{
  "address": "123 Main Street",
  "auto_accident_insurance": {
    "auto_accident_case_number": "AAC-2024-001",
    "auto_accident_claim_rep_address": "123 Insurance Blvd",
    "auto_accident_claim_rep_city": "Los Angeles",
    "auto_accident_claim_rep_is_insurer": true,
    "auto_accident_claim_rep_name": "John Smith",
    "auto_accident_claim_rep_state": "CA",
    "auto_accident_claim_rep_zip": "90210",
    "auto_accident_company": "State Farm",
    "auto_accident_date_of_accident": "2024-01-10",
    "auto_accident_disabled_from_date": "2024-01-11",
    "auto_accident_disabled_to_date": "2024-02-11",
    "auto_accident_had_similar_condition": false,
    "auto_accident_is_subscriber_the_patient": true,
    "auto_accident_notes": "Rear-ended at intersection",
    "auto_accident_patient_relationship_to_subscriber": "01",
    "auto_accident_payer_address": "456 Payer St",
    "auto_accident_payer_city": "Chicago",
    "auto_accident_payer_id": "PAY123",
    "auto_accident_payer_state": "IL",
    "auto_accident_payer_zip": "60601",
    "auto_accident_policy_number": "POL-2024-12345",
    "auto_accident_return_to_work_date": "2024-03-01",
    "auto_accident_significant_injury": "YES",
    "auto_accident_significant_injury_notes": "Whiplash and back pain",
    "auto_accident_similar_condition_date": "2020-05-15",
    "auto_accident_similar_condition_notes": "Previous back injury",
    "auto_accident_state_of_occurrence": "CA",
    "auto_accident_still_under_care": true,
    "auto_accident_subscriber_address": "789 Main St",
    "auto_accident_subscriber_city": "San Francisco",
    "auto_accident_subscriber_date_of_birth": "1985-06-15",
    "auto_accident_subscriber_first_name": "Jane",
    "auto_accident_subscriber_last_name": "Doe",
    "auto_accident_subscriber_middle_name": "Marie",
    "auto_accident_subscriber_phone_number": "555-123-4567",
    "auto_accident_subscriber_social_security": "123-45-6789",
    "auto_accident_subscriber_state": "CA",
    "auto_accident_subscriber_suffix": "Jr",
    "auto_accident_subscriber_zip_code": "94102",
    "auto_accident_treatment_duration": "6 months",
    "auto_accident_will_require_therapy": true,
    "auto_accident_will_require_therapy_rec": "Physical therapy 2x weekly"
  },
  "cell_phone": "555-123-4567",
  "chart_id": "DOEJ001",
  "city": "San Francisco",
  "copay": "25.00",
  "created_at": "2024-01-15T10:30:00Z",
  "custom_demographics": [
    {
      "field_type": 5,
      "updated_at": "2024-01-15T10:30:00Z",
      "value": "Custom value"
    }
  ],
  "date_of_birth": "1990-05-15",
  "date_of_death": "2024-12-01",
  "date_of_first_appointment": "2020-03-10",
  "date_of_last_appointment": "2024-01-05",
  "default_pharmacy": "1234567",
  "disable_sms_messages": false,
  "doctor": 12345,
  "email": "[email protected]",
  "emergency_contact_name": "Jane Doe",
  "emergency_contact_phone": "555-987-6543",
  "emergency_contact_relation": "Spouse",
  "employer": "Acme Corporation",
  "employer_address": "456 Corporate Blvd",
  "employer_city": "Los Angeles",
  "employer_state": "CA",
  "employer_zip_code": "90210",
  "ethnicity": "not_hispanic",
  "first_name": "John",
  "gender": "Male",
  "gender_identity_code": "446151000124109",
  "gender_identity_description": "Identifies as male",
  "home_phone": "555-111-2222",
  "id": "123456",
  "last_name": "Doe",
  "medication_history_consent": "Y",
  "middle_name": "Robert",
  "nick_name": "Johnny",
  "office_phone": "555-333-4444",
  "offices": [],
  "patient_flags": [
    {
      "archived": false,
      "color": "#FF0000",
      "created_at": "2024-01-15T10:30:00Z",
      "doctor": 12345,
      "flag_id": 1,
      "flag_text": "Requires wheelchair access",
      "flag_type": 2,
      "name": "High Priority",
      "priority": 1,
      "updated_at": "2024-01-15T10:30:00Z"
