XyDromatics VNA Clinical + Research

Archive Totals

DICOM C-STORE SCP

Host

Recent Studies

Patient ID	Accession	Study Date	Modality	Study UID	Series	Instances
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Study Search

Patient ID

Accession Number

Study Date (YYYYMMDD or range)

Modality

Results

Patient ID	Accession	Study Date	Modality	Description	Study UID	Series	Instances
Enter a search criterion and click Search.

DICOM Peers

Remote modalities and PACS systems the Repository interacts with. Sources (inbound ◀) are peers allowed to send us studies via C-STORE. Destinations (outbound ▶) are peers we forward studies to when answering C-MOVE requests from a Query/Retrieve SCU. A single peer can be both.

Name	AE Title	Host	Port	Direction	TLS	Enabled	Actions
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Add Node

Name

AE Title (max 16)

Host

Port

Direction

Source IP/CIDR (optional)

Description

Enabled

TLS enabled

TLS verify peer

Advanced — presentation-context filters (optional)

Leave empty to accept whatever the peer proposes (the common case). Non-empty = allow-list: inbound (source role) only accepts PCs whose SOP/TS appear here; outbound (dest role) only proposes these to the peer. Values are raw DICOM UIDs, one per line or comma-separated.

SOP Class whitelist

Transfer Syntax whitelist

Installed License

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Upload License

Select a .lic file issued by the Synthology License Generator. The file is staged, decrypted, and — on successful parse — replaces the active license. Feature gating is re-evaluated on the next request; no restart is required.

License File

Authentication & SCP

Auth enabled

Idle timeout (minutes)

Session lifetime (hours)

SCP AE title

SCP port

DICOM Max PDU Length (bytes)

fo-dicom DicomServiceOptions.MaxPDULength. 256 KB reduces association round-trips for large pixel data; pre-association negotiation will clamp if a peer doesn’t support it. 0 = use fo-dicom stock 16384. Restart the service to apply.

Enable DICOM-TLS on the DIMSE listeners (C-STORE + Q/R)

Archive Catalog Database

Current engine: —
Configured: —

Changing the archive catalog DB engine or connection string requires a service restart. The SCP will refuse to start until the catalog is reachable.

Kind

Connection string

Object Storage Backend

Current backend: —
S3 secret: —
Azure conn string: —

The archive’s byte store. Local = filesystem under the data directory. S3 = an S3 or S3-compatible object store (AWS S3, Cloudflare R2, Backblaze B2, Wasabi, MinIO) — set an Endpoint for anything other than AWS S3. AzureBlob = Azure Blob Storage; prefer managed identity (no keys on disk) with the account URL, else a connection string. Changing the backend requires a service restart and does not migrate existing objects. Leave a Secret / Connection string blank to keep the stored (sealed) value. Note: on an object-store backend the local-filesystem maintenance passes (integrity bit-rot scan, on-disk OAS rewrite) are skipped — object durability is delegated to the store.

Backend

S3 bucket

S3 region

S3 key prefix (optional)

S3 endpoint (blank = AWS S3)

S3 access key ID (blank = IAM role / env chain)

S3 secret access key (blank = keep existing)

Force path-style addressing

Azure container

Azure account URL (managed identity)

Azure key prefix (optional)

Use managed identity (no keys on disk)

Azure connection string (blank = keep existing / using managed identity)

Health

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SCP Status

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Archive Counts

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Study Browser

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No search executed yet — fill in any field (or none, to list everything) and click Search.

Document Store

Upload

Patient/Subject ID Patient/Subject name Document type Title Study UID (opt.) Source system File

Documents

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Dual-lane: the clinical lane retains PHI; the research lane is de-identified (RUO). Documents are non-DICOM attachments (PDF / CDA / HL7) linked to a patient/subject + study.

Batch Import

Queue a server-side folder for import. The background worker walks the folder recursively, parses each .dcm, and ingests through the same path as C-STORE. License: batch_import. RBAC: edit_listeners.

