Medstreaming

What Medstreaming does

Medstreaming provides clinical workflow and PACS solutions for image-intensive healthcare specialties, primarily vascular, cardiac, neurovascular, and women's health (OB/GYN). Founded in 2006 and headquartered in Redmond, WA, with primary legal operations under Picis Clinical Solutions, Inc. in Peabody, MA, the company serves more than 200 hospitals and ambulatory clinics including Boston Medical Center, Sentara Healthcare, ProMedica, Premier Surgical Associates, OU Health, UC Health, and WVU Medicine. Since January 2024, Medstreaming has operated as a subsidiary of N. Harris Computer Corporation, itself an operating group of Constellation Software Inc. (TSX: CSU).

The product portfolio is built on Medstreaming's proprietary Graphical Fusion Workflow Technology—a cloud-based, vendor-neutral, multi-modality platform that combines PACS, structured clinical reporting, and visual interactive tools. Three product lines address distinct markets: Workflow for Hospitals and Health Systems (enterprise vascular, cardiac, and neurovascular structured reporting); Practice Suite for OBLs and ASCs (integrated PACS, EMR integration, scheduling, analytics, billing/RCM, and inventory management for outpatient labs and ambulatory surgery centers); and Women's Health Diagnostic Reporting (OB/GYN modules covering gynecology, first-trimester OB, IVF, fetal well-being, and advanced OB). A July 2025 product launch added an AI-powered Auto-Interpretation Tool that auto-populates IAC-compliant reports from measurement data and claims a greater-than-50% reduction in reporting time.

Medstreaming's business model is predominantly SaaS-based, with subscription revenue from cloud-hosted PACS and clinical workflow, supplemented by managed services for billing/RCM and professional services for implementation and integration. The go-to-market is direct enterprise field sales targeting clinical leaders (e.g., Vascular Surgery Chiefs, Directors of Vascular Services) and hospital/health system IT leadership, supplemented by inside sales, industry conference presence (e.g., SVU 2025), and content marketing. Pricing is not publicly disclosed; all inquiries route through phone- and email-based sales channels.

Name

Medstreaming

Legal name

Picis Clinical Solutions, Inc DBA Medstreaming

Website

https://medstreaming.com

Company type

Private

Founded year

2006

Operating status

Operating

Headcount range

251–500 employees

Short description

Medstreaming provides cloud-based clinical workflow and PACS solutions for image-intensive specialties, serving over 200 hospitals, health systems, OBLs, and ASCs with vascular, cardiac, neurovascular, and OB/GYN structured reporting powered by its proprietary Graphical Fusion Workflow Technology.

Ownership category

akta.pro rank

Product category

Healthcare Workflow and Imaging Informatics Software

NAICS

Software Publishers (513210)

SIC

Services-Prepackaged Software (7372)

akta.pro primary industry

Universal Viewers & Enterprise Imaging Access (Zero-footprint/Diagnostic) (HLACALAD)

Keywords

• Healthcare workflow software
• Vascular reporting platform
• Cardiology PACS solutions
• Structured reporting software
• Medical imaging informatics

Headquarters

HQ city

Redmond

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

Technology or R&D, Personnel, Infrastructure, Marketing or Sales, Operations

Revenue model

1. Software Subscription (Cloud-Hosted PACS and Clinical Workflow): SaaS-based subscription model for cloud-hosted PACS and clinical workflow reporting solutions. The platform is fully integrated with add-on practice management and billing software. Pricing is likely tiered based on facility size and module usage.
2. Practice Management and Billing Services: Integrated billing and revenue cycle management integration with streamlined revenue cycle operations. ICD10 and CPT code billing integration included in the practice suite.
3. Professional Services and Implementation: Implementation and training services provided to healthcare organizations for system deployment and integration with existing HIS/EMR systems.

Go-to-market motion2 records

Distribution channels3 records

Marketing channels6 records

Core offering

Medstreaming provides cloud-based, vendor-neutral PACS and clinical workflow reporting software for image-intensive healthcare specialties, including vascular, cardiac, neurovascular, and OB/GYN. The platform combines structured data capture with interactive visual tools and an AI-powered Auto-Interpretation Engine to streamline diagnostic and surgical reporting across hospitals, health systems, office-based labs (OBLs), and ambulatory surgery centers (ASCs). The Practice Suite offering extends this with integrated practice management, EMR integration, scheduling, analytics, and billing.

