| 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 | |||
| 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 | |||