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Shrine adapters interpret multiple queries with the same non-zero numeric result as a potential attempt to identify a single patient. When the number of queries with the same result passes a threshold then the adapter will reject queries from that user, "adapter lock-out."

If you are a user and believe this is an accidental error, contact your site administrator to resolve the issue.

If you are a site administrator responsible for a user, work with your local data steward to understand the user's intent, then contact the administrator for the adapter that has locked out your user.

If you are the site administrator for that adapter, determine if the user was benign and unlock the user.

TODO have Keith add instructions to unlock a user at the adapter.