UltraBROKER is a standards-based interface engine for collecting healthcare level seven (HL7) information from a variety of information systems to route, transform messages types, and distribute results and multiple standards within the healthcare environment. The UltraBROKER system listens for queries from the PACS and DICOM modalities and delivers the appropriate message type. The UltraBROKER service provides a DICOM Modality Worklist to the modalities which enables the technologist to correctly match the correct demographics to an exam. UltraBROKER is a standards based interface engine and available with or without the use of VPNs.