Second-opinion export

Package a study for a clean hand-off to an outside reader for a second opinion.

Problem

A referring physician needs a second-opinion consult and must send the patient imaging to a specialist at another institution. The export must be de-identified (or contain only the minimum necessary identifiers) and include all relevant series and priors in a single transfer package.

Steps

1. Open the patient study — click Open files… (⌘O) and load all relevant DICOM files (current study + priors).
2. Switch to Anonymization mode — click the Anon tab (⌘2).
3. Select Limited Dataset profile — pick “Limited Dataset” from the profile picker. This retains dates (needed for clinical context) but removes direct identifiers.
4. Review and customize — if a Custom profile is needed, add rules to keep specific tags the specialist requires (e.g. Accession Number, Study Description).
5. Apply and export — click Apply & Export. The exported DICOM file is de-identified per the selected profile.
6. Include a DICOMDIR — use Export → DICOMDIR to create a media storage directory with an index file for easy import by the receiving institution.
7. Verify — load the exported file and confirm all PHI is removed while clinical context tags (Study Date, Modality, Body Part) are preserved.

Expected Result

• PatientName, PatientID, and other direct identifiers are removed or pseudonymized.
• Study Date, Series Date, and other temporal tags are preserved (Limited Dataset).
• Modality, Body Part Examined, and Study Description are preserved for clinical context.
• DICOMDIR index file is generated for multi-file exports.
• The export package is ready for secure transfer to the consulting institution.