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The first two systems I worked with using InterSystems technology were a PDP-11 running M11+ and a VAX 11/750 running M/VX. Too many years ago to count! 馃槉
Since then I've used most, if not all, InterSystems products up to IRIS and HealthShare today.
I'm Italian living in Switzerland and I work as Senior Consultant at GAIVOTA consultin SA, we provide professional services for InterSystems and other technologies.
Curiosity: apart from DC, I don't have ANY social account! 馃榿
I'm using
EnsLib.DICOM.Processto route incoming images to different PACS destinations
That's the correct way of doing it, so...do it! 馃檪
Hopefully you have a well defined, finite number of PACS destinations, you need to define a Business Operation for each destination and use the Business Process to route the message to the correct Business Operation depending on the destination.
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I don't think there is a rule or the "right" way of doing it.
Personally I use Routing Rules only for HL7, for other Business Processes I never (ever!) use BPL and always use code.
In some case when something cannot be done in Rules I use code even for HL7.
Other people have different habits and/or opinions 馃榿