Integrate Orthanc in Care stream X-ray machinee Drx 1 system with

General
1

Hello
I need some help to integrate Orthanc in Care stream X-ray machime Drx 1 system with Software version 5.7 for our small clinic with one server computer. I want to install the software to the clinical server so that other 5 users in clinic can be able to access the images sent from drx1 to server computer and other computers of doctors can be able to access the images from server through their computer conected to the same network…as for today i tried to setup the drx1 with my computer and it function well but i need help with procesures to setup on the clinical server so that others might be able to access and also if possible to access remotely

2

Hello!

Since you already have Orthanc installed, let’s focus on the necessary configuration steps for the server.

All these steps are described in detail in the Orthanc Book

PS: It is important to contact Carestream technical support for equipment configurations.

1. Configuring Orthanc for Multiple Users

The first step is to edit the Orthanc configuration file, named Orthanc.json. This file might be in different locations depending on your installation (for example, C:\Program Files\Orthanc\ on Windows or /etc/orthanc/ on Linux).

You should open and edit this file with a simple text editor. Inside it, add or adjust the following lines:

{
  "Name" : "OrthancClinicServer",
  "DicomAet" : "CLINIC_PACS",
  "DicomPort" : 4242,
  "DicomScuTimeout" : 60,
  "HttpServerEnabled" : true,
  "HttpPort" : 8042,
  "RemoteAccessAllowed" : true,
  "AuthenticationEnabled" : true,
  "RegisteredUsers" : {
    "admin" : "your_secret_password",
    "dr_joao" : "senha123"
  }
}

  • "DicomAet" and "DicomPort": The “AETitle” and DICOM port are your Orthanc’s identity on the network. Make sure the DicomAet is unique and easy to identify. The default port is 4242, but you can change it if needed.

  • "RemoteAccessAllowed": Set this value to true. This allows other computers on the same network to access the Orthanc web interface.

  • "AuthenticationEnabled": It’s crucial that this option is true. Without it, anyone on your network can access and manipulate data.

  • "RegisteredUsers": Here, you can create multiple users with different passwords. I recommend creating separate accounts for each doctor, as in the example, for better access control.

After saving the changes, restart the Orthanc service/process for the new configuration to be loaded.

2. Connecting the Carestream DRX 1 Machine

Now, you need to configure your X-ray machine to send DICOM studies to the Orthanc server. In the Carestream DRX 1 software:

  1. Access the DICOM destination settings (usually under a “Network” or “PACS” menu).

  2. Add a new DICOM storage server (Storage SCP).

  3. Enter your Orthanc server’s network information:

    • Server AETitle: CLINIC_PACS (or the name you defined).

    • IP Address: The IP address of your server on the local network (e.g., 192.168.1.100).

    • Port: The Orthanc DICOM port (4242).

  4. Perform a connection test (C-ECHO) to confirm that the machine and Orthanc are communicating correctly.

3. Multi-User Network Access and Remote Access

With the configuration done, the 5 users in the clinic can access the Orthanc server from their computers on the same network. To do this, they just need to open their browser and type the server’s address: http://[Server_IP]:8042. They will need to use the credentials you created in the configuration file.

For secure remote access (from outside the clinic), the best practice is to use a reverse proxy like Nginx or Apache, rather than directly exposing Orthanc’s port 8042 to the internet. The reverse proxy will mediate access, allowing you to use HTTPS (SSL/TLS encryption), which is essential for the security of health data. You should configure the VPN or the reverse proxy to forward requests to the Orthanc server.

I hope this helped

Regards
Lucas Weber

1 Like