diff --git a/.env b/.env
index 72e4992..0eed571 100644
--- a/.env
+++ b/.env
@@ -119,6 +119,12 @@ EMR_WEIGHT_CONCEPT=
 ODOO_ENABLE_EXTRA_CUSTOMER_FIELDS_ROUTE=false
 ODOO_ENABLE_EXTRA_QUOTATION_FIELDS_ROUTE=false
 
+# EIP client Orthanc
+EIP_DB_NAME_ORTHANC=openmrs_eip_mgt_orthanc
+EIP_DB_USER_ORTHANC=openmrs_eip_mgt_orthanc
+EIP_DB_PASSWORD_ORTHANC=password
+DB_EVENT_DESTINATIONS_ORTHANC=direct:orthanc-event-listener
+
 # EIP client ERPNext
 EIP_DB_NAME_ERPNEXT=openmrs_eip_mgt_erpnext
 EIP_DB_USER_ERPNEXT=openmrs_eip_mgt_erpnext
@@ -153,6 +159,7 @@ EIP_OPENMRS_SENAITE_CONFIG_PATH=
 EIP_OPENMRS_SENAITE_ROUTES_PATH=
 EIP_ODOO_OPENMRS_PROPERTIES_PATH=
 EIP_ODOO_OPENMRS_ROUTES_PATH=
+EIP_OPENMRS_ORTHANC_ROUTES_PATH=
 
 # Use the following volume to point to override database initialization scripts
 # Be careful when overriding this because the default scripts run essential configuration tasks needed by Ozone FOSS
diff --git a/docker-compose-orthanc.yml b/docker-compose-orthanc.yml
new file mode 100644
index 0000000..9dbf9cd
--- /dev/null
+++ b/docker-compose-orthanc.yml
@@ -0,0 +1,83 @@
+services:
+  orthanc:
+    command: /run/secrets/
+    secrets:
+      - orthanc.json # CAUTION: This is an experimental implementation, not for production use.
+    image: mekomsolutions/orthanc:latest
+    platform: linux/amd64
+    restart: always
+    environment:
+      - ORTHANC_NAME=Orthanc
+      - ORTHANC_AUTHENTICATION=keycloak
+      - KEYCLOAK_REALM=orthanc
+      - KEYCLOAK_CLIENT_ID=orthanc
+    volumes:
+      - orthanc-db:/var/lib/orthanc/db
+    networks:
+      - ozone
+      - web
+    ports:
+    - "8889:8042"
+
+  # Orthanc - OpenMRS integration service
+  eip-openmrs-orthanc:
+    depends_on:
+      env-substitution:
+        condition: service_completed_successfully
+      openmrs:
+        condition: service_healthy
+      mysql:
+        condition: service_started
+      orthanc:
+        condition: service_started
+    environment:
+      - EIP_DB_NAME_ORTHANC=${EIP_DB_NAME_ORTHANC}
+      - EIP_DB_USER_ORTHANC=${EIP_DB_USER_ORTHANC}
+      - EIP_DB_PASSWORD_ORTHANC=${EIP_DB_PASSWORD_ORTHANC}
+      - OPENMRS_URL=http://openmrs:8080/openmrs
+      - ORTHANC_URL=http://orthanc:8042
+      - EIP_PROFILE=prod
+      - MYSQL_ADMIN_USER=root
+      - MYSQL_ADMIN_USER_PASSWORD=${MYSQL_ROOT_PASSWORD}
+      - OPENMRS_DB_HOST=${OPENMRS_DB_HOST}
+      - OPENMRS_DB_PORT=${OPENMRS_DB_PORT}
+      - OPENMRS_DB_NAME=${OPENMRS_DB_NAME}
+      - OPENMRS_DB_USER=${OPENMRS_DB_USER}
+      - OPENMRS_DB_PASSWORD=${OPENMRS_DB_PASSWORD}
+      - OPENMRS_USER=${OPENMRS_USER}
+      - OPENMRS_PASSWORD=${OPENMRS_PASSWORD}
+      - EIP_FHIR_RESOURCES=
+      - EIP_FHIR_SERVER_URL=http://openmrs:8080/openmrs/ws/fhir2/R4
+      - EIP_FHIR_USERNAME=${OPENMRS_USER}
+      - EIP_FHIR_PASSWORD=${OPENMRS_PASSWORD}
+      - OPENMRS_USERNAME=${OPENMRS_USER}
+      - OPENMRS_PASSWORD=${OPENMRS_PASSWORD}
+    image: mekomsolutions/eip-client
+    networks:
+      ozone:
+        aliases:
+          - eip-openmrs-orthanc
+    restart: unless-stopped
+    volumes:
+      - "${EIP_OPENMRS_ORTHANC_ROUTES_PATH}:/eip-client/routes"
+      - eip-home-orthanc:/eip-home
+
+  mysql:
+    environment:
+      EIP_DB_NAME_ORTHANC: ${EIP_DB_NAME_ORTHANC}
+      EIP_DB_USER_ORTHANC: ${EIP_DB_USER_ORTHANC}
+      EIP_DB_PASSWORD_ORTHANC: ${EIP_DB_PASSWORD_ORTHANC}
+    volumes:
+      - "${SQL_SCRIPTS_PATH}/mysql/eip-openmrs-orthanc:/docker-entrypoint-initdb.d/db/eip-openmrs-orthanc"
+
+secrets:
+  orthanc.json:
+    file: ${ORTHANC_CONFIG_PATH}/orthanc.json # CAUTION: This is an experimental implementation, not for production use.
+
+networks:
+  ozone:
+  web:
+
+volumes:
+  orthanc-db:
+  eip-home-orthanc: ~
diff --git a/scripts/utils.sh b/scripts/utils.sh
index 0c8f25c..538fd1f 100644
--- a/scripts/utils.sh
+++ b/scripts/utils.sh
@@ -42,6 +42,9 @@ function exportPaths () {
     export ERPNEXT_SCRIPTS_PATH=$DISTRO_PATH/binaries/erpnext/scripts/
     export KEYCLOAK_CONFIG_PATH=$DISTRO_PATH/configs/keycloak
     export KEYCLOAK_BINARIES_PATH=$DISTRO_PATH/binaries/keycloak
+    export EIP_OPENMRS_ORTHANC_ROUTES_PATH=$DISTRO_PATH/binaries/eip-openmrs-orthanc
+    export ORTHANC_CONFIG_PATH=$DISTRO_PATH/configs/orthanc/initializer_config
+
 
     echo "→ OPENMRS_CONFIG_PATH=$OPENMRS_CONFIG_PATH"
     echo "→ OPENMRS_PROPERTIES_PATH=$OPENMRS_PROPERTIES_PATH"
@@ -62,6 +65,8 @@ function exportPaths () {
     echo "→ ERPNEXT_SCRIPTS_PATH=$ERPNEXT_SCRIPTS_PATH"
     echo "→ KEYCLOAK_CONFIG_PATH=$KEYCLOAK_CONFIG_PATH"
     echo "→ KEYCLOAK_BINARIES_PATH=$KEYCLOAK_BINARIES_PATH"
+    echo "→ EIP_OPENMRS_ORTHANC_ROUTES_PATH=$EIP_OPENMRS_ORTHANC_ROUTES_PATH"
+    echo "→ ORTHANC_CONFIG_PATH=$ORTHANC_CONFIG_PATH"
 
 }