MiniPACS + Vendo
A self-hosted PACS and the referral portal beside it — an imaging center's whole stack, owned outright on one mini PC
Product design · Full-stack build · Health tech · New York
Own the archive. Retire the fax.
An independent imaging center rents its own archive: cloud PACS, $150 to $2,000 a month, priced by how much it scans. The images live in somebody else’s data centre.
And the referrals that feed the scanner still arrive by fax — unreadable, twice, or not at all, and always without a status anyone can check.
We built the way out twice. MiniPACS puts the archive on one mini PC in the clinic. Vendo gives referring doctors a portal instead of a fax number. And this time the client was us — it is our own product.
The archive comes home
01 — The worklist
Every scan the clinic ever made, on one screen
02 — The report
The radiologist speaks. It types.
03 — The handoff
The patient leaves with a QR, not a CD
findings · dictating
No acute infarct, intracranial hemorrhage, mass effect, or abnormal enhancement. The ventricles and sulci are normal in size. Major intracranial flow voids are preserved.
Reading happens in the dark
No workstation, no install, no dongle: a study opens in any browser in under a second, on whatever machine the radiologist already has.
Series, viewports, window and level, cine — and the finished read signed as a DICOM PDF that travels inside the study itself.
Whatever the modality sends over C-STORE, the archive takes, indexes, and has on screen typically within about a minute of the scan.
CT · MR · US · XR · DX · MG · NM · PT · RF · XA · CT · MR · US · XR · DX · MG · NM · PT · RF · XA · CT · MR · US · XR · DX · MG · NM · PT · RF · XA
move over the scan — window / level
Millions of images. One box.
studies arriving over C-STORE, around the clock
one mini PC, on a shelf in the clinic
millions of images
in the archive on it
AES-256 backups,
nightly, encrypted
A fax has no status
Referrals feed an imaging center, and most still arrive on paper a machine printed at 3 a.m. The problem is not the paper. It is that nobody can see where an order stands.
Vendo is the portal the referring doctor actually logs into: an order in about a minute, booked straight into a real open slot in the clinic’s schedule.
From there both sides watch the same rail — so the front desk works one inbox instead of a fax tray, and the phone stops ringing with “where is it?”
Xray — right clavicle, 2-view
Referred by Dr Elena Brooks
- Submitted
- In triage
- Scheduled
- Imaging done
- Report sent
needs action · the queue works itself
jul 26 — pick a slot
hatched = taken · the rest are real
referrals a week — twelve weeks
lead time, no-shows, referrer movement — flagged weekly, before they stall
one order’s life · xray, right clavicle
Submitted
08:12 · dr e. brooks
In triage
08:31 · front desk
Scheduled
09:02 · jul 26, 12:30
Imaging done
jul 26 · 2 views
Report sent
jul 27 · signed pdf
The safety gate
eGFR 22. The booking stops here.
IV contrast with an eGFR under 30 risks nephrogenic systemic fibrosis, so the wizard refuses the booking before it exists: order the study without contrast, or call the clinic. An unsafe order never reaches the scanner.
Pregnancy and implant screening ride the same step, so the front desk is never the last line of defence. This block is also the only red we allowed ourselves on this page.
the gate, playable — drag the result
most recent eGFR (mL/min/1.73m²)
58
Don’t believe us. Log in.
Both demos are public — synthetic patients, the real products. Scan them from a phone, the way a patient gets their scans, or open them here.