| DATE/TIME OF REQUEST | PDX REQUEST # | PDX CODE | PDX STATUS | COMMENTS | REMOTE MESSAGE ID | LOCAL MESSAGE ID | AUTHORIZER DUZ | AUTHORIZER NAME | AUTHORIZER FACILITY | PURGE | PARENT PDX # | PATIENT NAME | SOCIAL SECURITY # | CLAIM # | DATE OF BIRTH | PID | PATIENT POINTER | REQUESTOR DUZ | REQUESTOR NAME | REQUESTOR FACILITY | NETWORK ADDRESS |
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