Syndromic Surveillance System Using Emergency Department Patients Medical Information in Taiwan：The Automation Informatics System of
Data Collection and Processing
自動收集台灣急診病患就醫資訊的症候群監視系統
Chan-Hsien Chiua,i, Tsung-Shu Wub, Jiunn-Shyan Julian Wua,b, Shiou-Wen Lua, Fuh-Yuan Shihd, An-Jing Lunge, Muh-Yung Yenf, Kevin Chi-Ming Changa, Chao Hsiungc, Jamii Wu g, Chien-Hui Luh, Jr-How Choua, and Chwan-Chuen Kingb 邱展賢a,i,吳宗樹b,吳俊賢a,b,盧修文a,,石富元d,龍安靖e,顏慕庸f,張啟明a,熊昭c,吳家 美g,盧靜惠h,周志皓a,金傳春baCenter for Disease Control Taiwan R.O.C.,bGraduateInstitute of Epidemiology,
National Taiwan University, cNational Health Institute of Research, dNational Taiwan University Hospital,eWan fang Municipal Hospital, Taipei City, f Ren ai Municipal Hospital, Taipei City, gTatung System Technologies Inc., hINQGEN Technology Co., Ltd., Graduate Institute of Medical Informatics Taipei Medical University.i
a疾病管制局,b台灣大學流行病學研究所,c國家衛生研究院,d台灣大學附設醫院, e 台北市立萬芳醫院,f台北市立仁愛醫院,g大同世界科技股份有限公司,h鉅仁科技,i 台北醫學大學醫學資訊研究所
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
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