PACS Integration

The Picture Archiving and Communication System (PACS) integration connects Bio Ecko with DICOM-compliant imaging equipment and archival systems. It enables...

February 2026 · 5 min

Manual area

Radiology

Coverage

6 sections

Operator notes

3 implementation notes

Overview

The Picture Archiving and Communication System (PACS) integration connects Bio Ecko with DICOM-compliant imaging equipment and archival systems. It enables seamless image viewing within the EMR, eliminates film-based workflows, and provides enterprise-wide access to medical images.

DICOM Connectivity

Bio Ecko communicates with imaging equipment via DICOM protocols:

Worklist (MWL) -- Sends patient and order details to the modality so technicians don't re-enter data
Storage (C-STORE) -- Receives completed images from modalities and archives them
Query/Retrieve (C-FIND/C-MOVE) -- Retrieves images from the PACS archive on demand
WADO-RS -- Web-based image retrieval for the built-in viewer

Supported modalities: X-ray, CT, MRI, Ultrasound, Mammography, PET-CT, C-arm, Endoscopy (with video capture).

Image Viewer

The built-in web viewer supports:

Multi-frame and multi-series viewing with series thumbnails
Window/level adjustment (preset: Bone, Lung, Abdomen, Brain, or custom)
Zoom, pan, rotate, flip, and invert
Measurement tools (length, angle, ROI statistics, Hounsfield unit display)
Annotation tools (arrow, text, freehand drawing)
Comparison view: prior studies side-by-side or linked scrolling
3D MPR (Multiplanar Reconstruction) for CT/MRI datasets
Hanging protocols for standardized display layouts per study type

Share images securely:

Generate a shareable link (time-limited, password-protected) for referring doctors
Patient CD/USB burning with built-in viewer
DICOM send to external facilities
Integration with teleradiology services for remote reporting
ABDM-compliant FHIR DiagnosticReport with image references

Storage & Archiving

Image lifecycle management:

Online storage for recent studies (SSD-backed, fast access)
Near-line archive for older studies (cost-optimized storage)
Configurable retention policies (e.g., 7 years online, then archive)
Lossless compression to reduce storage costs
Disaster recovery with geo-replicated backup
Storage utilization dashboard with growth projections

Configuration

Set up PACS at Admin > Integrations > PACS/DICOM:

Register DICOM AE titles for each modality
Configure MWL filters (which orders go to which modality)
Set up PACS server connection (IP, port, AE title)
Configure routing rules (auto-forward specific study types)
Map Bio Ecko locations to DICOM institutions
Test connectivity with DICOM echo (C-ECHO)

Notes

Info

PACS integration requires network-level connectivity between Bio Ecko's DICOM gateway and your imaging equipment. Work with your IT team to configure firewall rules.

Tip

Enable auto-prefetch of prior studies when a new order is created. This ensures the radiologist has comparison images ready when they start reporting.

Clinic tip

Clinics with a single X-ray or ultrasound machine can use the simplified DICOM setup wizard which auto-discovers the modality on the local network.