If you receive a report, you can only view photos, videos and audio files through the PicSafe app (by design, for security purposes). To open a .picsafe file, you must use the PicSafe app (available on iOS and Android devices), and you must have signed in to PicSafe.
If you are the one sending the report, it is possible to send the files to a Box or Dropbox account (if you have the PicSafe PRO). When sending reports to Box or Dropbox, the raw files will be transmitted and (presumably) stored securely.
If you set up an institution, you will be able to integrate with your medical record system to input the raw files. Please see the Integrations Section.