    }
  ],
  "patient_flags_attached": [
    {
      "archived": false,
      "color": "#FF0000",
      "created_at": "2024-01-15T10:30:00Z",
      "doctor": 12345,
      "flag_id": 1,
      "flag_text": "Requires wheelchair access",
      "flag_type": 2,
      "name": "High Priority",
      "priority": 1,
      "updated_at": "2024-01-15T10:30:00Z"
    }
  ],
  "patient_payment_profile": "Insurance",
  "patient_photo": "https://example.com/photo.jpg",
  "patient_photo_date": "2024-01-10",
  "patient_status": "A",
  "preferred_language": "eng",
  "preferred_language_code": "en",
  "preferred_language_description": "English",
  "preferred_pharmacies": [],
  "primary_care_physician": "Dr. Jane Smith",
  "primary_insurance": {
    "insurance_claim_office_number": "800-555-1234",
    "insurance_company": "Blue Cross Blue Shield",
    "insurance_group_name": "Employer Health Plan",
    "insurance_group_number": "GRP12345",
    "insurance_id_number": "XYZ123456789",
    "insurance_payer_id": "00123",
    "insurance_plan_name": "PPO Gold",
    "insurance_plan_type": "HM",
    "is_subscriber_the_patient": true,
    "patient_relationship_to_subscriber": "01",
    "photo_back": "https://example.com/card_back.jpg",
    "photo_front": "https://example.com/card_front.jpg",
    "subscriber_address": "123 Main St",
    "subscriber_city": "New York",
    "subscriber_country": "US",
    "subscriber_date_of_birth": "1980-05-20",
    "subscriber_first_name": "John",
    "subscriber_gender": "Male",
    "subscriber_last_name": "Doe",
    "subscriber_middle_name": "Robert",
    "subscriber_social_security": "123-45-6789",
    "subscriber_state": "NY",
    "subscriber_suffix": "Jr",
    "subscriber_zip_code": "10001"
  },
  "pronouns": "he/him",
  "race": "white",
  "race_subcategories": [
    {
      "code": "2028-9",
      "description": "Asian Indian"
    }
  ],
  "referring_doctor": {
    "address": "456 Medical Center Dr",
    "email": "[email protected]",
    "fax": "555-12-3456",
    "first_name": "Robert",
    "last_name": "Smith",
    "middle_name": "James",
    "npi": "1234567890",
    "phone": "555-98-7654",
    "provider_number": "PROV12345",
    "provider_qualifier": "0B",
    "specialty": "Cardiologist",
    "suffix": "MD"
  },
  "referring_source": "Website",
  "responsible_party_email": "[email protected]",
  "responsible_party_name": "Mary Doe",
  "responsible_party_phone": "555-555-5555",
  "responsible_party_relation": "Parent",
  "secondary_insurance": {
    "insurance_claim_office_number": "800-555-1234",
    "insurance_company": "Blue Cross Blue Shield",
    "insurance_group_name": "Employer Health Plan",
    "insurance_group_number": "GRP12345",
    "insurance_id_number": "XYZ123456789",
    "insurance_payer_id": "00123",
    "insurance_plan_name": "PPO Gold",
    "insurance_plan_type": "HM",
    "is_subscriber_the_patient": true,
    "patient_relationship_to_subscriber": "01",
    "photo_back": "https://example.com/card_back.jpg",
    "photo_front": "https://example.com/card_front.jpg",
    "subscriber_address": "123 Main St",
    "subscriber_city": "New York",
    "subscriber_country": "US",
    "subscriber_date_of_birth": "1980-05-20",
    "subscriber_first_name": "John",
    "subscriber_gender": "Male",
    "subscriber_last_name": "Doe",
    "subscriber_middle_name": "Robert",
    "subscriber_social_security": "123-45-6789",
    "subscriber_state": "NY",
    "subscriber_suffix": "Jr",
    "subscriber_zip_code": "10001"
  },
  "social_security_number": "123-45-6789",
  "state": "CA",
  "tertiary_insurance": {
    "insurance_claim_office_number": "800-555-1234",
    "insurance_company": "Blue Cross Blue Shield",
    "insurance_group_name": "Employer Health Plan",
    "insurance_group_number": "GRP12345",
    "insurance_id_number": "XYZ123456789",
