Platform Capability

Every event captured. Every automation possible.

Every interaction across viewer, reporter, worklist, and AI flows through one structured event stream — powering real-time visibility today and the foundation for agentic AI tomorrow.

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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 interaction flows through a single structured event stream. No reconciliation, no stitching, no approximation.

What the unified event stream enables

A single, continuous record of every interaction in the radiology workflow — powering visibility, analytics, automation, and the agentic AI layer.

Real-Time Event Capture

Every click, scroll, measurement, dictation event, and AI invocation generates a structured event in real time — not batch-processed, not reconstructed from logs.

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Agentic AI Triggers

RadGPT agents subscribe to workflow events and act autonomously — routing algorithms, surfacing context, adjusting worklists, and triggering automations based on what's happening right now.

Meet RadGPT

Session Replay

Datadog-style pixel-accurate replay of any reading session. Review exactly how a study was read — which series, which tools, how long, and in what order.

Admin Dashboard

Operational Analytics

Powers the Admin Dashboard and Strings analytics partnership with far higher data resolution than legacy PACS reporting. Every metric is derived from real, natively captured interaction data.

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Proactive Alerting

Automated alerts when events indicate problems — SLA drift, workflow bottlenecks, unusual reading patterns, or system anomalies. Identified in real time.

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Complete Audit Trail

Every event is immutably logged for compliance, quality assurance, and dispute resolution. HIPAA-compliant with role-based access controls on all monitoring data.

Security

The foundation layer for modern radiology

Real-Time Events

Every interaction, captured the moment it happens

Clicks, scrolls, series changes, dictation pauses, measurement tool invocations, AI invocations, worklist assignments, report edits — all flow through one unified event stream. Sub-second resolution, structured schema, queryable from day one.

Structured events across viewer, reporter, worklist, AI

Sub-second event latency

Open, queryable schema

No ETL, no stitching across vendor logs

Automation Hooks

Any event can trigger an AI agent or automation

The event stream is the foundation for both operational automation and agentic AI. Subscribe any event to any handler — alerts, workflow adjustments, AI invocations, QualityAssist checks, Admin Dashboard updates. Your practice defines what to automate.

RadGPT agents subscribe to live events

Admin Dashboard subscribes for real-time analytics

Your custom automations via Amplify SDK

One event, many handlers

Session Replay

Pixel-accurate replay for any reading session

Play back any study's reading session — every click, scroll, and tool invocation in the exact sequence the radiologist experienced it. Use it for quality review, training, optimization, or dispute resolution. Sirona can do this because it owns the full workflow — viewer, reporter, worklist, and AI in one system.

Click-by-click, time-accurate replay

Replay reviews tied to study and reader

Quality assurance and training workflows

HIPAA-compliant, role-based access

Architecture

The event bus behind RadGPT, Platform AI, and Admin

Unified event monitoring isn't a dashboard — it's the plumbing that everything downstream depends on. Admin Dashboard queries it. Platform AI subscribes to it. RadGPT agents trigger on it. Third-party integrations consume it. A single bus connecting every capability.

Shared by Admin Dashboard, Platform AI, RadGPT

Stable schema versions with migration guarantees

Scales with cloud-native elasticity

Open API for partner integrations

1

unified event stream across the whole platform

Real-time

latency — events propagate in sub-seconds

Every event

captured — far beyond what legacy PACS logs

Why customers build on the event stream

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.

See all customer stories

FAQs

Is event monitoring enabled by default?

Yes. All Sirona deployments capture the unified event stream. No opt-in required.

Can we access raw events via API?

Yes. Events are queryable via the Sirona API and exportable to your data warehouse. Schemas are documented and versioned.

How is PHI handled in the event stream?

Events are generated and retained within Sirona's HIPAA-compliant environment. Access is role-gated, audited, and configurable per organization.

How long are events retained?

By default, events are retained for the duration of your Sirona deployment. Practice-specific retention policies can be configured.

Does this require any client-side instrumentation?

No. Events are emitted natively by Sirona's viewer, reporter, worklist, and AI layer. There's no tagging or instrumentation work required.

Is it compatible with third-party observability tools?

Yes. Events can flow to Datadog, Splunk, or any data warehouse via our streaming API.