Occupation intelligence

picture archiving and communication systems administrator

Key facts

Are you fascinated by medical technology and ensuring vital information is readily available when it's needed most? As a picture archiving and communication systems administrator, you'll be at the heart of healthcare imaging, managing systems that support accurate diagnoses and patient care.

Summary

Picture archiving and communication systems administrators play a crucial role in modern healthcare. You are responsible for the smooth operation of picture archiving and communication systems (PACS), which store and manage medical images like X-rays, MRIs, and CT scans. Your work ensures that healthcare professionals can quickly and easily access these images for diagnosis, treatment planning, and research. This role requires a blend of technical expertise and a commitment to maintaining data integrity and system security.

Key responsibilities include:
  • • Installing, configuring, and maintaining PACS hardware and software.
  • • Managing image storage and archiving solutions, ensuring data security and accessibility.
  • • Troubleshooting system issues and providing technical support to medical staff.
44%
Resilience Score · 2026 (Higher is better)
Short-cycle tertiary education 46% AI exposure
Start Career DNA assessment
Labour market

Where this occupation is in demand

Reported labour shortages and surpluses, by year. Published for occupation groups, not for individual job titles.

Shortage reportedSurplus reportedReported in another yearNot covered by this source

Deeper colour: reported the same way in more consecutive years.

Figures cover Health associate professionals — 49 jobs including this one.

3 of 7 in shortage202516 of 25 growing3.2Mopenings to 2035

In shortage: Bulgaria, Greece, Slovakia.

Longest-running shortage: Bulgaria, 2 years.

Select a place on the map to see its figures.

About this source

Source: ELA/EURES labour shortages and surpluses. Readings are published at occupation-group level, and cover Europe. Editions differ in annex layout and country coverage, so a change between years does not always mean the labour market changed. Countries in grey were not reported, which is not the same as being in balance.

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Quick fit check

Could picture archiving and communication systems administrator fit you?

Answer three quick questions. This is not a full assessment — it is a teaser to help you decide whether to compare your profile.

Progress0/3

Do you enjoy tasks that require Attention to Detail?

Do you enjoy tasks that require Integrity?

Do you enjoy tasks that require Dependability?

NexFuture™

Future Outlook for picture archiving and communication systems administrator

The outlook for picture archiving and communication systems administrator reflects a balanced mix of automation exposure and durable, human-led work.

How are these scores calculated?

The Resilience Score (0–100) estimates how structurally protected this occupation is from automation and AI disruption, based on task-level analysis. Higher scores mean more human-judgment-intensive tasks. AI Exposure shows the estimated percentage of task hours that current AI capabilities could affect. These are model-derived structural indicators, not predictions about individual job security.

Play the future

How could picture archiving and communication systems administrator change as AI adoption grows?

This role is likely to change gradually, with AI supporting selected tasks rather than replacing the whole occupation.

Significant task-level transformation is estimated in 13 years (around 2039) under the selected Expected Pace scenario.
~40%
Resilience
Automation Risk
EXP~50%
Human advantage
MOAT~45%

Illustrative scenario based on task automatability — not a forecast. Values are rounded the further ahead you look.

2026
2033
2044
AI Adoption Speed:

How AI may change this role

Deterministic, model-based interpretation of current role signals — not a guarantee of replacement.

Human-owned 44% Human-owned
What still depends on people
  • apply company policies
  • empathise with the healthcare user
  • communicate in healthcare
The Human Edge To stay ahead in this role, focus on data protection and health records management. These human-centric skills are the hardest for AI to replicate in the next 20 years.
Assist 23% Assist
Where AI may become a co-pilot
  • maintain ICT system
  • administer ICT system
  • attend to ICT systems quality
Automate 46% Automate
Tasks most exposed to automation
  • archive healthcare users' records
  • manage radiology information system
  • use electronic health records management system
Detailed Analysis

Vital Signs & AI Vectors

AI Exposure Vectors

0-100%
AI / Machine Learning 23%

Exposure to AI-assisted analysis, pattern recognition, and predictive modelling tasks

Cognitive Software 8%

Exposure to workflow automation, decision-support software, and process digitisation

Generative AI 4%

Exposure to content generation, creative augmentation, and large language model tools

Robotic & Physical Automation 0%

Exposure to physical automation, robotics, and sensor-driven task displacement

Technical Details
Methodology: NexFuture v3.0 Sources: O*NET® 30.3, ESCO v1.2.1 Updated: Aug 2026

NexFuture v3.0 estimates automation exposure natively from ESCO essential-skill groups, weighted by skill mass and calibrated against expert anchors. Scores are probabilistic estimates, not guarantees. See the NexFuture Methodology White Paper for full details.

Measures automation exposure. It does not measure pay, demand, or how many jobs exist near you.

Day in the life

What people in this role usually do

Digital Technology

Day in the life

A typical day as a picture archiving and communication systems administrator

09
09:00 · Morning
administer ICT system
Handle components of ICT system by maintaining configuration, managing users, monitoring resource use, performing backups and installing hardware or software to comply with the set requirements.
10
10:30 · Mid-morning
archive healthcare users' records
Properly store the health records of healthcare users, including test results and case notes so that they are easily retrieved when required.
12
12:00 · Midday
attend to ICT systems quality
Ensure correct operations which comply fully with specific needs and outcomes in terms of the development, integration, security and overall management of ICT systems.
14
14:00 · Afternoon
maintain ICT system
Select and apply system and network monitoring techniques. Identify and fix operational problems. Ensure that system's capabilities and efficiency match company specifications.
15
15:30 · Late afternoon
manage radiology information system
Develop and maintain a database to store, manage and distribute radiological images and data.
17
17:00 · Wrap-up
use electronic health records management system
Be able to use specific software for the management of health care records, following appropriate codes of practice.

