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Patient, Study, Series and Instance

DICOM organises imaging data in a four-level hierarchy: a Patient has Studies (one imaging visit each), a Study has Series (one acquisition run each), and a Series has Instances (the individual images or objects).

What Patient, Study, Series and Instance means in practice

The levels are how every query, archive and viewer navigates a dataset. One knee MRI visit is a Study; the sagittal run and the axial run within it are two Series; each slice is an Instance. Patient sits above Study in the standard's information model, which is why a query can ask for everything belonging to one person across visits.

Source

This definition follows NEMA PS3.3 §7 — DICOM Information Model, published by NEMA as part of the DICOM standard.