Very cool @mborchorst, I am familiar with DCM4CHE at a high level. Two questions for you, if you don’t mind me being a little bit forward with you:
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Would you like to lead this PACS project? It appears as though are already working with an open source PACS solution in a production setting and would know how to best envision a native OpenEMR PACS experience. If this is something that interested you, perhaps @Elijah_Wisdom has some cycles to contribute as a teammate (just taking a guess because he expressed a lot of interest here).
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Have you ever used an open source PACS solution that has an HTML/JS viewer?