Following is an example of DICOM Native Model, in XML representation. You can find more information about DICOM Native Model in PS 3.19 Appendix A.1.

<?xml version="1.0" encoding="UTF-8"?>
<NativeDicomModel>
	<DicomAttribute Tag="00080020" VR="DT" Keyword="StudyDate">
		<Value number="1">20130409</value>
	</DicomAttribute>
	<DicomAttribute Tag="00080030" VR="TM" Keyword="StudyTime">
		<Value number="1">131600.0000</value>
	</DicomAttribute>
	<DicomAttribute Tag="00080050" VR="CS" Keyword="AccessionNumber">
		<Value number="1">11235813</value>
	</DicomAttribute>
	<DicomAttribute Tag="00080056" VR="CS" Keyword="InstanceAvailability">
		<Value number="1"ONLINE</value>
	</DicomAttribute>
	<DicomAttribute Tag="00080061" VR="CS" Keyword="ModalitiesInStudy">
		<Value number="1">CT</value>
		<Value number="2">PET</value>
	</DicomAttribute>
	<DicomAttribute Tag="00080090" VR="PN" Keyword="ReferringPhysiciansName">
		<PersonName number="1">
			<SingleByte>
				<FamilyName>B</FamilyName> 
				<GivenName>Smith</GivenName>
			</SingleByte>
		</PersonName>
	</DicomAttribute>
	<DicomAttribute Tag="00100010" VR="PN" Keyword="PatientName">
		<PersonName number="1">
			<SingleByte>
				<FamilyName>Wang</FamilyName> 
				<GivenName>XiaoDong</GivenName>
				<MiddleName>SB3</MiddleName>
				<NamePrefix>SB4</NamePrefix>
				<NameSuffix>SB5</NameSuffix>
			</SingleByte>
			<Ideographic>
				<FamilyName>王^小東</FamilyName> 
			</Ideographic>
		</PersonName>
	</DicomAttribute>
	<DicomAttribute Tag="00100020" VR="CS" Keyword="PatientID">
		<Value number="1">12345</value>
	</DicomAttribute>
	<DicomAttribute Tag="00100021" VR="CS" Keyword="IssuerOfPatientID">
		<Value number="1">HospitalA</value>
	</DicomAttribute>
	<DicomAttribute Tag="00100030" VR="DT" Keyword="PatientsBirthDate">
		<Value number="1">19670701</value>
	</DicomAttribute>
	<DicomAttribute Tag="00100040" VR="CS" Keyword="PatientsSex">
		<Value number="1">MALE</value>
	</DicomAttribute>
	<DicomAttribute Tag="00200010" VR="SH" Keyword="StudyID">
		<Value number="1">11235813</value>
	</DicomAttribute>
	<DicomAttribute Tag="0020000D" VR="UI" Keyword="StudyInstanceUID">
		<Value number="1">1.2.392.200036.9116.2.2.2.1762893313.1029997326.945873</value>
	</DicomAttribute>
</NativeDicomModel>