I just did this yesterday for a two projector show. Here are the steps:
1. Set up IAC driver as described above and assign IAC Bus 1 as a MIDI port in Qlab.
2. In Projector Midi Remote, define the CC parameters for your projectors (or for a single projector, just stick with the default values).
3. In QLab, create a MIDI Control Change cue with Channel and Control Number matching the values in Projector Midi Remote (usually 1, 1). Set the Control Value in the CC cue to 0 or 127 (i.e. "closed" or "open").
4. Back in Projector Midi Remote, click the Learn button next to the function you want to map (shutter, power), which will turn light grey.
5. Run the function in Projector Midi Remote (set shutter to ON or OFF, etc)
6. Run the CC cue in QLab. If the routing is correct, the Learn button will not longer be highlighted once the CC cue is run.
7. To create a cue that runs the shutter in the alternate manner (open instead of closed) copy and paste the QLab Midi cue and set the Control Value to 127 (if the first cue was 0) or vice versa.
For a multi-projector show, you can alter the the values in Projector Midi Remote and the associated Control Number values in QLab's control change cues to address the projectors individually.
bph