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Fields for consideration:

Sending Registry	regSend	string nullable: false
Receiving Registry	regReceive	string nullable: false
WMDA Patient Identifier	wmdaId	integer nullable: false
Old Patient State	priorStat	string nullable: true
New Patient State	newStat	string nullable: false
Reason For Change	reason	string nullable: true

3.7 - Register Patient with local partners

3.8 - Replace EMDIS PAT_UPD msg

3.9 -