Patient Data Template

clh-patient-data-template.json.txt

# CircleLink Health
# EHR Patient data template

# The sample below shows 5 test patients. It does not contain any PHI.
# This file will be read line by line. 
# Each line should contain a valid json string. Special characters should be escaped.

# ONLY include ACTIVE patients in the report
# All dates should be in UTC format. Example `2018-09-12T15:08:56.349Z`
# Phone numbers should not contain extensions.
# Phone numbers should be in any of the following forms (201-281-9204, +1-201-281-9204, 2012819204)

# If you have any questions, please reach out to `michalis@circlelinkhealth.com` or `pangratios@circlelinkhealth.com`


{"email":"jane@doe.com","language":"EN","gender":"male","patient_id":"1","last_name":"Bar 1","first_name":"Foo","middle_name":"","date_of_birth":"1960-01-01T15:08:56.349Z","address_line_1":"123 Summer Street","address_line_2":"","city":"NYC","state":"NY","postal_code":"12345","primary_phone":"201-281-9204","cell_phone":"","home_phone":"","preferred_provider":"","last_visit":"","insurance_plans":{"primary":{"plan":"Test Insurance","group_number":"","policy_number":"TEST1234","insurance_type":"Medicaid"},"secondary":{"plan":"Test Medicare","group_number":"","policy_number":"123455","insurance_type":"Medicare"}},"problems":[{"name":"Chronic Obstructive Pulmonary Disease","code_type":"ICD9","code":"496","start_date":"2014-12-11T15:08:56.349Z"},{"name":"Solar Dermatitis","code_type":"ICD9","code":"692.74","start_date":"07/12/2013"},{"name":"Hypertension","code_type":"ICD9","code":"401.9","start_date":"2014-12-11T15:08:56.349Z"}],"medications":[{"name":"Avinza 30 mg oral capsule, ER multiphase 24 hr","sig":"take 1 capsule by oral route daily for 30 days","start_date":"2014-12-11T15:08:56.349Z"},{"name":"Feosol 45 mg oral tablet","sig":"take 1 tablet by oral route daily for 90 days","start_date":"2018-09-12T15:08:56.349Z"},{"name":"morphine 120 mg oral capsule, ER multiphase 24 hr","sig":"take 1 capsule (120 mg) and sprinkle entire contents on a small amount of applesauce then immediately take by oral route once daily ; do not","start_date":"2014-08-22"},{"name":"promethazine-codeine 6.25-10 mg/5 mL oral syrup","sig":"take 5 milliliters by oral route every 6 hours for 10 days","start_date":"2018-09-12T15:08:56.349Z"},{"name":"Medrol (Pak) 4 mg oral tablets,dose pack","sig":"take as directed for 30 days","start_date":"2013-03-22"}],"allergies":[{"name":"Animals"},{"name":"Goat"},{"name":"Peanuts"}]}
{"email":"bar@bar.com","language":"EN","gender":"female","patient_id":"2","last_name":"Bar 2","first_name":"Foo","middle_name":"","date_of_birth":"1900-02-22T15:12:30.349Z","address_line_1":"123 Summer Street","address_line_2":"","city":"NYC","state":"NY","postal_code":"12345","primary_phone":"+12012819204","cell_phone":"","home_phone":"","preferred_provider":"","last_visit":"","insurance_plans":{"primary":{"plan":"Test Insurance","group_number":"","policy_number":"TEST1234","insurance_type":"Medicaid"},"secondary":{"plan":"Test Medicare","group_number":"","policy_number":"123455","insurance_type":"Medicare"}},"problems":[{"name":"Chronic Obstructive Pulmonary Disease","code_type":"ICD9","code":"496","start_date":"2014-12-11T15:08:56.349Z"},{"name":"Solar