    "insurance_payer_id": "00123",
    "insurance_plan_name": "PPO Gold",
    "insurance_plan_type": "HM",
    "is_subscriber_the_patient": true,
    "patient_relationship_to_subscriber": "01",
    "photo_back": "https://example.com/card_back.jpg",
    "photo_front": "https://example.com/card_front.jpg",
    "subscriber_address": "123 Main St",
    "subscriber_city": "New York",
    "subscriber_country": "US",
    "subscriber_date_of_birth": "1980-05-20",
    "subscriber_first_name": "John",
    "subscriber_gender": "Male",
    "subscriber_last_name": "Doe",
    "subscriber_middle_name": "Robert",
    "subscriber_social_security": "123-45-6789",
    "subscriber_state": "NY",
    "subscriber_suffix": "Jr",
    "subscriber_zip_code": "10001"
  },
  "updated_at": "2024-01-15T10:30:00Z",
  "workers_comp_insurance": {
    "property_and_casualty_agency_claim_number": "PCA-2024-001",
    "workers_comp_carrier_code": "WCC123",
    "workers_comp_case_number": "WC-2024-00123",
    "workers_comp_company": "Hartford",
    "workers_comp_date_of_accident": "2024-01-05",
    "workers_comp_group_name": "Industrial Workers",
    "workers_comp_group_number": "WCG456",
    "workers_comp_notes": "Injury occurred on job site",
    "workers_comp_payer_address": "100 Insurance Way",
    "workers_comp_payer_city": "Hartford",
    "workers_comp_payer_id": "WCPAY001",
    "workers_comp_payer_state": "CT",
    "workers_comp_payer_zip": "06103",
    "workers_comp_state_of_occurrence": "NY",
    "workers_comp_wcb": "WCB12345",
    "workers_comp_wcb_rating_code": "A1"
  },
  "zip_code": "94102"
}

{
  "address": "Patient address",
  "auto_accident_insurance": {
    "auto_accident_case_number": "Auto accident case number",
    "auto_accident_claim_rep_address": "Claim representative address",
    "auto_accident_claim_rep_city": "Claim representative city",
    "auto_accident_claim_rep_is_insurer": "Is the insurer's claim representative the insurer?",
    "auto_accident_claim_rep_name": "Claim representative name",
    "auto_accident_claim_rep_state": "Claim representative state",
    "auto_accident_claim_rep_zip": "Claim representative ZIP code",
    "auto_accident_company": "Auto accident insurance company",
    "auto_accident_date_of_accident": "Date of the auto accident",
    "auto_accident_disabled_from_date": "Patient was disabled (unable to work) from this date",
    "auto_accident_disabled_to_date": "Patient was disabled (unable to work) until this date",
    "auto_accident_had_similar_condition": "Has the patient had same or similar condition?",
    "auto_accident_is_subscriber_the_patient": "True if the insurance policy is under patient's own name",
    "auto_accident_notes": "Notes about the auto accident",
    "auto_accident_patient_relationship_to_subscriber": "Patient's relationship to subscriber",
    "auto_accident_payer_address": "Auto accident payer address",
    "auto_accident_payer_city": "Auto accident payer city",
    "auto_accident_payer_id": "Auto Accident Payer ID",
    "auto_accident_payer_state": "Auto accident payer state",
    "auto_accident_payer_zip": "Auto accident payer ZIP code",
    "auto_accident_policy_number": "Auto accident policy number",
    "auto_accident_return_to_work_date": "If still disabled, patient should be able to return to work on this date",
    "auto_accident_significant_injury": "Whether there was a significant injury",
    "auto_accident_significant_injury_notes": "Notes about significant injury",
    "auto_accident_similar_condition_date": "Date of same or similar condition",
    "auto_accident_similar_condition_notes": "Notes about similar condition",
    "auto_accident_state_of_occurrence": "State where the auto accident occurred",
    "auto_accident_still_under_care": "Is patient still under your care for this condition?",