Task order is illustrative. Individual days vary.

Software & Technologies & Knowledge areas
Software & Technologies
Diagnostic and procedural coding softwareDiagnostic image review softwareDigital Imaging Communications in Medicine DICOM software/modality management softwareeClinicalWorks EHR softwareElectronic medical record EMR softwareFilm processor tracking and management softwareGE Healthcare Centricity EMRGE Healthcare ViewPoint SolutionsInformation management subsystem softwareInformation systems integration softwareInternet or intranet image distribution softwareMedical condition coding softwareMedical procedure coding softwareMedical softwareMEDITECH softwareMicrosoft ExcelMicrosoft Office softwareMicrosoft OutlookMicrosoft PowerPointMicrosoft Word
Knowledge areas
  • data protection

    The principles, ethical issues, regulations and protocols of data protection.

  • health records management

    The procedures and importance of record keeping in a healthcare system such as hospitals or clinics, the information systems used to keep and process records and how to achieve maximum accuracy of records.

  • project management

    The discipline of project management, the activities which comprise this area and the variables implied in it, such as time, resources, requirements, deadlines, and responding to unexpected events.

  • Cisco

    The products available from the network equipment provider Cisco and methods for selecting and procuring the equipment.

  • ICT system user requirements

    The process intended to match user and organisation's needs with system components and services, by taking into consideration the available technologies and the techniques required to elicit and specify requirements, interrogating users to establish symptoms of problem and analysing symptoms.

  • procurement of ICT network equipment

    The products available from network equipment providers and methods for selecting and procuring the equipment.

Cross-sector skills
  • computer science
  • medical informatics
  • medical terminology
Essential skills
managing information
  • archive healthcare users' records

    Properly store the health records of healthcare users, including test results and case notes so that they are easily retrieved when required.

  • manage radiology information system

    Develop and maintain a database to store, manage and distribute radiological images and data.

setting up computer systems
  • administer ICT system

    Handle components of ICT system by maintaining configuration, managing users, monitoring resource use, performing backups and installing hardware or software to comply with the set requirements.

complying with operational procedures
  • apply company policies

    Apply the principles and rules that govern the activities and processes of an organisation.

assisting and caring
  • empathise with the healthcare user

    Understand the background of clients` and patients’ symptoms, difficulties and behaviour. Be empathetic about their issues; showing respect and reinforcing their autonomy, self-esteem and independence. Demonstrate a concern for their welfare and handle according to the personal boundaries, sensitivities, cultural differences and preferences of the client and patient in mind.

managing, gathering and storing digital data
  • use electronic health records management system

    Be able to use specific software for the management of health care records, following appropriate codes of practice.

communicating with colleagues and clients
  • communicate in healthcare

    Communicate effectively with patients, families and other caregivers, health care professionals, and community partners.

protecting ict devices
  • attend to ICT systems quality

    Ensure correct operations which comply fully with specific needs and outcomes in terms of the development, integration, security and overall management of ICT systems.

providing medical advice
  • interact with healthcare users

    Communicate with clients and their carer’s, with the patient’s permission, to keep them informed about the clients’ and patients’ progress and safeguarding confidentiality.

Skill DNA

Skill DNA

Work personality traits and values that define this role

Key traits you need
Attention to Detail Integrity Dependability Cooperation Analytical Thinking Persistence Initiative Leadership Adaptability/Flexibility Achievement/Effort Stress Tolerance Self-Control Independence Innovation Concern for Others Social Orientation
Key rewards you can expect
AchievementWorking Condit…RecognitionRelationshipsSupportIndependence
Career progression

Growth Pathways & Similar Roles

Explore typical career progression paths, adjacent skills, and similar roles to plan your next transition.

Career landscape

Where does picture archiving and communication systems administrator fit?

This role
picture archiving and communication systems administrator This role

Similarity scores based on skill overlap from ESCO data.

Common questions

Frequently asked questions

What kind of technical skills are most important for this role?
A strong understanding of networking, server administration, and database management is essential. Familiarity with DICOM (Digital Imaging and Communications in Medicine) standards is also critical, as it’s the standard for handling medical images. Experience with various operating systems (Windows, Linux) and imaging modalities (X-ray, MRI, CT) is highly beneficial.
Is this role typically a solitary one, or does it involve a lot of collaboration?
While the role can involve periods of focused technical work, it’s often collaborative. You’ll work closely with radiologists, IT support staff, and other healthcare professionals to ensure the PACS system meets their needs and operates effectively. Good communication skills are vital.
What are the key work values that contribute to success as a picture archiving and communication systems administrator?
Accuracy and attention to detail are paramount, given the sensitive nature of medical data. A commitment to reliability and dependability is also important, as system downtime can significantly impact patient care. Problem-solving skills and a proactive approach to identifying and resolving issues are highly valued.
Picture Archiving And Communication Systems Administrator — is there a shortage in Europe?
No. In the 2025 ELA/EURES edition, a surplus was reported in 4 of the 7 European countries that assessed this occupation group: Austria, Czechia, Germany, Latvia. 3 countries reported a shortage. These assessments are published per occupation group rather than per job title.
Picture Archiving And Communication Systems Administrator — what does it pay in the United States?
$77,660 a year at the median, as of 2025-05. State medians run from $35,280 to $121,260. Source: US Bureau of Labor Statistics. This is a United States figure and not a projection for Europe.