Electronic Integrated Disease Surveillance System (EIDSS)

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Electronic Integrated Disease Surveillance System (EIDSS)
                           and
         Pathogen Asset Control System (PACS)


                       July 23, 2007




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                       Contents


Background, Objectives and Scope
Electronic Integrated Disease
  Surveillance System (EIDSS)
  - Concept & Capabilities

Pathogen Asset Control System (PACS)
  - Concept & Capabilities




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                                 Background, Objectives and Scope:
                                     EIDSS Goals and Objectives


      The EIDSS application is a disease surveillance tool intended to support
the BTRP Threat Agent Detection and Response (TADR) networks in several countries


                                            Key Goals
 Detection                                                                                 EIDSS
     •   Provide an electronic early warning system for biological threats & attacks
     •   Increase reliability, accuracy, timeliness and completeness of disease surveillance data
     •   Provide integrated human and veterinary disease surveillance and laboratory support
 Response
     •   Provide bi-directional information transfer to local and national public health personnel
     •   Provide tools for surveillance data analysis and decision support, including Geographic Information
         System (GIS), statistics and reporting

 Collaboration
     •   Provide tools for facilitating collaboration in research and diagnostic efforts
     •   Provide consolidated multi-country disease surveillance information for centralized secure access
         by U.S. stakeholders
     •   Establish Multilanguage reporting mechanisms




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                               Background, Objectives and Scope:
                                     EIDSS & PACS Defined


The Electronic Integrated Disease Surveillance System (EIDSS) is
an electronic disease surveillance system linking together the different
levels of a national disease surveillance network within a country
providing near real time information flow that can be disseminated to
the appropriate organizations in a timely manner.
EIDSS integrates the human and veterinary case data collection,
demographic information, geographical information, disease-specific
clinical signs and symptoms (based on standardized case definitions),
laboratory analysis, sample tracking, epidemiological analysis, and
response measures into a cohesive information set that is continuously
synchronized among all EIDSS sites. The information is securely
stored in the databases, and is available for historical data analysis.

The Pathogen Asset Control System (PACS) is a tool used to
maintain control over isolated pathogens stored in repositories.
PACS provides a secure, reliable, timely method of monitoring and
tracking the flow of pathogens in and out of repositories’ secure
storage areas.



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Electronic Integrated Disease Surveillance System (EIDSS)




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                                 EIDSS Unique Features


Seamless Integration of Human and Veterinary Surveillance Systems including
Laboratory (Sample) Management
Fully Localized Application, including Reports
     • Currently Supports Multiple Languages – Georgian, English, and Russian
     • New Languages can be easily be added using the Software Localization Tool
Powered by FLEXFORM Technology
   • Institutes can easily adapt EIDSS to meet their specific needs by adding/editing
     disease-specific profiles (including clinical signs, epidemiological surveys,
     laboratory tests/results).
Integration with GIS Allows for Dynamic Data Mapping




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                                            EIDSS Modules




•   Human Surveillance Module
       •   Human Disease Case Data
       •   Disease Specific Clinical Signs
       •   Epidemiological Investigation
           Data
       •   Response Measures

•   Veterinary Surveillance Module
       •   Wild Animal Disease Case Data
       •   Domestic Animal Disease Case Data

•   Laboratory Management Module
       •   Sample Processing & Management
       •   Test Results Management

•   Notification Agent
       •   Immediate Sending of
           Notification




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                                   EIDSS Modules - continued


•   GIS Module
       •    Static Base Map Visualization
       •    Dynamic Surveillance
            Data Visualization
       •    Map Navigation Tools
•   Statistics Module
       •    Customizable Statistical Reporting
       •    Interactive Map Reporting
       •    Static Reports and Documents
•   Administrative Support Module
       •    Reference Data Management
       •    Reference Data Distribution
       •    Automated Software Updates
            Support
       •    Site Identification and Registration
•   Web Portal (Conceptual)
       •    E-Mail Subscription for
            Urgent Event Notification
       •    Event List Maintenance
       •    Reporting
       •    Access to the Raw Data
                                                           EIDSS Mobile with
                                                             GIS and GPS
                                                              (Conceptual)
                                                                               Statistic



