The orders are already in your EMR as HL7 messages — but the imaging devices can't read HL7. Core MWL bridges the two: it ingests the orders and serves them back to the modalities as a standard DICOM Modality Worklist.
It is the HL7/MWL slice extracted from the flagship Router, so the routers stay pure-DICOM. Order-in to worklist-out — nothing more. When a site just needs a worklist, this is exactly that, without standing up a full RIS.
At a glance
The problem it solves
The tech re-keys patient name, MRN, accession and procedure by hand at the console for every exam. Typos become mismatched studies and reconciliation work downstream.
The orders already exist in the EMR as HL7 messages, but the imaging devices speak DICOM Modality Worklist, not HL7. Bridging the two usually means standing up a full RIS — or the whole flagship Router — for a job that is really just order-in, worklist-out.
An HL7 listener ingests the orders into an encrypted store, and a DICOM MWL C-FIND SCP serves them straight to the modalities as a worklist. The tech picks the patient from the device's worklist; demographics and the accession flow through automatically.
It is only the HL7/MWL slice — so a site that needs a worklist gets exactly that, without the routing, storage and transformation surface of the full Router.
What it does
An HL7 listener fills an encrypted order store; a DICOM MWL C-FIND SCP serves it back to your modalities. Everything below is part of the shipping product.
Take the orders that already exist in the EMR, straight off the wire.
Hand the same orders back to the imaging devices as a worklist they can read.
Configure the listeners the way the site is wired, and change them without downtime.
The order store holds patient data, so it is treated like it.
By design, Core MWL stays in its lane. It does not route or store medical images — that is the routers — and it does not generate orders from exams — that is the Encounter Engine. Order-in to worklist-out only.
See it
Live captures from a running installation — click any screen to enlarge it.
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The worklist exactly as a modality sees it — every scheduled procedure step, searchable, identifiers masked by role.
Availability
Core MWL ships today as a Windows MSI and a self-contained Linux build — the same product installs the same on both. The web console runs on HTTP :5123 for configuration and monitoring; the HL7 MLLP listener and the DICOM MWL C-FIND SCP are the two production interfaces.
Like every member of the Router family, Core MWL is non-device software under FD&C Act §520(o)(1)(D). It moves order data between HL7 and DICOM Modality Worklist; it does not interpret images, generate orders from exams, or route or store medical images.
Documentation
Every Core MWL deployment ships with the documents below, all managed under SynthQMS document control. The DICOM Conformance Statement is publicly available; the rest are shared under mutual NDA.
| Document | Title | Notes |
|---|---|---|
| DOC-2026-524 | Hardware & Software Requirements (Core MWL) | Sizing, OS support, dependencies |
| DOC-2026-521 | DICOM Conformance Statement (Core MWL) | Public — full SOP class + transfer-syntax matrix |
| DOC-2026-522 | EULA Annex (Core MWL) | Annex to the Synthology Master EULA (DOC-2026-063) |
| DOC-2026-526 | Penetration Test Report (Core MWL) | Available under NDA |
| DOC-2026-527 | QA Runner Operator Work Instructions (Core MWL) | Internal QA + customer-validated test runs |
| DOC-2026-523 | End-User Guide (Core MWL) | Operator + administrator workflows |
| DOC-2026-525 | Installation Guide (Core MWL) | Includes MSI deploy + Linux tarball install |
Core MWL-specific documents beyond the standard set. Items marked Pending are tracked for authoring under SynthQMS change control.
| Document | Title | Notes |
|---|---|---|
| DOC-2026-528 | Third-Party Software Attribution (Core MWL) | Open-source components + licences |
XyDromatics Core MWL takes your HL7 orders and serves them to your imaging devices as a standard DICOM Modality Worklist — order-in to worklist-out, nothing more. Available now on Windows and Linux.
