Everything inside MiniPACS + Vendo

Start with the number, because the point of this page is what that number buys. For $300 per location per month, flat, no per-study fee and no per-seat fee, you get the archive, the viewer, the reporting engine, the sharing and disc tools, the deployment model, the security controls below, and Vendo's referral portal running alongside it. Several rows on this page are features the big vendors sell as paid add-ons; here they are simply in the box. This is the receipt, and every line on it is clickable in the live demo. Full pricing detail lives on pricing.

Reading

• Two browser viewers, nothing installed. Stone Web Viewer, a roughly 1 MB WASM build that cold-opens in under a second, and OHIF, both running in the browser. No plugin, no dedicated workstation.
• Studies land fast. A scan hits the worklist about 2 seconds after the modality sends it.
• Runs on modest hardware. A single mini PC drives an entire site; you do not need a server room.
• Desktop reader launchers. URL launchers into OsiriX, RadiAnt, 3D Slicer, MicroDicom and MedDream for readers who prefer a dedicated app.
• Series-level download. Export as DICOM or JPEG at the series level, not just the whole study.

Reports

• A real lifecycle. Draft, final, signed, with addenda, templates and macros, not a single free-text box.
• The report rides inside the study. The signed PDF is encapsulated as a DICOM Encapsulated PDF object, so on any C-STORE transfer it travels with the images automatically, nobody has to remember to attach it. On disc or export, including it is one checkbox, your call: some clinics ship images only to an outside reader on purpose.
• Critical-results flow with an audit trail. Flag a finding, the referring physician gets an email with a tokenized acknowledgement link, and the acknowledgement lands in an audit trail. That is medico-legal cover, not just a notification.

Sharing and discs

• Share links with expiry. 7 to 90 days, an optional PIN, a QR code and a JPEG fallback. No account needed for the outside reader on the other end. Full detail on medical image sharing.
• The classic route still works, one click. A CD/USB image, ISO 9660 with DICOMDIR, IHE PDI compliant, with a built-in browser viewer baked into the disc. It opens on Windows, Mac, Linux or an iPad with no install, a feature commercial PACS typically charge extra for.
• Discs come back in, too. The importer accepts .iso, DICOMDIR, zip and tar archives, so an old CD a patient brings in from another clinic drops straight into the archive.
• Clinic-to-clinic DICOM transfer, asynchronous. C-ECHO pre-test, retries, and a transfer log, so a send to a partner site is not a fire-and-hope.

Deployment and resilience

• One Docker host on Linux. The whole system is one deployment, not a stack of services to wire together.
• Zero ports open to the internet. The server dials out through a tunnel instead of accepting inbound connections.
• A zero-inbound gateway agent for remote sites. Same posture, extended to a second location.
• DICOM TLS. Encrypted in transit between modalities and the archive.
• Works offline on the LAN. The site keeps reading and storing without internet access.
• Survives power cuts. Autostart plus a watchdog probing health every 5 minutes, so a reboot after an outage does not need a phone call.

Security

• AES-256 encrypted backups. They refuse to run without a passphrase, so an unencrypted backup is not a state the system allows.
• Append-only audit log with CSV export. Every action tied to a unique user id, exportable for a compliance review.
• 15-minute auto-logoff. A workstation left open does not stay open.
• bcrypt with 12+ character passwords and login rate limits. Standard hardening, applied by default rather than left to the operator to configure.
• One-click revocation of every session for a user. Offboarding a staff member ends every logged-in session at once.

For the full posture, including the HIPAA framing, see security.

Made yours

Customization is part of the setup engagement, not a separate line item: the system is adjusted to the clinic's actual workflow rather than the clinic adjusting to it. White-label and partner arrangements exist for integrators who want to put their own name on the front end, detailed on partners. Both products carry the clinic's identity throughout, not a vendor's portal branding sitting between you and your patients.

Vendo

Vendo is the referral portal, FHIR-native, built on Medplum, and it runs alongside MiniPACS rather than bolted on top of it.

• Referring doctors book real open slots. Not a callback request into a queue; an actual slot on the calendar.
• Status tracking. Referred, scheduled, read, visible to the referring office the whole way through.
• Each office sees only its own patients. FHIR-level isolation between referring offices, not a shared list with a filter on top.
• Front desk sees everything. One dashboard with the full picture across every referring office.

Landing next, and soon

The build pace here is weekly, not yearly, so two more rows are already on the bench: SMS notifications alongside email, and two-factor login with an authenticator app. Both are in active development right now, and this page is updated the day a feature ships, not a quarter later. We list them here instead of claiming them above for one reason: everything above this line is clickable in the demo today, and we intend to keep that promise absolute. DICOM Modality Worklist is on the roadmap as well.

What is not here

No HL7 of any version, no C-FIND or C-MOVE query-retrieve. Clinics that need a hospital RIS integration over HL7 are not the fit for this system, and that is worth knowing before you evaluate it rather than after. See teleradiology PACS and HL7 for where that line sits and what to look for instead.

Judge the interface yourself

We think it is the best-looking PACS you will meet at any price, but that is a claim you should verify, not take on our word. The demo is one click; the whole arsenal above is in it, running on synthetic data. For the deployment model in more depth see self-hosted PACS, or start from the landing page for pricing and the live demo button.

FAQ