pacs-workflow

pacs-workflow is a skill for Claude Code, Codex from aizech/clinical-skills. It costs 67 tokens per session (2,172 once invoked), scanned A, original, MIT.

Tools and guidance for working with a PACS, a system that stores and organizes medical images, and DICOM, the standard format used for those images. It covers searching studies, retrieving data, and managing radiologist worklists.

In plain words
What is it for?
Use it to query imaging records, retrieve DICOM studies, connect to systems such as Orthanc or DCM4CHEE, and manage radiology worklists.
Why use it?
It removes the need to learn different ways of finding patients, studies, image series, and individual images across PACS systems.

Skill for Claude CodeCodex

Written for no agent in particular: nothing here depends on one. Also seen: installed under .agents/ (shared by several agents).

Good fit Use it to query imaging records, retrieve DICOM studies, connect to systems such as Orthanc or DCM4CHEE, and manage radiology worklists.

Compare 6 skills from other repositories ↓
Install with agentmods
npx agentmods add skills/aizech/clinical-skills/pacs-workflow
Install

Getting it into your agent

One page per mod, every tool's command on it. A separate URL per tool would split the same page into five that compete with each other.

Any agent
npx skills add aizech/clinical-skills --skill pacs-workflow
Clone the repo
git clone --depth 1 https://github.com/aizech/clinical-skills

Made for: Claude Code, Codex.

Wrote this? Show the measurements

A badge with what this costs and how it scanned, read live from this page, so it follows the numbers instead of freezing them. Markdown for a README, HTML for a documentation site or a project page.

agentmods badge for pacs-workflow

README.md
[![agentmods](https://agentmods.dev/badge/skills/aizech/clinical-skills/pacs-workflow/github.svg)](https://agentmods.dev/skills/aizech/clinical-skills/pacs-workflow)
Your own site
<a href="https://agentmods.dev/skills/aizech/clinical-skills/pacs-workflow"><img src="https://agentmods.dev/badge/skills/aizech/clinical-skills/pacs-workflow/github.svg" alt="Measured on agentmods" height="20"></a>

Or the 80×15 button, for a site that already has a row of RSS and ATOM ones. Only the verdict fits; the numbers stay here.

agentmods 80×15 button for pacs-workflow

Your own site · 80×15
<a href="https://agentmods.dev/skills/aizech/clinical-skills/pacs-workflow"><img src="https://agentmods.dev/badge/skills/aizech/clinical-skills/pacs-workflow.svg" alt="Reviewed on agentmods" width="80" height="20"></a>
Per session 67 Skills are progressive disclosure: only the name and description are preloaded; the body loads when the skill is used.
When invoked 2,172 The whole file, excluding the scripts and references it only reads on demand.
Security scan A 1 finding. A grade says what 26 rules found in the file — not that it is safe.
Origin original No closer match found in the catalogue.
Token cost

What it costs to keep this loaded

Counted locally with the o200k_base tokenizer, which is exact for GPT models; Claude uses its own tokenizer and its counts differ. Treat this as one consistent yardstick across the catalogue rather than a bill. Prices are per million input tokens.

ModelPer sessionOnce invoked
Fable 5.1 $0.00067 $0.02172
Opus 5 $0.00034 $0.01086
Sonnet 5 $0.00013 $0.00434
Haiku 4.5 $0.00007 $0.00217

Measured 9d ago against content hash 38ea513b1cb7, method: parsed. Prices are Anthropic first-party input rates as of 2026-09-09, from the pricing page.

Security

Grade A, and why

pacs-workflow scanned grade A with 1 finding against 26 rules in 11 categories — prompt injection, anti-refusal, data exfiltration, privilege escalation, supply chain, agent snooping, system-prompt leakage, SSRF and excessive agency — measured 9d ago.

A static scan of the body, not an audit. Every finding is printed with the line that produced it so you can judge whether it matters here. A mod is markdown that instructs an agent; that is exactly why what it instructs is worth reading.

Makes network callslowCapability

Not a fault in itself. Listed so you know the mod talks to something, and to what.

response = requests.post(
.agents/skills/pacs-workflow/SKILL.md · 348 lines

How it starts

The opening of the file, as written. The whole thing — 348 lines — stays where its author put it; the contents beside it link to each section on GitHub.

PACS Workflow

You are a PACS (Picture Archiving and Communication System) workflow expert. Your role is to help users query, retrieve, and manage imaging studies.

Supported PACS Systems

PACS Type DICOM Support API Style
Orthanc Full REST API, DICOMweb
DCM4CHEE Full REST API, DICOMweb
Conquest Full DICOM, limited REST
OHIF Viewer Full DICOMweb client
Commercial PACS Varies Vendor-specific

DICOM Query (C-FIND)

Query Models

Level Description Key Tags
Patient Find patients Patient Name, ID, DOB
Study Find studies Study Date, Modality, Accession
Series Find series Series Number, Body Part
Instance Find images SOP Instance UID

Common Query Filters

# Patient Level Query
patient_query = {
    "PatientName": "DOE^JOHN",
    "PatientID": "12345",
    "PatientBirthDate": "19800115"
}

# Study Level Query
study_query = {
    "PatientID": "12345",
    "StudyDate": "20260301-20260331",
    "Modality": "CT",
    "StudyDescription": "*chest*",
    "AccessionNumber": "ACC*"
}

# Series Level Query
series_query = {
    "StudyInstanceUID": "1.2.840.12345",
    "SeriesNumber": "*",
    "BodyPartExamined": "CHEST",
    "Modality": "CT"
}

Orthanc PACS

REST API Endpoints

Endpoint Method Description
/tools/find POST Query studies
/patients GET List patients
/studies GET List all studies
/studies/{id} GET Get study
/studies/{id}/archive GET Download ZIP
/modalities GET List modalities

Example: Find Studies

import requests

def orthanc_find_studies(base_url, filters):
    """
    Query Orthanc for studies.
    
    Args:
        base_url: Orthanc server URL
        filters: Dict of DICOM tags to filter
    """
    query = {
        "Level": "Study",
        "Query": filters
    }
    
    response = requests.post(
        f"{base_url}/tools/find",
        json=query
    )
    
    return response.json()

# Usage
studies = orthanc_find_studies("http://localhost:8042", {
    "Modality": "CT",
    "StudyDate": "20260301-",
    "PatientID": "12345"
})

Read the full file on GitHub · 348 lines

Files

What ships with it

1 file beside SKILL.md in the same directory: the scripts, references and assets a skill reads on demand. Not counted in the per-session cost; read them before you install if any of them is executable.

Changes

What this file has done since we first saw it

Hashed on every crawl. A supply-chain change to an agent config is a question of when, not whether, so the history is kept rather than the latest state alone.

  1. 9d ago First seen · 348 lines · 67 tokens per session scan A 38ea513b1cb7

Subscribe to this mod's changes

pacs-workflow is a skill published in the GitHub repository aizech/clinical-skills (4 stars, last pushed 2mo ago), licensed MIT. It adds 67 tokens to every session and 2,172 once invoked, about $0.0003 per session on Opus 5. A static security scan graded it A with 1 finding (makes network calls). No closer match exists in the catalogue, so it is treated as the original; first seen 2026-08-31.

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