The effective delivery of health cara has become increasingly dependent on a wide range of medical data that includes a variety of images. Manual and computer-based medical records ordinarily do not contain image data, leaving the physician to deal with a fragmanted patient record widely scattered throughout the hospital. The Department of Veterans Affairs is currently installing a prototype hospital information system workstation network to demonstrate the feasibility of providing image management and communications functionality as ah integral part of an existing hospital information system. The core of this system is a data base management system adapted to handle images as a new data type. A general modal for this network-based integration is discussed and various alternative architectures are examined. This is a US government work. There are no restrictions on its use.KEY WORDS: image management, hospital information system, HIS, image integration, data type, multimedia data base management system, automated clinical record.

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Two simple palladium(II) pyridine-2,6-dicarboxamide complexes coordinated to CuAAC derived "click" 1,2,3-triazole ligands are described. Addition of a more basic 4-dimethylaminopyridine (DMAP) ligand to these palladium(II) "click" complexes leads to complete displacement of the 1,2,3-triazole ligands by DMAP. The process can be completely reversed by treatment with acid. Figure 2. Partial stacked 1 H NMR spectra ([D 6 ]DMSO, 400 MHz, 298 K) of a) [(L1)Pd(DMAP)], b) a 1:1 mixture of [(L1)Pd(tri)] and DMAP, c) a 1:1 mixture of [(L1)Pd(tri)] and DMAP after addition of TsOH (1.2 equiv.), d) the acidic mixture shown in (c) after addition of NaOH (1.2 equiv.) and e) [(L1)Pd(tri)].