Workflow and reporting: Version 10.0 Release notes

Tomosuke Yamaguchi

New Features

Improved Archive Synchronization (IOCM Support) 

This release introduces Imaging Object Change Management (IOCM) support to improve synchronization between the PACS and external long-term archives. 

What’s new: 

  • Support for sending IOCM notifications when archived studies are deleted, split, merged, moved, or cloned 
  • A new facility level setting to enable or disable IOCM message generation 
  • Improved alignment between the PACS and IOCM compliant archives that support standard rejection and replacement notifications 

Important notes: 

  • IOCM generation currently assumes archive presence. Improvements planned for future releases. 
  • Updates to patient level demographics or exam-level data updates continue to generate ADT messages and/or ORM messages, independent of IOCM behavior. 

Improved Stability During AI‑Assisted Reporting 

What’s New 

  • We’ve improved the reliability of AI‑assisted report corrections by preventing edits while AI processing is in progress. 
  • Previously, if a user-initiated AI corrections and then modified the report (for example, by inserting a comparison study or editing content) before AI processing is completed, the system could place AI‑generated text in the wrong location. This could result in formatting issues, overwritten content, or inconsistent report structure. 

Impact to Users:

While AI processing is running: 

  • The reporting screen is temporarily locked 
  • “AI is processing” message is displayed 
  • Editing, navigation, and insertion actions are disabled 

Once AI processing completes (or if it fails), the screen is automatically unlocked and normal interaction resumes. 

Reset Local Cache  

Users can now manually clear the viewer's local image cache directly from within the application. This provides a self-service resolution path for image loading and synchronization issues without requiring support intervention. 

How to Use

  • Open the user profile dropdown menu in the top navigation. 
  • Select "Reset local cache." 
  • Review the warning dialog and confirm by clicking "Reset Local Cache" (highlighted by default — press Enter to confirm), or dismiss by clicking "Cancel." 

What Happens on Confirmation 

  • The local OPFS cache directory, and all IndexedDB entries are cleared. 
  • Any exams currently loading or queued for caching are interrupted and will be re-cached automatically. 
  • Cached images will be re-downloaded from the server; a temporary impact on image load performance may be observed during this period. 
  • The application reloads and reinitializes into a clean state. 

What Is Not Affected 

  • Personal preferences — including window/level presets, layouts, and other viewer settings — are not modified by this action. 

This tool is intended for use when experiencing issues with image loading or synchronization.  

Note 

Clearing the local cache may take several minutes. Do not refresh or close the browser until the process is complete. The worklist remains accessible during this time. 

 

Improvements and Fixes

Exam Linking, Locking and Lifecycle Stability 

Improved consistency of exam locking, linking, and lifecycle transitions, especially in split/merge scenarios.

  • Fixed cases where linked exams did not lock/unlock correctly when one of the linked exams was opened or closed.  
    Jira: SCDQ45264 
  • Resolved exams remaining locked after split or merge operations.  
    Jira: SCDQ44971, SCDQ45155 
  • Fixed incorrect behavior where cloned exams inherited final reports from the source exam.  
    Jira: SCDQ45153 
  • Ensured completed exams return to the correct state after support request resolution. 
    Jira: SCDQ45125 

Documents, Forms and External Content 

Improved document handling and form rendering for downstream systems. 

  • Fixed issues where technical forms rendered as blank images when exported to external PACS. 
    Jira: SCDQ44912 
  • Fixed errors when sharing exams with reports and image links from the Inflight tab. 
    Jira: SCDQ45126 
  • Improved handling of external addendums to ensure updated reports are ingested correctly. 
    Jira: SCDQ44875 

Search, Matching and Data Integrity 

Enhanced data accuracy, matching behavior, and search reliability. 

  • Fixed incorrect parsing of Accession Number into MRN when uploading DICOMs from. 
    Jira: SCDQ45240 
  • Improved patient name search to support flexible name formats without requiring commas. 
    Jira: SCDQ45091, SCDQ44803 
  • Fixed multiple issues in examtoimage matching workflows, including partial and unmatched exams. 
    Jira: SCDQ44898 
  • Addressed HL7 order matching failures caused by hash conflicts. 
    Jira: SCDQ45174 

Security, Access and Platform Reliability 

Improved platform resilience, access control, and error handling.

  • Fixed misleading login error messages for invalid email entries. 
    Jira: SCDQ44361 
  • Prevented backend outages caused by malformed regex rules during order processing. 
    Jira: SCDQ44674 
  • Improved system stability under edgecase conditions in exam list and API responses. 
    Jira: SCDQ45020, SCDQ44874 

Quality, Testing and Infrastructure Improvements 

 

  • Fixed flaky and failing automated tests affecting assignment and caching workflows. 
    Jira: SCDQ44183, SCDQ44522 
  • Improved longterm scalability and database protection strategies. 
    Jira: SCDQ44314, SCDQ44315 


 

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