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Once your machines are registered, a finished study finds its own order. The Modalities page explains itself in a line: “Register each imaging machine (or its bridge PC) with a private key. Finished studies with a matching accession attach automatically; anything ambiguous waits below for review.”

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Your images stay in your building

This is the first question every lab asks, so here is the plain answer: the image pixels never leave your premises. ClinikEHR stores two addresses and nothing else. The viewer runs inside the radiologist’s own browser and reads the images directly from your on-site archive over an authenticated connection. No study is copied to us in order to be viewed. The one exception is the optional Auto-archive to cloud setting further down this page, which you switch on deliberately and can leave off.

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Register a machine

1

Open the registry

The registry table lists Modality, AE title, Type, Status, Last seen and Actions. Status is Active or Paused, and Last seen is the honest answer to “is this thing actually talking to us”. Refresh re-reads it.
2

Add the modality

Select Register modality and fill in Name (“CT Room 1”), AE title (optional) (“CT_SCANNER”) and Type (optional) (“CT”). The AE title is what the machine calls itself; getting it right is what lets studies match without a human.
3

Copy the key — now

Registering opens Bridge key for {name} with a copy button; Copy key gives you Key copied. Paste it straight into whatever configuration your bridge PC uses, then select Done.
4

Check it is talking

Back on the registry, the modality should show Active and pick up a Last seen time once the bridge connects. If it never does, the key was not saved on the bridge.
The bridge key is shown once. Close the dialog without copying it and it cannot be retrieved — you have to issue a new one with New key, which invalidates the old key and stops that machine’s bridge until it is reconfigured. Copy it before you close.
Use Pause to stop accepting studies from a machine — during maintenance, or when a bridge PC is being replaced — and Resume to bring it back. New key issues a replacement key when one has been lost or should be rotated.

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Studies that arrive without a match

Automatic attachment depends on a matching accession number. Anything else waits for a person, under Studies awaiting review ({n}) — “These arrived without a matching accession. Attach each to the right order so its images show up for reporting.” The table shows Received, Modality, Patient / accession and Study, with two actions:
  • Attach to order opens a picker — “Search by accession, patient or test…” — and on success gives Study attached — images are now on the order.
  • Discard removes it, confirmed with Study discarded.
Work this queue daily. A study sitting here is a study a radiologist cannot report, and the usual cause is a typo in the accession number at the machine rather than anything wrong with the bridge.

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Prior-image sources (PACS)

Prior-image sources (PACS) lists the remote archives the bridge may pull prior studies from, so a radiologist can compare today’s film against last year’s. Add one with Add a PACS source, giving its Name (“Regional PACS”), AE Title (“REMOTEPACS”), Host and Port. Each source can be removed again from its row.

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Auto-archive to cloud

Auto-archive to cloud is a switch, and it is off until you turn it on. Select Save auto-archive policy to apply it — the toast reads Auto-archive policy saved. Set Minimum images deliberately: without it, every stray single-frame acquisition is archived alongside the studies you actually want kept.

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The full-resolution viewer

Two addresses turn on Open full viewer in the reporting form: Select Save viewer settings — the toast reads Viewer settings saved. Once both are set, Open full viewer becomes available on any study that has images. See Report an imaging study.

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Roles and permissions

Configuring this page is a separate grant — Configure analysers and interfaces — from anything else in imaging, because it changes how machines talk to the system rather than what a report says. A radiologist reaches only the imaging screens and does not hold it by default; a lab scientist does not reach imaging at all. See Permissions.
The hardware half of this integration is rolling out site by site, and what your machines and bridge PC need varies with the make and age of the equipment. Talk to support about your specific room before you plan a cutover date.

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Check it worked

  • The machine appears in the registry as Active, with a Last seen time that keeps moving.
  • A test acquisition with a correct accession number lands straight on its order rather than in Studies awaiting review.
  • The report’s Study Information card reads {n} images attached.
  • Open full viewer opens the study for a radiologist.

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If something goes wrong

The imaging bridge is gated on Professional and above, and View plans on that screen takes you to the ladder. See Change your plan.
Issue a replacement with New key on that modality’s row, and reconfigure the bridge with it. The old key stops working, so expect a gap until the bridge is updated.
The bridge is not reaching us with that key. Check the key was pasted in full and that the modality is Active rather than Paused.
The accession number entered at the machine is not matching the order. Check how your radiographers are keying it — a leading zero or a prefix dropped at the console is the usual cause — and attach the waiting studies in the meantime.
Both OHIF viewer URL and Orthanc DICOMweb URL (tunnelled) must be saved, and the study must have images. Save the pair, reload the report and try again.
Check the Auto-archive to cloud switch is on, that the machine is in Modalities to auto-archive (or that none are selected, which means all), and that the study clears Minimum images.
You do not hold Configure analysers and interfaces. It is granted separately from reporting — ask an owner or manager, see Permissions.