This article demonstrates how healthcare organizations can securely migrate on-premises DICOM medical images to AWS HealthImaging (AHI) for cloud-based storage and analysis.

• AWS HealthImaging enables petabyte-scale medical image storage with sub-second retrieval and up to 40% cost savings
• Solution uses AWS IoT Greengrass edge gateway to proxy medical devices and receive DICOM images
• DIMSE application acts as DICOM Service Class Provider, buffering images locally before uploading to S3
• Amazon SQS triggers Lambda functions to index DICOM metadata in RDS database
• Lambda polls for submitted jobs and imports DICOM data into AHI with automated ImageSetId assignment
• Architecture supports simultaneous DICOM associations with automatic status tracking and error handling
• Healthcare providers can reduce infrastructure costs while maintaining low-latency clinical access

This solution enables healthcare organizations to migrate medical imaging to the cloud while preserving performance and reducing operational complexity.