Identity reconciliation
Check that source instances appear at the target. A passing report means the configured in-scope checks passed.
Skyward / Migration & repatriation
Move imaging between compatible archives and reconcile what arrived. Use Skyward for a standalone migration, a vendor transition, or the return from a Lightbridge DR engagement.
A deliberate hand-back
Choose the source, target, filters, transport, and verification depth. Confirm endpoint compatibility and access first.
Pull with WADO-RS and store with STOW-RS, or use configured dcm4chee DIMSE export. Persist progress so verified studies can be skipped on a resumed run.
Compare SOP Instance UID sets where available. If an endpoint lacks UID-level detail, the engine uses a count-based comparison; that offers less assurance.
Review the manifest and exceptions. In a Lightbridge engagement, routine destruction authorization also depends on accepted signoff and completion of captured HL7 replay.
Choose your assurance
Check that source instances appear at the target. A passing report means the configured in-scope checks passed.
Compare raw PixelData hashes or decoded pixels where configured. Sampling and transcoding settings determine what can be concluded.
Replay captured ADT/ORM messages and track destination acknowledgments. An acknowledgment is not proof of the resulting downstream clinical workflow.
Validation status
In the July 4, 2026 internal AWS test, Skyward transferred three synthetic studies from dcm4chee to Orthanc and passed the reconciliation gate. That validates a specific DICOMweb path.
Your production VNA’s behavior, authentication, transfer syntaxes, and volume need their own validation. A bounded pilot makes those dependencies visible before a larger cutover.
The deliverable
Study and instance results, exceptions, and optional content-verification outcomes for your team to review. The report supports approval; a default reconciliation pass does not establish that every image byte is unchanged or that data is free of malware.
Let’s make it concrete
Choose a study subset and a real source and destination. Agree on what must pass before you scale.