    "auto_accident_subscriber_address": "Subscriber address",
    "auto_accident_subscriber_city": "Subscriber city",
    "auto_accident_subscriber_date_of_birth": "Subscriber date of birth",
    "auto_accident_subscriber_first_name": "Subscriber first name",
    "auto_accident_subscriber_last_name": "Subscriber last name",
    "auto_accident_subscriber_middle_name": "Subscriber middle name",
    "auto_accident_subscriber_phone_number": "Subscriber phone number",
    "auto_accident_subscriber_social_security": "Subscriber social security number",
    "auto_accident_subscriber_state": "Subscriber state",
    "auto_accident_subscriber_suffix": "Subscriber suffix",
    "auto_accident_subscriber_zip_code": "Subscriber ZIP code",
    "auto_accident_treatment_duration": "Treatment duration",
    "auto_accident_will_require_therapy": "Will the patient require rehabilitation and/or occupational therapy?",
    "auto_accident_will_require_therapy_rec": "Therapy recommendation"
  },
  "cell_phone": "Patient cell phone number",
  "chart_id": "Chart ID (automatically set using first & last name if absent)",
  "city": "Patient city",
  "copay": "Patient copay amount",
  "created_at": "Timestamp when the patient was created",
  "custom_demographics": {
    "field_type": "ID of the custom demographics object",
    "updated_at": "Timestamp when the custom demographic was last updated",
    "value": "Value of the custom demographic"
  },
  "date_of_birth": "Patient date of birth",
  "date_of_death": "Patient date of death (available when show_inactive is passed)",
  "date_of_first_appointment": "Date of first patient visit",
  "date_of_last_appointment": "Date of previous patient visit",
  "default_pharmacy": "NCPDP ID of patient's default pharmacy",
  "disable_sms_messages": "If true, suppress SMS/Txt messages to this patient",
  "doctor": "Doctor ID",
  "email": "Patient email address",
  "emergency_contact_name": "Emergency contact name",
  "emergency_contact_phone": "Emergency contact phone number",
  "emergency_contact_relation": "Emergency contact relationship to patient",
  "employer": "Patient employer name",
  "employer_address": "Employer address",
  "employer_city": "Employer city",
  "employer_state": "Employer state (two-letter abbreviation)",
  "employer_zip_code": "Employer ZIP code",
  "ethnicity": "Patient ethnicity (blank, hispanic, not_hispanic, or declined)",
  "first_name": "Patient first name",
  "gender": "Patient gender (Male, Female, or Other)",
  "gender_identity_code": "Gender identity code",
  "gender_identity_description": "Gender identity description",
  "home_phone": "Patient home phone number",
  "id": "Patient ID",
  "last_name": "Patient last name",
  "medication_history_consent": "Medication history consent status",
  "middle_name": "Patient middle name",
  "nick_name": "Common name for patient (should be used instead of first name if supplied)",
  "office_phone": "Patient office phone number",
  "offices": "IDs of every office this patient has been to",
  "patient_flags": {
    "archived": "Whether the flag is archived",
    "color": "Color of the flag",
    "created_at": "Timestamp when the flag was created",
    "doctor": "ID of doctor who owns the flag",
    "flag_id": "Flag ID",
    "flag_text": "Description of the patient flag",
    "flag_type": "ID of the associated patient flag type",
    "name": "Name of the flag",
    "priority": "Priority level of the flag",
    "updated_at": "Timestamp when the flag was last updated"
  },
  "patient_flags_attached": {
    "archived": "Whether the flag is archived",
    "color": "Color of the flag",
    "created_at": "Timestamp when the flag was created",
    "doctor": "ID of doctor who owns the flag",
    "flag_id": "Flag ID",
    "flag_text": "Description of the patient flag",
