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Describes a new type of medical information environment which is fully web-enabled. The system can handle any type of medical information including text, physiological waveforms, images and moving images, etc. The key to the PiRiLiS design is advanced web-browser based software integrated with a full Dicom library covering all modalities. This has resulted in a fast and robust system. The system has been evaluated at a number of sites including the USC Radiology Department in Los Angeles where it is connected to a number of scanners and PACS systems in three hospitals.