One or more presenters can control the screen share, and one or more viewers can watch but not control the screen. You can also temporarily disconnect to view the case on your own. You can rejoin the screen share at any point. To join a screen share, you need the 7 digit code. You also need permission to see the cases. If the presenter shows a private case, you will need to log in to see it.
The standard Claripacs server can support about 10 simultaneous screen share users, the shared server can support about 3 simultaneous screen share users, and custom server configurations can support up to 1000 simultaneous screen share users. Each screen share connection requires about 10 Mbps of bandwidth on your end.
Claripacs is fully HIPAA compliant for storing protected health information. This requires signing a business associate agreement with Claripacs and setting up a VPN.
For teaching file use, Claripacs can be configured to automatically perform HIPAA-compliant anonymization of DICOM files. However, you must check to make sure that no patient identifiers are displayed in the image (for example, ultrasound or 3D reconstructed images). If your hospital signs a business associate agreement with Claripacs, then protected health information may be uploaded to the ClariPACS server for purposes of anonymization.
Uploading cases to Claripacs
There are 3 different options:
- Upload DICOM files on the web. In your PACS system, look for "Send exam," "Save as," "Export," "Download," or a similar option. If you can send the exam to OsiriX or TeraRecon, those programs can also save DICOM files. If the scan is on a CD or DVD, look for a directory that contains .dcm files. Once you have the DICOM files, upload by clicking here.
- Send directly from PACS, or use the uploader API. Documentation is here (requires administrator login to view).
- Use our DICOM anonymizer and forwarder (requires administrator login to view). This gives you the convenience of sending cases directly from PACS, without requiring a business associate agreement or VPN. The DICOM anonymizer and forwarder is free Windows software that receives cases from your clinical PACS, then automatically anonymizes the cases on your end before forwarding to Claripacs.
Claripacs supports uncompressed and JPEG-compressed DICOM files. JPEG, PNG, GIF, and TIFF files must be converted to DICOM format before uploading to Claripacs. It's better to use the original DICOM files, because DICOM files contain thousands of grayscale levels (compared to 256 levels in a JPEG file), and also contain useful metadata about each image.
Downloading cases from Claripacs
You have full control and ownership over the data you send to Claripacs. Images can be downloaded at any time in DICOM or PNG format. The entire study can be downloaded as a ZIP file, which includes the DICOM files and HTML report.
If you are terminating your Claripacs account, we will provide FTP access to download all your data. The data includes DICOM files and HTML reports. The DICOM images and the text of the reports can be read by a wide range of different software. However, Claripacs-specific features (such as linking to annotated key images) will not work without the Claripacs software. You can also use Amazon's Import/Export feature
to receive the files by mail. For that option, we will give you an access key, and you are responsible for supplying the hard drive, and paying the Amazon fees.
In teaching file mode, when DICOM files are received by Claripacs, all of the DICOM headers are deleted except for the following list. Note that you must manually review each image to ensure that PHI is not present in the images themselves.
0008:0016: SOP Class UID
0008:0050: Accession Number (this is anonymized in the DICOM headers, but it is temporarily stored in the
"Diagnosis / notes" field so that you can find your study)
0008:1030: Study Description
0008:103E: Series Description
0008:1090: Manufacturer's Model Name
0010:0040: Patient Sex
0010:1010: Patient Age (ages >80 are anonymized)
0018:0050: Slice Thickness
0018:0087: Magnet strength
0018:0095: Pixel bandwidth
0018:1150: Exposure Time
0018:1310: Acquisition matrix
0018:1314: Flip angle
0020:0011: Series Number
0020:0013: Image Number
0020:0032: Image Position
0020:0037: Image Orientation
0020:1041: Slice location
0028:0004: Photometric Interpretation
0028:0030: Pixel spacing
0028:1050: Window Center
0028:1051: Window Width
7FE0:0010: Image data
Claripacs URL format
The Claripacs URL format is open, and lets you integrate with other software. Here are some examples:
Link to a specific image:
Link to a report:
Change zoom settings. Other optional parameters include: xpos, ypos, zoom, window_level, window_width.
Hide the menu bar and icons ("mode=simple"):
Split screen. type is cols or rows. size is in percent. url1 and url2 are URL encoded, and can contain nested split screens.
An alternative simplified interface (conference mode):
If you have a list of Claripacs accession numbers in Excel or Google Drive / Spreadsheet, you can generate links to those cases using the following formula:
=HYPERLINK("http://www.claripacs.com/case/"&A1, "View case")
where A1 is the accession number.
Redirect to the long URL:
Return the long URL:
Screen share (must use https rather than http):
If you have the screen share code:
To start a new screen share:
Browse cases in a specific folder:
Browse cases matching a search term:
Browse cases, hiding the folder list ("hidefolders=true"), showing all results (numresults=-1), and using conference mode links (linktype=2):
Login, then redirect to another URL. Logging in sets a cookie ("PHPSESSID") that determines access permissions for future requests.
Delete accession (after logging in):
Information on accession- and MRN-specific logins
(for site administrators only).
To customize the Claripacs viewer interface, click "Share > Get link", and copy the iframe code, which allows you to embed the viewer in another web page. Add an "id" to identify the iframe, and add "&mode=simple" to the URL to hide the menu bar and icons. For example:
<iframe id='fig1' style='height:512px; width:512px; border:none;' scrolling='no'
Button to switch the left mouse button to "Scroll":
<input type="button" value="Scroll" onclick="change_left_mouse(document.getElementById("fig1").contentWindow, 3);">
Button to switch the left mouse button to "Window/level":
<input type="button" value="W/L" onclick="change_left_mouse(document.getElementById("fig1").contentWindow, 1);">
Button to switch the left mouse button to "Zoom":
<input type="button" value="Zoom" onclick="change_left_mouse(document.getElementById("fig1").contentWindow, 4);">
Button to switch the left mouse button to "Drag":
<input type="button" value="Drag" onclick="change_left_mouse(document.getElementById("fig1").contentWindow, 2);">
Button to toggle hiding/showing the menu bar and icons:
<input type="button" value="Toggle simple mode" onclick="toggle_simple_mode(document.getElementById("fig1").contentWindow);">
Button to switch to full screen:
<input type="button" value="Full screen" onclick="top.location=document.getElementById("fig1").contentWindow.get_url()+
(document.getElementById("fig1").contentWindow.claripacs_display_mode==='simple' ? '&mode=simple' : '');">
Button to screen share the iframe:
<input type="button" value="Screen share this case"
Button to show the report:
<input type="button" value="Show report" onclick="find_viewer(document.getElementById("fig1").contentWindow).show_report_button_pressed()">
Get the current URL of the Claripacs viewer, including image number, annotations, split screen, etc:
<input type="button" value="Get URL" onclick="alert(document.getElementById("fig1").contentWindow.get_url());">
Link to change the content of the iframe. Note that using "read_url_line()" allows you to change the image number or annotations without the screen blinking, which would happen if you simply changed the iframe src.