We are trying to implement Pacsone as a cheap webserver.
Some advice please:
1. How do you manage patient image for access by non- referring doctors, eg Specialists?
2. Would you install it as a webserver on port 80 open to the internet or would you use a different port?
3. Which is your preferred 3rd party image viewing software?
4. What do you need to create a unique secure link to the study such as that used with Picasa ?
Thanks
Pacsone as an image webserver
1. You can enable the Enable User Access Filters Based on Attribute Values from Received Dicom Images: option from the Configuration page of PacsOne Server, then select specific User Access Filters for a registered web user if that username is neither the Referring or Reading Physician of the received subject Dicom study.
2. Yes, you should be able to configure the web server (Apache or IIS) to run on any available TCP port, e.g., 8080, etc, instead of the default port 80.
3. You can find the list of supported web-based Dicom image viewers from our website:
http://www.pacsone.net/download.htm
4. If you configure the Website URL to embed in statistics report emails for external access: setting from the Configuration page, PacsOne will embed a URL link to the received Dicom studies in the Statistics Report emails (daily/weekly/monthly) sent to the Administrator.
2. Yes, you should be able to configure the web server (Apache or IIS) to run on any available TCP port, e.g., 8080, etc, instead of the default port 80.
3. You can find the list of supported web-based Dicom image viewers from our website:
http://www.pacsone.net/download.htm
4. If you configure the Website URL to embed in statistics report emails for external access: setting from the Configuration page, PacsOne will embed a URL link to the received Dicom studies in the Statistics Report emails (daily/weekly/monthly) sent to the Administrator.
User access values
I am using version 6.3.5 for Linux, but I don't see that option on the config page.
When I try add a user, I only get a limited number of options- eg AE title, Referring Physician name, Reporting Doctor name and Institution name.
So if a specialist who has not referred a patient to us calls us and requests image access, we have no way of adding his details to the DICOM header and if we used the fields above for access, he would get access to large numbers of patients whom he should not have access to.
Is there a way of adding a field unique to a particular case which someone can access on an ad hoc basis?
When I try add a user, I only get a limited number of options- eg AE title, Referring Physician name, Reporting Doctor name and Institution name.
So if a specialist who has not referred a patient to us calls us and requests image access, we have no way of adding his details to the DICOM header and if we used the fields above for access, he would get access to large numbers of patients whom he should not have access to.
Is there a way of adding a field unique to a particular case which someone can access on an ad hoc basis?
6.4.2 Features
Reading the features list of the 6.4.2 version, I dont see any way of adding a unique field via PACSONE after the image is acquired to enable ad hoc access by a nonreferring doctor.
Can you confirm this is a new feature which will enable us to do what I am trying to achieve?
Can you confirm this is a new feature which will enable us to do what I am trying to achieve?
If you enable the Enable User Access Filters Based on Attribute Values from Received Dicom Images option from the Configuration page, you'll be able to grant access for a web user based on the attribute values within the received Dicom images/studies:
- Source AE Title
- Referring Physician's Name
- Reading Physician's Name
- Institution Name
- Source AE Title
- Referring Physician's Name
- Reading Physician's Name
- Institution Name
No ad hoc access
From your post, if we filter by :
AE title= large pool of patients
Referring Physician Name=large pool of patients
Reading Physician Name= Large pool of patients
Institution Name= Large pool of patients
Overlap filtering by above parameters alone will inevitably result in a large number of patients who fulfil all of the above criteria.
What we are looking for is a way of inserting a attribute AFTER the image is acquired to a single case or patient name to enable web access. This may be days or months after the study was performed.
Is PACSONE capable of this or are we barking up the wrong tree?
AE title= large pool of patients
Referring Physician Name=large pool of patients
Reading Physician Name= Large pool of patients
Institution Name= Large pool of patients
Overlap filtering by above parameters alone will inevitably result in a large number of patients who fulfil all of the above criteria.
What we are looking for is a way of inserting a attribute AFTER the image is acquired to a single case or patient name to enable web access. This may be days or months after the study was performed.
Is PACSONE capable of this or are we barking up the wrong tree?
Re: No ad hoc access
Can you elaborate on what you mean below or provide a use-case?midician wrote: What we are looking for is a way of inserting a attribute AFTER the image is acquired to a single case or patient name to enable web access. This may be days or months after the study was performed.
Use case
Ok here is the use case:
Patient Jo Bloggs is referred by Dr Smith.
Has study done with us, reported by Radiologist Dr X
Jo Bloggs is then referred to a specialist Dr Murphy.
A few weeks later Dr Murphy calls requesting web access to the images.
The DICOM header information does not contain any information on Dr Murphy. So if we created a logon for Dr Murphy we cannot filter the case by Dr Murphy's information as he is neither the referring doctor or reporting doctor. If we filtered by Dr Smith's name, it would give him access to ALL of Dr Smith's cases, contravening Privacy regulations.
Also, with PACSONE we cannot modify DICOM header information except the patient name and ID numbers. So we cannot add a unique DICOM header field so Dr Murphy has access to this only Jo Bloggs.
Patient Jo Bloggs is referred by Dr Smith.
Has study done with us, reported by Radiologist Dr X
Jo Bloggs is then referred to a specialist Dr Murphy.
A few weeks later Dr Murphy calls requesting web access to the images.
The DICOM header information does not contain any information on Dr Murphy. So if we created a logon for Dr Murphy we cannot filter the case by Dr Murphy's information as he is neither the referring doctor or reporting doctor. If we filtered by Dr Smith's name, it would give him access to ALL of Dr Smith's cases, contravening Privacy regulations.
Also, with PACSONE we cannot modify DICOM header information except the patient name and ID numbers. So we cannot add a unique DICOM header field so Dr Murphy has access to this only Jo Bloggs.
Try defining ALL of the attribute filters using the values from this study of Patient Jo Bloggs:
- Source AE Title
- Referring Physician's Name
- Reading Physician's Name
- Institution Name
What you need is a way to assign a specific study to a specific user, but such assignment method may not scale well when there are millions of studies and users.
- Source AE Title
- Referring Physician's Name
- Reading Physician's Name
- Institution Name
What you need is a way to assign a specific study to a specific user, but such assignment method may not scale well when there are millions of studies and users.
Web Server Limitations
From your posts it is apparant that PacsOne is not intended for use to deliver images directly to patients and other specialists on an ad hoc basis.
Thanks for your information. We will seek a third party webserver application.
Thanks for your information. We will seek a third party webserver application.