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Spinal Frontiers · Clinical Practice · Secure Messaging

Secure Messaging & Case Sharing

Approved ways to share patient cases, images and messages with colleagues, by country, with the safeguards each provider states.

22 services · checked 6 Nov 2026

Ways to share patient cases, images and messages with colleagues safely. We list only services whose provider, or an official body, states the safeguards for health data, and that we could confirm are still operating. No service is “compliant” on its own: what matters is that your hospital or practice has approved it, signed the data processing agreement (or, in the US, a business associate agreement) and set it up correctly. Check with your information governance lead or data protection officer before you use any of them for patient data.

Before you share a case

Everywhere: use only a service your hospital or practice has approved; share the minimum needed; keep patient images off personal photo galleries; and record clinical decisions in the patient record. The official rules for each country:

United Kingdom(8)
  • NHS England Transformation Directorate: Check your organisation's policy and use only the app (if any) it has approved; IG teams should complete a DPIA, including due diligence on the provider, before an app is implemented. Commercial off-the-shelf apps may be appropriate only 'where there is no practical alternative and the benefits outweigh the risk'. Source →
  • NHS England Transformation Directorate: Messaging is not the health record: transfer clinical decisions into the formal record as soon as possible, then delete the original messages. Messages may be disclosable under FOI or subject access requests. Source →
  • NHS England Transformation Directorate: Protect the device: unlink the messaging app from your photo library, use a passcode and auto-lock, enable two-step verification, hide message notifications on the lock screen, do not let others use the device, and enable remote wipe. Source →
  • NHS England Transformation Directorate: Share the minimum patient information needed, keep clinical and social group chats separate, and review group membership regularly. Source →
  • NHS England: Confidential information sent from NHSmail to addresses outside the DCB1596 Secure Email Standard must be encrypted. Source →
  • NHS England: Where Teams is used for clinical care, clinical risk management standards DCB0129 and DCB0160 need to be applied; do not store confidential information on any device unless necessary. Source →
  • NHS England Transformation Directorate: DTAC assesses clinical safety, data protection, technical security, interoperability and usability; commissioners and providers must ensure digital health products meet national standards. New DTAC form from 24 Feb 2026, and the previous form should not be used from 6 April 2026; NHS England does not endorse third-party DTAC certification schemes. Source →
  • NHS England (DSPT): All organisations that have access to NHS patient data and systems must use the DSPT, a self-assessment against the National Data Guardian's ten standards; a supplier's DSPT status is one check when choosing a tool. Source →
Germany(3)
  • Datenschutzkonferenz (DSK): Messengers in hospitals need end-to-end encryption, devices under Mobile Device Management, contacts kept separate from the phone's address book, and treatment-relevant images stored in the hospital's IT and findable from the treatment documentation, not left on the phone; messenger use does not replace documentation duties. Source →
  • Bundesärztekammer and Kassenärztliche Bundesvereinigung: Sending confidential patient information unencrypted by email or messenger counts as an unauthorised disclosure under medical confidentiality. Source →
  • gematik: TI-Messenger is designed for short, time-sensitive exchanges; use only gematik-approved providers, so messages are interoperable across the Telematikinfrastruktur. Source →
Switzerland(1)
  • FMH: Sensitive health data must always be encrypted in digital transmission; use messengers with patients only for administrative matters and with consent; before sharing images remove or obscure all potential identifying features, and switch off cloud backup and GPS on the camera. Simple anonymisation or pseudonymisation is often not enough for teaching or social media. Source →
Austria(1)
  • Ärztekammer Wien / Bundeskurie Niedergelassene Ärzte: Until a public solution is available (expected H2 2026 at the earliest), use established systems such as DaMe, Medical Net or GNV instead of fax, and agree the preferred electronic channel with the recipient before first contact. Source →
United States(1)
  • Microsoft (vendor statement): A signed BAA does not on its own achieve compliance; the organisation is responsible for its compliance programme and how it uses the service. Source →

For teaching and conference talks, remove everything that could identify the patient, including dates, image burn-in, metadata and rare-condition details; for published cases, get the patient's written consent as your journal requires.