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                                                                                        EIDSS Network Architecture


                                                                                                                  DBMS
                                                                                                                  [RAID5]                                                                    scanner

                                                                                                                              Network Color
                                                                    Tape Autoloader Server                                  InkJet Printer (A3)
                                                                                             Disk array

                                                                                                                            CDR 100BT Ethernet LAN




                                                                                                Router
                                                                                                CISCO
                                                                                                                                                     Modem Pool

                                                                    Local
                                                                     ISP                                                                                                                                          The Software Environment
                                                                  INTERNET                                                                                                                                        is built upon Industry
                                                          Local
                                                                                Local
                                                           ISP
                                                                                 ISP                                                                                                                              Standard Microsoft and
                                                                                                                                                                                                                  Symantec Products
                                                                                                                                                                      Modem
                                 Modem
Local             Router                                                                                                                                          Local             Router
Data                                                                                                                                                              Data


                                      Inkjet A3 Printer                                                                                                                                                 Inkjet A3 Printer
  DL 380 G3 Region Server                                                                                                                                           DL 380 G3 Region Server
        Oblast 100BT Ethernet/Wireless LAN                                                                                                                                Oblast 100BT Ethernet/Wireless LAN




                                                                       Modem                              Modem                          Modem




                            • All Components are “Commercial-off-the-shelf” (COTS) Readily Available
                              Generic Hardware - No Utilization of Proprietary Products
                            • Scalable – Room Growth over Long-Term
                            • Long-Term Sustainability - Minimal Operations and Maintenance Costs
                            • Fault Tolerant – Backup Communication lines, UPS, and Modem Pools

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              Typical EIDSS Computer Equipment



Workstation

                                                 Server Rack
                                                  EMS/CDR




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                                               EIDSS Software Features List

Human Disease Surveillance Features                               Animal Disease Surveillance Features
   Human Case Urgent Notification Data Entry                         Veterinary Case Urgent Notification Data Entry
   (General, Demographic, Clinical Info)                             (General, Demographic, Clinical Info, geoLocation)
   Human Case Epidemiological Investigations Data Entry              Avian & Livestock Veterinary Case Investigations:
   (disease specific)                                                - Demographic Data Entry (Farm/Owner Info, geoLocation)
   Human Case Clinical Signs Data Entry (disease specific)           Avian & Livestock Veterinary Case Investigations:
                                                                     - Herd/Flock Epidemiological Information Data Entry (disease specific)
   Human Case Sample Receiving/Registration
   (predefined sample types)                                         Avian & Livestock Veterinary Case Investigations:
                                                                     - Herd/Animal or Flock/Bird Clinical Signs Data Entry (disease specific)
   Human Case Laboratory Test Results Viewing
                                                                     Avian & Livestock Veterinary Case Investigations:
   Human Case geoLocation Data Entry (GIS mapping)
                                                                     - Diagnoses & Control Measures Data Entry
   Human Aggregate Case Data Entry
                                                                     Avian & Livestock Veterinary Case Investigations:
   Reports: Human Case Urgent Notification, Human Case Report,       - Herd/Animal or Flock/Bird Information
   Human Aggregate Report
                                                                     Avian & Livestock Veterinary Case Investigations:
   Search, Filter and Group Human Cases based on parameterized       - Sample Receiving/Registration (predefined sample types)
   queries
                                                                     Avian & Livestock Veterinary Case Investigations:
   Search, Filter and Group Human Aggregate Cases based on           - Laboratory Test Results Viewing
   parameterized queries
                                                                     Avian & Livestock Veterinary Case Investigations:
                                                                     - geoLocation Data Entry (GIS mapping)
                                                                     Reports: Veterinary Case Urgent Notification, Veterinary Case Report,
                                                                     Pre-printed Field Accession ID and Field Sample Labels
                                                                     Search, Filter and Group Veterinary Cases based on parameterized
                                                                     queries




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                                                EIDSS Software Features List

