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Authentication
User Id
Password
Facility Id
Patient
patientReportedExternalLink
patientReportedAuthority
patientReportedType
patientNameLast
patientNameFirst
patientNameMiddle
patientMotherMaiden
patientBirthDate
patientSex
patientRace
patientRace2
patientRace3
patientRace4
patientRace5
patientRace6
patientAddressLine1
patientAddressLine2
patientAddressCity
patientAddressState
patientAddressZip
patientAddressCountry
patientAddressCountyParish
patientPhone
patientEmail
patientEthnicity
patientBirthFlag
patientBirthOrder
patientDeathFlag
patientDeathDate
publicityIndicator
publicityIndicatorDate
protectionIndicator
protectionIndicatorDate
registryStatusIndicator
registryStatusIndicatorDate
guardianLast
guardianFirst
guardianMiddle
guardianRelationship
Vaccination
vaccinationReportedExternalLink
administeredDate
vaccineCvxCode
vaccineNdcCode
vaccineMvxCode
administeredAmount
informationSource
lotnumber
expirationDate
completionStatus
actionCode
refusalReasonCode
bodySite
bodyRoute
fundingSource
fundingEligibility
orgLocationFacilityCode
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