APHL Informatics Messaging Services
(AIMS)
Accelerating the effectiveness and efficiency of ELR
and related public health reporting
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.
The Big Picture
Clinical Labs
Lab
Result
Public Health Labs
Hospital and
Healthcare Systems
Healthcare
Providers
Morbidity
Report
Test Order /
Result
EHR Data
Lab
Result
EHR Data
Lab
Result
Patient Registry
PHAs
Case Reporting / Syndromic Surveillance
Test Order /
Result
Public Health Labs
ELR (Traditional)
Case
Reporting
Case Reporting
Surveillance
Test Order/Results
Point-to-Point
Stakeholder 1
Speaks HL7 v2.1
and Uses PHINMS
PHINMS
Adapter
Stakeholder 4
Speaks EHR and
Uses Web Service
Web
Service
Call
Stakeholder 2
Speaks HL7 v2.5
and NHIN Direct
Convert HL7 v2.5
to HL7 v2.1
Convert HL7 v2.1
to CSV
NHIN Direct Secure FTP
Adapter
Adapter
PHINMS
Adapter
NHIN Direct Secure FTP
Adapter
Adapter
Convert HL7 v2.1
to HL7 v2.5
Convert CSV to
HL7 v2.1
PHINMS
Adapter
Stakeholder 3
Speaks CSV and
Uses Secure FTP
Convert CSV to
HL7 v2.5
Secure FTP
NHIN DirectAdapter
Adapter
Convert HL7 v2.5
to CSV
AIMS
Stakeholder 1
Speaks HL7 v2.1
and Uses PHINMS
HL7 v2.1
Stakeholder 4
Speaks EHR and
Uses Web Service
Web Service
Adapter
PHINMS
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
Secure FTP
Adapter
CSV
HL7 v2.5
Stakeholder 2
Speaks HL7 v2.5
and NHIN Direct
NHIN Direct
Adapter
Stakeholder 3
Speaks CSV and
Uses Secure FTP
APHL Informatics
AIMS ARCHITECTURE
AIMS Functional Architecture
ELR
Reporting
PHP
Customer
Portal
Message
Transform
RCMT Alerts
Future-Private Applications
Transport
Conversion
Email Server
Audit Portal
Message
Service
Routing
Message
Service
Routing
Shared Applications
Application Services
WEB Server
SFTP Server
Rhapsody
Integration
Engine
Mirth
Integration
Engine
Database
Management
Route not
Read (RnR)
Hub
Platform
Services
AIMS
Systems Management
Security
AWS
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
The AWS cloud infrastructure has been designed and managed in alignment with regulations, standards, and
best-practices including:
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•
•
•
•
•
HIPAA
SOC 1/SSAE 16/ISAE 3402 (formerly SAS70)
SOC 2
SOC 3
PCI DSS Level 1
ISO 27001
•
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FedRAMP(SM)
DIACAP and FISMA
ITAR
FIPS 140-2
CSA
MPAA
APHL AIMS Architecture Coverage
State Public Health Laboratories
include:
Other Trading Partners
Alabama
Maryland
Tennessee
Alaska
Mississippi
Texas
Arizona
Missouri
Utah
Arkansas
Montana
Vermont
Connecticut
Nebraska
Virginia
Florida
Nevada
West Virginia
Georgia
New Hampshire
Wisconsin
Hawaii
New Mexico
Wyoming
Houston
New York City
Illinois
North Carolina
Indiana
Ohio
Kansas
Oregon
Kentucky
Rhode Island
Louisiana
South Carolina
Maine
South Dakota
Other Trading Partners
Centers for Disease Prevention and Control (CDC)
Cerner
Quest Diagnostics
Lab Interoperability Collaborative (LIC)
Mayo
AIMS Advantages
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•
•
Common architecture and services
Open source architecture that can be
shared (where possible)
Centralized processing and message
routing
Monitoring and auditing
Sharable systems
•
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Reduced message transport complexity
Reduced data translation and
transformation complexity
Reduced development and support
costs
FISMA Moderate compliant applications
FedRAMP compliant environment
Message Validation
MQF and related tools and operations