Medical images where they are needed, instantly and securely
Founda’s Image Availability solution uses open standards to connect PACS, VNAs, and EHRs so clinicians can access complete imaging histories across HIEs, hospitals and networks, supporting more consistent workflows and clearer decision-making at the point of care.
When imaging data is scattered, care slows down
Clinicians rely on complete imaging histories to make timely, confident decisions, yet these images are often stored across hospitals and systems that do not communicate easily. As care becomes more connected, retrieving and sharing imaging data across locations brings growing complexity. Missing prior studies and manual requests disrupt clinical workflows and delay the flow of information.
Image Availability addresses this with one standards-based approach that connects imaging systems and makes data consistently accessible across care settings.
What better image access means for care
Better care coordination
Seamless sharing of images across hospitals, care providers, and departments ensures every team works with the same complete picture.
Smoother clinician workflows
Integration with PACS and EHR workflows helps reduce manual image requests and keeps clinicians focused on patient care.
Reliable, secure data access
Built on open standards and a proven platform foundation, Founda supports compliant and reliable data access across networks.
Fewer repeat scans and lower costs
Accessible imaging helps avoid redundant exams, saving time, cost, and reducing patient radiation exposure.
Accelerated diagnosis and treatment
Viewing complete imaging histories within the workflow supports more informed, confident decision-making.
Prefetch: instant imaging access
Image Prefetch ensures that the right imaging studies are already available when clinicians begin their review - without relying on manual searches, calls, or fetching.
For clinicians
Access the imaging information that matters, at the point of care
Founda’s Image Availability connects imaging data and documents across hospitals and systems so clinicians can work with a complete view of the patient. It works by:
-
Providing access to imaging data from connected systems directly within existing workflows.
-
Integrating with PACS and VNAs so clinicians can open relevant prior exams for clinical context.
-
Providing a patient's full imaging record timeline across the connected network.


For clinicians
Imaging access designed for clinical workflows
Quick, secure access to prior and current studies inside the EHR and integrated with PACS and VNA to support smoother decision-making and coordination across care settings.
Instant image access
Large imaging studies open in seconds, helping clinicians work quickly with the information they need.
Integrated viewing within the EHR
Open X-rays, CTs, and MRIs directly from the patient record in a clean web viewer.
Connected workflow with PACS and VNA
Open the study in your PACS and VNA workstation without leaving the patient chart.
Complete imaging history
See every prior exam across hospitals to reduce diagnostic blind spots and avoid repeat scans.
Seamless, secure sign-on
Use existing hospital credentials keeping patient data protected without slowing you down.
For IT teams
Connecting systems behind the scenes
Founda’s Image Availability gives IT teams a standards-based foundation that simplifies interoperability, strengthens governance, and scales across healthcare networks. It works by:
-
Connecting PACS, VNAs, EHRs, and external imaging partners using native DICOM, DICOMweb, XDS-I/XCA-I, and FHIR standards, enabling imaging systems across hospitals, regions, or vendors to exchange studies without custom integration.
-
Enabling secure, governed access through configurable role-based permissions and audit trails.
-
Retrieving relevant prior studies ahead of scheduled care through pre-fetching and caching, keeping large imaging files readily accessible when clinicians need them.


For IT teams
Engineered for high performance and trusted interoperability
A standards-based platform that simplifies integrations, supports heavy workloads and ensures consistent, compliant image access across care networks.
End-to-end DICOM workflow
Support for push, query, or routing of studies between any PACS or regional networks. No extra gateways required.
Prefetching and caching
Retrieve relevant priors ahead of scheduled care to support timely access.
Cross-community imaging gateway
Bridges multiple hospitals or regions, keeping images linked to the patient even when identifiers differ.
Scalable, geo-redundant storage
Built on object storage for virtually limitless capacity, durable backup, and support for multi-region redundancy.
Standards-based interoperability
Founda offers native support for DICOM, DICOMweb, XDS/XDS-I, XCA/XCA-I, FHIR, HL7 and key IHE profiles, enabling integration with diverse clinical systems with minimal custom code.
Secure, governed access
Incorporates role-based access control, single sign-on, and audit logging to ensure privacy and compliance.
Built on trust, interoperability, and performance
Standards-based interoperability
Built on global healthcare standards including HL7, FHIR, DICOM, and IHE interoperability profiles to connect systems and networks while minimizing custom integrations and reducing vendor lock-in.
Secure by design
Security is embedded at every layer -from encryption and access controls to identity management and audit logs. Built to protect sensitive data while supporting operational integrity at scale.
Scalable infrastructure
Expands effortlessly from local implementations to regional or national networks, maintaining high performance and reliability as data and users grow.
Modular architecture
Flexible by design. Deploy and combine solutions as needed to meet organizational goals, use cases, and adapt to evolving workflows.
API-first foundation
Built as secure, well-documented APIs to simplify integration and accelerate innovation - while also offering UI components for teams who prefer to embed instead of build.
Embedded compliance
Regulatory alignment is built into every capability, with consent handling, auditability, and policy-driven controls supporting healthcare privacy standards across regions.
Flexible setup, based on your environment
Founda supports three deployment models so healthcare organizations can choose the setup that aligns with their security, compliance, high availability and operational needs. All models follow the same security-first principles, proactive monitoring, and structured maintenance approach, with upgrades adapted to the specifics of each environment.
Cloud
Orchestration and processing run fully in the cloud. Fast to deploy, highly scalable, and automated, with cloud-first updates and security patches that reduce manual effort. Fits organizations prioritizing scalability, automation, and cost-efficiency.
On-premise
All components run within the hospital's infrastructure. Provides full control of data, security, and compliance, supported by tailored upgrade schedules and local maintenance. Suits organizations with strict regulatory requirements and predictable environments, with higher IT involvement and manual scaling.
Hybrid
Processing stays on-premise where PHI is handled, while orchestration runs in the cloud. Balances regulatory compliance with cloud agility. Cloud components update quickly, while on-premise components follow controlled upgrade cycles aligned with local compliance needs.
Every second counts in clinical care
Image Availability bridges the gap between clinical needs and IT infrastructure, enabling faster, safer, and more connected healthcare delivery. It’s not just about sharing images; it’s about connecting care.