The following organizations are known to have implemented the FEM solution outlined in this guide:

Implementing OrganizationNotes
Southwestern Ontario
Diagnostic Imaging Network (SWODIN) 
SWODIN did a successful FEM pilot, however, they are now moving to a large regional PACS/DI-R for LHIN 1-2-3-4 that will eliminate the need for FEM
Hospital Diagnostic Imaging
Repository Services (HDIRS) 
 
Northern and Eastern Ontario
Diagnostic Imaging Network (NEODIN)
 
Greater Toronto Area (GTA) West 
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