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| Field | Description |
|---|---|
| Immunization Registry | The immunization registry that the information of the person or patient will be sent to. This field is required. |
| Immunization Status | |
| Patient Status Designation | An immunization status for the patient. This field is required.
|
| Effective Date | The start date when the immunization status is effective for the person or patient. |
| Expiration Date | The expiration date for the selected immunation status for the person or patient. |
| Immunization Reminders | |
| Publicity Code | An immunization reminder method for the patient.
|
| Effective Date | The start date when the publicity code is effective. |
| Expiration Date | The expiration date for the selected publicity code. |