    "flag_type": "ID of the associated patient flag type",
    "name": "Name of the flag",
    "priority": "Priority level of the flag",
    "updated_at": "Timestamp when the flag was last updated"
  },
  "patient_payment_profile": "Patient payment profile (Cash, Insurance, Insurance Out of Network, Auto Accident, or Worker's Comp)",
  "patient_photo": "Patient photo URL",
  "patient_photo_date": "Patient photo date (cannot be passed without patient_photo)",
  "patient_status": "Patient status: A (active), I (inactive), D (inactive-deceased)",
  "preferred_language": "Preferred language (ISO 639 alpha-3 codes)",
  "preferred_language_code": "Preferred language code",
  "preferred_language_description": "Preferred language description",
  "preferred_pharmacies": "NCPDP IDs of patient's preferred pharmacies",
  "primary_care_physician": "Referring doctor for this patient",
  "primary_insurance": {
    "insurance_claim_office_number": "Insurance office phone number",
    "insurance_company": "Insurance company name",
    "insurance_group_name": "Insurance group name",
    "insurance_group_number": "Insurance group number",
    "insurance_id_number": "Insurance ID number",
    "insurance_payer_id": "Insurance payer ID",
    "insurance_plan_name": "Name of insurance plan",
    "insurance_plan_type": "Type of insurance plan",
    "is_subscriber_the_patient": "True if the insurance policy is under patient's own name",
    "patient_relationship_to_subscriber": "HCFA/1500 individual relationship code",
    "photo_back": "Photo of back of insurance card",
    "photo_front": "Photo of front of insurance card",
    "subscriber_address": "Subscriber address",
    "subscriber_city": "Subscriber city",
    "subscriber_country": "Two-letter country code",
    "subscriber_date_of_birth": "Subscriber date of birth",
    "subscriber_first_name": "Subscriber first name",
    "subscriber_gender": "Subscriber gender - Male or Female",
    "subscriber_last_name": "Subscriber last name",
    "subscriber_middle_name": "Subscriber middle name",
    "subscriber_social_security": "Subscriber social security number",
    "subscriber_state": "Two-letter state code",
    "subscriber_suffix": "Subscriber suffix (e.g. II or III)",
    "subscriber_zip_code": "Subscriber ZIP code"
  },
  "pronouns": "Patient pronouns",
  "race": "Patient race (blank, indian, asian, black, hawaiian, white, or declined)",
  "race_subcategories": {
    "code": "Race subcategory code",
    "description": "Race subcategory description"
  },
  "referring_doctor": {
    "address": "Referring doctor address",
    "email": "Referring doctor email",
    "fax": "Referring doctor fax (format: xxx-xx-xxxx)",
    "first_name": "Referring doctor first name",
    "last_name": "Referring doctor last name",
    "middle_name": "Referring doctor middle name",
    "npi": "Referring doctor NPI number",
    "phone": "Referring doctor phone (format: xxx-xx-xxxx)",
    "provider_number": "Provider number",
    "provider_qualifier": "Provider qualifier (State License #, Provider UPIN #, or Provider Commercial #)",
    "specialty": "Referring doctor specialty",
    "suffix": "Referring doctor suffix"
  },
  "referring_source": "Referring source",
  "responsible_party_email": "Responsible party email",
  "responsible_party_name": "Responsible party name",
  "responsible_party_phone": "Responsible party phone number",
  "responsible_party_relation": "Responsible party relationship to patient",
  "secondary_insurance": {
    "insurance_claim_office_number": "Insurance office phone number",
    "insurance_company": "Insurance company name",
    "insurance_group_name": "Insurance group name",
    "insurance_group_number": "Insurance group number",
    "insurance_id_number": "Insurance ID number",
