The Aurabox Maturity Model
A structured framework for healthcare organisations to assess and advance their capabilities in sharing medical imaging across institutional, technical, and jurisdictional boundaries.
Evaluate your progress towards full interoperability
As patient care increasingly depends on timely access to comprehensive imaging records, the Aurabox Maturity Model identifies five progressive maturity levels across a set of core and enabling capabilities. It also introduces additional dimensions to support implementation readiness, and outlines a scoring methodology to assist organisations in strategic planning.
The Five Maturity Levels
Foundation
Imaging sharing is fragmented, manual, and not fit for digital care delivery. Mo...
Coordination
Some processes are structured, but imaging requests and fulfilment are still lar...
Collaboration
The organisation has made real progress: shared portals are in place, some autom...
Integration
Imaging sharing is well integrated into clinical operations. External users rece...
Standardisation
Your imaging workflows are fast, seamless, and scalable. Sharing is interoperabl...
Try it out: Evaluate your progress
Use this quick, 2 minute quiz to check your current state.
Aurabox Imaging Maturity Quiz
Answer the questions below to see your imaging maturity level:
How do authorised external providers (e.g. specialists, hospitals) access imaging?
The Model in Detail
Foundation
Imaging sharing is fragmented, manual, and not fit for digital care delivery. Most processes rely on email, CDs, or phone calls. Consent, identity validation, and compliance are either ad hoc or absent.
Next steps:
- Focus on mapping current-state workflows and identifying the most common imaging sharing pain points.
- Start by formalising consent, identity, and request logging practices.
- Pilot a basic imaging portal or retrieval solution.
Coordination
Some processes are structured, but imaging requests and fulfilment are still largely reactive. External users face delays, and staff often rely on email or manual uploads.
Next steps:
- Implement shared tools to centralise external access (e.g. request portals).
- Begin linking imaging workflows to patient onboarding or referrals.
- Establish a repeatable consent capture process and clarify responsibilities.
Collaboration
The organisation has made real progress: shared portals are in place, some automation exists, and teams have consistent workflows. External access is more reliable, but often still requires logging into separate systems.
Next steps:
- Prioritise integrating imaging into internal scheduling and referral workflows.
- Move towards policy-based sharing and role-based external access.
- Improve visibility of imaging availability for staff and external providers.
Integration
Imaging sharing is well integrated into clinical operations. External users receive timely access, requests are fulfilled automatically, and consent/identity are managed digitally. There is strong governance and confidence in processes.
Next steps:
- Expand integration to support automated patient onboarding and event-driven imaging exchange.
- Adopt DICOMWeb/FHIR APIs where possible.
- Begin working with external providers on shared governance and compliance frameworks.
Standardisation
Your imaging workflows are fast, seamless, and scalable. Sharing is interoperable, secure, and standards-aligned (FHIR, DICOMWeb, OAuth, etc). Consent, identity, and access controls are automated and enforced consistently across systems.
Next steps:
- Continue to optimise and refine processes.
- Share best practices with the broader healthcare community.
- Explore emerging standards and technologies to maintain leadership position.
Download the Complete Maturity Model
Get the full framework document with detailed guidance for each maturity level.
Ready to Advance Your Imaging Maturity?
Aurabox can help you progress through the maturity levels with our secure, cloud-based platform designed for modern healthcare providers.