We have spent three decades developing, evolving and maintaining in production the clinical information systems that Spain's public healthcare service uses for diagnostic imaging and oncological screening. Continuity is our speciality.
We develop and operate radiological information systems for healthcare administrations. Software that manages the complete medical imaging workflow: requisition from the HIS, assignment to the modality, DICOM worklist at the station, reading, structured reporting, distribution to the requesting clinician. Software that must be available 24/7 because emergency radiological care keeps no office hours.
We do not know this from the outside. We have built it, we maintain it and we have evolved it at the pace that clinical practice changes — from 2D mammography to tomosynthesis, from local reading to teleradiology distributed across centres.
We build and maintain breast cancer screening platforms for public health programmes: population invitation, scheduling, image capture, double-blind reading, arbitration where required, results communication, case follow-up, regulatory traceability. The complete cycle, from the letter that arrives in the letterbox to diagnostic confirmation.
Early detection saves lives. Our work is ensuring the machinery that makes it possible runs smoothly.
"Care continuity does not wait until Monday morning."
When a vendor delivers a system and closes the project, what remains is version 1.0 — without evolution, ageing with each passing day. When a system enters real maintenance, the opposite happens: it remains the current system five, ten, twenty years later.
Medicine advances. Imaging techniques evolve. Hospital workflows are reorganised. Maintaining a clinical system means ensuring it remains useful five years after delivery — not the piece of kit the hospital tolerates because there is no budget to replace it.
GDPR, ENS, regional regulations, new interoperability frameworks. Every regulatory change in healthcare or information security requires the provider who truly maintains the system to review it — and do so without interrupting operations.
Availability measured in four digits of "9". Audited response times. Real contractual metrics. That is the reality of mission-critical clinical software — and working in it for thirty years builds teams with an operational maturity rarely found elsewhere.
The team that understands how a clinical system works is not formed in six months. It is what justifies our model of a deep, stable team: when someone has spent years on a piece, they know it in a way that documentation cannot fully capture.
Working with it for years teaches things that are not in any manual: how procurement processes work, how technical decisions are justified before external audit, how a maintenance contract is sustained through changes of government, how coexistence between legacy and new is managed without interrupting clinical operations.
For a healthcare administration that needs to build or sustain mission-critical systems, that knowledge makes the difference. There is no learning curve for the environment — we arrive already knowing where we are. Since 1995.
"There is no learning curve for the environment — we arrive already knowing where we are."
The stack of the systems we maintain reflects their evolution: layers in .NET and SQL Server as a solid foundation, consolidated HL7 and DICOM integrations, plus the modern layers we have incorporated as operations required. We do not rewrite without reason — we preserve the value of legacy and modernise what makes sense to modernise, without touching what works.
Radiological information systems and oncology screening platforms in continuous use for Spanish public healthcare. These are the figures for one year.
About 7,050 reports every day of the year — derived from the annual total.
The figure reflects gross compliance, without filtering incidents whose resolution does not depend entirely on GESI.
If what you have ahead is a new healthcare IT project, the succession of a mission-critical legacy system, or maintenance that needs a team who knows the terrain — let us talk.