| CPC G16H 30/20 (2018.01) [H04L 67/2876 (2013.01); H04L 67/289 (2013.01)] | 8 Claims |

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1. A hybrid picture archiving and communication system (PACS) comprising:
a hub server-side rendering architecture comprising:
a central hub that includes a central rendering engine, a central archive that stores digital imaging and communication in medicine (DICOM) objects from a first modality coupled to the central archive, and a first proxy adapter; and
a first user device coupled to the central hub via a first wide area network (WAN) interface, wherein the central rendering engine is configured to render the DICOM objects to a first display of the first user device via the first WAN interface;
a hub and spoke server-side rendering architecture comprising:
at least one spoke that includes a regional rendering engine, a regional archive that stores at least a portion of the DICOM objects of the central archive and other DICOM objects from a second modality coupled to the regional archive, and a second proxy adapter, wherein the regional rendering engine is coupled to the central archive via a clinical data interface; and
a second user device coupled to the at least one spoke via a second WAN interface, wherein the regional rendering engine is configured to render the at least the portion of the DICOM objects or the other DICOM objects to a second display of the second user device over the second WAN interface;
an edge-side rendering architecture comprising:
a local rendering engine that is coupled to the central archive via a third WAN interface and to a local archive; and
a third user device comprising the local rendering engine or coupled to the local rendering engine via a local area network (LAN) interface, wherein the local rendering engine is configured to render at least a portion of the DICOM objects to a third display of the third user device;
a memory; and
one or more processors configured, when executing instructions stored in the memory, to:
render the DICOM objects using the hub server-side rendering architecture, the hub and spoke server-side rendering architecture, and the edge-side rendering architecture based on network parameters including a latency, a geographical proximity to a data location, and a usage pattern, wherein each of the network parameters is associated with a threshold;
establish a direction of data replication including associated data of DICOM objects, user preferences, or other configuration items, between the central hub and the at least one spoke; and
transfer medical studies between the central hub and the at least one spoke using the first proxy adapter and the second proxy adapter.
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