The development of a hospital wide PACS is in progress at the Universi
ty Hospital of Geneva and several archive modules are operational sinc
e 1992. This PACS is intended for wide distribution of images to clini
cal wards. As the PACS project and the number of archived images grow
rapidly in the hospital, it was necessary to provide an easy, more wid
ely accessible and convenient access to the PACS database for the clin
icians in the different wards and clinical units of the hospital. An i
nnovative solution has been developed using tools such as Netscape nav
igator and NCSA World Wide Web server as an alternative to conventiona
l database query and retrieval software. These tools present the advan
tages of providing a user interface which is the same, independent of
the platform being used (e.g. Mac, Windows, UNIX), and an easy integra
tion of different types of documents (e.g. text, images). A strict acc
ess control has been added to this interface. It allows user identific
ation and access rights checking as defined by the in-house hospital i
nformation system, before allowing the navigation through patient data
records.