United Kingdom6
United KingdomMessagingSecure emailImages & files

Accurx (incl. Message Professional, patient photos)

Accurx Ltd

Who can use it
Verified NHS professionals (mainly primary care; also secondary care). Message Professional sends to any email address but warns if the domain is not on the NHS Secure Email Standard list.
Safeguards and details
Safeguards stated
Vendor states ISO 27001; DSPT assured (ODS 8JT17); Cyber Essentials and Cyber Essentials Plus; data encrypted in transit and at rest; servers in a London Microsoft Azure data centre (sensitive patient data hosted in UK or EU; some support data may be processed in the US under the UK Extension to the EU-US Data Privacy Framework). Message Professional can save correspondence to the patient record (EMIS, SystmOne, Vision) by default.
Cost
Not stated on the security page (G-Cloud supplier).

Note: Messages to non-accredited addresses are not guaranteed secure (vendor's own warning). DTAC/DCB0129 not stated on the security page. Second page used: source

Provider page →Source checked

Checked 6 Nov 2026

United KingdomCase discussionMessaging

CareFlow Connect

System C Healthcare (acquired CareFlow Connect Ltd in 2016)

Who can use it
Hospital clinicians and multidisciplinary teams in NHS trusts (e.g. Northampton General, Barking Havering and Redbridge).
Safeguards and details
Safeguards stated
System C states it is cloud-based so no patient information is stored directly on users' mobile devices; two-factor authentication at login; fully auditable (who viewed/updated). Supports photo attachments to referrals.
Cost
Not stated.

Note: Safeguard details come from a 2020 System C news item; the current System C page (source) is a customer story without security details. No ISO/DSPT/DTAC statements found on System C's pages.

Provider page →Source checked

Checked 6 Nov 2026

United KingdomMessagingVideo

Microsoft Teams within NHSmail / NHS.net Connect

NHS England via NHSmail (Microsoft Teams)

Who can use it
Staff with an NHS.net account; NHSmail and non-NHSmail users can be invited to meetings.
Safeguards and details
Safeguards stated
NHS England states 'sensitive information is protected with data encryption at rest and in transit' and that Teams 'can be protected and monitored within the NHS secure boundary when accessed via secure NHS networks'. Where used for clinical care, clinical risk standards DCB0129 and DCB0160 'need to be applied'. Advises not to store confidential information on devices unless necessary.
Cost
Cloud storage described as free; no other cost stated.

Note: Page is undated and does not explicitly say whether patient-identifiable information may be shared in Teams chats; follow local trust policy.

Provider page →Source checked

Checked 6 Nov 2026

United KingdomSecure email

NHSmail (being rebranded NHS.net Connect)

NHS England (owner); nationally commissioned

Who can use it
Health and care organisations that meet at least DSPT 'entry level'; NHS staff plus pharmacy, optometry, social care, dentistry, independent midwives and GP locums via the National Administration Service. New users must accept the Acceptable Use Policy.
Safeguards and details
Safeguards stated
Described by NHS England as 'a secure encrypted email and collaboration service'. Gateway threat detection for malware, phishing and spam. Confidential information sent to non-NHS addresses must be encrypted unless the recipient domain is on the DCB1596 Secure Email Standard list; built-in encryption feature for sending to non-secure addresses (e.g. Gmail).
Cost
Not stated on the page opened (nationally commissioned; no charge to individual users is stated).

Note: Community Pharmacy England reported on 1 Dec 2025 that the NHSmail programme is being rebranded 'NHS.net Connect' (addresses and sign-in unchanged; rollout gradual): source . Cost/funding not stated on the official page.

Provider page →Source checked

Checked 6 Nov 2026

United KingdomCase discussionMessaging

Pando (formerly Forward)

Beacon Medical Systems Ltd (London; ICO reg. ZB508928)

Who can use it
Clinicians and care teams; vendor cites 125,000+ healthcare professionals and 400+ NHS hospitals, clinics and communities.
Safeguards and details
Safeguards stated
Vendor homepage displays ISO 27001, Cyber Essentials Plus and 'DTAC Ready' logos; states 'Secure, compliant, and trusted'. NHS England dermatology digital playbook describes Pando as an 'Approved supplier on the NHS Transformation Directorate Clinical Communications Framework', with photos 'securely saved in the app rather than downloaded or saved to the user's device or in the cloud' and photo sharing linked to nhs.net email.
Cost
Not stated (vendor says 'affordable').

Note: Encryption method and hosting location not stated on the homepage. The NHSX Clinical Communications Framework ran 2020-2022 (+12 months possible), so 'approved supplier' status refers to that framework; confirm current procurement route.

