Everything in One: PACS + RIS + Teleradiology + Viewer + Router + AI MWL
This page explains the complete platform architecture in depth | how data flows from modality to storage, from storage to viewer, how routing rules automate delivery, how RIS manages patient workflow, how AI MWL can be integrated safely, and how we harden and monitor production deployments.
Unified Workflow (How Everything Connects)
A simplified view of real-world data flow. This is the operational backbone of stable deployments.
End-to-End Flow
From acquisition to reporting and delivery: studies are ingested safely, validated, stored, routed automatically, and opened in the viewer with performance tuning, while RIS tracks status lifecycle and ownership.
Modules (Deep Technical Scope)
Each module is designed to integrate cleanly with the rest, keeping workflows consistent and audit-ready.
PACS System (Enterprise Storage)
Study ingestion, storage architecture, retention policies, compression, and safe performance for high study volume.
- DICOM ingest rules: modality allowlist, SOP class checks
- Storage tiers: NVMe/SSD hot, HDD warm, cold archive
- Retention & cleanup policy design per client rules
- Prefetch concept for scheduled patient studies (optional)
RIS (Workflow + Roles)
Appointment, patient flow, study status lifecycle, reporting pipeline and operational control for staff.
- Roles: admin, reception, technologist, radiologist
- Status lifecycle: scheduled ? arrived ? acquired ? reported
- Work queues: STAT, routine, pending, assigned
- Audit trail and operational timestamps
Teleradiology (Multi-Site)
Reading pools, assignment rules, remote radiologist access, and safe delivery across hospitals and time zones.
- Multi-hospital routing, per-site permission model
- Reading pools: by modality, subspecialty, or schedule
- STAT escalation logic and SLA discipline
- Branding per client site for report PDFs
Customized DICOM Viewer
Viewer UI/UX customization aligned to radiologist workflow, fast load, secure access, and tool presets.
- Tool presets (W/L, measurement, annotations)
- Hanging protocols mindset (modality layouts)
- Secure sharing logic (time-based / permission-based)
- Performance tuning for remote networks
DICOM Router (Web-Based)
Rule-based routing engine with auto-send scheduling, queue design, retries, and traceable delivery logs.
- Routing rules: AE, modality, station, description, tags
- Auto-send: immediate and scheduled sending
- Retries + failure capture + audit logs
- Multi-destination fan-out routing
AI Solution + MWL Worklist
AI integration strategy that fits operational workflow without breaking acquisition or reporting pipelines.
- AI MWL queue designed for safe workflow
- Auto-tagging for AI-reviewed studies
- Priority logic & routing to reading pools
- Separation of clinical vs AI access controls
Deployment Engineering (Servers, Security, Monitoring, Backup)
Clients pay for stability. Below is how deployments are structured to stay fast, secure, and predictable.
Server Sizing & Environment Planning
Right sizing depends on modalities, daily studies, retention policy, and viewer concurrency.
- Compute sizing: CPU cores based on ingestion + routing + viewer
- RAM sizing: caching, metadata operations, DB performance
- Storage sizing: hot tier + warm tier + archive planning
- Network planning: LAN, VPN, and remote access constraints
Security Hardening & Audit Discipline
Medical imaging platforms require strict access control, safe exposure, and traceability.
- RBAC roles, least privilege and site isolation
- IP allowlists, VPN segmentation, and AE control
- Audit logs: access, export, and admin actions
- Backup strategy: DB + storage + restore testing