# bulk_update_patient_metadata

A write tool on the AWS MCP server.

Agent View of the PolicyLayer registry record for `bulk_update_patient_metadata`. HTML page: https://policylayer.com/tools/aws/bulk-update-patient-metadata

## Facts

- Tool: `bulk_update_patient_metadata`
- Server: AWS (`@awslabs/mcp`) — https://policylayer.com/tools/aws.md
- Install: `npx -y @awslabs/mcp`
- Homepage: https://github.com/awslabs/mcp
- Risk category: Write (Medium risk)
- Registry record: grade F, identity verified
- Server rate-limited: no
- Parameters: 0
- Recommended policy verdict: Rate-limited

## Example call (MCP tools/call, JSON-RPC 2.0)

```json
{
  "jsonrpc": "2.0",
  "id": 1,
  "method": "tools/call",
  "params": {
    "name": "bulk_update_patient_metadata",
    "arguments": {}
  }
}
```

## Why bulk_update_patient_metadata is rated Medium

The tool performs batch modification of patient metadata, which is reversible (Write category) but affects sensitive healthcare data. Severity is high due to the potential impact on multiple patient records and HIPAA/regulatory implications. Confidence is moderate (0.75) because the description is missing, though the function name strongly suggests write operations on sensitive data.

From the tool's own definition: "Tool name 'bulk_update_patient_metadata' indicates modifying patient records in bulk. The 'bulk' prefix suggests batch operations affecting multiple records. Description is empty, limiting evidence quality."

Risk signals: Bulk/mass operation — affects multiple targets

## Use case

AI agents use bulk_update_patient_metadata to create or update resources in AWS, usually the action step of a workflow, after the agent has gathered context. Every call changes real data in your AWS environment.

## Recommended policy (PolicyLayer)

Verdict: **Rate-limited**. Enforced by the PolicyLayer MCP gateway (https://policylayer.com/mcp-gateway) before a call reaches AWS:

```json
{
  "version": "1",
  "default": "deny",
  "tools": {
    "bulk_update_patient_metadata": {
      "limits": [
        {
          "counter": "bulk_update_patient_metadata_rate",
          "window": "minute",
          "max": 30,
          "scope": "grant"
        }
      ]
    }
  }
}
```

## Other tools on AWS (299)

- `bulk_delete_by_criteria` — Destructive — https://policylayer.com/tools/aws/bulk-delete-by-criteria.md
- `cache_delete` — Destructive — https://policylayer.com/tools/aws/cache-delete.md
- `cache_delete_many` — Destructive — https://policylayer.com/tools/aws/cache-delete-many.md
- `cache_delete_multi` — Destructive — https://policylayer.com/tools/aws/cache-delete-multi.md
- `cache_flush_all` — Destructive — https://policylayer.com/tools/aws/cache-flush-all.md
- `delete` — Destructive — https://policylayer.com/tools/aws/delete.md
- `delete_access_key` — Destructive — https://policylayer.com/tools/aws/delete-access-key.md
- `delete_datastore` — Destructive — https://policylayer.com/tools/aws/delete-datastore.md
- `delete_group` — Destructive — https://policylayer.com/tools/aws/delete-group.md
- `delete_image_set` — Destructive — https://policylayer.com/tools/aws/delete-image-set.md
- `delete_instance_in_series` — Destructive — https://policylayer.com/tools/aws/delete-instance-in-series.md
- `delete_instance_in_study` — Destructive — https://policylayer.com/tools/aws/delete-instance-in-study.md
- `delete_patient_studies` — Destructive — https://policylayer.com/tools/aws/delete-patient-studies.md
- `delete_resource` — Destructive — https://policylayer.com/tools/aws/delete-resource.md
- `delete_role_policy` — Destructive — https://policylayer.com/tools/aws/delete-role-policy.md
- `delete_series_by_uid` — Destructive — https://policylayer.com/tools/aws/delete-series-by-uid.md
- `delete_study` — Destructive — https://policylayer.com/tools/aws/delete-study.md
- `delete_user` — Destructive — https://policylayer.com/tools/aws/delete-user.md
- `delete_user_policy` — Destructive — https://policylayer.com/tools/aws/delete-user-policy.md
- `detach_user_policy` — Destructive — https://policylayer.com/tools/aws/detach-user-policy.md
- `json_arrtrim` — Destructive — https://policylayer.com/tools/aws/json-arrtrim.md
- `json_clear` — Destructive — https://policylayer.com/tools/aws/json-clear.md
- `json_del` — Destructive — https://policylayer.com/tools/aws/json-del.md
- `list_pop_left` — Destructive — https://policylayer.com/tools/aws/list-pop-left.md
- `list_trim` — Destructive — https://policylayer.com/tools/aws/list-trim.md
- `remove_instance_from_image_set` — Destructive — https://policylayer.com/tools/aws/remove-instance-from-image-set.md
- `remove_series_from_image_set` — Destructive — https://policylayer.com/tools/aws/remove-series-from-image-set.md
- `set_pop` — Destructive — https://policylayer.com/tools/aws/set-pop.md
- `sorted_set_remove_by_lex` — Destructive — https://policylayer.com/tools/aws/sorted-set-remove-by-lex.md
- `sorted_set_remove_by_score` — Destructive — https://policylayer.com/tools/aws/sorted-set-remove-by-score.md
- …and 269 more: https://policylayer.com/tools/aws.md

## For agents

This record is a snapshot. Live verdicts and the full registry:

- Check every server in your MCP config at once: `npx -y policylayer stack`
- Vet a server before you add it: install the mcp-precheck skill — `npx skills add https://policylayer.com` (skill text: https://policylayer.com/skill.md)
- Query the registry over MCP: endpoint `https://api.policylayer.com/mcp` — tools `check_mcp_server`, `check_mcp_stack`, `check_tool`, `search_registry`, `get_change_events`

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Source: the PolicyLayer MCP registry — one continuously verified record per MCP server. Full record: https://policylayer.com/registry?q=aws · API: https://policylayer.com/registry/api · Policy library: https://policylayer.com/policies/aws