ClinicOffice can be used with any scanning or imaging device (including X-Ray machines) provided that they support either ‘Windows image Acquisition’ (WIA) or if it has a ‘TWAIN driver’.
These interfaces allow you to scan directly from ClinicOffice and the images are saved directly to the patient record. If you have an X-Ray machine with it’s own proprietary interface, then it is most likely still possible to integrate with ClinicOffice, but it will require some chargeable customization.