Modern data storage replication technologies may be applied to PACS information, including the creation of local copies via point-in-time copy for locally protected copies, along with complete copies of data on separate repositories including disk and tape based systems. Remote copies of data should be created, either by physically moving tapes off-site, or copying data to remote storage systems. Whenever HIPAA protected data is moved, it should be encrypted, which includes sending via physical tape or replication technologies over wide area networks (WAN) to a secondary location.