    "insurance_payer_id": "Insurance payer ID",
    "insurance_plan_name": "Name of insurance plan",
    "insurance_plan_type": "Type of insurance plan",
    "is_subscriber_the_patient": "True if the insurance policy is under patient's own name",
    "patient_relationship_to_subscriber": "HCFA/1500 individual relationship code",
    "photo_back": "Photo of back of insurance card",
    "photo_front": "Photo of front of insurance card",
    "subscriber_address": "Subscriber address",
    "subscriber_city": "Subscriber city",
    "subscriber_country": "Two-letter country code",
    "subscriber_date_of_birth": "Subscriber date of birth",
    "subscriber_first_name": "Subscriber first name",
    "subscriber_gender": "Subscriber gender - Male or Female",
    "subscriber_last_name": "Subscriber last name",
    "subscriber_middle_name": "Subscriber middle name",
    "subscriber_social_security": "Subscriber social security number",
    "subscriber_state": "Two-letter state code",
    "subscriber_suffix": "Subscriber suffix (e.g. II or III)",
    "subscriber_zip_code": "Subscriber ZIP code"
  },
  "social_security_number": "Patient social security number",
  "state": "Patient state (two-letter abbreviation)",
  "tertiary_insurance": {
    "insurance_claim_office_number": "Insurance office phone number",
    "insurance_company": "Insurance company name",
    "insurance_group_name": "Insurance group name",
    "insurance_group_number": "Insurance group number",
    "insurance_id_number": "Insurance ID number",
    "insurance_payer_id": "Insurance payer ID",
    "insurance_plan_name": "Name of insurance plan",
    "insurance_plan_type": "Type of insurance plan",
    "is_subscriber_the_patient": "True if the insurance policy is under patient's own name",
    "patient_relationship_to_subscriber": "HCFA/1500 individual relationship code",
    "photo_back": "Photo of back of insurance card",
    "photo_front": "Photo of front of insurance card",
    "subscriber_address": "Subscriber address",
    "subscriber_city": "Subscriber city",
    "subscriber_country": "Two-letter country code",
    "subscriber_date_of_birth": "Subscriber date of birth",
    "subscriber_first_name": "Subscriber first name",
    "subscriber_gender": "Subscriber gender - Male or Female",
    "subscriber_last_name": "Subscriber last name",
    "subscriber_middle_name": "Subscriber middle name",
    "subscriber_social_security": "Subscriber social security number",
    "subscriber_state": "Two-letter state code",
    "subscriber_suffix": "Subscriber suffix (e.g. II or III)",
    "subscriber_zip_code": "Subscriber ZIP code"
  },
  "updated_at": "Timestamp when the patient was last updated",
  "workers_comp_insurance": {
    "property_and_casualty_agency_claim_number": "Property and casualty agency claim number",
    "workers_comp_carrier_code": "Workers comp carrier code",
    "workers_comp_case_number": "Workers comp case number",
    "workers_comp_company": "Workers comp insurance company",
    "workers_comp_date_of_accident": "Date of the workers comp accident",
    "workers_comp_group_name": "Workers comp group name",
    "workers_comp_group_number": "Workers comp group number",
    "workers_comp_notes": "Notes about the workers comp claim",
    "workers_comp_payer_address": "Workers comp payer address",
    "workers_comp_payer_city": "Workers comp payer city",
    "workers_comp_payer_id": "Workers comp payer ID",
    "workers_comp_payer_state": "Workers comp payer state",
    "workers_comp_payer_zip": "Workers comp payer ZIP code",
    "workers_comp_state_of_occurrence": "State where the workers comp accident occurred",
    "workers_comp_wcb": "Workers compensation board number",
    "workers_comp_wcb_rating_code": "Workers compensation board rating code"
  },
  "zip_code": "Patient ZIP code"
}