I will differ with that - in clinical diagnosis support modules in major EMR's it is easy to submit data for analysis - as a matter of fact all of them integrate with data warehouse solutions and data is easily manipulated to the right format. All of the data is indexed and transcribed on the EMR side appropriate CPT and ICDN9 (10) codes entered on the procedure and diagnosis levels so all you need as a working interface to send and receive data. So the workflow might be that during the visit physician places an order for the MRI breast cancer screening - when the procedure is performed and then transcribed ordering physician typically receives some kind of message within EMR with results; at this moment it is supper easy to grab that image and send it to a third party via HL7 interface for analysis - typically that will be another order (billable or not billable) placed within an EMR - the question is how usable are the results from the legal standpoint and how they will be transcribed. No One stops me as physician to consult a psychic about patients diagnosis but legally I can't treat patients based on that From the patient's prospective that is slightly easier - solution can be integrated into the patient portal as a second opinion module and images that are available on this portal can be submitted for analysis. However that opens up a huge can of worms from the legal and customer service prospective in the scenario if the results will differ from physician diagnosys .... However - in the hospital world it is all about profits and knowing that majority of them operate on very thin budget if that solution can be used to cut some of the costs that will really fly