Provider page →Source checked

Checked 6 Nov 2026

United KingdomImages & files

Sectra Image Exchange Portal (IEP)

Sectra (hosts the service)

Who can use it
Deployed in every acute hospital trust in England (per Sectra); also stroke and cancer networks, private healthcare groups, teleradiology providers, 3D-modelling companies; 450,000+ individual users.
Safeguards and details
Safeguards stated
Sectra describes it as a 'secure platform' giving access 'in ways that protect patient data'. No technical details (encryption, hosting, HSCN) stated on the page opened.
Cost
Not stated (contracted by trusts).

Note: Press release undated (refers to 2023 figures; Digital Health reported the same on 29 Nov 2024). Technical safeguards not documented on the public page.

Provider page →Source checked

Checked 6 Nov 2026

Germany6
GermanyMessagingImages & files

CGM TI-Messenger

CompuGroup Medical (CGM)

Who can use it
TI-connected organisations authenticated by SMC-B (practices, hospitals, pharmacies, dental labs, nursing services); users need a CGM ID or other 2FA identity meeting gematik requirements.
Safeguards and details
Safeguards stated
Product description (Nov 2025): chat content end-to-end encrypted; TLS per BSI standards; data centre in Germany with TIER IV, ISO 27001 and ISO 9001 certification; attachments up to 110 MB. gematik product approval reported Jan 2025; controlled commissioning completed and nationwide rollout announced Nov 2025.
Cost
Per CGM price list; set-up charges may apply (no figures in the document).

Note: Approval and rollout dates are from vendor-sourced trade press items (zwp-online.info), not the gematik list.

Provider page →Source checked

Checked 6 Nov 2026

GermanyMessaging

Famedly TI-Messenger

Famedly GmbH

Who can use it
Hospitals and clinics, nursing services, GPs and specialists, public bodies, pharmacies (TI-connected).
Safeguards and details
Safeguards stated
Vendor states first provider to receive gematik TI-Messenger approval (reported 9 Apr 2024); end-to-end encryption; hosted in Germany; ISO 27001 (a C5 badge is shown graphically but not named in text).
Cost
Not stated; three-month trial 'at minimal cost' mentioned.

Note: BSI C5 attestation not confirmed in text.

Provider page →Source checked

Checked 6 Nov 2026

GermanySecure email

KIM - Kommunikation im Medizinwesen

Specification by gematik; service from approved KIM providers

Who can use it
Only healthcare users listed in the KIM address directory (SMC-B/HBA holders: practices, pharmacies, hospitals, care facilities; also chambers, insurers, accident insurers). TI access required.
Safeguards and details
Safeguards stated
gematik states every KIM message is 'automatically encrypted and signed', only the recipient can decrypt, sender/recipient details signed and checked; only approved KIM providers may be used.
Cost
Not stated on the page opened.

Note: Suited to letters and findings rather than real-time case discussion; attachment limits and costs not on this page.

Provider page →Source checked

Checked 6 Nov 2026

GermanyMessaging

TI-Messenger (TI-M) - national standard

Standard set and providers approved by gematik; delivered by commercial approved providers

Who can use it
Health professionals of all professions; institutions via SMC-B card, self-employed via electronic health professional ID (eHBA). TI-M ePA lets statutorily insured patients message professionals and insurers (since July 2025). TI-M Pro since April 2024.
Safeguards and details
Safeguards stated
gematik requires the open Matrix protocol and a gematik approval (Zulassung) for each provider/product; states 'every communication via the TI-Messenger is protected several times against third-party access'. Intended for short, time-sensitive ('flüchtige') communication.
Cost
Not stated by gematik (set by each provider).

Note: Uptake still modest: gematik dashboard figures reported 9 Mar 2026 show 7,309 institutions using a TI-Messenger (Pharmazeutische Zeitung).

Provider page →Source checked

Checked 6 Nov 2026

GermanyImages & files

TKmed (Telekooperation in der Medizin)

Joint product of AUC GmbH, NEXUS / CHILI GmbH and pegasus gmbh

Who can use it
Medical facilities from GP practices to university hospitals; 1,250+ connected participants; originated as the trauma-surgery network.
Safeguards and details
Safeguards stated
Website describes the network as secure and data-protection compliant; no encryption method, hosting location or certification stated on the homepage.
Cost
Price categories for hospitals, rehab clinics, radiology/cardiology practices and other practices; amounts not on homepage.

