Fresh Installation recommendation - Setup for external access - User Management

Hello Everyone.
I’m newbie using this application and doing some tests.

I will like to install Orthanc in Windows. And being able to connect with weasis as viewer. I also have some questions

The idea is to implement in a small clinic where some doctors and patient will have access to their images.

How I should setup the security to be patient specific and also for the doctors. What modules should I use?

Another question is that I will like to enable the access to those from internet and if it’s possible that the heavy processing of the images remains in the server. Sometimes the doctors pc are not so speed and this cause delays in their analysis with the current setup we are using.

And if I want to use a DB what I should use for?

If somebody can give me some ideas or points to clarify my doubts I will be very happy.

Thank you in advance

KR

Diego

My clinic has similar requirements. I had implemented a (pseudo-) RIS on top of Orthanc.

Orthanc runs in the background and serves as the main PACS. The end use interacts with the web frontend (except the Stone/OHIF/WEASIS viewers directly expose the orthanc DICOM-WEB backend)…

The frontend tech-stack includes Laravel/PHP, postgresql DB, valkey for caching etc. the frontend is primarily used by imaging technicians as well as interpreting radiologists. additionally, external clinicians can also view studies referred by them. the frontend communicates through REST API with the orthanc server.

due to the varied locations of my radiologists (most are located in several Asian countries, the remaining are in the EU & US), I have multiple orthanc installations hosted at different datacenters. the same frontend interacts with different orthanc servers.

regarding patients: the frontend has a share functionality which exposes a URL (optionally password protected) that includes DICOM viewer and the interpretation.

Thank you Max! I’m just starting installing this tool how to being able to get into that architecture. :slight_smile:
Best Regards
Diego