What it does

Find. Connect.Exchange.

OpenShare moves DICOM, HL7, and FHIR directly between organizations. Find your partner in the Contact Directory, send a sharing agreement, and when they accept, your feeds route: PACS to PACS, engine to engine, end-to-end encrypted.

Four steps from stranger to live feed.

Cloud networks bury how connections actually get made. Here is the whole mechanic, and it all happens in the Contact web app, in a browser.

1

Find them in the directory

Search the Contact Directory for the hospital, imaging center, or vendor you need to exchange with. Every member organization is listed.

2

Send a sharing agreement

The agreement names both parties and defines exactly what routes: which feeds, which direction, DICOM, HL7, or both.

3

They accept

Nothing moves until the other side accepts. Either side can revoke at any time, and every agreement action is audit-logged.

4

Feeds route

Studies and messages flow directly between your servers, end-to-end encrypted. No cloud copy, no per-study fees.

Directory
OpenShare Contact Directory: searchable list of member organizations open to connectingOpenShare Contact Directory: searchable list of member organizations open to connecting
Step 1 · find them in the Contact Directory
Peering
Peering view listing sharing agreements with each peer, their status, grants, and connectionsPeering view listing sharing agreements with each peer, their status, grants, and connections
Steps 2–3 · agreements sent, accepted, revocable
Connections
Console Access view showing live provisioned routes with ready status and last-connected timesConsole Access view showing live provisioned routes with ready status and last-connected times
Step 4 · routes live, provisioned and monitored

The real Contact app, not mockups. Click any screenshot to see it full size.

The sharing agreement is the object your compliance team can read.

Cloud networks ask you to trust the platform. OpenShare gives every sharing relationship a named, inspectable scope.

  • Both parties named; nothing routes without an accepted agreement
  • Scope is explicit: feed types and directions, per agreement
  • Revocable by either side, instantly
  • Every agreement action logged for audit

Speaks DICOM and HL7 out loud.

Incumbent marketing rarely names the DICOM services doing the work. Your PACS admin deserves the actual service names.

DICOM, as a standard node

Your PACS sees OpenShare as a standard DICOM node, with your AE titles listed right in the app. C-STORE to send studies. Query/retrieve, C-FIND and C-GET, against any peer whose agreement allows it. Q/R works across organizations, not just inside your walls.

C-STORE · C-FIND · C-GET · AE titles in the app

HL7 and FHIR, bidirectional

Orders out, results back: ADT, ORM, and ORU route over the same agreements, in both directions. FHIR when you need it. The Open Integration Engine underneath transforms anything to anything, so mismatched feeds are a mapping, not a project.

ADT · ORM · ORU · FHIR · anything-to-anything transforms

Protocol and routing specifics, in depth, on the Exchange page.

One app to run it. Advanced mode when you want it.

The Contact app is the whole job

Directory, sharing agreements, live connections and routes: a hospital admin operates the entire exchange from one web app. No engine expertise required, nothing to install on a desktop.

find · agree · connect · monitor

Advanced mode: the full console

Complex integrations live in the Mirth & OIE console underneath: custom transforms, channel logic, message-level control. Your integration team gets the depth, and nobody else has to touch it.

transforms · channels · message-level control · optional

The data path, stated so you can check it.

Studies move directly between your gateway and theirs. When a strict firewall forces a relay, the relay carries traffic that stays encrypted end to end: OpenShare cannot decrypt your studies, and nothing is stored after delivery. Turn the relay off and the path is direct-only. The full architecture is on the security page.

The spec sheet, ungated.

Every competitor gates this behind a demo call. Here it is.

Runs onMirth Connect or Open Integration Engine, on your servers
InstallOne server plugin plus a free account. No separate VM, no appliance.
NetworkOutbound HTTPS only. No inbound ports, no VPN, no firewall changes.
EncryptionEnd-to-end (WebRTC DTLS). The relay cannot decrypt; disable it for a direct-only path.
PHIStays on your infrastructure. Optional PHI-free mode keeps PHI off the dashboard entirely.
Go-liveInstall the plugin, accept an agreement, route the first study the same day.

Heard from imaging teams.

The complaints are real. The answers fit on one line, and clicking one gives you the whole story.

The meter reads gigabytes.

Per-study billing scales with your care volume: more patients, bigger bill, same infrastructure. OpenShare’s only meter is bandwidth, at a published rate, so cost tracks the actual work of moving data, not the number of studies you care for.

X-ray ≈ half a centMRI ≈ 5¢routine CT ≈ 8¢1,000 CTs/mo ≈ $74 overage
See the full money table →

Hubs pay. Spokes connect free.

Network membership is $500 per server, per month, with 2.5 GB of transfer included and $0.25 per GB after. Every connection needs one paid member: free spokes exchange with any paid hub, and one hub covers its whole network. The tools themselves are free on your own servers.