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Data Synchronization of Epi Info TM   Using a Mesh4X Adapter  AMIA 2009 Annual Symposium Demonstrations: Management of Pop...
Disclaimer <ul><li>Disclaimer: Any views or opinions expressed by the speaker do not necessarily represent the views of th...
The Team Eduardo (Ed) Jezierski Juan Marcelo Tondato Nicolas di Tada Daniel Cazzulino Pablo M. Cibraro Dennis Israelski, M...
Need for Collaboration <ul><li>When data needed to make decisions is trapped in silos: </li></ul><ul><li>Different organiz...
Need for Collaboration
Need for Collaboration
What is Epi Info™  <ul><li>Epi Info™ is a suite of tools to rapidly create questionnaires, enter, and analyze outbreak inv...
Oswego in the Cloud
Outbreak of Gastrointestinal Illness Following A Church Supper in Oswego Co. NY <ul><li>Oswego County, New York:  1940 </l...
Church Supper  Outbreak Investigation Form
What is Mesh4X? <ul><li>Protocol for seamless cross-boundary information sharing </li></ul><ul><li>Fuse diverse applicatio...
The Prototype: Architecture Mesh4x Storage Server  (hosted by Google Cloud or Amazon EC2/S3, Jurisdiction*, or CDC*) Peer-...
EPI INFO™ ─ MESH4X SYNCHRONIZATION PROTOTYPE The Demonstration…
Outbreak Investigations Today <ul><li>May … </li></ul><ul><li>Cross jurisdictional boundaries </li></ul><ul><li>Include a ...
Added fields for Address and County Modified the  Outbreak Investigation Form
<ul><li>Added addresses for all 75 interviewees </li></ul><ul><li>Expanded the scenario to  include 4 counties  (in additi...
Analysis of Outbreak Data Oneida County Only <ul><li>In the Epi Info™ Analysis output window,  frequencies of County and I...
Analysis of Outbreak Data Oneida County Only Epi Info™ Analysis 2 x 2 Tables of two exposure variables,  Baked Ham and Van...
<ul><li>Each epidemiologist collects outbreak data, offline, for a given jurisdiction. </li></ul><ul><li>All three then pl...
Create A Mesh Go to:  http://sync.staging.instedd.org/mesh4x
Create A Mesh Go to:  http://sync.staging.instedd.org/mesh4x
Epi Info™ Mesh4X Adapter <ul><li>To share the data with selected team members: </li></ul><ul><li>Launch   the Epi Info™ Me...
<ul><li>To show the map, the user opens the Google Earth file generated by the Epi Info™ Mesh4X tool. </li></ul><ul><li>Ca...
Synchronizing Data with Others <ul><li>The user may evaluate the data in the cloud </li></ul>Before Synchronization: No da...
Synchronizing to Update Data Data synchronized as XML (RDF Standard)
Analysis of Synchronized Data <ul><li>The user launches Epi Info™ Mesh4X tool on their laptops and generates a local map i...
Analysis of Synchronized Data <ul><li>The user now has the data from other investigators. In this example, the State’s Dat...
Analysis of Synchronized Data <ul><li>The Epi Info Analysis 2 x 2 Tables of the two exposure variables, Baked Ham and Vani...
Benefits of Mesh4X <ul><li>Database, device, application, and platform independent </li></ul><ul><li>Make changes anywhere...
The Tools <ul><li>Mesh4X Project </li></ul><ul><li>http://code.google.com/p/mesh4x   </li></ul><ul><li>Discussion Group </...
Data Data Data Data Geo Names + Google + Yahoo Data Stores System Stores: Configuration, Versioning, Security, Ontologies,...
Thank You! <ul><li>Taha A. Kass-Hout, MD, MS </li></ul><ul><li>BioSense Program Manager and </li></ul><ul><li>Director (Ac...
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Epi Info™ Mesh4x

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Data Synchronization of Epi Info™ Using a Mesh4X Adapter: Presentation at the AMIA 2009 Annual Symposium -Demonstrations: Management of Populations.

Disclaimer: Any views or opinions expressed by the speaker do not necessarily represent the views of the CDC, HHS, or any other entity of the United States government. Furthermore, the use of any product names, trade names, images, or commercial sources is for identification purposes only, and does not imply endorsement or government sanction by the U.S. Department of Health and Human Services.

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  • Transcript of "Epi Info™ Mesh4x"

