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sidebar_position: 11
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---
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# User Account Control
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> DISCLAIMER! We make no claims or guarantees of this approach's security. If in
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> doubt, enlist the help of an expert and conduct proper audits.
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Making a viewer and its medical imaging data accessible on the open web can
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provide a lot of benefits, but requires additional security to make sure
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sensitive information can only be viewed by authorized individuals. Most image
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archives are equipped with basic security measures, but they are not
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robust/secure enough for the open web.
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This guide covers one of many potential production setups that secure our
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sensitive data.
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## Overview
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This guide builds on top of our
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[Nginx + Image Archive guide](/deployment/recipes/nginx--image-archive.md),
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wherein we used a [`reverse proxy`](https://en.wikipedia.org/wiki/Reverse_proxy)
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to retrieve resources from our image archive (Orthanc).
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To add support for "User Account Control" we introduce
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[Keycloak](https://www.keycloak.org/about.html). Keycloak is an open source
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Identity and Access Management solution that makes it easy to secure
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applications and services with little to no code. We improve upon our
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`reverse proxy` setup by integrating Keycloak and Nginx to create an
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`authenticating reverse proxy`.
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> An authenticating reverse proxy is a reverse proxy that only retrieves the
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> resources on behalf of a client if the client has been authenticated. If a
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> client is not authenticated they can be redirected to a login page.
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This setup allows us to create a setup similar to the one pictured below:
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- All web requests are routed through `nginx` on our `OpenResty` image
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- `/pacs` is a reverse proxy for `orthanc`'s `DICOM Web` endpoints
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- Requires valid `Authorization: Bearer <token>` header
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- `/pacs-admin` is a reverse proxy for `orthanc`'s Web Admin
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- `/auth` is a reverse proxy for `keycloak`
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- All static resources for OHIF Viewer are unprotected and accessible. We have
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application logic that will redirect unauthenticated users to the appropriate
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`keycloak` login screen.
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## Getting Started
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### Requirements
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- Docker
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- [Docker for Mac](https://docs.docker.com/docker-for-mac/)
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- [Docker for Windows](https://docs.docker.com/docker-for-windows/)
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_Not sure if you have `docker` installed already? Try running `docker --version`
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in command prompt or terminal_
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### Setup
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_Spin Things Up_
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- Navigate to `<project-root>platform\app\.recipes\OpenResty-Orthanc-Keycloak` in your shell
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- Run `docker-compose up`
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_Create Your First User_
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- Navigate to: `http://127.0.0.1/auth/admin`
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- Sign in with: `admin`/`password`
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- From the top left dropdown, select the `Ohif` realm
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- From the left sidebar, under `Manage`, select `Users`
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- Click `Add User`
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- Username: `test`
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- Email Verified: `ON`
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- Click `Save`
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- Click the `Credentials` Tab
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- New Password: `test`
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- Password Confirmation: `test`
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- Temporary: `OFF`
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- Click: `Reset Password`
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- From the top right dropdown, select `Admin`, then `Sign Out`
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_Sign In_
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- Navigate to `http://127.0.0.1/`
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- Username: `test`, Password: `test`
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- Click `Log In`
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_Upload Your First Study_
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- Navigate to `http://127.0.0.1/pacs-admin`
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- If you're not already logged in, use `test`/`test`
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- From the top right, select "Upload"
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- Click "Select files to upload..." (DICOM)
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- Click "Start the upload"
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- Navigate back to `http://127.0.0.1/` to view your studies in the Study List
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### Troubleshooting
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_Exit code 137_
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This means Docker ran out of memory. Open Docker Desktop, go to the `advanced`
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tab, and increase the amount of Memory available.
