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- OpenRad

Building a Reliable Cloud Infrastructure for Radiology Reporting Solution
A targeted engagement supporting a UK-based radiology technology provider in creating enterprise-level infrastructure and enabling data-driven decision-making through business intelligence.
client
OpenRad
cooperation
Since 2023
country
UK
industry
Healthcare / Radiology
product
Cloud-based radiology reporting & teleradiology platform


About the platform
OpenRad provides a cloud-based radiology reporting platform that streamlines the diagnostic process, simplifies access to medical reports, and improves collaboration between healthcare specialists and patients. The platform supports advanced visualization, teleradiology with sub-specialty reporting, and enterprise worklists. Thanks to secure thin-client access, only pixels are streamed, and no medical data is transferred.
Team
1
System administrator
1
BI developer
Tech stack

Proxmox Virtual Environment

Proxmox Backup Server

RedHat Ansible

Prometheus

Grafana

Trilium Notes

Power BI

Microsoft Azure

Microsoft SQL Server
Objectives
The client engaged us to:
- Upgrade IT infrastructure to enterprise-grade standards.
- Ensure system availability and disaster recovery readiness.
- Reduce infrastructure costs using proven open-source solutions.
- Build a BI system aggregating data from multiple databases.
The goal was to strengthen operational resilience and unlock business value from data without disrupting active healthcare services.
Challenges
- No infrastructure documentation.
- Strict availability and disaster recovery requirements.
- Large volumes of fragmented data across multiple databases.
- Need for secure, cost-effective infrastructure.
- Requirement for client-facing analytics without custom builds.
Engineering strategy
The work on the project was based on four principles:
- Stabilize infrastructure before extending functionality.
- Automate repetitive operational tasks.
- Where possible, use trusted open-source solutions.
- Make data usable, not just available.
Our approach
Step 1
Infrastructure stabilization & evolvement to the enterprise level
Flyant provided a dedicated system administrator who integrated directly with OpenRad’s team.
Initial focus areas:
- Rapid infrastructure assessment.
- Knowledge transfer in the absence of documentation.
- Identification of availability and recovery risks.
Step 2
Infrastructure automation & observability
The infrastructure was rebuilt using proven, open-source technologies:
- Proxmox VE for virtualization.
- Proxmox Backup Server with backup consistency verification.
- RedHat Ansible for automated system administration.
- Prometheus & Grafana for monitoring and proactive alerting.
- Trilium Notes for centralized, self-hosted documentation.
Step 3
Disaster recovery & continuity planning
Together with OpenRad’s internal team, we:
- Defined recovery scenarios for critical services.
- Implemented and tested backup and restore procedures.
- Established clear response workflows for incidents.
Step 4
Business intelligence system development
To unlock value from operational and clinical data, Flyant also provided a BI developer.
Key steps taken:
- Aggregated data from multiple databases.
- Resolved challenges related to data consistency and access.
- Built a standardized Power BI dashboard template.
- Enabled client-level customization of analytics views.
Step 5
Client enablement
Beyond implementation, Flyant also ensured easy adoption:
- Trained OpenRad’s clients on dashboard usage.
- Explained data interpretation and analytics workflows.
- Reduced dependency on manual reporting or support requests.
Engineering outcomes
- Enterprise-grade IT infrastructure with monitoring and automation.
- Comprehensive infrastructure documentation.
- Tested disaster recovery and service continuity plans.
- Scalable BI system aggregating data across sources.
- Customizable dashboards for client decision-making.
Business outcomes
Reduced operational risk for a regulated healthcare platform
Enterprise-grade availability, monitoring, and tested disaster recovery significantly lowered the risk of service disruption in a mission-critical radiology environment, protecting both clinical workflows and customer trust.
Predictable infrastructure costs with room to scale
By replacing expensive proprietary components with proven open-source solutions, OpenRad achieved a more predictable cost structure while keeping the infrastructure flexible enough to support future growth without linear cost increases.
Faster, data-driven decision-making
A unified BI layer turned fragmented operational and clinical data into actionable insights, enabling clients to monitor performance, usage patterns, and workload trends without relying on manual reports.
New revenue and differentiation potential
Client-facing analytics became a value-added capability rather than a custom engineering effort, positioning BI as a differentiator and a potential monetizable feature within the platform offering.
Lower operational overhead for internal teams
Automation, documentation, and observability reduced day-to-day firefighting, allowing engineering and operations teams to focus on platform evolution instead of infrastructure maintenance.
Enterprise readiness for long-term growth
The platform now operates on a stable, auditable, and scalable IT foundation aligned with enterprise healthcare expectations, supporting onboarding of larger clients without increasing operational complexity.
Client
success
The collaboration with Flyant enabled OpenRad to strengthen its IT infrastructure and expand its platform capabilities while minimizing operational risks and reducing costs.
OpenRad now has a stable, enterprise-ready infrastructure and a flexible BI system that supports both internal teams and external clients. The engagement demonstrates Flyant’s ability to integrate seamlessly with in-house teams and deliver reliable outcomes in data-intensive, regulated healthcare environments.
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