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APHL Informatics Messaging Services (AIMS)

APHL Informatics Messaging Services (AIMS). Accelerating the effectiveness and efficiency of ELR and related public health reporting. APHL Informatics Messaging Services (AIMS).

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APHL Informatics Messaging Services (AIMS)

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  1. APHL Informatics Messaging Services(AIMS) Accelerating the effectiveness and efficiency of ELR and related public health reporting

  2. APHL Informatics Messaging Services (AIMS) A secure, cloud based environment that accelerates the implementation of public health messaging solution by providing shared services to aid in the transport, validation, translation and routing of electronic data.

  3. The Big Picture Public Health Labs Clinical Labs Hospital and Healthcare Systems Healthcare Providers Lab Result EHR Data Morbidity Report Test Order / Result EHR Data Case Reporting / Syndromic Surveillance Lab Result Test Order / Result Lab Result Patient Registry Public Health Labs PHAs ELR (Traditional) Case Reporting Surveillance Test Order/Results Case Reporting

  4. Point-to-Point Stakeholder 4 Speaks EHR and Uses Web Service Web Service Call Stakeholder 1 Speaks HL7 v2.1 and Uses PHINMS Stakeholder 2 Speaks HL7 v2.5 and NHIN Direct Convert HL7 v2.5 to HL7 v2.1 Convert HL7 v2.1 to CSV PHINMS Adapter NHIN Direct Adapter Secure FTP Adapter PHINMS Adapter NHIN Direct Adapter Secure FTP Adapter Convert HL7 v2.1 to HL7 v2.5 Convert CSV to HL7 v2.5 Convert CSV to HL7 v2.1 PHINMS Adapter Convert HL7 v2.5 to CSV Secure FTP Adapter NHIN Direct Adapter Stakeholder 3 Speaks CSV and Uses Secure FTP

  5. AIMS Stakeholder 4 Speaks EHR and Uses Web Service Stakeholder 1 Speaks HL7 v2.1 and Uses PHINMS Stakeholder 2 Speaks HL7 v2.5 and NHIN Direct HL7 v2.1 HL7 v2.5 Web Service Adapter PHINMS Adapter NHIN Direct Adapter HL7 v2.1 <--> HL7 v2.5 HL7 v2.1 <--> CSV CSV <--> HL7 v2.5 Web service <-> HL7 2.5 … Validation Transformation Translation Vocabulary Routing Increased Efficiency Increased effectiveness AIMS Stakeholder 3 Speaks CSV and Uses Secure FTP Secure FTP Adapter CSV

  6. APHL Informatics AIMS Architecture

  7. AIMS Functional Architecture AWS AIMS PlatformServices Application Services Shared Applications Email Server Customer Portal Audit Portal ELR Reporting Message Transform Message Service Routing Database Management Transport Conversion Message Service Routing PHP RCMT Alerts Route not Read (RnR) Hub Future-Private Applications WEB Server SFTP Server Rhapsody Integration Engine Mirth Integration Engine Systems Management Security

  8. Message Infrastructure System Infrastructure

  9. Security and Compliance • System Security Plan (SSP) in place • Security Assessment (ST&E) and Audit conducted in 2013 by RTI International • FISMA Compliance granted in 2013 • Migration to FEDRAMP certified environment in 2014. • SSP is being upgraded to show security enhancements gained by moving to AWS

  10. Amazon Web Services • Migrated technology stack to AWS on March 1, 2014 • AIMS Hub is located in the AWS East Region • Planning is underway to enhance Continuity of Operations with Multi-Availability Zones The AWS cloud infrastructure has been designed and managed in alignment with regulations, standards, and best-practices including: • HIPAA • SOC 1/SSAE 16/ISAE 3402 (formerly SAS70) • SOC 2 • SOC 3 • PCI DSS Level 1 • ISO 27001 • FedRAMP(SM) • DIACAP and FISMA • ITAR • FIPS 140-2 • CSA • MPAA

  11. APHL AIMS Architecture Coverage

  12. AIMS Advantages • Common architecture and services • Open source architecture that can be shared (where possible) • Centralized processing and message routing • Monitoring and auditing • Sharable systems • Reduced message transport complexity • Reduced data translation and transformation complexity • Reduced development and support costs • FISMA Moderate compliant applications • FedRAMP compliant environment

  13. Message Validation MQF and related tools and operations

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