diff --git a/dcm4chee-arc-store/src/main/java/org/dcm4chee/arc/store/org/dcm4chee/archive/store/impl/StoreServiceEJB.java b/dcm4chee-arc-store/src/main/java/org/dcm4chee/arc/store/org/dcm4chee/archive/store/impl/StoreServiceEJB.java
index fbb7872bb..145c1e01f 100644
--- a/dcm4chee-arc-store/src/main/java/org/dcm4chee/arc/store/org/dcm4chee/archive/store/impl/StoreServiceEJB.java
+++ b/dcm4chee-arc-store/src/main/java/org/dcm4chee/arc/store/org/dcm4chee/archive/store/impl/StoreServiceEJB.java
@@ -454,6 +454,16 @@ private Patient updatePatient(StoreContext ctx, Patient pat) {
 
         updateInfo.log(session, pat, attrs);
         pat = em.find(Patient.class, pat.getPk());
+        IDWithIssuer idWithIssuer = IDWithIssuer.pidOf(attrs);
+        Issuer issuer = idWithIssuer.getIssuer();
+        if (issuer != null) {
+            PatientID patientID = pat.getPatientID();
+            IssuerEntity issuerEntity = patientID.getIssuer();
+            if (issuerEntity == null)
+                patientID.setIssuer(issuerService.mergeOrCreate(issuer));
+            else
+                issuerEntity.getIssuer().merge(issuer);
+        }
         pat.setAttributes(attrs, filter, arcDev.getFuzzyStr());
         return pat;
     }