AltaPACS has developed applications to receive electronic order information using the HL7 protocol, track each order for billing purposes, and return dictated reports directly back into the hospital radiology information system. The systems operate in real time without manual intervention by the hospitals. AltaPACS has also designed systems to protect the transmission of DICOM image files over low-bandwidth, high-latency networks allowing hospitals to have access to remote radiologists 24/7.