dicom-imaging

dicom-imaging is a skill for Claude Code from aks-builds/healthcareskills. It costs 178 tokens per session (3,364 once invoked), scanned A, original, MIT.

A guide for building systems that exchange medical images using DICOM, the common healthcare imaging standard. It covers systems such as scanners, image archives, viewers, and analysis tools.

In plain words
What is it for?
Designing, integrating, and troubleshooting DICOM workflows, including PACS archives, imaging devices, viewers, and DICOMweb services.
Why use it?
It helps developers handle medical-image data and connections correctly across different healthcare systems.

Skill for Claude Code

Written for Claude Code: shipped in a Claude Code plugin.

Part of the healthcare-skills plugin — 41 skills shipped together , and of healthcare-skills

Good fit Designing, integrating, and troubleshooting DICOM workflows, including PACS archives, imaging devices, viewers, and DICOMweb services.

Compare 6 skills from other repositories ↓
Install with agentmods
npx agentmods add skills/aks-builds/healthcareskills/dicom-imaging
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 aks-builds/healthcareskills --skill dicom-imaging
Clone the repo
git clone --depth 1 https://github.com/aks-builds/healthcareskills

Made for: Claude Code.

Or install healthcare-skills, the plugin that ships this one along with the rest of its 41 skills.

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 dicom-imaging

README.md
[![agentmods](https://agentmods.dev/badge/skills/aks-builds/healthcareskills/dicom-imaging/github.svg)](https://agentmods.dev/skills/aks-builds/healthcareskills/dicom-imaging)
Your own site
<a href="https://agentmods.dev/skills/aks-builds/healthcareskills/dicom-imaging"><img src="https://agentmods.dev/badge/skills/aks-builds/healthcareskills/dicom-imaging/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 dicom-imaging

Your own site · 80×15
<a href="https://agentmods.dev/skills/aks-builds/healthcareskills/dicom-imaging"><img src="https://agentmods.dev/badge/skills/aks-builds/healthcareskills/dicom-imaging.svg" alt="Reviewed on agentmods" width="80" height="20"></a>
Per session 178 Skills are progressive disclosure: only the name and description are preloaded; the body loads when the skill is used.
When invoked 3,364 The whole file, excluding the scripts and references it only reads on demand.
Security scan A 0 findings. 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 $0.00178 $0.03364
Opus 5 $0.00089 $0.01682
Sonnet 5 $0.00036 $0.00673
Haiku 4.5 $0.00018 $0.00336

Measured 12d ago against content hash 51c97cc92dde, method: parsed. Prices are Anthropic first-party input rates as of 2026-09-12, from the pricing page.

Security

Grade A, and why

dicom-imaging scanned grade A with 0 findings 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 12d 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.

Nothing flagged

None of the 26 patterns this scan looks for appear in this file: no shell pipes, no recursive deletes, no credential paths, no hidden text, no instruction-override or anti-refusal phrasing, no agent-config snooping. That is not a guarantee, it is the absence of the things that are checkable.

skills/dicom-imaging/SKILL.md · 267 lines

How it starts

The opening of the file, as written. The whole thing — 267 lines — stays where its author put it; the contents beside it link to each section on GitHub.

DICOM Imaging

You are an expert in the DICOM (Digital Imaging and Communications in Medicine) standard — the basis for almost all medical imaging exchange. Your goal is to help engineers and PACS administrators design integrations between modalities, PACS, VNAs, viewers, and analytics platforms, using DIMSE and DICOMweb correctly. Never invent tag values, SOP class UIDs, or transfer syntaxes — verify against the published DICOM standard (PS3.x parts) when in doubt.

Initial Assessment

Check .agents/healthcare-context.md (fallback: .claude/healthcare-context.md) first. Useful sections:

  • PACS / VNA vendor and version
  • Modalities (CT, MR, CR/DX, US, NM, PT, MG, etc.) and their vendors
  • Connectivity model: classic DIMSE only, DICOMweb-enabled, both
  • Cross-enterprise sharing: XCA-I, IHE XDS-I.b, vendor cloud
  • AI workflows: are inference results returned as Secondary Capture, SR, or non-DICOM?

Ask only what's missing.


Object Model

DICOM organizes data hierarchically:

Patient
└── Study (StudyInstanceUID)
    └── Series (SeriesInstanceUID)
        └── Instance / SOP Instance (SOPInstanceUID)

A SOP Instance is one DICOM object — typically a single image, but can be a structured report, presentation state, encapsulated PDF, segmentation, or RT plan. Each SOP Instance is described by:

  • SOP Class UID — what kind of object (e.g., CT Image Storage)
  • SOP Instance UID — globally unique ID for this specific object
  • Transfer Syntax UID — how it is encoded on the wire / disk

UIDs are immutable and globally unique. Generate them from a registered root (your organization's OID) — do not re-use across studies.


Common SOP Classes (Storage)

Modality Common SOP Class
CT CT Image Storage
MR MR Image Storage
CR / DX Computed Radiography / Digital X-Ray Image Storage
US Ultrasound Image Storage / Ultrasound Multi-frame Image Storage
NM Nuclear Medicine Image Storage
PT Positron Emission Tomography Image Storage
MG Digital Mammography X-Ray Image Storage (for Presentation / for Processing)
RF / XA X-Ray Radiofluoroscopic / X-Ray Angiographic Image Storage
OT Secondary Capture Image Storage (used heavily for AI results)
SR Enhanced SR / Comprehensive SR / Basic Text SR
SEG Segmentation Storage
PR Grayscale / Color Softcopy Presentation State Storage
RT* RT Plan / RT Structure Set / RT Dose / RT Image Storage
Encapsulated Encapsulated PDF / CDA Storage

Read the full file on GitHub · 267 lines

Files

What ships with it

3 files 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. 12d ago First seen · 267 lines · 178 tokens per session scan A 51c97cc92dde

Subscribe to this mod's changes

dicom-imaging is a skill published in the GitHub repository aks-builds/healthcareskills (1 stars, last pushed 2d ago), licensed MIT. It adds 178 tokens to every session and 3,364 once invoked, about $0.0009 per session on Opus 5. A static security scan graded it A with 0 findings. No closer match exists in the catalogue, so it is treated as the original; first seen 2026-08-31.

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