FOLDER PATH (server-side)

Job ID	Folder	Status	Scanned	Ingested	Skipped	Failed	Created
No jobs yet.

Export

Export up to 10 studies as a single zip (synchronous streaming). For larger batches, use the cohort-driven Research Export workflow. License: export. RBAC: manage_export.

STUDY INSTANCE UIDS (one per line)

Dedup Analysis

Content-based deduplication scan — scans up to N instances, computes SHA-256, identifies duplicates and reports potential savings. License: dedup. RBAC: view_study_browser.

SCAN LIMIT

Archive Analytics

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Modality Distribution

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Retention Policies

Configure how long archived studies are kept. Policies compute matching study counts in preview; destructive purge runs only under an enabled, non-preview policy with a confirm token (not exposed here). License: retention. RBAC: manage_database.

NAME

MODALITY FILTER (csv)

MIN AGE (days)

INTERVAL (min)

Enabled Exclude under hold

Name	Filter	Age (d)	Enabled	Last Preview	Match / Bytes	Actions
No policies yet.

Legal Holds

Lock listed Study Instance UIDs against deletion under retention policies. Active holds override retention sweeps. License: legal_holds. RBAC: manage_database.

NAME

REASON

EXPIRES (ISO 8601, optional)

STUDY INSTANCE UIDS (one per line)

Name	Reason	Studies	Status	Expires	Created	Actions
No holds yet.

Storage Tiers

Per-study hot / warm / cold tier assignment over the archive catalog. Movement is label-only in v1: a move persists a real, queryable tier label for the study; the physical byte relocation across storage back-ends is a documented follow-on (the API returns bytes_relocated=false). License: storage_tiers. RBAC: manage_database (move).

Tier	Description	Assigned	Effective
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Look up / move a study

STUDY INSTANCE UID

TARGET TIER

Integrity

Walks the archive catalog + checks each instance's file is present + readable by fo-dicom. Records anomalies as findings. License: integrity. RBAC: manage_database.

SCAN LIMIT

Finding	Study UID	SOP UID	Path	Details	Detected
No findings.

Patient Merge

Merge configuration

SOURCE PATIENT ID

TARGET PATIENT ID

REASON

Consolidate patient records across MRN changes. Merging re-keys every archived study from source to target in one transaction. Un-merge is not available. License: patient_merge. RBAC: manage_database.

SEARCH PATIENT ID

SEARCH PATIENT NAME

	Patient ID	Name	Birth	Sex	Studies	Instances	Size
Click Search to load patients.

Merge audit log

When	Source	→	Target	Studies	By	Reason
No merges yet.

IOCM Rejections

IHE PCC §4.1 Object Change Management. Mark a study, series, or instance as REJECTED with a reason code; downstream consumers honor active rejections. License: iocm. RBAC: manage_database.

TARGET KIND

TARGET UID

STUDY UID (series/instance)

REASON CODE

DETAILS (optional)

Kind	Target UID	Reason	Details	Status	Created	Actions
No rejections.

Clinical Reporting

⚠ NOT FOR CLINICAL DIAGNOSIS OR DECISION MAKING

Report authoring by non-device software under FD&C Act §520(o)(1)(D). The rendered DICOM SR / HL7 ORU are structured artifacts and are not cleared, certified, or intended for diagnostic interpretation. Any clinical use requires a clinically-validated system + qualified human review.

Author a report

STUDY INSTANCE UID

TITLE

STATUS

OBSERVER

IMPRESSION

Reports

Title	Status	Study UID	Created
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Voice Dictation PHASE-5 (shared-lib) PORTING

Coming in subsequent child DCR under DCR-2026-218. Reference: legacy Synthology.Vna.Clinical.Reporting voice subsystem.

License: voice_dictation. RBAC: view_study_browser.

MinReg PHASE-4 PORTING

Coming in subsequent child DCR under DCR-2026-218. Reference: legacy legacy minreg.html + patient-registration controller.

