Release Notes: Core 13.0.0

The Exams list has been redesigned to give all users faster access to patient information, more powerful search and filter capabilities, and a single unified view across all exam statuses. These improvements address long-standing requests from clinical and administrative users to reduce the time spent locating cases and managing worklists. 

New All Exams Tab

A new All Exams tab has been added to the Exams menu, giving users a single location to search and filter across every exam status without knowing in advance which status tab the exam resides in. The tab replaces the previous global search function. 

• The All Exams tab is blank on load until a filter or search criterion is applied. The placeholder text reads “To view exams, apply a filter or enter search criteria.” 
• The tab displays the same columns available in the Completed tab, with one additional column: Exam Status (values: Communicate, Pending, Inflight, Completed, Support Request, Unmatched). 
• Default column order: Exam Status, Priority, Due, Exam Date [Browser], MRN, Patient Name, Age, Mod, Exam Type, Files, Assignee, Notes, Referrer, Facility, Activity, Skip, Links, Read Type, Tags, ID, Exam Events. Additional columns can be shown using the gear icon. 
• Results are scoped to each user’s permissions — reading physicians see only exams accessible to them based on licenses and privileges; other users see only exams from their respective facility associations. 
• Filter options match the Completed tab, with one additional criterion: Exam Status. No default filter is applied. 
• Exams currently open by another user appear with a light grey highlight; the actions button is hidden and the Activity column indicates which user is inside the exam. 
• When a radiologist opens an eligible Inflight exam from All Exams, Sign and Close is available as usual. Sign and Next and Skip are greyed out and display a tooltip: “Available in the Inflight worklist.” The Unskip button remains clickable. 

New Patient Columns Across All Tabs 

Three additional columns are now available on all exam list tabs (Inflight, Completed, Unmatched, Support Request, Communicate, All Exams, and others): 

• Reason for Exam — Displays the reason as entered on the exam details page. Empty values display as blank. Supports keyword search. No sorting. 
• Sex — Multiselect dropdown with three options: Female, Male, Intersex/Other. No column-level search. 
• Date of Birth (MM-DD-YYYY) — Search by calendar date picker. No sorting. 
• All three columns are included in the column settings panel and can be shown, hidden, or reordered. 

Additional Tab-Specific Columns 

• The Support Request tab now includes the DOS Browser and DOS Facility columns, consistent with the Inflight tab. 
• The Communicate tab now includes the Signed (SDT) column with a sort option, and a Signed (SDT) filter. 
• The Due column in the Completed tab has been renamed to TAT (hover label: “Time from Inflight to Completed”). 

Enhanced Filter Options 

The following filter options have been added across all applicable tabs (Inflight, Completed, Unmatched, Support Request, Communicate, All Exams, and others): 

• Sex (Patient category): Female, Male, Intersex/Other. 
• Addendums (Exam category, Inflight tab only): Yes / No.
• Exam date filters are now consistent across all tabs (previously the Unmatched tab used a different format). 
• The Tags filter now includes an option to exclude exams with no tags, displayed as the first option in the tag list. 

Assignee Search Enhancement 

Users can now search for “Not Assigned” in the Assignee column to surface all exams with no assigned user. As the user begins typing “not…”, matching results begin to appear — case-insensitive, consistent with how radiologist name searches work.

Unmatched Tab Filter Updates 

Filters in the Unmatched → Exams sub-menu have been updated to match the default filter configuration used on the Pending, Consult, and Support Request tabs. The Unmatched → Images sub-menu filter configuration is unchanged. 

View Images Button and Relevancy Control 

Users working with patients who have many prior exams must manually scroll through the full comparison exam list to identify relevant priors. There is no quick way to filter the list to clinically relevant exams only. Clicking the eye icon on a comparison exam does not reliably open the viewer if it is not already running, and there is no dedicated button to launch images directly from the exam list. 

Two new controls have been added to the Exams list to help users quickly launch images and focus on clinically relevant prior exams: 

• View Images button — Visible to all users (not role-specific), this button launches the configured viewer using existing launch behaviour. The platform passes the current primary exam context to the viewer, which loads the primary exam and the relevant comparison prior using existing selection logic. Existing radiologist auto-launch behaviour is unchanged. If the viewer is already open, clicking the button has no effect. 
• Relevancy control (R button) — A single-click toggle that filters the comparison exam list to show only relevant priors. When enabled, the R button is highlighted so its on/off state is clearly visible. The selected state persists at the user level (not per browser) and applies across exams until changed. 
• The following changes have also been made to the comparison exam list filter: the Prior Type section has been removed; the All checkbox has been removed from the Modality and Region filters; the Requested checkbox has been removed from the Modality filter; and the Save filters checkbox has been removed from the comparison exam list filter. 

Hide View Button for Standalone Priors in Patients Menu 

The Patients menu displays prior exams for a patient, including a View button and eye icon that appear to allow launching the viewer. However, the viewer requires an exam group created in token-auth, which in turn requires an exam ID. Standalone priors do not have an exam ID, so clicking View in the Patients → Priors sub-tab does not successfully open the viewer. 

In the Patients menu (Patient → Priors sub-tab), the View button and eye icon under Files is now hidden. Standalone priors cannot be launched in the viewer because the current architecture requires an exam ID to create an exam group for token-auth, and standalone priors do not have one. The file and image count continues to display. 

