PACS & DICOM Setup (Orthanc Server + DICOM Routing + OHIF/Horos Viewer)

This service provides a complete PACS & DICOM infrastructure setup based on Orthanc Open-Source PACS with advanced routing, storage lifecycle policies, backup strategy, and a modern viewer such as OHIF Web Viewer (browser-based) or Horos (Mac-based). This converts your hospital/diagnostic center into a fully digital, secure, and scalable imaging environment.

Orthanc is a lightweight yet powerful DICOM server used worldwide for hospitals, clinics, radiology centers, and teleradiology workflows. It supports DICOM Store, Query/Retrieve, Modality Worklist, WADO, and integrates easily with RIS/HIS.

Why Orthanc PACS?

• Open-source and secure – No vendor lock-in, enterprise performance.
• Scales from 1 modality to 50+.
• Supports AI workflows via DICOM Web & plugins.
• Works with all modalities – CT, MRI, X-Ray, Mammo, USG, C-Arm.
• OHIF Viewer gives you zero-client, browser-based viewing.
• Excellent for teleradiology and multi-centre setups.

Package Overview

• Service Type: PACS + DICOM + Viewer setup
• Viewer: OHIF / Horos / RadiAnt (viewer license not included)
• Purpose: For hospitals, diagnostic centers, and teleradiology
• Includes: Routing, archive setup, security hardening, backup
• Supports: CT / MRI / CR / DR / USG / Mammo / C-Arm

What’s Included

• Orthanc PACS Installation
  • Orthanc server deployment (Linux or Windows)
  • DICOM Storage SCP configuration
  • DICOM Web (WADO/QIDO/STOW) enablement
  • Orthanc Explorer 2 (OE2) modern UI
• OHIF Web Viewer Setup
  • OHIF installation & integration with Orthanc
  • Zero-client browser-based viewer
  • Config for multi-monitor workflow (radiologist setup)
• DICOM Routing & Configuration
  • Modality → PACS routing
  • PACS → Teleradiology routing
  • Multiple-center image sync (if needed)
  • Auto anonymization rules (optional)
• User Management & Security
  • User roles (Radiologist / Technician / Viewer)
  • Password & 2FA policies (if enabled)
  • HTTPS & firewall rules
  • Audit logging
• Storage & Lifecycle Policies
  • Disk storage structure & indexing
  • Auto-delete after X days (optional)
  • Archive to NAS/TrueNAS
  • Backup to cloud/S3/NAS
• Integration Support
  • RIS/HIS integration guidance
  • Worklist server config (if available)
• Training & Handover
  • How to use Orthanc & OHIF
  • Technician-level training
  • Radiologist viewer training
  • Full documentation PDF

How It Works

We set up your Orthanc PACS server, connect your modalities, configure DICOM routing, deploy OHIF viewer, enable security, implement storage policies, and train your team to operate and manage the PACS independently.

Ideal For

• Hospitals & Diagnostic Centres
• Standalone CT/MRI centers
• Teleradiology providers
• Clinics with digital X-Ray/CR/DR
• Multi-branch healthcare networks

Scope of Work

• Orthanc PACS installation & configuration
• OHIF or Horos viewer setup
• DICOM routing between modalities
• Storage & archive configuration
• Security hardening
• Training & documentation

Requirements from Customer

• Existing hardware (server/PC/VM)
• Minimum 4–8 vCPU, 16–32GB RAM recommended
• Ample storage (2TB–20TB depending on usage)
• Static IP & LAN access
• Modality AE Titles & IP info
• Firewall port access

What Is NOT Included

• No hardware/server provided
• No paid viewer license (RadiAnt, Anyscan, etc.)
• No HIS/RIS software provided
• No cloud storage costs
• No AMC (available separately)

This setup ensures a complete, secure, and scalable PACS environment ready for doctors, radiologists, and technicians.