IronDICOM - KomvOS

Every study, where it needs to be

KomvOS sits between your modalities and everything that needs their images. It receives DICOM objects and HL7 messages, decides where each one goes using rules you control, changes what each destination needs changed, and delivers it, retrying, failing over and reporting as it goes.

It is administered entirely from a web browser, runs on Windows Server or in Docker on Linux, and keeps working on a network with no internet connection at all.

Routing you can reason about

Four rule modes: Store and Forward, Direct, Review and Workflow.
Nested All-of and Any-of conditions on any DICOM attribute, with priority order and Stop on Match.
A Routing Simulator shows what a rule would do before it goes live.
An Unmatched view catches anything no rule claimed and drafts a rule for it.
Load-balanced destination groups and failover destinations.
Loop prevention and priors pre-fetch are built in.

Speaks to everything in the building

Every DICOM Storage SOP class, plus query and retrieve, Modality Worklist, Storage Commitment and MPPS.
HL7 over MLLP, with a content-based rules engine and templated outbound messages.
DICOMweb (STOW-RS, QIDO-RS, WADO-RS), FHIR R4 and S3-compatible cloud storage.
Per-destination transcoding, with lossless output verified sample for sample.
Eleven kinds of destination, from a PACS to a folder on disk.

Change what each destination needs, never the original

Transformation profiles rewrite tags, remap UIDs, pseudonymise, shift dates, redact pixel regions and add watermarks. They are applied per destination, to a copy made at the moment of sending, so the stored original is never touched.

De-identification fails closed: an object that cannot be processed is not sent.

Built not to lose a study

An acknowledged object is on disk before the sender is answered, so it survives a power cut.
Retry with back-off, failover, a circuit breaker per destination and a dead-letter list.
An unreachable destination is paused and probed, not failed.
Delivery verification confirms that the destination really holds the study.
Two-box high availability with automatic takeover in seconds and an optional witness.
Large studies stream through within a fixed memory budget.

See it, explain it, fix it

A Home dashboard that answers one question: is the router healthy, and what needs me?
A Jobs grid with resend, copy-and-resend, header view and edit, and batch actions.
Study Trace: everything recorded about one study, in order.
Failure summaries with plain-language hints, e-mail and SNMP alerts, digest and activity reports.
Review and Sign, with a wrong-patient check, for studies that need a human decision.
Fleet Manager for many routers: status, synchronised configuration and cross-site study search.

Secure by design, with AI on your terms

Role-based access with Active Directory, OpenID Connect single sign-on and authenticator-app codes. An encrypted spool. TLS 1.2 and 1.3 on every connection you choose. A hash-chained audit log with SIEM export. No telemetry and no vendor remote-access channel.

The optional AI Assistant drafts rules and patterns for an administrator to review. It is off by default, runs only on a model inside your own network, and never receives patient data.

All features

See IronDICOM on your own network

Ask for a guided demonstration built around your modalities, your PACS and your routing rules.

Request a demo

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