PacsOne Server

Hello,

A lot of current competitor systems provide a direct link to patient study.
This link give anyone access to the ONLY related studies’ images without the need of a login & password.
Do you think this can be implemented in the PacsOne Server?
The advantage of this direct link that it can be given to every concerned person (sometimes 2 or 3) while currently only the referring physician can see the images using his account.

Kind regards,

This is considered a huge security risk and major HIPAA violation, to allow anyone access to patient information without any kind of authentication, i.e., anyone with the URL link will be able to access the patient/study stored in the database.

This can easily be implemented in PacsOne Server, but the question is why? Can you give a use-case example why any facility would actually want this feature implemented because it seems like invitation to lawsuits for violation of patient privacy?

Thank you for your replay.
in fact, it is very advantageous in the case of Cancer, the patient often requires a second opinion or the doctor sent the patient to another doctors, with this direct link, all doctors can easily have access to the concerned study without requiring a username & password to the radiologist.
Regarding the security issu, when someone click on the link, we can ask him other information (full name, date of birth) to be sure of its identity.
most hospitals in Europe uses this method and gives a temporary link valid for 3 months.

Sorry, another reason is that the facilities are trying to stop giving patient's CDs anymore, this link will also give the patient access to his images and he will not ask for CDs anymore!

Adding some form of authentication (e.g., patient name, DOB, etc) makes a lot more sense than direct access to patient/study without any kind of authentication.

So can you provide some use cases of when/how to provide such URL link to the Dicom study, e.g., via email, click of a button from a web page, etc?

After the Dicom Study is completely received, PacsONE generate's a Unique Reference. This Unique Reference needs to be sent by email to:
1-A Local User (Secretary or Radiologist), to be added to the Radiologist printed report which will be sent to the Referring Physician or Patient by the mail.
2-Referring Physician (as an option in the User Profile page, currently PacsONE has similar option in the AE page to send email when a studay is arrived BUT it impact all users) to inform them that a study is ready so they can access it or they can send the reference to other doctors.
(This email has as information: Patient name, Date of the Study and the Unique Reference, if its possible to give the Administrator the possibility to customized it, that could be a better)

This Reference can be displayed near the study, so any authenticated user can see it, a button is not needed.

Now another login page must be created to access the study using the Unique Reference, patient name and DOB. ONLY PREVIEW & Download privilege are given.

1, Can you provide a more detailed use-case for this example? e.g., where would you like to configure the email address for this local user, and when should PacsOne send email to this user?

2. Currently if a registered user has a valid email address configured, and a new Dicom study is received with the Referring Physician's Name matches with the Last/First Names of that registered user, then PacsOne Server will send notification email to that user's registered email address if both of the following are true:

A. A valid SMTP server has been configured in the Email page.

B. The registered user has the Send Email Notification When New Study with This User Being the Referring Physician Has Arrived setting enabled.

1-The email address for the local user can be configured in the general configuration page.
Regarding the question (when should PacsOne send email to this user? ), do you think it's possible to generate one Unique Reference for all received studies for the same patient in the same day?
I think about a patient who has to do 2 exams (Mammo & Echo P.EX), so one Unique Reference can give access to these tow studies, that will be more professional.
Anyway, PacsOne need to send an email to the local user (with the Unique Reference) each time a new dicom study is arrived (OR after a configured number of minutes starting from the reception of a new study "in case of more than one studies").
2-The current situation is very good, The notification needs to be modified to include the UR as decided above.

1. It looks like you want this person to be notified for ALL newly received Dicom studies? If so, then you can simply enable the Enable Statistics Report Emails: options under the Configuration menu, and define this user's email address as the Administrator's Email Address, so that PacsOne Server will send daily/weekly/monthly statistics report emails to this user's email address automatically.

2. To have PacsOne Server include the URL link to those received Dicom studies, you'd need to configure the Website URL to embed in statistics report emails for external access: under the Configuration menu. This URL prefix should be the external DNS name for the server where PacsOne is running, so that users running from external email clients can click on that embedded URL link to access the corresponding Dicom study stored in the PacsOne Server database.

About your point 1 above:
The local user (secretary) is the one whom print prepares and sends reports, so he (she) needs to receive the Unique Reference (UR) one after the other for each patient and add it directly to the printed report.
About your point 2:
Of course PacsOne is supposed to be reachable for external users.
The idea is to have 2 login pages as the following exampels:
1-http://www.clinicname.com/
(The current login page reserved for registered users)
2-http://www.clinicname.com/patients
(a new login page reserved for patients and they need Name, UR, DOB, etc to login and see study's images)

This will avoid us to send a long URL prefix, the only thing to be sent is the Unique Reference (UR).

I am currently researching a way to integrate this system into a emr called Intergy.
I wonder if there is a way to have the system accept auto logins from the usrs that are accesisng the system from the emr and it can take them directly to the patient that they have a chart opened for?

You can take a look at the sample php/risdirect.php script under the directory where PacsOne Server is installed, which illustrates how to access the Dicom studies stored in the PacsOne Server database from external systems such as your RIS/HIS or EMR. You should pre-configure the username/password as well as the privilege settings for this external login accordingly, and edit the script to limit web access to only the specific hostname/IP address of your RIS/HIS/EMR system for security control.