Engineering a Unified Multi-Application Platform for the Radiology Lifecycle
Consolidated five disparate radiology applications into a single unified platform, streamlining workflows for radiologists and reducing image processing time by 55%.

Company
Private Limited
Domain
Radiology & Diagnostic Imaging
Service
Digital Engineering & Application Development
Technology Stack
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.
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.
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.
Impact & Benefits
Key Benefits Delivered
- 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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