How do you actually host a live Orthanc instance?

Hello,

You have to set the “RemoteAccessAllowed” configuration option to “true”:
https://book.orthanc-server.com/users/configuration.html
https://book.orthanc-server.com/faq/troubleshooting.html?highlight=remoteaccessallowed#orthanc-explorer

Regards,
Sébastien-