The Patient Form Submission Object represents a patient's response to a patient form.
Submitted insurance card images and signatures are returned as AWS S3 presigned URLs. S3 presigned URLs are generated and grant a time-limited permission to download to the requestor for 24 hours.
{
  "id": 24312545326,
  "form_name": "Medical History",
  "created_date": "2013-09-27T19:33:35Z",
  "patient": 1638401,
  "topics": [
    {
      "topic": "Other",
      "not_sure": false,
      "total_score": null,
      "questions": [
        {
          "question": "What is the reason for your visit?",
          "answers": [
            {
              "response": "Need a new doctor",
              "value": null,
              "summary": "What is the reason for your visit? - Need a new doctor",
              "score": null,
              "image_url": null
            }
          ]
        }
      ]
    },
    {
      "topic": "Smoking Status",
      "not_sure": false,
      "total_score": null,
      "questions": [
        {
          "question": "Please select your smoking status.",
          "answers": [
            {
              "response": "Never smoker",
              "value": "4",
              "summary": "Never smoker",
              "score": null,
              "image_url": null
            }
          ]
        }
      ]
    },
    {
      "topic": "Caffeine Use",
      "not_sure": true,
      "total_score": null,
      "questions": [
        {
          "question": "Briefly describe any caffeine use - e.g. how many cups of coffee a day?",
          "answers": [
            {
              "response": "1 cup",
              "value": null,
              "summary": "Caffeine use: 1 cup a day",
              "score": null,
              "image_url": null
            }
          ]
        }
      ]
    },
    {
      "topic": "Family History",
      "not_sure": false,
      "total_score": null,
      "questions": [
        {
          "question": "Please list any medical conditions that members of your family (parents, grandparents, siblings) have had, and who had them.",
          "answers": [
            {
              "response": "High cholesterol - Father",
              "value": null,
              "summary": "High cholesterol - Father",
              "score": null,
              "image_url": null
            },
            {
              "response": "High blood pressure - Sister",
              "value": null,
              "summary": "High blood pressure - Sister",
              "score": null,
              "image_url": null
            }
          ]
        }
      ]
    },
    {
      "topic": "Allergies",
      "not_sure": false,
      "total_score": null,
      "questions": [
        {
          "question": "Please list any allergies to medications or food.",
          "answers": [
            {
              "response": "penicillin = break into hives",
              "value": null,
              "summary": "penicillin = break into hives",
              "score": null,
              "image_url": null
            },
            {
              "response": "prochlorperazine = seizures",
              "value": null,
              "summary": "prochlorperazine = seizures",
              "score": null,
              "image_url": null
            }
          ]
        }
      ]
    },
    {
      "topic": "Colon Cancer Screening",
      "not_sure": false,
      "total_score": null,
      "questions": [
        {
          "question": "When was your last colon cancer screening?",
          "answers": [
            {
              "response": "1990 (negative)",
              "value": null,
              "summary": "Colon Cancer screening: 1990 (negative)",
              "score": null,
              "image_url": null
            }
          ]
        }
      ]
    },
    {
      "topic": "Depression (PHQ-2)",
      "not_sure": false,
      "total_score": 1,
      "questions": [
        {
          "question": "Little interest or pleasure in doing things in the last 2 weeks?",
          "answers": [
            {
              "response": "Not at all",
              "value": "LA6568-5",
              "summary": null,
              "score": 0,
              "image_url": null
            }
          ]
        },
        {
          "question": "Feeling down, depressed, or hopeless in the last 2 weeks?",
          "answers": [
            {
              "response": "Several Days",
              "value": "LA6569-3",
              "summary": null,
              "score": 1,
              "image_url": null
            }
          ]
        }
      ]
    }
  ]
}