State Communicable Disease Surveillance

The IRG team developed an Electronic Lab Reporting (ELR) Dashboard for the Missouri Department of Health and Senior Services (DHSS). This tool was used to receive electronic laboratory results (ORU^R01), also known as HL7 messages, from different facilities (LabCorp, Mayo, etc.). This project was completed utilizing the Rhapsody Integration Engine, which stores the data in the State Communicable Disease Surveillance database. Rhapsody processes the messages based on the message version, and then stores them in the appropriate location. The ELR Dashboard in the Message Portal application displays status/errors and a summary of inbound ORU^R01 messages.


  • Visual Studio
  • .NET Framework
  • VB.NET
  • Rhapsody
  • WebSurv


  • Analysis of Websurv application and design of additional functionality allowing identification and marking of laboratory results to be sent to a public health entity

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  • Development, testing, and implementation of Websurv application components to support inbound HL7 ORU^R01 message processing and reconciliation
  • Development, testing, and implementation of Orion Rhapsody route to receive and process HL7 ORU^R01 version 2.5.1 messages, plus conversion routine for ORU^R01 version 2.3.1 messages
  • LOINC/SNOMED vocabulary mapping for Missouri reportable conditions
  • Expand existing ELR Dashboard capabilities to include status/errors from inbound ORU^R01 messages
  • Develop Websurv proof of concept for outbound laboratory results
  • Assist with implementation, including recruitment and HL7 message validation, at 18 Kansas and Missouri hospitals sending ADT^A01, ADT^A04, and ADT^A08 messages


Annual Secretary of the Board System Rewrite

The Missouri Department of Elementary and Secondary Education (DESE) requested assistance with rewriting their legacy ASBR system. DESE envisioned the system to have a combination of processes that would accept, monitor, and track a variety of financial data related to the operation of each district and Local Education Agency (LEA) within the state. The technology for the existing DESE ASBR system was no longer supported, and the system was unsustainable.

Utilizing the legacy/historical information from the combined web-based/desktop GEN system, IRG created a web based .NET system with a SQL database server. During the rewrite, IRG provided an agile trained project manager and business analyst to mentor the DESE project team members in agile methodology.


  • Microsoft VB.NET
  • SQL Server


Kansas Eligibility Enforcement System (KEES)

KDHE and the Department for Children and Families (DCF) are using a phased strategy to implement KEES, a state-of-the-art healthcare and human services common eligibility system. As the electronic front door to state services, KEES will improve the eligibility process and identify significant savings for the state. It will be an internet-based system designed for determining eligibility, issuing benefits, collecting data, and developing reports, and it will include Medicaid rules and functionality to support the Affordable Care Act (ACA). This new system will replace legacy systems which have been used by the State of Kansas to determine eligibility for medical and family programs for the last 24 years.

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For the initial phase of acquiring the vendor that would develop and implement the new system, IRG was contracted to provide subject matter expertise, business analysis, research, architecture design support, RFP development and response evaluation, and assist in contract negotiation. In order to develop the RFP requirements, IRG performed a detailed gap analysis of over 1,200 legacy COBOL programs that were operating in a DB2/IDMS environment. IRG authored a number of the performance and technical requirements for the RFP in the following technology areas:

  • Service Orientated Architecture (SOA)
  • Data exchange using ESB
  • MITA compliance
  • Performance monitoring / standards
  • Databases and applications in both mainframe and client server environments
  • Hosting services

During the RFP appraisal period, IRG evaluated the vendors' COTS product offerings; performed analysis on requirements, features and implementation strategies; and provided unbiased recommendations. After the selection of the KEES implementation vendor, IRG's contract was then extended for three additional years to provide subject matter expertise, technical architecture support, and quality assurance during the development phase.


  • Weblogic Application Server
  • Java J2EE
  • Imagenow
  • Oracle RDBMS
  • ESB
  • Java
  • HTML
  • JavaScript


  • RFP development, review and evaluation
  • Project Artifact review
  • Technical Architectural support
  • Staff augmentation


Eligibility Enforcement

The Kansas Social and Rehabilitation Services Division of Health Care Finance required a system to collect and maintain information regarding the individuals, families, and providers that receive services from or interact with the SRS Children and Family Services Commission. The ongoing collection of this information assists SRS in meeting the data reporting requirements for:

  • Adoption and Foster Care Analysis and Reporting System (AFCARS)
  • American Civil Liberties Union Settlement Agreement Kansas
  • Post-Legislative Audit
  • National Child Abuse and Neglect Data System (NCANDS)

The IRG team provided application development and technical architectural services, and implementation support, to provide the needed functionality within the FACTS system.


  • IBM-3090 (MVS/XA)
  • Cool:Gen / Advantage:Gen / Allfusion:Gen
  • CICS
  • DB2
  • IBM mainframe utilities
  • Interface to external systems developed with ADABAS and NATURAL


  • Staff augmentation
  • Technical architecture services
  • Analysis and design
  • Development
  • Testing
  • Implementation support


Underground Injection Control Analysis

The Missouri Department of Natural Resources (DNR) requested that IRG conduct the required analysis to begin construction of an application to enable the Underground Injection Controls (UIC) flow to the EPA.


  • Interview the DNR staff to determine the needs for the application that will support the UIC dataflow

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  • Perform a gap analysis on two existing Microsoft Access databases to identify any missing data elements that are needed to flow the data to the EPA
  • Create a series of use cases and technical specifications that describe the construction of the application
  • Create the specifications for a data model that will support the application
  • Create a series of report specifications that will describe the reports for the application
  • Develop a project plan that describes how to develop the designed application

Social Services

Client Data System (CDS)

The IRG technical team developed the Client Data System for the Kansas Social Rehabilitation Services Community Support and Service (SRS/CSS) Division. The purpose of the new system was to integrate QA data for all five of the SRS/CSS Home and Community Based Service (HCBS) Waivers, including the Level of Care (LOC) ssessment. During this project IRG built the system to include data from four of the five CSS HCBS Waivers, creating a flexible architecture that would allow the fifth waiver to be integrated at a later time. A primary consideration in developing this application was to utilize both the latest Service Oriented Architecture (SOA) methodology and the Microsoft Framework, providing more architectural flexibility for future business needs and reducing application maintenance costs.

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A dynamic application architecture methodology was adopted to design the application. This dynamic approach enabled the users to quickly change the business rules and make those changes immediately effective. The traditional design approach would have required the application to be modified and then tested for every individual rule change. To securely enable this dynamic system functionality, the web pages and functions were dynamically generated and secured depending upon the user's active directory profile.


  • Visual Studio
  • .NET Framework
  • Entity Framework
  • C#.NET
  • Crystal Reports
  • SQL Server
  • SQL Server Reporting Services (SSRS)
  • SQL Server Analysis Services (SSAS)


  • Staff augmentation
  • Analysis, application design, development, testing and implementation support
  • Technical architecture support