Note: Technical safeguards not documented on the public homepage; ask the provider for the DPA and technical-organisational measures.

Provider page →Source checked

Checked 6 Nov 2026

GermanyImages & files

Westdeutscher Teleradiologieverbund (now connectMT)

MedEcon Telemedizin GmbH (MedEcon Ruhr)

Who can use it
About 750-770 clinics and practices; joining via the provider.
Safeguards and details
Safeguards stated
Describes exchange as secure and shows a GDPR (DSGVO) badge; encryption method not described.
Cost
Not stated.

Note: Network appears to be branded connectMT now; technical safeguards not documented on the public page.

Provider page →Source checked

Checked 6 Nov 2026

Switzerland2
SwitzerlandSecure email

HIN Mail / HIN Mail Global

Health Info Net AG (HIN)

Who can use it
HIN Community members (health and social care professionals, practices, hospitals, organisations in Switzerland); HIN Mail Global allows encrypted mail to non-members, who register once with a mobile number.
Safeguards and details
Safeguards stated
HIN states it enables 'privacy-compliant sending of sensitive data by email'; HIN-encrypted mails are marked [HIN secured]; HIN website lists an ISO 27001 certification page.
Cost
Membership-based; prices not on the pages opened.

Note: Encryption details come from the HIN booklet v7.0 (Nov 2022): source . ISO 27001 scope not read.

Provider page →Source checked

Checked 6 Nov 2026

SwitzerlandMessagingVideo

HIN Talk

Health Info Net AG (HIN), technology by Threema (Threema OnPrem)

Who can use it
Health and social care professionals with HIN membership; within and between organisations (patient communication planned).
Safeguards and details
Safeguards stated
HIN: short messages and video telephony within the HIN trust space. Threema (25 Nov 2025): HIN Talk 'is now based on Threema OnPrem', keeping data within Switzerland.
Cost
Part of HIN membership; prices not stated.

Note: end-to-end encryption not explicitly stated in the sources read (Threema products are generally E2E, but not stated for HIN Talk here).

Provider page →Source checked

Checked 6 Nov 2026

Austria2
AustriaSecure emailImages & files

DaMe - Datennetz der Medizin

A1 Telekom Austria

Who can use it
Practices, labs, pharmacies, hospitals and other providers; linked to e-card (GIN) connection or broadband. Listed by Ärztekammer Wien as an established fax replacement used by SVS, PVA, AUVA and several hospitals.
Safeguards and details
Safeguards stated
A1 brochure: findings transfer relies on digital signatures and a secured network connection (GIN); online backup encrypted before transfer. Encryption method for findings transfer not described.
Cost
Packages (receive / send-receive / Wahlarzt); prices not shown.

Note: A1 brochure date unclear (footer '08/16' but references 2018 law). Official-body listing: Ärztekammer Wien fax-replacement overview (updated 5 Feb 2026): source . Not designed for real-time case discussion.

Provider page →Source checked

Checked 6 Nov 2026

AustriaSecure emailImages & files

MEDICAL NET

CGM (CompuGroup Medical) Österreich / HCS GmbH

Who can use it
Doctors, clinics, labs, radiologists, institutes, authorities; 3,000+ participants (vendor).
Safeguards and details
Safeguards stated
CGM states 'TÜV-audited security mechanisms' protect the network and C-BOX sends data 'sicher verschlüsselt'; method not named.
Cost
Quote-based.

Note: Listed by Ärztekammer Wien (5 Feb 2026) among recommended fax replacements (DaMe, Medical Net, GNV) until a public solution arrives (expected H2 2026 at the earliest).

Provider page →Source checked

Checked 6 Nov 2026

Europe-wide3
Europe-wideCase discussionMessagingImages & files

Doctolib Connect (formerly Siilo)

Doctolib (acquired Siilo; renamed Doctolib Connect, announced Nov 2025)

Who can use it
Verified healthcare professionals; directory widened in 2025 from physicians to all health professions; vendor cites 300,000+ users in Germany.
Safeguards and details
Safeguards stated
Vendor security page: end-to-end encryption of messages, photos, videos, files and calls; ISO 27001 and NEN 7510 certified; C5 Type 1 attestation; annual NHS Data Security and Protection Toolkit submission; GDPR; Secure Camera saves media to in-app 'Connect Media', not to the phone gallery or iCloud/Google Drive/Dropbox.
Cost
Messenger free to download; 'Connect for Organisations' tailored/paid.