Product overview

Medstreaming offers a unified cloud-hosted PACS and clinical workflow reporting platform with integrated practice management and billing for the healthcare market. The product portfolio consists of three main solutions: (1) Workflow for Hospitals and Health Systems - enterprise vascular/cardiac/neurovascular structured reporting with multimedia capabilities; (2) Practice Suite for OBLs and ASCs - all-in-one PACS, clinical reporting, scheduling, analytics, and billing for outpatient labs; and (3) Women's Health Diagnostic Reporting - OB/GYN structured reporting modules. The platform is powered by proprietary Graphical Fusion Workflow Technology and augmented by an AI-powered Auto-Interpretation Tool (launched July 2025) that auto-generates interpretations to reduce reporting time by 50%.

Differentiator

Problem solved

Functional benefit

Products and services

• Workflow for Hospitals and Health Systems Enterprise-level vascular, cardiovascular, and neurovascular clinical workflow solution with structured reporting engine, PACS integration, multimedia reporting, and 100% DICOM measurement import for hospital systems across inpatient and outpatient sites.
• Practice Suite for OBLs and ASCs Fully integrated, cloud-hosted PACS and clinical workflow reporting solution with practice management, EMR integration, scheduling, analytics, billing integration, and inventory management for Office-Based Labs (OBLs), Ambulatory Surgery Centers (ASCs), and hybrid practices.
• Women's Health Diagnostic Reporting Enterprise-wide diagnostic reporting system for OB/GYN providers covering gynecology, first trimester OB, IVF, fetal well-being with biophysical profile, OB invasive procedures, and second/third trimester evaluations with multimedia structured reports and TomTec integration for 3D/4D ultrasound post-processing.
• Auto-Interpretation Tool AI-powered add-on tool that leverages built-in study protocols to auto-generate interpretations, import 100% of measurements including custom user-defined fields, and push structured findings directly into reports. Cuts vascular reporting time by over 50%.

Quantifiable outcome

• 80% reduction in vascular reading time
• +4 more outcomes

Named customers9 records

Segments4 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

AI capability6 records

Feature7 records

Partnerships

One partnership is on record.

• Picis Clinical Solutions, Inc.coreOthers · 9 January 2024Medstreaming operates under the Medstreaming brand as part of Picis Clinical Solutions, Inc. following the acquisition by Harris Computer Corporation.

Scale indicators3 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• RamSoft: RamSoft provides cloud-based PACS, RIS, and workflow solutions for radiology and specialty imaging groups. Comparable as a direct peer offering cloud-hosted, multi-modality imaging workflow software to hospitals and outpatient centers.
• ScImage: ScImage provides cloud-native PACS and structured reporting for specialty imaging workflows including cardiology and vascular. It directly competes with Medstreaming in vendor-neutral, multi-modality PACS for specialty practices and hospitals.
• Viztek (Konica Minolta): Viztek, part of Konica Minolta, offers web-based PACS, RIS, and specialty imaging solutions including cardiology. It is a direct peer in cloud and on-premise PACS for hospitals and outpatient imaging providers.
• Infinitt North America: Infinitt delivers enterprise PACS, RIS, and AI-powered reporting for radiology, cardiology, and specialty imaging. It is a direct peer competing in vendor-neutral, web-based PACS for hospitals and outpatient imaging centers.

Emerging players

• Fivos (PATHWAYS): Fivos, the former owner of Medstreaming's workflow solutions, now focuses on clinical registries and data platforms for vascular and specialty providers. Adjacent and historically tightly coupled with Medstreaming, making it thematically comparable.

Others

• ICPA (Philips) / TomTec: TomTec, a Philips brand, provides 3D/4D ultrasound post-processing and cardiac/vascular analysis. Already integrated with Medstreaming's OB/GYN module, it represents an adjacent enabling technology peer rather than a direct workflow competitor.

Broad incumbents

• GE Healthcare Centricity PACS / Edison: GE Healthcare provides enterprise PACS, advanced visualization, and AI applications for radiology and cardiology. As a broad incumbent with deep hospital relationships, it competes with Medstreaming on integrated imaging workflows and AI-enabled reporting.
• Philips IntelliSpace Portal: Philips' enterprise imaging suite offers advanced visualization, PACS, and AI-driven reporting across radiology and cardiology. It is a broad incumbent competitor to Medstreaming's specialty vascular/cardiac reporting workflows, often competing in hospital RFPs.
• Siemens Healthineers syngo: Siemens' syngo platform delivers multi-modality PACS, advanced visualization, and AI-driven reporting for radiology and cardiology. It is a broad incumbent competing with Medstreaming in vascular, cardiac, and general hospital imaging.
• Merge Healthcare (IBM Watson Health): Merge (now part of IBM/Healthcare) historically offered enterprise PACS and imaging workflow solutions for hospitals. Comparable as a broad incumbent imaging workflow platform overlapping with Medstreaming's enterprise reporting focus.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/medstreaming
• Xx.com/Medstreaming
• Facebookfacebook.com/Medstreaming

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Funding overview

Funding rounds2 records

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A2 records

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Medstreaming