Healthcare

Engineering connected healthcare experiences

Peramal engineers secure, scalable healthcare applications that connect clinical, imaging, operational and financial workflows.

The healthcare challenge

Healthcare workflows don't exist in isolation.

Modern teleradiology and diagnostic imaging environments depend on multiple clinical, operational, financial and administrative systems. Connecting these systems reliably while allowing each application to evolve independently requires a strong technology foundation.

01

Multiple applications

Clinical, financial, scheduling and collaboration workflows may span multiple applications.

02

Healthcare interoperability

Clinical orders and results must move reliably between systems.

03

Diagnostic imaging integration

PACS and imaging systems need to work seamlessly with surrounding workflows.

04

Secure data isolation

Healthcare organizations require secure separation across providers and sites.

05

Financial workflows

Radiologist fees, invoicing and financial settlement require automation.

06

Clinical data complexity

Clinical forms and reporting workflows require reliable integration.

The teleradiology lifecycle

From imaging order to financial settlement

Financial workflow
Healthcare technology

Engineering the systems behind connected care

01

Healthcare application development

Design and develop scalable healthcare applications across clinical, operational and financial workflows.

02

Teleradiology platforms

Engineer technology ecosystems supporting the teleradiology lifecycle from order intake through reporting, verification and result delivery.

03

Healthcare interoperability

Connect healthcare applications and external systems through standards-based integration.

04

Diagnostic imaging integration

Integrate PACS and imaging workflows into broader healthcare application ecosystems.

05

Clinical workflow engineering

Build applications that support complex clinical workflows and structured healthcare data.

06

Secure enterprise platforms

Develop secure, scalable multi-application environments with consistent identity and access patterns.

07

Healthcare automation

Automate operational and financial workflows across connected healthcare systems.

08

Real-time collaboration

Enable communication and live workflow interactions across healthcare applications.

Featured healthcare case study
Healthcare

Engineering a unified multi-application platform for the teleradiology lifecycle

industry
Healthcare
domain
Teleradiology & Diagnostic Imaging
service
Digital Engineering & Application Development
technology
React, Spring Boot, Java 21, RabbitMQ, HL7, PACS
14Applications
Connected through Radian ecosystem
The challenge

How do you connect 14 applications without turning them into one monolithic system?

Teleradiology workflows involve multiple clinical, operational, financial and administrative systems. The challenge was to bring these workflows together while allowing individual applications to evolve and scale independently.

01

14 independently deployable applications

02

High-volume clinical order and result exchange

03

RIS integration

04

PACS integration

05

Payment gateway integration

06

Secure data isolation

07

Automated radiologist fee splitting

08

Single sign-on

09

Complex clinical forms

The solution

Building a unified teleradiology ecosystem

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

Radian Ecosystem
ClinicalSchedulingReportingCollaborationBillingFinancialAdministration

Integration technologies

Connecting the complete imaging workflow

Clinical workflow

01
RIS
02
HL7 / MLLP
03
Radian
04
PACS / DICOM
05
Radiologist
06
Clinical forms
07
Report
08
Verification
09
Result delivery

Financial workflow

01Report
02Invoice
03Radiologist fee split
04Settlement
Healthcare interoperability

Connecting healthcare systems through reliable integration

H

HL7

Healthcare interoperability through HL7 v2 over MLLP for RIS integration.

P

PACS / DICOM

Diagnostic imaging integration through Orthanc REST/DICOM.

R

REST APIs

Application-to-application communication across the Radian ecosystem.

R

RabbitMQ

Asynchronous messaging for high-volume cross-application workflows.

A

Airwallex

Payment and settlement integration.

Modular architecture

14 applications. One connected ecosystem.

14ApplicationsIndependently deployable
588REST endpointsPlatform-wide
01
02
03
04
05
06
07
08
09
10
11
12
13
14

Independent deployment and scaling allow applications to evolve without requiring the entire platform to move as one unit.

Engineered for enterprise

Built for secure, resilient healthcare workflows

Secure data isolation

Multi-tenant readiness through dynamic per-MIP/site messaging queues.

Identity

Centralized identity and Launchpad SSO through Radian Connect.

Resilient messaging

Acknowledgement, dead-letter handling, redelivery and HL7 resend mechanisms.

Financial reliability

Redis-based locking for settlement scheduling.

Consistent security

Common security architecture across the application ecosystem.

Documentation

Single authoritative Interface Control Document.

Impact & benefits

A connected, scalable and resilient teleradiology platform

End-to-end workflow automation from RIS order intake through radiologist reporting, verification, result delivery and invoicing.

Automated radiologist fee splitting and financial settlement.

Single sign-on across the application suite.

Resilient clinical and financial data exchange.

Multi-tenant readiness through dynamic per-MIP/site messaging queues.

Consistent security across the application environment.

Centralized technical documentation through a single authoritative ICD.

Technology

Modern engineering technologies powering connected healthcare

R

React & Spring Boot

Frontend & backend

Dedicated frontend and backend applications providing a scalable foundation for the 14-application Radian ecosystem.

R

RabbitMQ & WebSocket

Messaging & real-time

Reliable asynchronous workflows and real-time communication across clinical, financial and collaboration applications.

H

HL7 & PACS

Healthcare interoperability

Healthcare interoperability connecting RIS and diagnostic imaging systems through HL7/MLLP and DICOM.

Java 21RabbitMQHL7 v2MLLPOrthancDICOMRESTRedisAirwallex

Build the next generation of connected healthcare technology

From teleradiology platforms to healthcare integrations, Peramal engineers technology that connects complex workflows and applications.