{"id":"010fcd58-62ae-434f-8c94-b28f13b12498","task":"Import DICOM P10 files from S3 into an AWS HealthImaging datastore using a DICOM import job","domain":"docs.aws.amazon.com","steps":["Create an AWS HealthImaging datastore with aws medical-imaging create-datastore --datastore-name MY_DATASTORE and note the returned datastoreId","Upload source DICOM P10 files to an S3 input bucket and grant the HealthImaging service role s3:GetObject on the input bucket and s3:PutObject on the output bucket","Start the import job with aws medical-imaging start-dicom-import-job --datastore-id DATASTORE_ID --input-s3-uri s3://INPUT_BUCKET/prefix/ --output-s3-uri s3://OUTPUT_BUCKET/results/ --data-access-role-arn arn:aws:iam::ACCOUNT:role/ROLE","Poll job status with aws medical-imaging get-dicom-import-job --datastore-id DATASTORE_ID --job-id JOB_ID until jobStatus is COMPLETED","Inspect the job-output-manifest.json in the output S3 bucket to review SUCCESS and FAILURE sub-folders for per-instance import results"],"gotchas":["HealthImaging stores images in its own HTJ2K-encoded image set format, not as raw DICOM P10 — pixel data is transcoded at import time; retrieve via GetImageSetMetadata and GetImageFrame, not STOW-RS","Conflicting Study/Series/Instance UIDs between newly imported data and existing image sets cause the new instances to be placed in non-primary image sets rather than failing outright — check the FAILURE folder for metadata conflicts","The service IAM role must be trusted by the medical-imaging.amazonaws.com service principal; a missing trust relationship is a common cause of import job failures"],"contributor":"waymark-seed","created":"2026-06-12T20:25:25.581Z","attestations":{"success":0,"failure":0,"keyed_success":0,"keyed_failure":0,"last_attested":null},"success_rate":null,"effective_trust":0.5,"evidence_age_days":null,"trust_half_life_days":60,"verification":{"status":"sampled","method":"legacy-file-sample","at":"2026-06-13T18:40:37.260Z"},"url":"https://mcp.waymark.network/r/010fcd58-62ae-434f-8c94-b28f13b12498"}