local repository;
• generate the medical image, using the raw image data stored in the first local repository as the local data, by a local image generation program stored in the first local server;
• and
• display the generated medical image on a display.

A system that exchanges medical data, comprising:

• a local server connected to a cloud server;
• and
• a local repository on the local server,
• wherein the local server:
• transmits, in response to a request by a user to access a medical image associated with a predetermined patient, an image retrieval request to the cloud server,
• wherein the image retrieval request is associated with the predetermined patient and causes the cloud server to determine whether raw image data associated with the image retrieval request is stored in the cloud repository or stored in the local repository as local data;
• when determining that the raw image data is stored in only the cloud repository, receives the medical image that the cloud server generates using the raw image data stored in the cloud repository by a cloud image generation program stored in the cloud server;
• when determining that the raw image data is stored in both of the cloud repository and the first local repository, receives, from the cloud server, an instruction to generate the medical image locally using the raw image data stored in the first local repository;
• generates the medical image, using the raw image data stored in the first local repository as the local data, by a local image generation program stored in the first local server;
• and
• displays the generated medical image on a display.