License: minreg. RBAC: view_users.

ADT Sync PHASE-4 PORTING

Coming in subsequent child DCR under DCR-2026-218. Reference: legacy Services/AdtDemographicsSyncService.cs.

License: adt_sync. RBAC: view_hl7.

C-CDA PHASE-4 PORTING

Coming in subsequent child DCR under DCR-2026-218. Reference: legacy Services/CcdaConverter.cs.

License: ccda. RBAC: view_document_store.

PIR PHASE-4 PORTING

Coming in subsequent child DCR under DCR-2026-218. Reference: legacy IHE PIR controller.

License: pir. RBAC: view_patient_merge.

MPPS PHASE-4 PORTING

Coming in subsequent child DCR under DCR-2026-218. Reference: legacy IHE MPPS SCP.

License: mpps. RBAC: view_dicomweb.

Cohort Builder

Define a cohort

Name Modality Study date Patient ID

Cohorts

Name	Status	Ver
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Research lane is RUO — Research Use Only; cohorts are built over the de-identified archive.

Research Export

Export a cohort snapshot

Exports the studies in a cohort's latest snapshot (de-identified) to a server-side directory.

Cohort ID Destination (server path)

Export jobs

Status	Studies	Instances	Destination
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Research lane is RUO — Research Use Only.

Promotion Gate

Request a promotion

Request to promote an archived clinical-lane study into the RUO research lane. A second approver (never the requester) must approve before the research-lane UID is minted.

Study Instance UID Reason

Pending requests

Dual control: approve requires a second approver — a request can never be self-approved.

Study UID	Reason	Requested by	Requested
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Approved promotions

Clinical Study UID	Research UID (RUO)	Approved by	Approved
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Research lane is RUO — Research Use Only. Approving records the governance decision and mints the research-lane UID; the de-identified copy is performed by the existing RUO export path, not here.

Data Curation

Read-only quality analysis over the archive catalog. A scan refreshes the cached findings; it never mutates the archive. License: data_curation. RBAC: manage_curation (normalize / clear).

SCAN LIMIT (studies)

Modality normalization PREVIEW-ONLY (dry-run)

Counts the series a normalization would touch. Executing a normalization (catalog mutation) is scaffolded and intentionally not enabled here.

FROM (as stored)

TO (normalized)

Findings

Category	Severity	Patient	Field	Details
No findings.

Teaching File Export

IHE TCE. Queue a de-identified export of one archived study. The bundle is de-identified (PS3.15 Basic Profile; UIDs re-minted; burned-in-annotation objects rejected) and staged server-side — the download is the de-identified copy only, never source PHI. Research Use Only. License: teaching_file. RBAC: manage_teaching_files.

STUDY INSTANCE UID

TITLE

Export jobs

Title	Study UID	Status	Staged	Created
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Site-to-Site Replication

Replicate archive instances to peer VNAs via DICOMweb STOW-RS. The service polls every 30 seconds, scans for new instances, and POSTs them to each enabled peer. License: replication. RBAC: manage_database.

Add peer

NAME

BASE URL (DICOMweb)

AUTH

TOKEN (if bearer)

MODALITY FILTER

PRIORITY

Enabled

Configured peers

Name	URL	Auth	Modality	Enabled	Replicated	Last success	Last error	Actions
No peers configured.

Recent jobs

Status	Peer	SOP UID	Attempts	Queued	Completed	Last error
No replication jobs yet.

FHIR R4 Gateway

Read-only FHIR R4 endpoints projecting the archive catalog into ImagingStudy + DiagnosticReport. License: fhir.

Endpoint base

…/fhir/

GET /fhir/metadata — CapabilityStatement
GET /fhir/ImagingStudy?patient=...&accession=...&modality=...
GET /fhir/ImagingStudy/{StudyInstanceUID}
GET /fhir/DiagnosticReport?patient=...&identifier=...

