Syndromic Surveillance System Using Emergency Department Patients Medical Information in Taiwan: The Automation Informatics System of Data Collection and Processing

(1)

Syndromic Surveillance System Using Emergency Department Patients Medical Information in Taiwan: The Automation Informatics System of

Data Collection and Processing

Automatically collects information about Taiwan's syndrome patients from the ED medical surveillance system

Chan-Hsien Chiu

^{a, i,}

Tsung-Shu Wu

^b,

Jiunn-Shyan Julian Wu

a, b, Shiou-Wen

Lu

^a,

Fuh- Yuan Shih

^d,

An-Jing Lung

^e,

Muh-Yung Yen

^f,

Kevin Chi-Ming Chang

^a,

Chao Hsiung

^c,

Jamii Wu

^g,

Chien-Hui Lu

^h,

Jr-How Chou

^a,

and Chwan-Chuen King

^b

Qiu Zhanxian

^{a, i,}

Wu Tsung-Shu

^b,

Chin-Shien Wu

^{a, b,}

Lu Xiuwen

^a,,

Shih

d,

Lung Anjing

^e,

Muh-Yong Yen

^f,

Qi-Ming Zhang

^a,

Xiong Zhao

^c,

Wu U.S.

g,

Lu Jinghui

^h,

Zhou Zhihao

^a,

Chin

^Chuan-b

a

Center for Disease Control Taiwan ROC,

^b

Graduate Institute of Epidemiology, National Taiwan University,

^c

National Health Institute of Research,

^d

National Taiwan University Hospital,

^e

Wan fang Municipal Hospital, Taipei City,

^f

Ren ai Municipal Hospital, Taipei City,

^g

Tatung System Technologies Inc.,

^{H INQGEN}

Technology Co ., Ltd.,

ⁱ

Graduate Institute of Medical Informatics Taipei Medical University.

a

Center for Disease Control,

^b

Institute of Epidemiology, National Taiwan University,

^c

National Health Research Institutes,

^d

National Taiwan University Hospital,

^e

Taipei Municipal Wan Fang Hospital,

^f

Taipei Municipal Jen-Ai Hospital,

^g

One World Technology Co., Ltd,

^h

Ju Yan Technology ,

ⁱ

Institute of Medical Informatics, Taipei Medical University

Abstract

In order to establish an early emerging infectious disease and bioterrorism detection system, the emergency department (ED) visitors' medical information based

syndromic surveillance was built up with automatically data collection and

transmission in Taiwan, ROC. There were 189 hospitals took part in the syndromic

surveillance system data supply since March, 2004. The remote program was used to

send data to the center for diseases control (CDC) and connect real time with the

hyper text transfer protocol over secure sockets layer (https). The data cleansing

algorithm was set up by epidemiologists and clinical physicians using logical rules.

(2)

Until August 12, there were 972,182 ED visit data storied in the data base with the error rate in 2.74%. Continuous data monitoring and system implementation research work are in progress.

Syndromic Surveillance System Using Emergency Department Patients Medical Information in Taiwan: The Automation Informatics System of Data Collection and Processing

Syndromic Surveillance System Using Emergency Department Patients Medical Information in Taiwan: The Automation Informatics System of

Data Collection and Processing

Automatically collects information about Taiwan's syndrome patients from the ED medical surveillance system

Chan-Hsien Chiu

Tsung-Shu Wu

Jiunn-Shyan Julian Wu

Lu

Fuh- Yuan Shih

An-Jing Lung

Muh-Yung Yen

Kevin Chi-Ming Chang

Chao Hsiung

Jamii Wu

Chien-Hui Lu

Jr-How Chou

and Chwan-Chuen King

Qiu Zhanxian

Wu Tsung-Shu

Chin-Shien Wu

Lu Xiuwen

Shih

Lung Anjing

Muh-Yong Yen

Qi-Ming Zhang

Xiong Zhao

Wu U.S.

Lu Jinghui

Zhou Zhihao

Chin

Center for Disease Control Taiwan ROC,

Graduate Institute of Epidemiology, National Taiwan University,

National Health Institute of Research,

National Taiwan University Hospital,

Wan fang Municipal Hospital, Taipei City,

Ren ai Municipal Hospital, Taipei City,

Tatung System Technologies Inc.,

Technology Co ., Ltd.,

Graduate Institute of Medical Informatics Taipei Medical University.

Center for Disease Control,

Institute of Epidemiology, National Taiwan University,

National Health Research Institutes,

National Taiwan University Hospital,

Taipei Municipal Wan Fang Hospital,

Taipei Municipal Jen-Ai Hospital,

One World Technology Co., Ltd,

Ju Yan Technology ,

Institute of Medical Informatics, Taipei Medical University

Abstract

In order to establish an early emerging infectious disease and bioterrorism detection system, the emergency department (ED) visitors' medical information based

syndromic surveillance was built up with automatically data collection and

transmission in Taiwan, ROC. There were 189 hospitals took part in the syndromic

surveillance system data supply since March, 2004. The remote program was used to

send data to the center for diseases control (CDC) and connect real time with the

hyper text transfer protocol over secure sockets layer (https). The data cleansing

algorithm was set up by epidemiologists and clinical physicians using logical rules.

Until August 12, there were 972,182 ED visit data storied in the data base with the error rate in 2.74%. Continuous data monitoring and system implementation research work are in progress.

Keywords: syndromic surveillance, emerging infectious disease, emergency

department, Taiwan