APHL Informatics Messaging Services(AIMS)

Accelerating the effectiveness and efficiency of ELR and related public health reporting

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.

APHL Informatics Messaging Services (AIMS)

The Big Picture

Case Reporting / Syndromic SurveillanceCase Reporting / Syndromic Surveillance

Clinical LabsHospital and Healthcare Systems

Healthcare Providers

Public Health Labs

Public Health Labs

PHAs

Patient Registry

Morbidity Report

Lab Result

Lab Result

Lab Result

Test Order / Result

Test Order / Result

Case Reporting

ELR (Traditional)

Case Reporting

Surveillance

Test Order/Results

EHR Data

EHR Data

Point-to-Point

Stakeholder 1Speaks HL7 v2.1

and Uses PHINMS

Stakeholder 2Speaks HL7 v2.5 and NHIN Direct

Stakeholder 3Speaks CSV and Uses Secure FTP

PHINMSAdapter

NHIN DirectAdapter

Secure FTPAdapter

PHINMSAdapter

NHIN DirectAdapter

Secure FTPAdapter

PHINMSAdapter

NHIN DirectAdapter

Secure FTPAdapter

Convert HL7 v2.1 to CSV

Convert HL7 v2.1 to HL7 v2.5

Convert CSV to HL7 v2.1

Convert CSV to HL7 v2.5

Convert HL7 v2.5 to HL7 v2.1

Convert HL7 v2.5 to CSV

Stakeholder 4Speaks EHR and

Uses Web ServiceWeb Service Call

AIMS

Stakeholder 1Speaks HL7 v2.1

and Uses PHINMS

Stakeholder 2Speaks HL7 v2.5 and NHIN Direct

PHINMSAdapter

NHIN DirectAdapter

Secure FTPAdapter

HL7 v2.1 <--> HL7 v2.5HL7 v2.1 <--> CSVCSV <--> HL7 v2.5

Web service <-> HL7 2.5…

HL7 v2.1 HL7 v2.5

CSV

Stakeholder 3Speaks CSV and Uses Secure FTP

Stakeholder 4Speaks EHR and

Uses Web ServiceWeb ServiceAdapter

AIMS

ValidationTransformation

TranslationVocabulary

RoutingIncreased Efficiency

Increased effectiveness

AIMS ARCHITECTUREAPHL Informatics

AIMS Functional ArchitectureAIMS Functional Architecture

AWSAWS

AIMSAIMS

SecuritySecurity

Systems ManagementSystems Management

PlatformServicesPlatformServices

Application ServicesApplication Services

Route not Read (RnR)

Hub

MirthIntegration

Engine

Database Management

Email Server

Message Service Routing

WEB ServerRhapsody

Integration Engine

SFTP Server

Shared ApplicationsShared Applications

RCMT Alerts

Message Service Routing

Audit Portal

PHPTransport

Conversion

Message Transform

ELR Reporting

Customer Portal

Future-Private Applications

Message Infrastructure

System Infrastructure

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

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

•HIPAA•SOC 1/SSAE 16/ISAE 3402 (formerly SAS70)•SOC 2•SOC 3•PCI DSS Level 1•ISO 27001

•HIPAA•SOC 1/SSAE 16/ISAE 3402 (formerly SAS70)•SOC 2•SOC 3•PCI DSS Level 1•ISO 27001

The AWS cloud infrastructure has been designed and managed in alignment with regulations, standards, and best-practices including:

•FedRAMP(SM)•DIACAP and FISMA•ITAR•FIPS 140-2•CSA•MPAA

•FedRAMP(SM)•DIACAP and FISMA•ITAR•FIPS 140-2•CSA•MPAA

APHL AIMS Architecture Coverage

S t a t e P u b l i c H e a l t h L a b o r a t o r i e s i n c l u d e :

O t h e r T r a d i n g P a r t n e r s

Alabama

Alaska

Arizona

Arkansas

Connecticut

Florida

Georgia

Hawaii

Houston

Illinois

Indiana

Kansas

Kentucky

Louisiana

Maine

Maryland

Mississippi

Missouri

Montana

Nebraska

Nevada

New Hampshire

New Mexico

New York City

North Carolina

Ohio

Oregon

Rhode Island

South Carolina

South Dakota

Tennessee

Texas

Utah

Vermont

Virginia

West Virginia

Wisconsin

Wyoming

O t h e r T r a d i n g P a r t n e r s

Centers for Disease Prevention and Control (CDC)

Cerner

Quest Diagnostics

Lab Interoperability Collaborative (LIC)

Mayo

AIMS Advantages

Message Validation

MQF and related tools and operations