TY - JOUR PY - 2007// TI - AEGIS: a robust and scalable real-time public health surveillance system JO - Journal of the American Medical Informatics Association A1 - Reis, Ben Y. A1 - Kirby, Chaim A1 - Hadden, Lucy E. A1 - Olson, Karen A1 - McMurry, Andrew J. A1 - Daniel, James B. A1 - Mandl, Kenneth D. SP - 581 EP - 588 VL - 14 IS - 5 N2 - In this report, we describe the Automated Epidemiological Geotemporal Integrated Surveillance system (AEGIS), developed for real-time population health monitoring in the state of Massachusetts. AEGIS provides public health personnel with automated near-real-time situational awareness of utilization patterns at participating healthcare institutions, supporting surveillance of bioterrorism and naturally occurring outbreaks. As real-time public health surveillance systems become integrated into regional and national surveillance initiatives, the challenges of scalability, robustness, and data security become increasingly prominent. A modular and fault tolerant design helps AEGIS achieve scalability and robustness, while a distributed storage model with local autonomy helps to minimize risk of unauthorized disclosure. The report includes a description of the evolution of the design over time in response to the challenges of a regional and national integration environment.

Language: en

LA - en SN - 1067-5027 UR - http://dx.doi.org/10.1197/jamia.M2342 ID - ref1 ER -