Patient ID |  | (required) |
Clinic ID |  | (0 = default Clinic) |
External Role ID |  | (optional, for user-roles) |
First name |  | (required) |
Last name |  | (required) |
Date of birth |  | (required) |
Gender |  | (required) |
Social Security Number |  | (free format) |
Protected SSN |  | (must adhere to 11-test) |
Street |  |  |
ZipCode |  |  |
City |  |  |
Country |  |  |
Phone |  |  |
Fax |  |  |
Email |  |  |
Notes |  | (multi-line) |
Diagnose |  | (multi-line) |
Order number |  | (any-purpose value) |
Link-username |  | (only for logging) |
Image search / modality |  |  |
Search by ID |  |  |
Get full image |  |  |
Get as Jpeg |  |  |
Result code |  |  |
Result string |