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.
PHL – public health lab
PHA – public health agency
MU – meaningful use

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

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. Web service <-> HL7 2.5
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

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

9. Message Infrastructure
System Infrastructure

10. 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

11. 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

12. APHL AIMS Architecture Coverage
Original FL
Alabama
Arizona
Arkansas
Florida
Georgia
Hawaii
Houston 
Indiana
Illinois
Kansas
Mississippi
Maine
Maryland
New Hampshire
New York City
Ohio
South Carolina
Texas
Virginia
Washington
Original NE (now migrated to FL)
Alaska
Connecticut
Kentucky
Louisiana
Michigan
Missouri
Montana
Minnesota
North Carolina
Nevada (migrating this week)
Nebraska
New Jersey
New Mexico (final migration testing underway)
Rhode Island
Utah
Vermont
Wisconsin
West Virginia
Direct
California
Colorado
Delaware
Idaho
Iowa
Massachusetts
New York
Not yet sending
District of Columbia
Los Angeles County
North Dakota
Oklahoma
Oregon
Pennsylvania
Puerto Rico
San Diego
San Luis Obispo CA
South Dakota
Tennessee
USAF
Wyoming

13. AIMS Advantages Common architecture and services
Reduced message transport complexity
Open source architecture that can be shared (where possible)
Reduced data translation and transformation complexity
Centralized processing and message routing
Reduced development and support costs
Monitoring and auditing
FISMA Moderate compliant applications
Sharable systems
FedRAMP compliant environment
PHL – public health lab
PHA – public health agency
MU – meaningful use

14. Message Validation
MQF and related tools and operations