1. Copy the "meddream" directory to PACSONE_INSTALL_DIR/php (so that the result is PACSONE_INSTALL_DIR/php/meddream; for example, in our machines it usually is /home/pacsone/php/meddream.) Adjust permissions: no less than 0777 for PACSONE_INSTALL_DIR/php/meddream 0777 for PACSONE_INSTALL_DIR/php/meddream/log 0777 for PACSONE_INSTALL_DIR/php/meddream/temp If you are updating an older version of MedDream: a) Please back up the old version (so you can go back any time). b) Please do not replace files you changed in last version. You must carefully synchronize the new version 2. From PACSONE_INSTALL_DIR/php/meddream Copy and Replace applet.php to PACSONE_INSTALL_DIR/php 3. From PACSONE_INSTALL_DIR/php/meddream Copy php5.2_meddream.so to /usr/lib/php/modules 4. Add "extension=php5.2_meddream.so" to /etc/php.ini file 5. Restart Apache 6. Navigate to http://127.0.0.1/pacsone/meddream/home.php (use PacsOne users to log in) or use the "Show" button in the PacsOne web system. 7. The FreeImage library is strongly recommended for performance reasons. It will be accessed via a symbolic link /usr/lib/libfreeimage.so.3 ; you may need to create or update it, for example, cd /usr/lib ln -s -f libfreeimage-3.13.0.so libfreeimage.so.3 It is also recommended to get a recent version, at least 3.13. For example, Fedora Core 12 contains only 3.10 which basically works but is harder to troubleshoot. In that case it should be possible to compile it from source ("make && make install" was enough for us). 8. The dcmj2pnm utility from dcmtk (OFFIS DICOM Toolkit, http://dicom.offis.de/dcmtk) is required in order to support most transfer syntaxes. It will be accessed as /usr/local/dicom/bin/dcmj2pnm ; please create a symbolic link there if your distribution behaves differently. On Debian (lenny) and Ubuntu (jaunty), the package is called "dcmtk". If there is none, you must compile it yourself. On Fedora Core 12 we managed that simply by executing "./configure && make && make install". 9. ffmpeg is required in order to display thumbnails of MPEG2 DICOM files. (Display of the video itself is still being ported, however you can already see the thumbnail.) It is expected at /usr/bin/ffmpeg . Not every distribution has it. Sometimes it is possible to download separate dependencies from sites like rpmfind.net and install these manually.