Note: Siilo did not shut down; it was renamed. Hosting location not stated on the security page. An outage of the messaging function was logged on a third-party status site (isdown.app) - not significant for status. Not part of the German TI-Messenger network.

Provider page →Source checked

Checked 6 Nov 2026

Europe-wideMessagingImages & files

Threema Work (health)

Threema GmbH (Switzerland)

Who can use it
Organisations (hospitals, clinics, care services) that buy licences; vendor claims 900+ clinics, healthcare facilities and care services worldwide (e.g. Spital Thun, Spital Emmental, KSW Winterthur, Kinderklinik Dritter Orden Passau).
Safeguards and details
Safeguards stated
Vendor states end-to-end encryption and zero-knowledge architecture; no phone number/email required; data in ISO 27001-certified data centres in Switzerland or self-hosted (OnPrem); GDPR and Swiss FADP; DPA included as standard; open-source apps, externally audited cryptography; central admin can revoke access.
Cost
Subscription: Core 3.00, Professional 5.00 per user per month (CHF/EUR/USD); 30-day free trial for up to 30 users.

Note: General business messenger, not a health-specific product or medical device; compliance statements are the vendor's own; use only the organisation-managed Work version, not private Threema.

Provider page →Source checked

Checked 6 Nov 2026

Europe-wideCase discussionImages & files

Join (Allm)

Allm Inc. (DeNA group, Japan)

Who can use it
Hospital teams contracted with Allm (e.g. stroke/emergency networks).
Safeguards and details
Safeguards stated
Vendor states CE mark (DECA5900190121), FDA listing D245938 and other registrations; ISO 27001 (ISMS); patient data anonymised at gateway server; on-device chat data encrypted; VPN between hospital and cloud; TLS; app passcode; images cannot be downloaded and cache cleared.
Cost
Quote-based; options extra.

Note: MDR class and EU hosting location not stated; European availability and support should be confirmed with Allm. Company active in 2026 (press release 4 Jun 2026).

Provider page →Source checked

Checked 6 Nov 2026

United States3
United StatesMessagingVideo

Doximity

Doximity, Inc.

Who can use it
Identity-verified US healthcare professionals.
Safeguards and details
Safeguards stated
Vendor states TLS 1.2, DTLS/SRTP for video, AES-256 at rest; SOC 2 Type 2; signs a BAA with each user at registration and institutional BAAs for enterprise customers.
Cost
Not stated on the security page.

Note: US-focused; not relevant for UK/EU patient data.

Provider page →Source checked

Checked 6 Nov 2026

United StatesMessagingImages & filesVideo

Microsoft Teams (Microsoft 365 / Office 365) with HIPAA BAA

Microsoft

Who can use it
Organisations that are HIPAA covered entities or business associates.
Safeguards and details
Safeguards stated
Microsoft states its HIPAA BAA is available by default through the Microsoft Online Services Data Protection Addendum; Teams is listed in scope for Office 365 Commercial and GCC. Microsoft also states 'using Microsoft services doesn't on its own achieve HIPAA compliance'.
Cost
Microsoft 365 subscription.

Note: Configuration and governance by the organisation determine compliance.

Provider page →Source checked

Checked 6 Nov 2026

United StatesMessaging

TigerConnect

TigerConnect Inc.

Who can use it
US health systems and physician practices of all sizes (vendor).
Safeguards and details
Safeguards stated
Vendor markets 'HIPAA Compliant Messaging Software for Healthcare'; states end-to-end encryption, HITRUST certification, PIN lock, access reports and audit logs, and message auto-deletion.
Cost
Quote-based.

Note: BAA not mentioned on the product page. US-oriented; GDPR/UK GDPR suitability not documented.

Provider page →Source checked

Checked 6 Nov 2026

All platforms A–Z

The same services listed by platform rather than by country, with where each is used. Services offered across Europe, such as Doctolib Connect (formerly Siilo) and Threema Work, appear under each European country tab above.

