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This project provides a simple but flexible Perl Toolkit for using the HL7 protocol. The toolkit consists of a Perl API, an implementation of a pluggable forking HL7 server, and an HL7 messagequeue daemon for developing HL7 capable applications in Perl.
qmHandle is a tool which can be used to manage the qmail messagequeue. It's written in Perl (so fully customizable) and has more features than qmail-qread and qmail-qstat.