Version 2.0

Effective date:

May 10, 2026

Administrator workflows

Archive Synchronization

Overview

The Archive Synchronization Configuration Guide is designed for PACS administrators and provides comprehensive instructions for configuring synchronization between the platform and external archive systems or VNAs. The feature ensures that studies, images, and patient metadata remain aligned across systems, even after updates, merges, deletions, or demographic changes occur.

Core Functionality

The guide explains how Archive Synchronization leverages IOCM (Imaging Object Change Management) and HL7 ADT messaging to automatically communicate downstream updates to connected archives. This includes support for image deletions, study splits and merges, metadata corrections, and patient demographic updates.

Configuration Steps

The document walks administrators through the complete setup process, including:

  • Creating and configuring Gateways

  • Setting up archive destinations

  • Configuring Auto Archive behavior and retry settings

  • Enabling IOCM support

  • Linking physical Gateway devices to the platform using Service Account credentials

  • Managing facilities and destination scopes

Auto Archive & IOCM

Special attention is given to Auto Archive workflows, including recommendations for using “Completed” status to minimize workflow interruptions. The guide also details how IOCM messages are generated and managed to keep external archives synchronized after post-archive changes occur.

Monitoring & Troubleshooting

The guide includes a dedicated section for monitoring archive jobs through the Jobs tab, where administrators can track archive, DICOM, IOCM, and KOS jobs in real time. It also provides troubleshooting guidance for common issues such as failed jobs, Gateway connection errors, IOCM suppression, and archive delivery failures.


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