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Solution · Healthcare interoperability

Make HIS, RIS, PACS and modalities work as one

Most organizations run systems bought over many years, and each holds part of the patient journey. RadpicsAI connects them through HL7 v2, FHIR R4 and DICOM, so orders, studies and reports reach the next system without re-entry.

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The challenge

Healthcare systems were not built to talk to each other

  • Fragmented systems

    HIS, RIS, PACS, LIS and modalities each hold part of the patient journey, and staff re-enter what one system cannot pass to the next.

  • Disconnected data

    Orders, studies and reports drift out of step, so cases arrive without context and results go missing.

  • Expensive custom interfaces

    Every new application can mean another bespoke interface to build, test and pay for.

  • Maintenance complexity

    A web of one-off connections is hard to monitor, and failures are often found by users rather than by IT.

The approach

Connect, transform, route, monitor, modernize

MiddleOffice sits between the systems you run and the applications you want to add, and handles each handoff.

  1. Connect

    Attach existing systems through standard interfaces instead of new point-to-point builds.

  2. Transform

    Map patient, order and study data between the formats each system expects.

  3. Route

    Send each message or study to the system or reading team that needs it.

  4. Monitor

    Track every handoff so a failed delivery is visible and recoverable.

  5. Modernize

    Add new applications and services while the systems you rely on stay in place.

Use cases

Where teams start

Each use case lists the capabilities it relies on.

Legacy HIS/EHR to modern applications

Hospitals · Healthcare SaaS companies
The gap
A new application needs patient and order data held in an older HIS that only speaks HL7 v2.
How MiddleOffice helps
MiddleOffice receives the HL7 v2 messages and exposes the data through a FHIR R4 API the new application can use.
Relies on
  • HL7 v2 receive
  • FHIR R4 API
  • Push FHIR resources to other systems

RIS/PACS and imaging workflow connectivity

Hospitals · Imaging centres
The gap
Orders are re-typed at the modality, and studies reach PACS without the right patient or order.
How MiddleOffice helps
Modality Worklist gives modalities the scheduled order from MedCARE™ or your current RIS, and studies arrive in MedPACS™ or your PACS with that order attached.
Relies on
  • MWL Service
  • DICOM receive
  • DICOM send by rule

Healthcare data routing and transformation

Hospital networks · Systems integrators
The gap
Each system expects data in its own form, and failed handoffs go unnoticed.
How MiddleOffice helps
Messages are acknowledged, mapped and delivered with retries, and failures are held with their error for follow-up.
Relies on
  • HL7 v2 receive and send
  • Retries and held failed messages
  • Message search and replay

Multi-facility interoperability

Hospital networks · Teleradiology providers
The gap
Studies and orders must move between sites that run different systems.
How MiddleOffice helps
An on-site gateway at each facility connects to RadpicsAI cloud, and routing rules send studies to the right site or reading team.
Relies on
  • On-site DICOM gateway
  • DICOM Exchange between facilities
  • Rule-based study routing
  • Automatic radiologist assignment
FAQ

Frequently asked questions

Do we need to replace our HIS, RIS or PACS?

No. MiddleOffice connects to the systems you already run through standard interfaces. You can keep them, replace one later, or add RadpicsAI products alongside them.

Which standards does MiddleOffice support?

HL7 v2, FHIR R4, DICOM and DICOMweb search and retrieve, plus REST APIs and webhooks. Support differs by message type and direction, so each interface is listed in Standards and connectivity. Interfaces for your systems and versions are confirmed during scoping.

Which vendors and systems have you integrated with?

We do not publish vendor names without permission. Tell us your systems and versions, and we will confirm the interfaces available for each during scoping.

How long does a first integration take?

It depends on the systems, interfaces and approvals involved. Scoping one workflow gives you a plan with the steps and owners for your project.

Start with one workflow

Pick the handoff that costs your team the most, and we will scope it with your IT and clinical teams.
Book an Integration DemoContact our team