RAPTOR (Radiology Protocol Tool and Recorder) is an innovative software prototype that utilizes mature open source tools (Drupal 7, Linux, Apache, mySQL, PHP) and open standards to leverage existing VA enterprise health information systems (VistA CRPS), shared services (MDWS, VIX), and web-based delivery to provide a versatile, extensible, and scalable computerized system which optimizes safety, quality and efficiency of advanced medical imaging workflow at VA facilities. RAPTOR was recently honored as one of the Top 5 Medical Imaging IT Projects of 2012 by the Society of Imaging Informatics in Medicine (SIIM), an international society of imaging informatics professionals and the Radiology Business Journal (RBJ). RAPTOR will replace inefficient paper-based protocol assignment processes, improve radiologist and department efficiency, benefit patient safety, and audit patient consent. It has also drawn interest in the behavior health, ophthalmology, dental domains.