Freedom Nano Enterprise Deconstructed Radiology Workflow Solution from Innowave Healthcare

RADIOLOGYWORKFLOW, PACS , RIS , DeconstructedPACS , Deconstructedradiology

1. Freedom Nano Enterprise – Deconstructed Radiology Workflow Solution
Introduction
While Innowave has successfully built a low-cost “PACS in a Box” — a simple yet powerful solution
designed for small hospitals and diagnostic centres that need quick, reliable, and easy-to-deploy
image management — our vision extends far beyond. Recognizing the growing demand for more
integrated and intelligent imaging workflows, we developed the Freedom Nano RIS–PACS platform
to address the needs of medium and large institutions, offering comprehensive radiology workflow
capabilities and enterprise-grade scalability.
Building upon this foundation, the Freedom Nano Enterprise version represents the next
evolutionary leap. It is a multi-tenant extension of the Freedom Nano platform, designed to serve as
the architectural backbone for advanced, customized imaging workflow solutions. This is the need
of the hour for highly specialized, multi-location super-speciality hospitals that require seamless
interoperability, deep sub-specialty focus, and personalized healthcare delivery.
At its core, the Freedom Nano Enterprise embodies the Innowave concept of a Deconstructed
Radiology Workflow Solution — a flexible, modular, and intelligent framework built to address the
latest challenges of ultra-specialized medical practice.

Why a Deconstructed Workflow?
As medical imaging becomes central to decision-making in modern healthcare, traditional concepts
like RIS–PACS—coined in the late 20th century—are increasingly obsolete. Radiology today operates
not in isolation, but as a hub within the patient care ecosystem, tightly connected to EMRs, AI
engines, telemedicine platforms, and clinical decision support systems.
However, since every healthcare organization differs in how it operates, manages data, and delivers
care, no preconfigured monolithic system can perfectly match the unique workflow of each
institution.
This is where Innowave’s Deconstructed Workflow Architecture redefines radiology IT.

The Concept of Deconstruction
Innowave’s Deconstructed Workflow approach breaks down the traditional RIS–PACS monolith into
independent, interoperable, and service-driven components that can be intelligently composed
and customized for each healthcare organization.
Instead of forcing institutions to adapt to a vendor’s workflow, the workflow adapts to the
institution.
Each building block—such as order management, scheduling, acquisition, reporting,
communication, analytics, and AI integration—functions as a self-contained, standards-compliant
service that can be integrated, extended, or replaced as needed.

The Workflow Continuum
1. Physician Order and Scheduling

2. The process begins with the treating physician, who initiates an imaging order. The system:
• Pulls clinical and demographic data directly from the EMR.
• Automatically checks for exam prerequisites (e.g., fasting, bladder status).
• Suggests nearest available imaging slots within a multi-centre network.
• Facilitates smart scheduling by matching modality availability, radiologist specialization, and
urgency.
This ensures that imaging workflows are context-driven and clinically informed from the very first
step.

2. Acquisition and Study Management
During imaging:
• DICOM Modality Worklist (MWL) and MPPS ensure real-time synchronization between
scanners and the workflow engine.
• Automated quality control validates patient–study matching and tagging.
• Data is encrypted and stored within the Distributed Cloud or on-premises archive,
depending on policy.

3. Radiologist Assignment and Reading Workflow
Once a study is acquired, AI-assisted case assignment intelligently distributes work based on:
• Subspecialty expertise
• Modality familiarity
• Turnaround time (TAT) requirements
• Radiologist workload
Each radiologist enjoys the freedom to choose their preferred viewer — from lightweight web
viewers for general studies to advanced 3D and AI-assisted visualization tools for complex cases.
Reporting options include structured templates, word-style editing, or voice dictation.

4. Report Validation, Distribution, and Feedback
Reports undergo:
• Automated clinical validation and formatting.
• Secure delivery to EMR, HIS, or referring physician portals.
• Audit tracking for every action in the reporting cycle.

3. Patients and clinicians can access results in real time through zero-footprint viewers or mobile-
accessible dashboards, completing the loop of transparent, connected care.

Integration and Intelligence
Freedom Nano Enterprise is built for seamless interoperability, integrating effortlessly with:
• Hospital Information Systems (HIS) and Electronic Medical Records (EMR) via HL7/FHIR.
• AI engines for triage, prioritization, and report pre-fills.
• Distributed cloud environments for cross-site collaboration.
• Analytics platforms for workflow optimization and clinical insight.
This open architecture allows institutions to choose best-of-breed components while maintaining a
unified experience.

Distributed Cloud and Multi-Tenant Architecture
The Enterprise Edition leverages a Distributed Cloud Framework that connects multiple hospitals,
diagnostic centers, and radiology teams under one intelligent system.
Key features include:
• Centralized governance with local autonomy.
• Data replication and disaster recovery across sites.
• Secure multi-tenant data segmentation for privacy and compliance.
• Dynamic load balancing for radiologist assignment and data distribution.
This makes Freedom Nano Enterprise ideal for large healthcare networks, university hospitals, and
chain-based diagnostic organizations.

The Innowave Advantage
• Modular Design: Build only what you need, scale when ready.
• Adaptive Workflow Engine: Configurable for every department and specialty.
• AI-Enhanced Productivity: Automates repetitive steps and improves turnaround.
• Cloud-Ready and On-Premise Options: Flexibility in deployment.
• User-Centric Design: Customizable viewers, reporting tools, and preferences.
• Interoperability First: Works seamlessly in heterogeneous IT environments.

Conclusion

4. The Freedom Nano Enterprise reimagines radiology workflow for the era of precision medicine and
personalized healthcare.
By combining the robustness of enterprise-grade RIS–PACS with the flexibility of Innowave’s
Deconstructed Workflow Architecture, it offers hospitals and imaging networks an intelligent,
scalable, and future-proof foundation for delivering high-quality care.
It’s not just a PACS or a RIS.
It’s Freedom Nano Enterprise — Radiology Workflow, Redefined.