Dermatitis","code_type":"ICD9","code":"692.74","start_date":"07/12/2013"},{"name":"Hypertension","code_type":"ICD9","code":"401.9","start_date":"2014-12-11T15:08:56.349Z"}],"medications":[{"name":"Avinza 30 mg oral capsule, ER multiphase 24 hr","sig":"take 1 capsule by oral route daily for 30 days","start_date":"2014-12-11T15:08:56.349Z"},{"name":"Feosol 45 mg oral tablet","sig":"take 1 tablet by oral route daily for 90 days","start_date":"2018-09-12T15:08:56.349Z"},{"name":"morphine 120 mg oral capsule, ER multiphase 24 hr","sig":"take 1 capsule (120 mg) and sprinkle entire contents on a small amount of applesauce then immediately take by oral route once daily ; do not","start_date":"2014-08-22"},{"name":"promethazine-codeine 6.25-10 mg/5 mL oral syrup","sig":"take 5 milliliters by oral route every 6 hours for 10 days","start_date":"2018-09-12T15:08:56.349Z"},{"name":"Medrol (Pak) 4 mg oral tablets,dose pack","sig":"take as directed for 30 days","start_date":"2013-03-22"}],"allergies":[{"name":"Fish"},{"name":"Almonds"},{"name":"Earth"}]}
{"email":"foobar@bar.com","language":"EN","gender":"M","patient_id":"3","last_name":"Bar 3","first_name":"Foo","middle_name":"","date_of_birth":"1900-03-23T15:07:32.349Z","address_line_1":"123 Summer Street","address_line_2":"","city":"NYC","state":"NY","postal_code":"12345","primary_phone":"+12012819204","cell_phone":"","home_phone":"","preferred_provider":"","last_visit":"","insurance_plans":{"primary":{"plan":"Test Insurance","group_number":"","policy_number":"TEST1234","insurance_type":"Medicaid"},"secondary":{"plan":"Test Medicare","group_number":"","policy_number":"123455","insurance_type":"Medicare"}},"problems":[{"name":"Chronic Obstructive Pulmonary Disease","code_type":"ICD9","code":"496","start_date":"2014-12-11T15:08:56.349Z"},{"name":"Solar Dermatitis","code_type":"ICD9","code":"692.74","start_date":"07/12/2013"},{"name":"Hypertension","code_type":"ICD9","code":"401.9","start_date":"2014-12-11T15:08:56.349Z"}],"medications":[{"name":"Avinza 30 mg oral capsule, ER multiphase 24 hr","sig":"take 1 capsule by oral route daily for 30 days","start_date":"2014-12-11T15:08:56.349Z"},{"name":"Feosol 45 mg oral tablet","sig":"take 1 tablet by oral route daily for 90 days","start_date":"2018-09-12T15:08:56.349Z"},{"name":"morphine 120 mg oral capsule, ER multiphase 24 hr","sig":"take 1 capsule (120 mg) and sprinkle entire contents on a small amount of applesauce then immediately take by oral route once daily ; do not","start_date":"2014-08-22"},{"name":"promethazine-codeine 6.25-10 mg/5 mL oral syrup","sig":"take 5 milliliters by oral route every 6 hours for 10 days","start_date":"2018-09-12T15:08:56.349Z"},{"name":"Medrol (Pak) 4 mg oral tablets,dose pack","sig":"take as directed for 30 days","start_date":"2013-03-22"}],"allergies":[{"name":"Chicken"},{"name":"Lipitor"},{"name":"Air"}]}