• This change applies to all viewers. 
• The View button in the Exams list tab is unaffected — the change applies only to the Patients → Priors sub-tab. 

Miscellaneous Usability

• The expand/collapse icon on the filters bar has been made larger for easier interaction. 

Admins can create custom roles using the Radiologist alias, however these roles inherit all Radiologist permissions, including signing ability, and role permissions. Radiologist users are fixed and cannot be customized. While radiologists can generate, create, and edit reports, signing is required, and actions such as Sign and Close and Sign and Next are hardcoded to the Radiologist role. This means admins have no control over which roles are permitted to perform signing-related actions. Additionally, when an admin creates a custom role using the Radiologist alias, that role cannot be selected from the dropdown when creating a user based on the custom role. 

This release introduces a set of enhancements to role management and access control, giving administrators greater flexibility to configure custom radiologist roles, control signing authority, and scope ACL editing to custom roles only. 

Custom Radiologist Roles with Configurable Signing 

Administrators can now create custom roles based on the Radiologist role alias and independently configure whether those roles can perform signing actions. This addresses scenarios where a user needs to edit and draft reports but should not be permitted to finalize them.

• New Sign Exams ACL — A new access control entry, Sign exams (Read permission, under the Orders category), determines whether users can see and use the Sign and Close and Sign and Next buttons. When disabled, signing buttons are hidden and the user cannot sign reports or addendums. Signing is enabled by default for all custom radiologist roles. This ACL applies only to custom roles that use the Radiologist alias. 

• New Reader dialog box — The Add Radiologist dialog has been redesigned and renamed to New Reader. Radiologist Details is renamed to General Details; Secondary Facility Group is renamed to Additional Facility Group(s). Optional fields are labelled “optional” rather than using red asterisks for mandatory fields. 

   

• Role field — A Role dropdown has been added to the New Reader dialog. The default Radiologist role appears at the top, followed by custom radiologist roles in alphabetical order. 
• Custom roles can now be selected from the appropriate dropdown when creating a new user based on that role — a limitation that previously prevented custom radiologist roles from being assigned during user creation. 

ACL Editing Restricted to Custom Roles

ACL editing in Admin → Roles is now restricted based on whether the selected role is a default system role or a custom role, and based on the user’s administrative scope: 

• Default roles — Only Global Admin users can edit permissions for default roles. All other users have view-only access to the ACL list for default roles. 
• Custom roles — All users with access to Admin → Roles can edit permissions for custom roles within their scope: Global level users can edit any custom role; Group level users can edit custom roles for their own facility group; Local level users can edit custom roles for their own facility. 

This change prevents unintended modifications to default system roles while preserving full flexibility for clients who manage their own custom roles. 

Duty Assignment now includes a configurable option to allow auto-assignment of exams to radiologists who are offline. This addresses workflows that rely on offline service or routing accounts used to route exams to external reading groups. 

New Checkbox: Auto-Assign Exams to Offline Radiologists 

When creating or editing a Duty Assignment rule, administrators now see a checkbox labelled “Auto-assign exams to Offline Radiologists.” The checkbox is unselected by default and is available on both facility group and facility-level duties. Each duty has its own independent checkbox. 

• Checkbox unselected (default) — Existing behaviour is preserved. Duty Assignment will not auto-assign exams to radiologists whose status is OFFLINE. Only radiologists who are ONLINE will receive auto-assigned exams. Manual assignments are unaffected. 

• Checkbox selected — Duty Assignment may auto-assign exams to radiologists whose status is OFFLINE. Offline status will not prevent assignment, and the same distribution rules that apply to online radiologists are used. The radiologist’s personal Auto-Assignment switcher must still be enabled for that radiologist to receive exams. 

Interaction with the Radiologist Auto-Assignment Switcher 

The new checkbox does not override the radiologist’s personal Auto-Assignment switcher. A radiologist will only receive auto-assigned exams when all of the following conditions are met: their Auto-Assignment switcher is enabled, they are part of the duty group, and the duty rule conditions are satisfied. Manual assignment of exams is unaffected by this setting. 

Currently, the drag handle (⠿) and delete icon (✕) on impression list items are hidden and only appear on hover or after interaction. This creates a discoverability problem — users don't know the controls are there until they happen to mouse over the right area. Two usability improvements have been made to the Impression section of the reporting panel, addressing discoverability and interface tidiness.  

Always-Visible Drag Handle and Delete Icon 

The drag handle and delete icon on impression list items were previously hidden and only appeared on hover, making them difficult to discover. These controls are now always visible when an exam is open, without requiring the user to hover over an impression line. 

• Controls are always visible — The drag handle and delete icon are displayed on each impression list item at all times. No hover or interaction is required to reveal them. 
• Drag-and-drop behaviour — Reordering impression items via drag-and-drop remains fully functional. The context menu no longer disappears after a drop and does not require the user to re-hover. The drop indicator scrolls the editor as the user moves the mouse near the top or bottom of the list. 
• Delete behaviour — Deleting an impression item no longer resets the Findings scroll position to the top. 

Removal of Unused UI Selector 

A three-option selector that was no longer in use has been removed from the impression list editor component. Its removal has no effect on report editing functionality.