Validate and Save Aggregate Data

This workflow specifies the interactions for validating and saving an aggregate data message that has been transmitted from an external system to the HIE.

Workflow Maturity


  • Workflow is defined and ARB approved

  • Workflow is supported by emerging IHE ADX standard


Assumptions and Prerequisites

The sender and receiver have the same metadata (indicator, disaggregators and facilities). If not, the metadata will need to be translated.


Sender - External System Actor

  • The system sending the ADX message. The system may be a Health Information Exchange with patient-level abilities to aggregate data and/or a system that contains aggregate level data. The system may also be a point-of-service system that contains or produces aggregate data.

Receiving HIE

  • IL -The Interoperability Layer (IL) is the component that enables easier interoperability between disparate information systems by connecting the infrastructure services and client applications together. An interoperability layer receives transactions from the external system and coordinates interaction between components of the HIE and provides common core functions to simplify the interoperability between systems.

  • HMIS - Health Management Information System that is processing and storing the aggregate data (ADX message) received.

Interaction Description



Data / Notes

Transaction Options


Receive Aggregate Data Message

(The process is initiated by the receipt of an Aggregate Data Message.)

ADX data


Ensure sender is authenticated and log a copy of the message


Route message to the HMIS

Implementation choice: Implementers may select to validate the aggregate data message with a DSD before routing it to the HMIS.


Process the ADX Message

Implementation requirements: Each implementation may have specified rules or data checks that are performed on the message as it is imported into the system. These checks may include data/metadata checks, numerator and denominator checks and checks to be sure that reporting entities reported on the desired indicators.


(Optional) Generate processing response

The current ADX standard does not specify a processing response.



Log the processing response and return it to the ADX

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