Bi-directional Data Exchange (BiDX) with CAIR2

What is bi-directional data exchange (BIDX)?
Many sites with EHR systems currently submit patient data to CAIR2 electronically using a process called data exchange (DX).  CAIR2 also allows EHR systems to retrieve patient information from CAIR2 using a process called bi-directional data exchange (BiDX). This involves an EHR submitting  an electronic patient query  to CAIR2 and CAIR2 returning a matching patient history, with or without vaccine recommendations, back to the EHR system for display or import.

Testing
Sites interested in BiDX (including data aggregators/HIEs) will need to go through a formal testing process. Interested Sites should:

  1. Review the CAIR2 Bi-directional Data Exchange Checklist 
  2. Complete the CAIR2 Bi-directional Data Exchange Interest/Readiness Survey.
  3. Review the CAIR2 Bi-directional (QBP/RSP) Data Exchange Implementation Guide document for proper message formatting.

CAIR2 staff will review your survey responses and, beginning in September, will contact your and provide you with materials so you can begin a self-directed testing process.  Once the testing process is completed, you will be allowed to begin bi-directional messaging to CAIR2.  

Active Patient Histories
To get the most value from the BiDX process, each site should consider submitting all active patient historical doses to CAIR2 so that patient vaccination recommendations returned to your EHR will be correct. Consult with one of our CAIR2 Data Exchange Specialists about submitting prior immunizations records (historical data) for your active patients.