Lundberg N has completed her PhD in year 2000 from Gothenburg University and postdoctoral studies from Karolinska Institutet. She is the national R&D manager for the Swedish national citizen e-health services. She has published more than 30 papers in reputed journals and serving as an editorial board member of repute.


The introduction on medical Clouds is changing the way that work practice and planning of work are conducted in the radiology department and between radiology departments. Today, the need for sharing of information between organizations is increasing in parallel with the growth in both patient mobility and healthcare specialization. This sets demands on the information infrastructure in use regarding interoperability issues as well as distribution problems with the focus on metadata quality in the information shared. Previously radiology work was supported by a complex manual information distribution process; it was supported by shelves, tables, boards, transporters, tape- recorders, secretaries, telephones etc. Yesterday’s radiology work was in general supported by local RIS and PACS systems in VGR, printers, faxes, CD-burners, administrative support etc. were used for sending and receiving between departments and organizations. Today in Region Västra Götaland the information infrastructure bridge the local to the enterprise workflow. The radiology virtual workflow shared in the X-cloud has no longer any physical boundaries in VGR. It opens up for new services for all healthcare actors. We will describe in this paper our experience in using teleradiology as a service in a medical cloud that has been in use since 2006. Traditional teleradiology lacks the information needed to complete the diagnostic work. The teleradiologist will receive the same information related to the examination as the local radiologist does in his or her RIS/PACS. Reports written will be dynamically shared in X-cloud using Structured Reports (SR) as well as HL7 Inbound/Outbound messages between involved RIS.