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J Am Med Inform Assoc 9:105-115 doi:10.1197/jamia.M1052
  • The Role of Informatics in Preparedness for Bioterrorism and Disaster
    • Patricia Flatley Brennan and William A. Yasnoff, Guest Editors

Roundtable on Bioterrorism Detection

Table 3

Comparison of System Characteristics

System Geography/ Population Setting/ Data Sources Data Transmission Standards Data Update Frequency Data Collection Technique Security Protocol Funding
Bergen County, New Jersey County; 5 hospitals ED Text Daily Fax, e-mail, file transfer
Children's Hospital Boston Metropolitan; 2 hospitals ED XML Daily Mining agent and reports SSL AHRQ
Denver Public Health Metropolitan; 600K, 25% ED, EMS CAD, nurse advice line ODBC Daily (ED hourly) Electronic from ED text and CAD, ad hoc queries CDC
Dept. of Defense/GEIS 14 countries, 395 installations (307 in USA, 88 other) Military treatment facilities Column-delineated Daily Data mining Secure FTP vpn DARPA
EI Network23 21 Pacific Rim countries Disease alerts Text, e-mail 2 weeks Voluntary reporting CDC
Los Alamos/ U. New Mexico 2 counties, 2 EDs ED Http, XML Voluntary Reports SSL DOE, CDC
Regenstrief/Indiana U. Metropolitan; 11 hospitals, 5 health systems; 1.5M, 95% ED, hospital, physician groups HL7 Real-time HL7 over secure extranet NLM AHRQ
Seattle–King County/ U. Washington 1 county, 3 hospital EDs, 9 PCC; 1.7M, 20% ED , primary care, EMS CAD XML Daily Mining agent and reports SSL CDC
U. Pittsburgh 13 counties, 14 hospitals, 10 EDs; 3M, 20%; 1.3M, 37% ED hospitals HL7, ODBC Real-time HL7, free-text, processing physician case reporting SSH DARPA AHRQ NLM CDC
  • Notes: The surveillance systems are identified by the organization(s) responsible for their development—Bergen County Department of Health Services, New Jersey; Children's Hospital Boston; Denver Public Health Department; Emerging Infectious Diseases Network, Asia-Pacific Economic Cooperation (EINet-APEC); Regenstrief Institute and Indiana University School of Medicine; Public Health–Seattle & King County and University of Washington; University of Pittsburgh.

    Abbreviations: AHRQ, Agency for Healthcare Research and Quality; CAD, computer-assisted dispatching; CDC, Centers for Disease Control and Prevention; DARPA, Defense Advanced Research Projects Agency; DOE, Department of Energy; ED, emergency department; EMS, emergency medical service; HL7, Health Level 7; NLM, National Library of Medicine; ODBC, Open Database Connectivity; PCC, primary care clinic; SSH, Secure Shell; SSL, Secure Sockets Layer; XML, Extensible Markup Language; vpn, virtual private network.

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