Administering medical digital images including receiving a medical image business object representing a transaction carrying out a type of service request made by a health care provider; selecting, in dependence upon workflow selection rules and the attributes of the medical image business object, one or more clinical workflows to process the medical image according to the transaction; and processing the medical image of the request with the clinical workflows, thereby creating a resultant business object and resultant medical image including selecting, by the workflow dispatcher in dependence upon metadata for computational units in the distributed medical digital image computing environment, particular computational units in the distributed medical digital image computing environment to perform particular services of the one or more clinical workflows, deploying the particular services to the particular computational units, and executing the services on the computational units upon which they are deployed.