QUICK TEST

Storage Commitment Journal

DICOM Storage Commitment (PS3.4 Annex J) journal — records N-ACTION-RQ + N-EVENT-REPORT-RQ pairs. License: storage_commitments. RBAC: manage_database.

Transaction UID	Calling AE	SOP Count	Status	Requested	Responded
No commitment requests recorded.

AI Pipeline

AI-vendor-driven ingestion of SR/SC/SEG DICOM. Each vendor authenticates with an opaque API key (X-Ai-Vendor-Key); the ingest endpoint enforces a per-vendor allowed-SOP-class list. License: ai_pipeline. RBAC: manage_database.

Register vendor

NAME

API KEY (blank = auto)

Enabled

Name	API Key	Enabled	SOP Classes	Total Ingest	Last Ingest	Actions
No vendors registered.

Ingest audit log

When	Vendor	Status	SOP Class	Study UID	Source IP	Reason
No ingest events yet.

Diagnostic Viewer

⚠ NOT FOR CLINICAL DIAGNOSIS OR DECISION MAKING

This viewer is display-only. It is non-device software under FD&C Act §520(o)(1)(D) and is not cleared, certified, or intended for diagnostic interpretation. Use a clinically-validated viewer for any reading that informs patient care.

Read-only image preview. Pick a study, browse instances, adjust window/level. License: diagnostic_viewer. RBAC: view_study_browser.

STUDY INSTANCE UID

Load a study first.

WC WW FRAME Patient overlay

Pick a study + instance to display.

IHE Profiles

Per-profile config for the 5 IHE profiles allowed in archive mode. Status: green = licensed + enabled, amber = licensed not enabled, gray = not licensed. RBAC: manage_database.

Migration PHASE-10 PORTING

Coming in subsequent child DCR under DCR-2026-218. Reference: legacy Web/Controllers/Vna/MigrationController.cs.

License: migration. RBAC: view_destinations / edit_destinations.

Scheduled Send PHASE-10 PORTING

Coming in subsequent child DCR under DCR-2026-218. Reference: legacy legacy scheduled-send service.

License: scheduled_send. RBAC: edit_destinations.

Smart Routing PHASE-10 PORTING

Coming in subsequent child DCR under DCR-2026-218. Reference: legacy legacy smart-routing engine.

License: smart_routing. RBAC: edit_destinations.

Archive Totals

DICOM C-STORE SCP

Host

Recent Studies

Study Search

Results

DICOM Peers

Add Node

Installed License

Upload License

Authentication & SCP

SynthGateway Support Agent — Session Approval Request (DCR-2026-681)

Archive Catalog Database

Object Storage Backend

Health

SCP Status

Archive Counts

Study Browser

Document Store

Upload

Documents

Batch Import

Export

Dedup Analysis

Archive Analytics

Modality Distribution

Retention Policies

Legal Holds

Storage Tiers

Look up / move a study

Integrity

Patient Merge

Merge audit log

IOCM Rejections

Clinical Reporting

Author a report

Reports

Voice Dictation PHASE-5 (shared-lib) PORTING

MinReg PHASE-4 PORTING

ADT Sync PHASE-4 PORTING

C-CDA PHASE-4 PORTING

PIR PHASE-4 PORTING

MPPS PHASE-4 PORTING

Cohort Builder

Define a cohort

Cohorts

Research Export

Export a cohort snapshot

Export jobs Refresh

Promotion Gate

Request a promotion

Pending requests Refresh

Approved promotions

Data Curation

Modality normalization PREVIEW-ONLY (dry-run)

Findings

Teaching File Export

Export jobs

Site-to-Site Replication

Add peer

Configured peers

Recent jobs

FHIR R4 Gateway

Storage Commitment Journal

AI Pipeline

Register vendor

Ingest audit log

Diagnostic Viewer

IHE Profiles

Migration PHASE-10 PORTING

Scheduled Send PHASE-10 PORTING

Smart Routing PHASE-10 PORTING

Export jobs

Pending requests