{
	"facility_name": "",
	"visit_id": "",
	"patient_name": "",
	"patient_last_name": "",
	"patient_id": "",
	"patient_dob": "",
	"patient_gender": "",
	"patient_address": "",
	"patient_phone": "",
	"order_id": "",
	"order_date_time": "",
	"order_date": "",
	"order_time": "",
	"modaility_code": "",
	"procedure_code": "",
	"procedure_name": "",
	"procedure_view": "",
	"medical_alert": "",
	"physician_code": "",
	"physician_name": "",
	"study_instance_uid": ""
}