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_Cannot create container for service X_
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Use this one with caution: `docker system prune`
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_X is already running_
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Stop running all containers:
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- Win: `docker ps -a -q | ForEach { docker stop $_ }`
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- Linux: `docker stop $(docker ps -a -q)`
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### Configuration
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After verifying that everything runs with default configuration values, you will
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likely want to update:
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- The domain: `http://127.0.0.1`
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- Set secure, non-default passwords
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- Regenerate Keycloak Client Secrets
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#### OHIF Viewer
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The OHIF Viewer's configuration is imported from a static `.js` file. The
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configuration we use is set to a specific file when we build the viewer, and
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determined by the env variable: `APP_CONFIG`. You can see where we set its value
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in the `dockerfile` for this solution:
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`ENV APP_CONFIG=config/docker_openresty-orthanc-keycloak.js`
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You can find the configuration we're using here:
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`/public/config/docker_openresty-orthanc-keycloak.js`
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To rebuild the `webapp` image created by our `dockerfile` after updating the
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Viewer's configuration, you can run:
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- `docker-compose build` OR
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- `docker-compose up --build`
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#### Other
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All other files are found in: `/docker/OpenResty-Orthanc-Keycloak/`
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| Service | Configuration | Docs |
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| ----------------- | ------------------------------------------------ | ------------------------------------------- |
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| OHIF Viewer | [dockerfile][dockerfile] / [config.js][config] | You're reading them now! |
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| OpenResty (Nginx) | [`/nginx.conf`][config-nginx] | [lua-resty-openidc][lua-resty-openidc-docs] |
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| Orthanc | [`/orthanc.json`][config-orthanc] | [Here][orthanc-docs] |
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| Keycloak | [`/ohif-keycloak-realm.json`][config-keycloak]\* | |
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\* These are the seed values for Keycloak. They can be manually updated at
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`http://127.0.0.1/auth/admin`
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#### Keycloak Themeing
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The `Login` screen for the `ohif-viewer` client is using a Custom Keycloak
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theme. You can find the source files for it in
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`/docker/OpenResty-Orthanc-Keycloak/volumes/keycloak-themes/`. You can see how
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we add it to Keycloak in the `docker-compose` file, and you can read up on how
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to leverage custom themes in
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[Keycloak's own docs](https://www.keycloak.org/docs/latest/server_development/index.html#_themes).
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| Default Theme | OHIF Theme |
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| ---------------------------------------------------------------------- | ---------------------------------------------------------------- |
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|  |  |
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## Next Steps
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### Deploying to Production
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While these configuration and docker-compose files model an environment suitable
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for production, they are not easy to deploy "as is". You can either:
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- Manually recreate this environment and deploy built application files **OR**
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- Deploy to a cloud kubernetes provider like
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[Digital Ocean](https://www.digitalocean.com/products/kubernetes/) **OR**
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- [See a full list of cloud providers here](https://landscape.cncf.io/category=cloud&format=card-mode&grouping=category)
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- Find and follow your preferred provider's guide on setting up
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[swarms and stacks](https://docs.docker.com/get-started/)
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### Adding SSL
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Adding SSL registration and renewal for your domain with Let's Encrypt that
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terminates at Nginx is an incredibly important step toward securing your data.
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Here are some resources, specific to this setup, that may be helpful:
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- [lua-resty-auto-ssl](https://github.com/GUI/lua-resty-auto-ssl)
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- [Let's Encrypt + Nginx](https://www.nginx.com/blog/using-free-ssltls-certificates-from-lets-encrypt-with-nginx/)
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While we terminate SSL at Nginx, it may be worth using self signed certificates
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for communication between services.
