DICOM Server / PACS
DICOM Server / PACS is a app in the osFoundry community catalog. A lightweight DICOM server / mini-PACS — store, query, retrieve, view, anonymize, and export medical images via the web Explorer, REST API, or DICOMweb (WADO-RS / QIDO-RS / STOW-RS). An open replacement for Hyland Acuo / Sectra PACS / Synapse PACS. Powered by Orthanc. Ships as a single self-contained container with bundled SQLite on a persistent volume.
**Important constraint:** the legacy DICOM C-STORE protocol (port 4242 TCP) used by modalities for direct device-to-server push is NOT exposed by this deployment (platform iframes one port). Upload via the web Explorer, the REST API, or DICOMweb STOW-RS (all on port 8042).
Details
- Workspace: osfoundry
- Category: PRODUCTIVITY
- Pricing: Free
- Access: Community
Features
- A lightweight DICOM server / mini-PACS — store
- Retrieve
- Anonymize
- Export medical images via the web Explorer
- REST API
Documentation
# DICOM Server / PACS
A self-hosted DICOM server, powered by Orthanc 25.x.
## Setup
Set `ORTHANC_PASSWORD` to a strong password before first start. Login at the app root with `ORTHANC_USERNAME` / `ORTHANC_PASSWORD`.
## How to upload images
- **Web Explorer**: drag-drop .dcm files into the upload page
- **REST API**: `POST /instances` with a binary DICOM file body
- **DICOMweb STOW-RS**: `POST /dicom-web/studies` (W3C-standard)
## How to view images
The Orthanc Explorer 2 plugin ships built-in. For a richer browser-viewer experience, install the companion **DICOM Viewer** app (`dicom-viewer`, OHIF) and point its `wadoRoot` at this server's `/dicom-web` endpoint.
## Single-port caveat
Legacy DICOM C-STORE (port 4242, used by modalities like CT/MR scanners to push studies directly over the DICOM-network protocol) is NOT exposed by this deployment. Modality push doesn't work; all uploads must go via HTTP (web/REST/DICOMweb). This is fine for clinical-review use cases but not for receiving live studies from a scanner.
## Storage
20 GB volume covers ~5–10k studies depending on modality + compression. SQLite index + bulk DICOM files all live under `/var/lib/orthanc/db/`.
## Privacy / compliance disclaimer
Orthanc is open-source PACS software. osFoundry provides no HIPAA Business Associate Agreement. Operator is solely responsible for HIPAA/GDPR/any clinical-data regulatory compliance.
## Theme / appearance
Orthanc Explorer 2 has its own light/dark toggle.
How to use DICOM Server / PACS in osFoundry
Install DICOM Server / PACS into your workspace in one click, then fork it in osStudio to customise the prompts, tools, or configuration for your stack. Anyone in your workspace can pick up where you left off.
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