Unified Event Monitoring

Every event, captured. Ready for automation.

Every workflow state change across viewer, reporter, worklist, and AI is written to one structured, versioned event stream. It's the record Sirona's own monitoring runs on today, and the foundation for agentic AI.

See Sirona in Action

How Sirona is Different

One event stream across the entire workflow

Legacy radiology stacks generate logs in silos — the PACS logs image opens, the RIS logs report status changes, the dictation system logs speech events, and each AI vendor logs its own results. Stitching these into a coherent timeline requires ETL pipelines, vendor cooperation, and months of integration work. Sirona eliminates all of that. Every workflow state change is written to a single structured event stream, in the same transaction that makes the change. No reconciliation, no stitching, no approximation.

What the unified event stream enables

A single, continuous record of every workflow state change — powering Sirona's monitoring and the Dashboard's analytics today, and the automation and agentic AI layers that build on it.

Real-Time Event Capture

Every workflow state change — study created, ingested, claimed, signed — generates a structured, versioned event, rather than being reconstructed from logs after the fact.

Agentic AI Triggers (Coming Soon)

Cortex agents are designed to subscribe to workflow events and act on them — surfacing context and triggering automations based on what is happening right now.

Meet Cortex

Workflow Timeline

The events for a study form a timeline — ingest, assignment, reading, sign-off — captured natively as each step happens rather than reconstructed from logs afterwards.

Operational Analytics

The Dashboard is built on workflow-event data that legacy PACS reporting never captured. Every metric is derived from natively captured workflow events.

Learn more

Versioned Schema

Events follow a structured, versioned schema shared by viewer, reporter, worklist, and AI, so every part of the platform describes a study the same way.

Explore the data model

Audit Logging

Changes to clinical information — patient and order updates and study lifecycle events — are logged to durable, access-controlled storage that supports HIPAA audit requirements. Beyond the audit trail, Sirona captures detailed application event data, including session replays of how the application was used. We are making more of that data available through the Dashboard, and over time through the SDK and APIs.

Security

The foundation layer for modern radiology

Real-Time Events

Every state change, written the moment it happens

Every workflow state change — study created, ingested, assigned, claimed, dictated, signed — is written to one versioned event stream at the moment it happens, not reconstructed from logs afterwards. Structured schema, attributable, consistent across viewer, reporter, worklist, and AI.

Structured events across viewer, reporter, worklist, and AI

Written with the state change, not reconstructed later

Versioned event schema

No ETL, no stitching across vendor logs

Automation Hooks (Coming Soon)

Built so any event can trigger an agent or automation

The event stream is the foundation for both operational automation and agentic AI. Cortex agents subscribe to live events, the Dashboard reads its analytics from the same stream, and the RadOS SDK, now in early access with design partners, is designed to let your practice define its own automations.

Cortex agents that subscribe to live events

Dashboard analytics from the same stream

Custom automations via the RadOS SDK

One event, many handlers

Workflow Timeline

One timeline for every study

Each study's events form a timeline — created, ingested, assigned, claimed, dictated, signed — in the order they happened, each one timestamped and attributable. Sirona can record this because it owns the full workflow: viewer, reporter, worklist, and AI in one system, rather than four vendors' logs.

Timestamped workflow timeline per study

Each event attributable to a user or a system

One sequence across viewer, reporter, worklist, and AI

HIPAA-compliant, role-based access

Architecture

The event bus Cortex and the Dashboard are built on

Unified event monitoring isn't a dashboard — it's the plumbing that downstream capabilities depend on. Sirona's own monitoring, the Dashboard, and Cortex agents read from it today. Partner integrations through the RadOS SDK are designed to read from the same bus.

One shared foundation for the Dashboard, Platform AI, and Cortex

Versioned event schemas

Scales with cloud-native elasticity

RadOS SDK in early access with design partners

1

event stream across viewer, reporter, worklist, and AI

Versioned

event schema — every workflow state change, structured and attributable

0

ETL pipelines to stitch vendor logs together

What the event stream makes possible

Why Agentic AI Requires RadOS

Watch as Dr. Mark Longo demonstrates the power of a new paradigm in radiology AI. Welcome to the age of agentic, embedded, multimodal, real-time, clinically aware AI assistants.

Dr. Mark Longo

Chief Technology Innovation Officer, Sirona

Launch Day Excerpt: How Sirona is Built Different

Sirona's RadOS platform understands how a radiology practice really works. It starts by unifying all the data and tools needed for physicians to read seamlessly from anywhere at any time. The unique architecture and AI capabilities can automate many of the clicks, drags, scrolls, and “scratch thats” slowing your radiologists down.

Read the ERA case study

FAQs