The quality of electronic patient record became a critical factor in the decision making process, with a corresponding need for error management through automated data quality assurance practices. Although Picture Archiving and Communication System (PACS) has become a mature technology over the past few years and has been widely implemented in several developed countries, evaluation of PACS success is still a major problem to healthcare organizations specially in developing countries. For that reason it was the aim of this research to introduce design considerations and solutions regarding the implementation and evaluation of a modern PACS within an already operating hospital environment in Sudan. The research proposed a strategy to smoothly transform an already existing hospital to a fully digital one and to integrate all existing medical equipments to a central archiving system with the ability to upgrade and expand as well as to connect with the other hospitals and health care organizations.