1. A system, for administering medical digital images in a distributed medical digital image computing environment, the system comprising one or more computer processors and computer memory operatively coupled to the computer processors, the computer memory having disposed within it computer program instructions capable of: receiving a request for an image processing transaction to process the medical digital image, the request containing a medical image to be processed, metadata describing the medical image, and a type of service request for the image; storing the medical image in one or more of the medical image caches; creating, in dependence upon transaction parsing rules and the contents of the request, a medical image business object representing the image processing business transaction; wherein the medical business object is created by extracting, from the request, metadata describing the image according to the medical image communications protocol of the request, and conforming the metadata to the predefined structure of the business object; wherein the medical image business object also includes a ticket to access the medical image in the cache and wherein the ticket includes a symbolic representation of the location of the medical image in the cache, the symbolic representation including the location of the medical image in the cache, an identification of a protocol to be used to access the medical image, and an identification of a type of storage upon which the cache is implemented; 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; and processing the medical image of the request with the clinical workflows, thereby creating a resultant business object and resultant medical image including accessing the medical image in the cache using the ticket.