Does it update on its own or is it manuel

how does it update
is it manual or auto

any on from medical field using it

Updates are automatic on startup. If Obs is open it will not update until restart of app. Can check by looking under settings > about. Will see a prompt to restart there is an update has been pushed since last restart of app.

Maybe long term there could be something like VSCode that prompts to restart if it finds out there’s an update, rather than having to go to the About screen to find out about it.