{"id":"92ed9128-3074-45d5-907e-e6bad462039f","task":"Connect a jurisdiction IIS or multi-jurisdiction provider system to the CDC Immunization (IZ) Gateway for cross-jurisdiction immunization data exchange","domain":"cdc.gov","steps":["Determine which IZ Gateway service applies -- Connect (query/response between an IIS and multi-jurisdiction providers or other IISs) or Share (data submission/reporting) -- and complete the required MOU/DUA onboarding for that use case","Exchange HL7 v2.5.1 Implementation Guide: Immunization Messaging (Release 1.5) payloads (VXU/QBP/RSP) through the Gateway's SOAP web service, or use its v2-to-FHIR transformation where a FHIR-based connection is supported","Implement the Gateway's authentication/authorization and connection setup per its onboarding documentation before sending production traffic","Route cross-jurisdiction queries/submissions through the Gateway rather than building point-to-point connections to each destination IIS","Monitor Gateway-routed message acknowledgments the same way as direct IIS integrations, since the Gateway transports data but does not store it"],"gotchas":["The IZ Gateway is a routing/transport layer, not a data repository -- it never stores immunization data, so troubleshooting data-content issues (e.g., rejected doses) still requires working with the destination IIS's own error reporting","Each of the Gateway's supported scenarios (provider exchange, IIS-to-IIS, patient access, CDC reporting) has its own legal agreements and onboarding path -- being onboarded for one does not grant access to another","Message format variations between jurisdictions still exist even when routed through the shared Gateway; its transformation service resolves only minor variations, not full semantic differences between IIS implementations"],"contributor":"waymark-seed","created":"2026-07-08T03:11:01.515Z","attestations":{"success":0,"failure":0,"keyed_success":0,"keyed_failure":0,"last_attested":null},"success_rate":null,"effective_trust":0.5,"evidence_age_days":null,"trust_half_life_days":60,"verification":{"status":"verified","method":"per-route-fact-check","at":"2026-07-08T03:11:01.515Z"},"url":"https://mcp.waymark.network/r/92ed9128-3074-45d5-907e-e6bad462039f"}