Orthanc Python API Docs | dltHub
Build a Orthanc-to-database pipeline in Python using dlt with AI Workbench support for Claude Code, Cursor, and Codex.
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Orthanc's REST API documentation is available at https://orthanc.uclouvain.be/book/users/rest.html. It includes advanced features and a cheat sheet at https://orthanc.uclouvain.be/book/users/advanced-rest.html and https://orthanc.uclouvain.be/book/users/rest-cheatsheet.html. The full API reference is at https://orthanc.uclouvain.be/api/. The REST API base URL is http://localhost:8042/ and all requests that require auth use HTTP Basic (username/password).
dlt is an open-source Python library that handles authentication, pagination, and schema evolution automatically. dlthub provides AI context files that enable code assistants to generate production-ready pipelines. Install with uv pip install "dlt[workspace]" and start loading Orthanc data in under 10 minutes.
What data can I load from Orthanc?
Here are some of the endpoints you can load from Orthanc:
| Resource | Endpoint | Method | Data selector | Description |
|---|---|---|---|---|
| patients | patients | GET | List available patients (top‑level array of IDs) | |
| studies | studies | GET | List available studies (top‑level array of IDs) | |
| series | series | GET | List available series (top‑level array of IDs) | |
| instances | instances | GET | List available instances (top‑level array of IDs) | |
| patients_detail | patients/{id} | GET | Get patient information (JSON object) | |
| studies_detail | studies/{id} | GET | Get study information (JSON object) | |
| series_detail | series/{id} | GET | Get series information (JSON object) | |
| instances_detail | instances/{id} | GET | Get instance information (JSON object) | |
| queries_answers | queries/{id}/answers | GET | List answers to a query (array of IDs) | |
| modalities | modalities | GET | List configured DICOM modalities | |
| changes | changes | GET | List tracked changes (top‑level array) | |
| exports | exports | GET | List exports (top‑level array) | |
| tools_metrics_prometheus | tools/metrics-prometheus | GET | Prometheus metrics (plain‑text) |
How do I authenticate with the Orthanc API?
Orthanc uses HTTP Basic authentication (username and password) configured in the server configuration; optional custom headers can be used for peer authentication.
1. Get your credentials
- Open the Orthanc configuration file (orthanc.json or orthanc.conf). 2) Add a user under the "RegisteredUsers" object, e.g. "username": "password". 3) Restart Orthanc to apply the changes. 4) Use the defined username and password for HTTP Basic authentication when calling the REST API.
2. Add them to .dlt/secrets.toml
[sources.orthanc_source] username = "your_username" password = "your_password"
dlt reads this automatically at runtime — never hardcode tokens in your pipeline script. For production environments, see setting up credentials with dlt for environment variable and vault-based options.
How do I set up and run the pipeline?
Set up a virtual environment and install dlt:
uv venv && source .venv/bin/activate uv pip install "dlt[workspace]"
1. Install the dlt AI Workbench:
dlt ai init --agent <your-agent> # <agent>: claude | cursor | codex
This installs project rules, a secrets management skill, appropriate ignore files, and configures the dlt MCP server for your agent. Learn more →
2. Install the rest-api-pipeline toolkit:
dlt ai toolkit rest-api-pipeline install
This loads the skills and context about dlt the agent uses to build the pipeline iteratively, efficiently, and safely. The agent uses MCP tools to inspect credentials — it never needs to read your secrets.toml directly. Learn more →
3. Start LLM-assisted coding:
Use /find-source to load data from the Orthanc API into DuckDB.
The rest-api-pipeline toolkit takes over from here — it reads relevant API documentation, presents you with options for which endpoints to load, and follows a structured workflow to scaffold, debug, and validate the pipeline step by step.
4. Run the pipeline:
python orthanc_pipeline.py
If everything is configured correctly, you'll see output like this:
Pipeline orthanc_pipeline load step completed in 0.26 seconds 1 load package(s) were loaded to destination duckdb and into dataset orthanc_data The duckdb destination used duckdb:/orthanc.duckdb location to store data Load package 1749667187.541553 is LOADED and contains no failed jobs
Inspect your pipeline and data:
dlt pipeline orthanc_pipeline show
This opens the Pipeline Dashboard where you can verify pipeline state, load metrics, schema (tables, columns, types), and query the loaded data directly.
Python pipeline example
This example loads patients and studies from the Orthanc API into DuckDB. It mirrors the endpoint and data selector configuration from the table above:
import dlt from dlt.sources.rest_api import RESTAPIConfig, rest_api_resources @dlt.source def orthanc_source(username_password=dlt.secrets.value): config: RESTAPIConfig = { "client": { "base_url": "http://localhost:8042/", "auth": { "type": "http_basic", "username_password": username_password, }, }, "resources": [ {"name": "patients", "endpoint": {"path": "patients"}}, {"name": "studies", "endpoint": {"path": "studies"}} ], } yield from rest_api_resources(config) def get_data() -> None: pipeline = dlt.pipeline( pipeline_name="orthanc_pipeline", destination="duckdb", dataset_name="orthanc_data", ) load_info = pipeline.run(orthanc_source()) print(load_info)
To add more endpoints, append entries from the resource table to the "resources" list using the same name, path, and data_selector pattern.
How do I query the loaded data?
Once the pipeline runs, dlt creates one table per resource. You can query with Python or SQL.
Python (pandas DataFrame):
import dlt data = dlt.pipeline("orthanc_pipeline").dataset() sessions_df = data.patients.df() print(sessions_df.head())
SQL (DuckDB example):
SELECT * FROM orthanc_data.patients LIMIT 10;
In a marimo or Jupyter notebook:
import dlt data = dlt.pipeline("orthanc_pipeline").dataset() data.patients.df().head()
See how to explore your data in marimo Notebooks and how to query your data in Python with dataset.
What destinations can I load Orthanc data to?
dlt supports loading into any of these destinations — only the destination parameter changes:
| Destination | Example value |
|---|---|
| DuckDB (local, default) | "duckdb" |
| PostgreSQL | "postgres" |
| BigQuery | "bigquery" |
| Snowflake | "snowflake" |
| Redshift | "redshift" |
| Databricks | "databricks" |
| Filesystem (S3, GCS, Azure) | "filesystem" |
Change the destination in dlt.pipeline(destination="snowflake") and add credentials in .dlt/secrets.toml. See the full destinations list.
Next steps
Continue your data engineering journey with the other toolkits of the dltHub AI Workbench:
data-exploration— Build custom notebooks, charts, and dashboards for deeper analysis with marimo notebooks.dlthub-runtime— Deploy, schedule, and monitor your pipeline in production.
dlt ai toolkit data-exploration install dlt ai toolkit dlthub-runtime install
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