TY - JOUR T1 - Architecting a Multimodal Oncology Intelligence Platform for Integrated Imaging and EHR Ecosystems AU - Laura Meier AU - Thomas Braun AU - Stefan Koch AU - Daniel Fischer JF - Journal of Artificial Intelligence for Healthcare Systems JO - J. Artif. Intell. Healthc. Syst. SN - 3149-8981 Y1 - 2024 VL - 3 IS - 1 SP - 22 N2 - The integration of multimodal data sources in oncology, particularly imaging and electronic health records (EHRs), offers significant opportunities to advance precision medicine through sophisticated analytics architectures. This conceptual manuscript proposes a novel multimodal oncology integration framework (MOIF) to orchestrate seamless data fusion, analytical processing, and decision support within integrated imaging-EHR ecosystems. Drawing on theoretical foundations from clinical AI system architectures and healthcare analytics infrastructures, the framework emphasizes interoperability, governance, and monitoring to address challenges in data heterogeneity, privacy, and clinical workflow integration. By synthesizing recent literature on EHR intelligence ecosystems and decision support pipelines, we outline the architectural layers, including data ingestion, fusion, analytics, and feedback mechanisms, to enable real-time insights for oncology care. Conceptual formulas are introduced to model risk propagation, decision confidence, and governance load, providing interpretive tools for system dynamics. The architecture aims to enhance clinical decision-making by facilitating multi-modal data exchange and AI-driven analytics without empirical evaluations. Potential impacts include improved interoperability in oncology settings, reduced decision latency, and robust governance for deployment. This work contributes to the discourse on AI infrastructures in healthcare, offering a blueprint for future conceptual developments in integrated oncology ecosystems. UR - https://cirpublications.com/j597477861 ER -