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- [SSL Termination for TCP Upstream Servers](https://docs.nginx.com/nginx/admin-guide/security-controls/terminating-ssl-tcp/)
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### Use PostgresSQL w/ Orthanc
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Orthanc can handle a large amount of data and requests, but if you find that
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requests start to slow as you add more and more studies, you may want to
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configure your Orthanc instance to use PostgresSQL. Instructions on how to do
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that can be found in the
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[`Orthanc Server Book`](http://book.orthanc-server.com/users/docker.html), under
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"PostgreSQL and Orthanc inside Docker"
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### Improving This Guide
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Here are some improvements this guide would benefit from, and that we would be
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more than happy to accept Pull Requests for:
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- SSL Support
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- Complete configuration with `.env` file (or something similar)
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- Keycloak Theme improvements
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- Any security issues
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- One-click deploy to a cloud provider
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## Resources
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### Misc. Helpful Commands
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_Check if `nginx.conf` is valid:_
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```bash
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docker run --rm -t -a stdout --name my-openresty -v $PWD/config/:/usr/local/openresty/nginx/conf/:ro openresty/openresty:alpine-fat openresty -c /usr/local/openresty/nginx/conf/nginx.conf -t
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```
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_Interact w/ running container:_
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`docker exec -it CONTAINER_NAME bash`
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_List running containers:_
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`docker ps`
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_Clear Keycloak DB so you can re-seed values:_
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- `docker volume prune` OR
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- `docker volume ls` and `docker volume rm VOLUME_NAME VOLUME_NAME`
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### Referenced Articles
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The inspiration for our setup was driven largely by these articles:
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- [Securing Nginx with Keycloak](https://edhull.co.uk/blog/2018-06-06/keycloak-nginx)
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- [Authenticating Reverse Proxy with Keycloak](https://eclipsesource.com/blogs/2018/01/11/authenticating-reverse-proxy-with-keycloak/)
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- [Securing APIs with Kong and Keycloak](https://www.jerney.io/secure-apis-kong-keycloak-1/)
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For more documentation on the software we've chosen to use, you may find the
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following resources helpful:
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- [Orthanc for Docker](http://book.orthanc-server.com/users/docker.html)
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- [OpenResty Guide](http://www.staticshin.com/programming/definitely-an-open-resty-guide/)
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- [Lua Ngx API](https://openresty-reference.readthedocs.io/en/latest/Lua_Nginx_API/)
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- [Auth0: Picking a Grant Type](https://auth0.com/docs/api-auth/which-oauth-flow-to-use)
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We chose to use a generic OpenID Connect library on the client, but it's worth
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noting that Keycloak comes packaged with its own:
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- [oidc-client-js](https://github.com/IdentityModel/oidc-client-js/wiki)
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- [Keycloak JavaScript Adapter](https://www.keycloak.org/docs/latest/securing_apps/index.html#_javascript_adapter)
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If you're not already drowning in links, here are some good security resources
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for OAuth:
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- [Diagrams of OpenID Connect Flows](https://medium.com/@darutk/diagrams-of-all-the-openid-connect-flows-6968e3990660)
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- [KeyCloak: OpenID Connect Flows](https://www.keycloak.org/docs/latest/securing_apps/index.html#authorization-code)
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For a different take on this setup, check out the repositories our community
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members put together:
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- [mjstealey/ohif-orthanc-dimse-docker](https://github.com/mjstealey/ohif-orthanc-dimse-docker)
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- [trypag/ohif-orthanc-postgres-docker](https://github.com/trypag/ohif-orthanc-postgres-docker)
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<!--
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Links
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-->
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<!-- prettier-ignore-start -->
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<!-- DOCS -->
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[orthanc-docs]: http://book.orthanc-server.com/users/configuration.html#configuration
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[lua-resty-openidc-docs]: https://github.com/zmartzone/lua-resty-openidc
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<!-- SRC -->
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[config]: https://github.com/OHIF/Viewers/blob/master/platform/viewer/src/config.js
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[dockerfile]: https://github.com/OHIF/Viewers/blob/master/platform/viewer/.recipes/OpenResty-Orthanc-Keycloak/dockerfile
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[config-nginx]: https://github.com/OHIF/Viewers/blob/master/platform/viewer/.recipes/OpenResty-Orthanc-Keycloak/config/nginx.conf
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[config-orthanc]: https://github.com/OHIF/Viewers/blob/master/platform/viewer/.recipes/OpenResty-Orthanc-Keycloak/config/orthanc.json
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[config-keycloak]: https://github.com/OHIF/Viewers/blob/master/platform/viewer/.recipes/OpenResty-Orthanc-Keycloak/config/ohif-keycloak-realm.json
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<!-- prettier-ignore-end -->
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