{"email":"foo@bar.com","language":"ES","gender":"F","patient_id":"4","last_name":"Bar 4","first_name":"Foo","middle_name":"","date_of_birth":"1900-04-24T15:09:54.349Z","address_line_1":"123 Summer Street","address_line_2":"","city":"NYC","state":"NY","postal_code":"12345","primary_phone":"2012819204","cell_phone":"","home_phone":"","preferred_provider":"","last_visit":"","insurance_plans":{"primary":{"plan":"Test Insurance","group_number":"","policy_number":"TEST1234","insurance_type":"Medicaid"},"secondary":{"plan":"Test Medicare","group_number":"","policy_number":"123455","insurance_type":"Medicare"}},"problems":[{"name":"Chronic Obstructive Pulmonary Disease","code_type":"ICD9","code":"496","start_date":"2014-12-11T15:08:56.349Z"},{"name":"Solar Dermatitis","code_type":"ICD9","code":"692.74","start_date":"07/12/2013"},{"name":"Hypertension","code_type":"ICD9","code":"401.9","start_date":"2014-12-11T15:08:56.349Z"}],"medications":[{"name":"Avinza 30 mg oral capsule, ER multiphase 24 hr","sig":"take 1 capsule by oral route daily for 30 days","start_date":"2014-12-11T15:08:56.349Z"},{"name":"Feosol 45 mg oral tablet","sig":"take 1 tablet by oral route daily for 90 days","start_date":"2018-09-12T15:08:56.349Z"},{"name":"morphine 120 mg oral capsule, ER multiphase 24 hr","sig":"take 1 capsule (120 mg) and sprinkle entire contents on a small amount of applesauce then immediately take by oral route once daily ; do not","start_date":"2014-08-22"},{"name":"promethazine-codeine 6.25-10 mg/5 mL oral syrup","sig":"take 5 milliliters by oral route every 6 hours for 10 days","start_date":"2018-09-12T15:08:56.349Z"},{"name":"Medrol (Pak) 4 mg oral tablets,dose pack","sig":"take as directed for 30 days","start_date":"2013-03-22"}],"allergies":[{"name":"Metals"},{"name":"Fats"},{"name":"Pears"}]}
{"email":"foo@bar.com","language":"ES","gender":"m","patient_id":"5","last_name":"Bar 5","first_name":"Foo","middle_name":"","date_of_birth":"1900-05-25T15:08:13.349Z","address_line_1":"123 Summer Street","address_line_2":"","city":"NYC","state":"NY","postal_code":"12345","primary_phone":"(201) 281-9204","cell_phone":"","home_phone":"","preferred_provider":"","last_visit":"","insurance_plans":{"primary":{"plan":"Test Insurance","group_number":"","policy_number":"TEST1234","insurance_type":"Medicaid"},"secondary":{"plan":"Test Medicare","group_number":"","policy_number":"123455","insurance_type":"Medicare"}},"problems":[{"name":"Chronic Obstructive Pulmonary Disease","code_type":"ICD9","code":"496","start_date":"2014-12-11T15:08:56.349Z"},{"name":"Solar Dermatitis","code_type":"ICD9","code":"692.74","start_date":"07/12/2013"},{"name":"Hypertension","code_type":"ICD9","code":"401.9","start_date":"2014-12-11T15:08:56.349Z"}],"medications":[{"name":"Avinza 30 mg oral capsule, ER multiphase 24 hr","sig":"take 1 capsule by oral route daily for 30 days","start_date":"2014-12-11T15:08:56.349Z"},{"name":"Feosol 45 mg oral tablet","sig":"take 1 tablet by oral route daily for 90 days","start_date":"2018-09-12T15:08:56.349Z"},{"name":"morphine 120 mg oral capsule, ER multiphase 24 hr","sig":"take 1 capsule (120 mg) and sprinkle entire contents on a small amount of applesauce then immediately take by oral route once daily ; do not","start_date":"2014-08-22"},{"name":"promethazine-codeine 6.25-10 mg/5 mL oral syrup","sig":"take 5 milliliters by oral route every 6 hours for 10 days","start_date":"2018-09-12T15:08:56.349Z"},{"name":"Medrol (Pak) 4 mg oral tablets,dose pack","sig":"take as directed for 30 days","start_date":"2013-03-22"}],"allergies":[{"name":"Butter"},{"name":"People"},{"name":"Apples"}]}