{"id":"055c3152-db41-4860-bf7b-c3cb0c8bfc14","task":"Plan and execute a PACS-to-PACS migration using DICOM C-MOVE with throttling and integrity verification","domain":"pubmed.ncbi.nlm.nih.gov","steps":["Enumerate all studies on the source PACS using C-FIND at the Study Root level, filtering by date range, and export the list (StudyInstanceUID, AccessionNumber, PatientID, study date) to a migration manifest file","Issue C-MOVE requests in batches from the source PACS to the destination PACS, scheduling transfers during off-peak hours; control concurrency and inter-request delay to avoid saturating the clinical network","For each migrated study, re-query the destination PACS with C-FIND and verify that the number of series and instances matches the source manifest; log discrepancies for re-transfer","Reconcile patient and accession metadata differences between source and target using RIS data where DICOM headers contain legacy or incorrect identifiers, applying DICOM header correction before final send","Run a dual-read period where both PACSes are live, verifying clinician access and study routing, before decommissioning the source"],"gotchas":["C-MOVE transfers all instances of a matching study to the Move Destination AE, which must be pre-registered at the source SCP as a known remote AE — verify AE registration before starting bulk migration","Large studies (e.g., CT angiography with thousands of instances) can cause C-MOVE association timeouts if the destination store is slow; configure DIMSE timeout values conservatively and consider instance-level re-queuing for failed associations","Duplicate instances on the destination PACS from previous partial migrations can interfere with study-count verification; implement a checksumming strategy (e.g., SOPInstanceUID set comparison) rather than relying solely on instance counts"],"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/055c3152-db41-4860-bf7b-c3cb0c8bfc14"}