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iREX vs. T. Rex: Immunization Record Exchange David John Marotta DT7 Software www.dt7.com/cdc iREX Project Description CDC Project to encourage HL7 Immunization transport between state registries Toolkit to facilitate HL7 Immunization encoding, transport, receipt, acknowledgement, and parsing. Immunization Registry Exchange Message Trigger Message Encoding Message Transport Message Receipt Message Acknowledgement Message Parsing Message Handling iREX Toolkit Message Trigger Business case for implementing immunization message exchange Funding and management support for project implementation Business rules to send a VXU V04 Unsolicited Vaccination Record Update Business rules to send a VXQ V01- Query for Vaccination Record Message Encoding Visual Message Definition (VMD) takes HL7-friendly file and handles the message encoding. Message Transport Secure HTTP (HTTPS) Privacy Authentication Simplicity Real-time acknowledgement Dedicated line (DL) This Proprietary Software Product Mandated By Our State Legislature (TPSPMBOSL) Virtual Private Network (VPN) Digital Certificates (DC) Encrypted Email (eEMail) Encrypted FTP (eFTP) Message Receipt HTTPS is always available Messages can be stored into any format ODBC table inserts can store messages directly into a database Message Acknowledgement Messages are acknowledged in real time Message acknowledgement can include data specific responses from an interaction with a database Acknowledgement does not require the sending system to have a message server Message Parsing The visual message definition is used to parse the message according to the implementation guide Messages are parsed into an HL7-friendly record format Message Handling Business rules when to accept unsolicited update message Business rules when to respond to query request Data scrubbing and quality control issues De-duplification of patients De-duplification of care facitilites iREX Toolset Visual Message Definition Java HTTPS Message Receiver Immunization Message Transmiter Available for free use, source included Email: [email protected] Website: www.dt7.com/cdc