I figured out how to make it work with Moodle a little way back. I used a DICOM server named SonicDICOM. I used the integration manual on their site to configure a web link from Moodle. This allowed students to view their own studies that they sent to the DICOM server. Due to multiple other projects going on, I pulled the server down to focus on bigger projects.
Now that I want to get back into it, I can't get our ultrasound machines to send images to SonicDICOM. Which is what brings me here.
I'm open to helping you with anything you need.
Hope we can figure something out!