Engineering a Unified Multi-Application Platform for the Radiology Lifecycle

Company

Private Limited

Domain

Radiology & Diagnostic Imaging

Service

Digital Engineering & Application Development

Technology

Problem Statement

Complex Radiology Workflows Required a Unified Digital Platform

The radiology ecosystem relied on multiple clinical, operational, financial, and administrative applications, creating complexity across the end-to-end imaging workflow. Integrating RIS, PACS, payments, clinical forms, and external systems while maintaining reliable data exchange, security, and multi-site isolation presented significant challenges. The organization needed a scalable, modular platform that could unify workflows, enable seamless application integration, and automate clinical and financial processes from imaging order to settlement.

Key challenges included:

Managing 14 independently deployable applications across clinical, financial, scheduling, and collaboration domains.
Reliably exchanging high-volume clinical orders and results with external RIS systems.
Integrating PACS, payment gateways, clinical forms, and other external systems.
Maintaining secure data isolation across multiple Medical Imaging Providers and sites.
Automating radiologist fee splitting and financial settlement.
Providing a seamless single sign-on experience across multiple applications.
Managing complex clinical form data within the existing HL7 reporting workflow.

Solution

Building a Unified Radiology Ecosystem

Peramal engineered Radian as a modular system of systems, bringing 14 independently deployable applications together through common architecture, security, and integration standards.

The platform connects the complete workflow—from imaging order intake through radiologist reporting, verification, result delivery, invoicing, and financial settlement.

The solution included:

Developed 14 React frontend + Spring Boot backend applications.
Implemented RabbitMQ-based asynchronous communication for high-volume cross-application workflows.
Integrated external RIS systems using HL7 v2 over MLLP.
Integrated PACS through Orthanc REST/DICOM.
Created a single authoritative Interface Control Document (ICD) for platform interfaces.
Integrated dynamic clinical forms into the HL7 reporting pipeline.

Impact & Benefits

A connected, scalable, and resilient radiology platform

14 independently deployable applications enabling independent development, deployment, and scaling.

End-to-end automation from RIS order intake → radiologist reporting → verification → result delivery → invoicing.
Automated radiologist fee splitting and financial settlement, reducing manual reconciliation.
Single sign-on across the entire application suite through Radian Connect and Launchpad.
Resilient clinical and financial data exchange using acknowledgement, dead-letter handling, redelivery, and HL7 resend mechanisms.
Multi-tenant readiness through dynamic per-MIP/site messaging queues.
Consistent security across the 14-application environment.
Centralized technical documentation through a single authoritative ICD.

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