H1N1 Disease SurveillanceTeam Project

Week 7 Presentation

Melody DungeeBeena Joy

David MedinaCalvin Palmer

H1N1 BioSurveillance

• County Public Health System (CPHS)• Local H1N1 infection surveillance system

• System Actors• Clinician/Provider• Clinical Information System (EMR/EHR)• LIMS• CPHS Biosurveillance Database

• Use of standards• Example: LIMS to CPHS Data Exchange

• Functional requirements

Sample WorkflowH1N1 Biosurveillance – Laboratory Alert (Workflows 1 & 2)

County Public Health System

CPHS Biosurveillance

System

Laboratory Information

Management System

Clinical Information

System (EMR/HER)

Clinician/Provider

Patient presents with potential

symptoms

Clinician Suspects

H1N1 Infection

EMR Entry

Clinicianorders H1N1 test

Test order processed and transmitted to

CPHS

H1N1 Test Processed

H1N1 test

result

Receives notification H1N1

test order

Receive notification of potential H1N1

case

Positive resultCPHS receives positive result

Receive H1N1 confirmation

Clinicianreceives H1N1

test result

Contacts clinician/provider for confirmation

and details

Clinician / provider treats patient

Clinician / Provider provides details

End

Yes

NoYes

Yes

No

Standards

EXAMPLE:LIMS to CPHS Biosurveillance Database

• LIMS will communicate with the CPHS database using a variety of messaging standards such as:• HL7 CDA R2• IHE (LAB TF-3)• Logical Observation Identifiers Names and

Codes (LOINC)• Unified Code for Units of Measure (UCUM)• HITSP/C35, HITSP/C36, HITSP/C37

Functional Requirements

Clinical Information Systems (EMR: Provider)

Clinical Information Systems (EHR: Hospital)

Laboratory Information Management Systems

(Laboratories)

CPHS Biosurveillance Database (CPHS)

PublicHealth Officials

Questions?