further includes the patient diagnostic image 86 or images written report 96 pertaining to the patient diagnostic image 86 image procedure tags 90 image view tags 92 keyword tags 93 automatically assigned sub tags 64 and the universal medical record number that is assigned by the universal interface software the universal medical record number is a common number that will be used to identify the patient library 72 on the cloud server 12 and can be used among the different medical institutes for purposes of billing as well as keeping all of the individual patient images and patient study information within the patient library 72 on the cloud server 12 the medical record number is assigned by the universal interface software when the patient diagnostic image 86 is uploaded to the pacs at a final upload step 68 during the final uploading step 68 the physician or other staff person at the medical institute using the workstation 22 22 u2032 saves the patient study file to the pacs 20 at the first medical institute 16 and uploads the patient study file 70 to the cloud server 12 either from the pacs 20 or directly from the workstation 22 22 u2032 as part of the final upload step 68 the patient study file 70 which is also referred to as a previous patient study file 70 is stored on the cloud server 12 in a patient library 72 which is contained within the data storage device 14 connected to the cloud server.