Laboratory Management Features
                                                                           Reporting Features
    Sample Receiving/Registration
                                                                            Human Reports
    Assigning samples for Testing (disease specific sample types and
    recommended tests)                                                        Monthly Morbidity and Mortality Report

    Laboratory Test Results entry (disease specific)                          Monthly Summary on Infectious Diseases

    Reports: Sample Location Report, Test Results Report, Test                Case Registrations
    Results Notification, Pre-printed Sample Labels                           Diseases by Age Group and Sex
                                                                             Veterinary Reports
Mapping (GIS) Features
                                                                              Listing of Reportable Cases
Map navigation Tools (Identify, Find, Query, Selection, Measure, Buffer)
                                                                              Yearly Veterinarian Situation Report
    Static Base Maps
                                                                              Vet Cases per Administrative Level and Disease
    Case Events
                                                                             Administrative Reports
    Human Morbidity and Mortality
                                                                              System Events Log
    Animal Morbidity and Mortality
                                                                             Paper Forms

Analysis Visualization and Reporting (AVR) Module                             Human Case Notification

    Standard Reports                                                          Human Case Investigation – Anthrax, Avian Influenza H5N1, Botulism,
                                                                              Brucellosis, Plague, Smallpox, Tick-Borne Encephalitis, Tularemia, Viral
    Configurable Reports                                                      Hemorrhagic Fevers
    Ad hoc Reports                                                            Veterinary Case Investigation - Avian Mortality and Livestock Diseases
    Export                                                                  Barcode Labels
    Epi Info Analysis
    Epi Map



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Pathogen Asset Control System (PACS)




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                           PACS Introduction




The Pathogen Asset Control System
is a tool used to maintain control
over isolated pathogens stored in
repositories.

PACS provides a secure, reliable, timely
method of monitoring and tracking the
flow of pathogens in and out of
repositories’ secure storage areas.




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                                           PACS Capabilities




•   Operations
       •    Accession In
                                                                            PACS Workstation
       •    Accession Out
       •    Strain Destruction
       •    Re-Culturing and Vial Splitting
       •    Re-Labeling
       •    Barcode Numbers Generation and Printing
       •    Moving vials within the repository
       •    Moving Containers within the repository
•   Administrative Features
       •    User and Access Management
       •    Auto-Generated Numbering Management
            for Documents and Barcodes
       •    Organization Management
       •    Database Backup/Restore
       •    Secure Data Export/Import
       •    Adding New Microorganisms
       •    Customizable Forms for Microorganism Specific Characteristics




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                                             PACS Capabilities



•   Multilanguage
          •   Multi-Language Forms and Reports
          •   Unicode Compliant
•   Reports
          •   Object Accession In Documents                      PACS Report
          •   Microorganism Passport and
              Characteristics
          •   Object Accession Out Documents
          •   Strain Destruction Documents
          •   Microorganism Output
          •   Microorganism List
          •   Inventory Book
          •   Re-Culturing Schedule
          •   Event Log
•   Repository Management
          •   Customizable Repository Scheme
          •   Tracking movement of samples and vials




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                                                 PACS Capabilities


•   System Features
          •   Standardized/Unified Data Model For Multiple Countries
          •   Fully Localized Application (Date, Time, Currency, Language)
          •   Absolute Location of Vial – Freezer, Shelf, Rack, Box (or as configured by
              users)
          •   Security Access By Microorganism
          •   Search functions for quickly finding/retrieving information
          •   Secure Logon
          •   Supports The Software Localization Tool - for easily adding/editing
              languages specific data
          •   Supports the Flexible Form Technology through Flexible Form Designer
          •   Multi-Language Context Sensitive Online Help
          •   Wizards For Step-By-Step Assistance With Common Operations
          •   Vial Barcode with optional Passport Information
          •   Full Support For Barcode Printing, Scanning, Labeling Functions
          •   Configurable Embedded Document Numbering System with Barcodes
          •   Separated Control And Ownership Of Data
          •   Microorganism Classification (Genus->Species->Sub-Species)
          •   Implemented as a isolated, secure system




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