22 platforms(22)
PlatformTypeWhere it is usedProvider
Accurx (incl. Message Professional, patient photos)Messaging · Secure email · Images & filesUnited KingdomAccurx Ltd
CareFlow ConnectCase discussion · MessagingUnited KingdomSystem C Healthcare
CGM TI-MessengerMessaging · Images & filesGermanyCompuGroup Medical
DaMe - Datennetz der MedizinSecure email · Images & filesAustriaA1 Telekom Austria
Doctolib Connect (formerly Siilo)Case discussion · Messaging · Images & filesEurope-wideDoctolib
DoximityMessaging · VideoUnited StatesDoximity, Inc.
Famedly TI-MessengerMessagingGermanyFamedly GmbH
HIN Mail / HIN Mail GlobalSecure emailSwitzerlandHealth Info Net AG
HIN TalkMessaging · VideoSwitzerlandHealth Info Net AG
Join (Allm)Case discussion · Images & filesEurope-wideAllm Inc.
KIM - Kommunikation im MedizinwesenSecure emailGermanySpecification by gematik; service from approved KIM providers
MEDICAL NETSecure email · Images & filesAustriaCGM
Microsoft Teams (Microsoft 365 / Office 365) with HIPAA BAAMessaging · Images & files · VideoUnited StatesMicrosoft
Microsoft Teams within NHSmail / NHS.net ConnectMessaging · VideoUnited KingdomNHS England via NHSmail
NHSmail (being rebranded NHS.net Connect)Secure emailUnited KingdomNHS England
Pando (formerly Forward)Case discussion · MessagingUnited KingdomBeacon Medical Systems Ltd
Sectra Image Exchange Portal (IEP)Images & filesUnited KingdomSectra
Threema Work (health)Messaging · Images & filesEurope-wideThreema GmbH
TI-Messenger (TI-M) - national standardMessagingGermanyStandard set and providers approved by gematik; delivered by commercial approved providers
TigerConnectMessagingUnited StatesTigerConnect Inc.
TKmed (Telekooperation in der Medizin)Images & filesGermanyJoint product of AUC GmbH, NEXUS / CHILI GmbH and pegasus gmbh
Westdeutscher Teleradiologieverbund (now connectMT)Images & filesGermanyMedEcon Telemedizin GmbH

Why WhatsApp and similar apps are not listed

Consumer messengers (WhatsApp, Signal, Telegram and similar) are not listed because no official body endorses them for patient data, and several advise against them. Positions differ by country. In England, NHS England's current guidance does not name or ban specific apps, but allows commercial off-the-shelf messaging only where there is no practical alternative and the benefits outweigh the risk, after a DPIA and within organisational policy. It flags concern about special category data passing through servers outside the UK. Community Pharmacy England (updated July 2026) notes NHS guidance 'previously advised' that apps such as WhatsApp or Telegram can be appropriate in those limited circumstances, but says 'When in doubt, use more secure NHS-approved systems'. In Germany, the Datenschutzkonferenz (2019) found that common consumer messengers do not, or only partly, meet data protection requirements, and that problems with WhatsApp 'largely exclude' its use in hospitals. The issues it names include metadata use, contact upload and the lack of hospital control, rather than message encryption alone. The Brandenburg data protection commissioner warned in 2022 that doctors should not use WhatsApp for work (press report). In the Netherlands, the Autoriteit Persoonsgegevens said in 2016 that WhatsApp 'does not meet the standards for exchanging information about patients' (press report). In Switzerland, the FMH (2024) limits messengers with patients to administrative matters with consent and requires encryption for health data. Main reasons common to all of these: no contract or DPA with the organisation, data stored on personal phones and in photo galleries and cloud backups, address-book upload, servers outside the jurisdiction, and no link to the patient record.

How we compile this page

Each entry records only what the provider's own page, or an official body, states, checked on the date shown. Inclusion is not an endorsement, and NSpine has no commercial relationship with any of these providers. This page is not legal advice. Services change names and owners often (Siilo is now Doctolib Connect; Forward is now Pando), so we re-check this page every quarter.

Left out or not yet confirmed:

  • Not listed: Hospify (closed in January 2022) and Medic Bleep (its website could not be confirmed as operating).
  • Siilo was renamed Doctolib Connect, and Forward is now Pando; each is listed once under its current name.
  • Germany: gematik's full list of approved TI-Messenger providers is being checked.
  • Austria: there is no national messaging service for clinicians; DaMe and Medical Net transfer findings between named recipients.
  • Safeguard details for Sectra IEP, TKmed and connectMT are not published on their public pages; ask the provider for the data processing agreement.
  • Ireland, Scotland, Wales and Northern Ireland image-sharing systems are still to be added.

To open the scans themselves on your own computer, see Viewing Scans (DICOM).

Know a service that should be here? Tell us at spinalfrontiers@nspine.com.

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