Intelligent Workflow.
Streamlined Communication.
Efficient Workflow Starts Here
Primordial Design’s solutions enable intelligent workflow and seamless communication—creating a highly integrated, optimized imaging platform for your enterprise.
Customize workflows and balance workload distribution with precision
Prioritize and escalate intelligently to meet critical service levels
Keep applications and communications unified and in sync
Gain real-time insight into radiologist productivity and system performance
Schedule a Workflow Solution Discussion
Why Primordial
NearlyTwo Decades of Enhancing Workflow and Communication Efficiency
We’ve seen it all—and built for it all. With nearly 20 years of experience, Primordial Design delivers flexible, tailored imaging workflow solutions that integrate with your existing systems and scale with your needs.
Used in over 400+ healthcare facilities, our platform has helped radiologists, technologists, and administrators eliminate bottlenecks and boost performance across every touchpoint.
We don’t just offer software—we deliver workflow that works.
Key Benefits
Optimize Radiologist Efficiency
Less clicking, more interpreting. Reduce workflow friction for overloaded radiologists.
Tightly Integrated Ecosystem
We bridge your PACS, EMR, dictation, AI tools, and more—making them feel like one solution.
Streamlined Communication
Synchronous and asynchronous messaging built into the workflow for fewer delays and clearer collaboration.
This is for you if…
You're running a complex imaging service line and need enterprise-level orchestration.
You want to optimize workflow without replacing your PACS.
You're investing in AI but need a system to organize, track, and scale its use.
You’re looking to boost performance and ROI without reinventing your tech stack.
You need to track findings to meet compliance and accreditation requirements.
Our Solutions
Actionable Findings
Automatically escalate and track urgent findings. Radiologists can send alerts directly from their workstations, with full audit trails for compliance.
Workflow Orchestration
Connects disparate systems with rules-based worklists, dynamic prioritization, and real-time context management.
Communicator
In-workflow messaging that’s patient-aware and interruption-smart—because collaboration shouldn’t create chaos.
Lung Cancer Screening
End-to-end LCS program management with integrated reporting, follow-ups, and registry support.
Follow-up Manager
Automated, AI-enhanced tracking of follow-up recommendations with closure detection and actionable analytics.
FAQ
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FOG Software, part of Constellation Software, acquired Primordial to focus exclusively on imaging workflow and communication innovation.
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Yes—our long-standing integration with Microsoft’s healthcare solutions continues.
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Absolutely. Our solution is built to orchestrate even the most complex, multi-system environments.
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It varies. We work closely with each client to scope and schedule based on your needs and available resources.
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Yes, several of our solution modules are available in the cloud.
Ready to Optimize Your Imaging Workflow?
Let's explore your unique challenges and design a solution that fits.
Schedule a Custom
Workflow Demo
Our Story
Born from necessity — Built for performance.
Primordial Design began in the early 2000s during the surge in PACS adoption. What started as custom API integrations quickly evolved into complete, intelligent workflow solutions. Over the years, we’ve served more than 150 clients, joined the Nuance family, transitioned through Microsoft, and emerged today under FOG Software—laser-focused on reimagining imaging workflow.
