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Managed Enterprise PACS

Managed dcm4chee Hosting

Enterprise DICOM archive built for high-volume radiology

License: LGPL-2.1 GitHub: 1K stars Infra: 3–4 GB RAM, 4 vCPU, 100 GB+ storage

What is dcm4chee?

dcm4chee is a clinical image and object management solution providing enterprise-grade PACS capabilities. It supports the full DICOM standard, HL7 v2 integration, and DICOMweb, designed for radiology departments handling thousands of studies per day.

Use cases

  • Radiology departments requiring full enterprise PACS
  • Multi-site imaging networks with central archive
  • Imaging centers needing HL7 integration with HIS/RIS
  • High-volume DICOM archiving at clinical scale

Features

  • Full DICOM C-STORE, C-FIND, C-MOVE, C-GET
  • DICOMweb (WADO-RS, STOW-RS, QIDO-RS)
  • HL7 v2 ADT and order workflow integration
  • Study lifecycle management and routing
  • Web-based Archive Manager console
  • Multi-site federation and query routing

Simple, transparent pricing

Same software, fraction of the cost.

Starter

Single-site deployment

From $80 /mo
  • dcm4chee Archive 5 + WildFly
  • PostgreSQL backend
  • Full DICOM support
  • Web management console
  • Daily backups
  • Email support
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Most popular

Business

With HL7 integration

From $150 /mo
  • Everything in Starter
  • HL7 v2 receiver and sender
  • DICOMweb endpoints
  • Study routing rules
  • 30-day audit log retention
  • Priority support
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Enterprise

Multi-site federation

From $200 /mo
  • Everything in Business
  • Multi-site query routing
  • Custom DICOM attributes
  • High availability setup
  • SLA-backed uptime guarantee
  • Dedicated account manager
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Every plan includes

Managed hosting

Dedicated bare-metal servers

Automated backups

Daily backups with 30-day retention

SSL included

Automatic HTTPS with Let's Encrypt

Monitoring

24/7 uptime monitoring and alerting

Compliance-ready hosting

Every managed deployment runs on EU infrastructure. Medical-specific Data Processing Agreement available on request. All services covered under a single DPA.

View compliance documentation →

Frequently asked questions

Does dcm4chee support HL7 v2 integration with a RIS or HIS?

Yes, on Business and Enterprise plans. We configure HL7 v2 ADT receivers and order workflow senders so dcm4chee exchanges worklist items and patient demographics with your RIS or HIS.

What DICOMweb endpoints does managed dcm4chee expose?

We enable WADO-RS, STOW-RS, and QIDO-RS on Business and above. These endpoints let OHIF Viewer and other DICOMweb clients query and retrieve studies directly from the archive.

How does multi-site query routing work on the Enterprise plan?

Enterprise includes multi-site federation: dcm4chee can route C-FIND and C-MOVE queries across multiple archive nodes, letting clinicians query a single entry point for studies stored at different locations.

Can dcm4chee ingest studies from an existing PACS using C-MOVE?

Yes. We plan and execute the migration using C-MOVE from your current PACS. For large archives we stage the transfer in batches to avoid impacting production traffic.

Ready to get started with dcm4chee?

Your instance is provisioned in days. No credit card required for a consultation.

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