APHL Informatics Messaging Services(AIMS)
Accelerating the effectiveness and efficiency of ELR and related public health reporting
A secure, cloud based environment that accelerates the implementation of public health messaging solution by providing shared services to aid in the transport, validation, translation and routing of
electronic data.
APHL Informatics Messaging Services (AIMS)
The Big Picture
Case Reporting / Syndromic SurveillanceCase Reporting / Syndromic Surveillance
Clinical LabsHospital and Healthcare Systems
Healthcare Providers
Public Health Labs
Public Health Labs
PHAs
Patient Registry
Morbidity Report
Lab Result
Lab Result
Lab Result
Test Order / Result
Test Order / Result
Case Reporting
ELR (Traditional)
Case Reporting
Surveillance
Test Order/Results
EHR Data
EHR Data
Point-to-Point
Stakeholder 1Speaks HL7 v2.1
and Uses PHINMS
Stakeholder 2Speaks HL7 v2.5 and NHIN Direct
Stakeholder 3Speaks CSV and Uses Secure FTP
PHINMSAdapter
NHIN DirectAdapter
Secure FTPAdapter
PHINMSAdapter
NHIN DirectAdapter
Secure FTPAdapter
PHINMSAdapter
NHIN DirectAdapter
Secure FTPAdapter
Convert HL7 v2.1 to CSV
Convert HL7 v2.1 to HL7 v2.5
Convert CSV to HL7 v2.1
Convert CSV to HL7 v2.5
Convert HL7 v2.5 to HL7 v2.1
Convert HL7 v2.5 to CSV
Stakeholder 4Speaks EHR and
Uses Web ServiceWeb Service Call
AIMS
Stakeholder 1Speaks HL7 v2.1
and Uses PHINMS
Stakeholder 2Speaks HL7 v2.5 and NHIN Direct
PHINMSAdapter
NHIN DirectAdapter
Secure FTPAdapter
HL7 v2.1 <--> HL7 v2.5HL7 v2.1 <--> CSVCSV <--> HL7 v2.5
Web service <-> HL7 2.5…
HL7 v2.1 HL7 v2.5
CSV
Stakeholder 3Speaks CSV and Uses Secure FTP
Stakeholder 4Speaks EHR and
Uses Web ServiceWeb ServiceAdapter
AIMS
ValidationTransformation
TranslationVocabulary
RoutingIncreased Efficiency
Increased effectiveness
AIMS ARCHITECTUREAPHL Informatics
AIMS Functional ArchitectureAIMS Functional Architecture
AWSAWS
AIMSAIMS
SecuritySecurity
Systems ManagementSystems Management
PlatformServicesPlatformServices
Application ServicesApplication Services
Route not Read (RnR)
Hub
MirthIntegration
Engine
Database Management
Email Server
Message Service Routing
WEB ServerRhapsody
Integration Engine
SFTP Server
Shared ApplicationsShared Applications
RCMT Alerts
Message Service Routing
Audit Portal
PHPTransport
Conversion
Message Transform
ELR Reporting
Customer Portal
Future-Private Applications
Message Infrastructure
System Infrastructure
Security and Compliance
• System Security Plan (SSP) in place
• Security Assessment (ST&E) and Audit conducted in 2013 by RTI International
• FISMA Compliance granted in 2013
• Migration to FEDRAMP certified environment in 2014.
• SSP is being upgraded to show security enhancements gained by moving to AWS
Amazon Web Services
• Migrated technology stack to AWS on March 1, 2014
• AIMS Hub is located in the AWS East Region
• Planning is underway to enhance Continuity of Operations with Multi-Availability Zones
•HIPAA•SOC 1/SSAE 16/ISAE 3402 (formerly SAS70)•SOC 2•SOC 3•PCI DSS Level 1•ISO 27001
•HIPAA•SOC 1/SSAE 16/ISAE 3402 (formerly SAS70)•SOC 2•SOC 3•PCI DSS Level 1•ISO 27001
The AWS cloud infrastructure has been designed and managed in alignment with regulations, standards, and best-practices including:
•FedRAMP(SM)•DIACAP and FISMA•ITAR•FIPS 140-2•CSA•MPAA
•FedRAMP(SM)•DIACAP and FISMA•ITAR•FIPS 140-2•CSA•MPAA
APHL AIMS Architecture Coverage
S t a t e P u b l i c H e a l t h L a b o r a t o r i e s i n c l u d e :
O t h e r T r a d i n g P a r t n e r s
Alabama
Alaska
Arizona
Arkansas
Connecticut
Florida
Georgia
Hawaii
Houston
Illinois
Indiana
Kansas
Kentucky
Louisiana
Maine
Maryland
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Mexico
New York City
North Carolina
Ohio
Oregon
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
O t h e r T r a d i n g P a r t n e r s
Centers for Disease Prevention and Control (CDC)
Cerner
Quest Diagnostics
Lab Interoperability Collaborative (LIC)
Mayo
AIMS Advantages
Message Validation
MQF and related tools and operations