I am using Orthanc as part of a long-term image archiving solution. Our production PACS is IntelePACS, and I have all images autoroute to our Orthanc system. The images are all being sent uncompressed. It seems that when IntelePACS attempts to send a series, it sends a single presentation context proposal per abstract syntax in the series and includes all relevant transfer syntaxes in that proposal - in this case the TS options are implicit VR little endian, explicit VR little endian, JPEG Lossless, and JPEG 2000 Lossless. Because it’s a single proposal, Orthanc must choose one TS to accept and is choosing one of the little endian options.
When I use storescp to receive images, I can use the +xv argument and it will choose JPEG 2000 Lossless when presented with that list. It even seems to reliably choose lossless compressed TS options when run with the “accept all” (+xa) argument. Is there a way to have Orthanc prefer a particular TS or set up a priority order for them?