About the point 3, is something like the Audit Record Repository (ARR) of dcm4chee.This is necessary for HIPAA and IHE, audit log of all transactions within the archive.
W: DIMSE Warning: (ORTHANC,TF_Server): sendMessage: unable to convert dataset from 'JPEG Lossless, Non-hierarchical, 1st Order Prediction' transfer syntax to 'Little Endian Implicit'
E0411 14:16:34.290205 27113 MongooseServer.cpp:711] MongooseServer Exception [DicomUserConnection: DIMSE Failed to send message]
Is this a problem with Orthanc, or the receiving system?
Joe