Overview
Health systems are rapidly adopting digital pathology solutions, but many struggle to scale beyond the lab without creating new silos. Hyland enterprise imaging, powered by an FDA‑cleared diagnostic pathology from Tribun Health, enables health systems to modernize pathology while extending it securely across the enterprise.
Together, Tribun Health and Hyland connect pathology imaging, clinical context and long‑term image management across the organization — without compromising diagnostic workflows or regulatory clarity.
A digital pathology solution without silos
Pathology should be part of the longitudinal patient record, not locked in the lab.
Hyland Enterprise Digital Pathology integrates FDA‑cleared primary diagnosis workflows from Tribun Health with Hyland’s enterprise imaging foundation. This approach allows pathology to scale across care teams and specialties while preserving diagnostic rigor and compliance.
The integrated solution
Primary diagnosis: Tribun Health
Tribun Health delivers an FDA‑cleared digital pathology solution designed specifically for primary diagnosis. The solution supports confident, efficient and compliant diagnostic workflows.
Capabilities include:
Whole slide imaging review for primary diagnosis
Case‑centric workflows that unify slides, metadata and clinical context
Pathologist‑focused tools that support diagnostic confidence, efficiency and collaboration
A scalable digital foundation that supports standardization across labs and sites
Tribun Health remains the system of record for diagnostic pathology, ensuring clinical confidence and regulatory compliance.

How to make an enterprise-wide impact with enterprise imaging
The MetroHealth System wanted to devise an enterprise imaging strategy that would make considerable impact on the entire health system. With a little help from Hyland, the health system did just that.
In the first three years after rollout, 8,000 MetroHealth staff members viewed more than 4.7 million images. At that point, the health system already had more than 5.5 million images stored in Hyland Acuo.
Enterprise viewing: Hyland NilRead
NilRead extends the value of digital pathology beyond the lab by delivering a longitudinal patient imaging record that connects pathology with radiology, cardiology, dermatology, ophthalmology and other clinical imaging content.
With NilRead, organizations can:
Present pathology images alongside other diagnostic imaging as part of a unified patient record
Enable contextual review for tumor boards and multidisciplinary care teams
Support collaboration and clinical education across specialties
NilRead serves as the enterprise clinical viewer, extending access to pathology in context while preserving the integrity of primary diagnostic workflows.
Enterprise imaging platform: Hyland Acuo
Acuo delivers a vendor neutral archive that supports long‑term management of whole slide imaging and associated pathology content as data volumes grow. Acuo enables health systems to:
Centrally archive pathology alongside other imaging specialties
Apply policy‑based life cycle management for retention, storage tiering and governance
Reduce vendor lock‑in with a standards‑based enterprise imaging foundation
Scale infrastructure in a cost‑effective manner
Acuo ensures that pathology content is securely retained, governed and accessible as part of a broader enterprise imaging strategy.

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Digital pathology solution brings enterprise-wide value
For pathology:
Primary diagnosis remains within an FDA‑cleared Tribun Health platform
Seamless access to historical cases and enterprise imaging context
Reduced manual workflows and system hopping
For IT and informatics:
Centralized imaging strategy across pathology, radiology and multispecialty imaging
Vendor‑neutral architecture that reduces lock‑in
Simplified image life cycle management and scalability
For health system leadership:
Enterprise visibility without disrupting diagnostic confidence
A foundation for future AI and data initiatives
Lower total cost of ownership through consolidation
Deployment model
Tribun Health brings a best-in-class, FDA‑cleared digital pathology platform for primary diagnosis.
Hyland enterprise imaging provides a vendor‑neutral foundation that enables health systems to scale digital pathology and multispecialty imaging with centralized access, governance and long‑term management without disrupting FDA‑cleared diagnostic workflows.
Why it matters
Digital pathology shouldn’t be another silo.
By integrating Tribun Health’s diagnostic platform with Hyland’s enterprise imaging foundation, health systems can scale pathology securely, efficiently and compliantly as part of a unified enterprise imaging strategy.
Regulatory notice
Tribun Health is the manufacturer of the FDA‑cleared digital pathology solution used for primary diagnosis and remains the system of record for diagnostic pathology. Hyland enterprise imaging — powered by NilRead and Acuo — provides vendor‑neutral storage and referential viewing of pathology images alongside other clinical imaging, without interfering with diagnostic workflows.

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