1. CDC Health Information Innovation Consortium May Forum Project Presentations: Emerging Infection Program Web Service  – Jason Hall and Research Electronic Data Capture – William Duck
Brian Lee
Chief Public Health Informatics Officer
Office of Public Health Scientific Services
Tuesday, May 12, 2015
10:00-11:00am EST
Chamblee Building 106, Room 1A
Centers for Disease Control and Prevention
Office of Public Health Scientific Services

2. Instructions for Muting/Unmuting in Lync
From Lync 2010:
Mute and Unmute your Lync audio by clicking on the microphone icon in the Lync meeting window
From Lync 2013:
Before we begin, we do ask that everyone mutes their phones. This document shows you how to mute if you are connected through Lync 2010 and Lync 2013 and if you are dialed in, please press *6 to mute your phone.”
If Dialed In:
Press *6 to Mute or Unmute your microphone

3. Emerging Infectious Program (EIP) Web Service CHIIC Update May 12, 2015
Jason Hall – NCEZID, CDC Sreeni Kothagundu, Northrop Grumman – NCEZID, CDC
National Center for Emerging and Zoonotic Infectious Diseases
Emerging Infections Programs (EIP)

4. EIP Web Service Background Enhanced EIP Web Service
EIP Web Service Architecture
Next Steps

5. What is EIP?
The Emerging Infections Programs (EIP) is a population-based network covering 15% of the population and consists of projects to improve patient outcomes through evaluation and improvement of emerging infection prevention and control methods.
Over 40 projects and around 20 special studies
A collaboration of CDC, state health departments, universities, hospitals, and other federal agencies.
Over 500 publications

6. EIP IT
Mix of information system types – study databases, case information management systems, site systems
Systems used for projects can vary by site
Multiple transport methods in use
Project protocols can change yearly
Adopted IT Strategy in 2012

7. Problem CDC-developed case management system
Two installations – CDC and at each site
Current process was cumbersome and open to errors
Export to file from one system and upload to other

8. Existing alternatives
SAMS
PHINMS
SFTP

9. Current EIP Web Service
- Minimally extensible architecture
- Designed as proof of concept
- Supports only a single EIP Program
Existing EIP Web Service release 1.5
- Adapt and transform PH information is and will be exchanged, expanding use of EHR data, utilizing other or novel sources
- Improve and modernize current EIP technology
Enhanced Web Service aligns with key strategic EIP IT goals:
…accelerating the utilization of emerging tools and approaches to improve the interoperability, availability, quality and/or timeliness of surveillance data
EIP IT Goals align with CDC surveillance strategy goal:

10. EIP Web Service v2.0 Is reusable by other C/I/O’s
As CDC Shared Services, with appropriate resources to NCEZID for additional support personnel and expansion to more scalable server configurations
Changed the framework and service to support a second EIP program
Provides support for new data interfaces through
Requires only configuration and minor development specific for new data

11. EIP Web Service – Data Flow
Data transport protocol designed for use between state surveillance information systems and CDC
State surveillance information systems invoke EIP Web Services (in CDC DMZ) to fulfill the application requests to transfer non-PII data to CDC
EIP Web Services logs and stores received data in EIP Repository is shared with EIP CDC programs.

12. EIP Web Service Service Oriented Architecture Overview
(every functionality is a service and can be shared)

13. EIP Web Service - System Architecture

14. Modular Approach Adopted SOA – Service Oriented Architecture
Every function / feature is a service that can be hosted in the CDC DMZ
All the services can be shared and reused with minimal effort
EIP Services can be shared with other programs or other CIOs can hosted

15. Custom Security OCISO approved custom IP based security
Machine to machine communication
Communication using HTTPS only. (HTTPS ports only)
Passwords are encrypted; no clear password text
IP based security; IP extracted on the fly from SOAP requests
Why not SAMS authentication?
No API available for SAMS
SAMS does not support SOAP
SAMS Identity proofing is limited to humans/users, not for the machines

16. Multiple IP Support
ITSO does not support implementing firewall rules at the application level
All standard IPs are enabled by default
Supports range of IP addresses from States
Supports limited and logical firewall rules
Unauthorized IPs blocked by EIP WS and requests logged without processing
Supports both IPV4 and IPV6 addresses

17. Extensible EIP WS are SOAP-based services
Expandable to RESTful services
Easily extensible for two-way data communication between states and CDC
Expandable to transfer data types XML, JSON, TEST, CSV, Excel and serializable binary data streams

18. Next Steps ATO received April 17 √ May - June 2015
Testing with partners
July 2015
Replace existing EIP WS
2nd EIP project implemented January 2016
Available for other CDC Programs

19. Questions

20. An Introduction to REDCap (Research Electronic Data Capture)
William M. Duck, MS, MPH
CHIIC Presentation, May 12, 2015
NCEZID Informatics Group

21. Outline REDCap Story and Features REDCap Implementation Demonstration
REDCap collaboration and support
Proposed REDCap shared service model

22. REDCap Story
Currently over 1,442 active institutional partners

23. REDCap Story
167,000 projects currently in production or development-build status
228,000 active users
Free for use

24. What is REDCap?
A secure, HIPAA-compliant, web-based application designed specifically to support data capture for research studies
Research data collection forms and surveys
Coordinate multi-site, collaborative studies through SAMS (Secure Access Management System)
Diverse research applications

25. REDCap Features WYSIWYG instrument design tool
Single event or multiple event (longitudinal) surveys
Data export to common statistical packages
Data import from Excel
Role-based user rights management

26. REDCap Features Interactive audit trail
Customizable reporting and analytics
Electronic delivery of surveys to participants
Field validation, branching logic, calculated fields
Data access groups (DAGS)
Reusable online question repository

27. REDCap Features
Native mobile application for Android Devices

28. REDCap Implementation
REDCap C&A completed late November 2014
SAMS integration
Went live in early February for NCEZID

29. REDCap Demonstration Project page overview
Creation of a new instrument via data dictionary and online designer
User rights management
Data export and analytics
Audit trail
Using the Ebola Readiness data project for demo purposes…

30. REDCap Collaboration and Support
REDCap Consortium
REDCap Google Groups
REDCapCon
REDCap Wiki
REDCap Video Resources
REDCap Weekly Developer Call

31. REDCap Proposed Shared Service Model
What is the current demand?
Administrative SOPs/engagement
Pricing structure?
Create REDCap advisory board?
EOC/public health response
The REDCap consortium now has members in 90 countries, including many low and middle income countries, and many where CDC has program activities.  As we develop global health activities in an increasingly cooperative approach, the ability for  partner institutions to have secure data management systems is an enabler to establish good practice in data governance. Mature data governance policies and practices are on the critical path in establishing data sharing agreements between institutions for research and public health use of these data.

32. Thank you & Questions
For more information please contact Centers for Disease Control and Prevention
1600 Clifton Road NE, Atlanta, GA
Telephone: CDC-INFO ( )/TTY:
Visit: | Contact CDC at: CDC-INFO or
The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
Centers for Disease Control and Prevention
Office of Public Health Scientific Services

33. Items of interest
OPHSS-OD Public Health Advisor Position – May 13 [link]
National Civic Day of Hacking – June 6 Atlanta [link]
Coursera / Johns Hopkins Statistical Reasoning for Public Health 1: Estimation, Inference & Interpretation – June 1 – July 25 [link]
Coursera / Johns Hopkins Statistical Reasoning for Public Health 2: Regression Methods– August 31 – October 24 [link]
SciComp Training – Cluster Computing, Linux, Git – every [link]
US Digital Services Playbook [link]