    1. 1. Data Synchronization of Epi Info TM Using a Mesh4X Adapter AMIA 2009 Annual Symposium Demonstrations: Management of Populations Taha A. Kass-Hout, MD, MS BioSense Program Manager and Director (Acting), Division of Emergency Preparedness and Response Disclaimer: The findings and conclusions in this presentation are those of the authors and do not necessarily represent the official position of The Centers for Disease Control and Prevention. Presented November 17 th , 2009 Innovative Support to Emergencies, Diseases, and Disasters
    2. 2. Disclaimer <ul><li>Disclaimer: Any views or opinions expressed by the speaker do not necessarily represent the views of the CDC, HHS, or any other entity of the United States government. Furthermore, the use of any product names, trade names, images, or commercial sources is for identification purposes only, and does not imply endorsement or government sanction by the U.S. Department of Health and Human Services </li></ul>
    3. 3. The Team Eduardo (Ed) Jezierski Juan Marcelo Tondato Nicolas di Tada Daniel Cazzulino Pablo M. Cibraro Dennis Israelski, MD Eric Rasmussen, MD, MDM Mary Jane (MJ) Marcus Taha Kass-Hout, MD, MS Les Lenert, MD, MS David Nitschke Roger Mir Mark Berndt Enrique Nieves, Jr., MS Aneel Advani, MD, MS Innovative Support to Emergencies, Diseases, and Disasters Saiful Islam Raju Sharif Uddin Mohammad Iklash Nobel …
    4. 4. Need for Collaboration <ul><li>When data needed to make decisions is trapped in silos: </li></ul><ul><li>Different organizations. Different networks. Different applications. Different formats. Different devices. </li></ul><ul><ul><li>How can I share what I know with others? </li></ul></ul><ul><ul><li>How can I use the data I have access to wherever I am? </li></ul></ul><ul><ul><li>How can I get everyone on the same page quickly? </li></ul></ul><ul><ul><li>How do I keep everyone in sync as the situation changes? </li></ul></ul><ul><ul><li>Answer: Use a Mesh4X data synchronization adapter. </li></ul></ul>
    5. 5. Need for Collaboration
    6. 6. Need for Collaboration
    7. 7. What is Epi Info™ <ul><li>Epi Info™ is a suite of tools to rapidly create questionnaires, enter, and analyze outbreak investigation data </li></ul><ul><li>Epi Info™ allows easy customized application development </li></ul><ul><li>Epidemiologic statistics, tables, graphs, and maps are produced with simple commands such as READ, FREQ, LIST, TABLES, GRAPH, and MAP. Epi Map displays geographic maps with data from Epi Info™ </li></ul><ul><li>Epi Info™ used in outbreak investigations </li></ul><ul><li>Epi Info™ trainers sometimes use the classic 1940’s Oswego Church Supper outbreak </li></ul>
    8. 8. Oswego in the Cloud
    9. 9. Outbreak of Gastrointestinal Illness Following A Church Supper in Oswego Co. NY <ul><li>Oswego County, New York: 1940 </li></ul><ul><ul><li>80 people attended a church supper on 4/18/1940 </li></ul></ul><ul><ul><ul><li>75 people (ill and non-ill) interviewed </li></ul></ul></ul><ul><ul><ul><ul><li>46 people who attended the supper suffered from gastrointestinal illness beginning 4/18/1940 and ending 4/19/1940 </li></ul></ul></ul></ul><ul><ul><li>Investigation focus: church supper as source of infection </li></ul></ul>
    10. 10. Church Supper Outbreak Investigation Form
    11. 11. What is Mesh4X? <ul><li>Protocol for seamless cross-boundary information sharing </li></ul><ul><li>Fuse diverse applications, data sources, and devices into a seamless “mesh” of free-flowing information </li></ul><ul><li>Share your data selectively and securely with different organizations using different applications </li></ul><ul><li>Synchronize data automatically between databases, websites, spreadsheets, applications, phones, and PDAs </li></ul><ul><li>Synchronize over the Internet or by Short Message Service (SMS) text messages </li></ul><ul><li>Open source software based on open standards </li></ul>
    12. 12. The Prototype: Architecture Mesh4x Storage Server (hosted by Google Cloud or Amazon EC2/S3, Jurisdiction*, or CDC*) Peer-to-peer sync “ Cloud” sync Epi Info™ Data Epi Info™ (On MS-Access or MySQL) * Proposed Map Sync Web App Other Data Sources Epi Info™ Data KML KML file on a USB Drive KML Sync Utility KML Sync Utility KML Sync Utility KML Sync Utility Epi Info™ Data KML KML KML MS-Access, MySQL, MS Excel, Google Spreadsheet, KML, Epi Info™, etc.
    13. 13. EPI INFO™ ─ MESH4X SYNCHRONIZATION PROTOTYPE The Demonstration…
    14. 14. Outbreak Investigations Today <ul><li>May … </li></ul><ul><li>Cross jurisdictional boundaries </li></ul><ul><li>Include a team of investigators working independently and coordinated. </li></ul>
    15. 15. Added fields for Address and County Modified the Outbreak Investigation Form
    16. 16. <ul><li>Added addresses for all 75 interviewees </li></ul><ul><li>Expanded the scenario to include 4 counties (in addition to Oswego) </li></ul>Provided Mock Geo-referenced Information COUNTY Ill? Jefferson Lewis Oneida Oswego Wayne TOTAL Yes 8 2 12 21 3 46 No 1 3 16 8 1 29 TOTAL 9 5 28 29 4 75
    17. 17. Analysis of Outbreak Data Oneida County Only <ul><li>In the Epi Info™ Analysis output window, frequencies of County and ILL are shown. </li></ul>
    18. 18. Analysis of Outbreak Data Oneida County Only Epi Info™ Analysis 2 x 2 Tables of two exposure variables, Baked Ham and Vanilla Ice Cream. Vanilla x ILL Baked Ham x ILL Both BAKED HAM and VANILLA are significant at P = 0.05 level
    19. 19. <ul><li>Each epidemiologist collects outbreak data, offline, for a given jurisdiction. </li></ul><ul><li>All three then plug mobile phones into their laptops and click “Share my Data” </li></ul><ul><ul><ul><li>Data can be shared over the cloud, SMS, etc. </li></ul></ul></ul><ul><li>Now they have each others’ latest data and can see it all in their systems or on a map. </li></ul>Epidemiologists Create Surveillance “Data Mesh”
    20. 20. Create A Mesh Go to: http://sync.staging.instedd.org/mesh4x
    21. 21. Create A Mesh Go to: http://sync.staging.instedd.org/mesh4x
    22. 22. Epi Info™ Mesh4X Adapter <ul><li>To share the data with selected team members: </li></ul><ul><li>Launch the Epi Info™ Mesh4X tool </li></ul><ul><li>Select the table to synchronize </li></ul><ul><li>Specify transmission method </li></ul><ul><li>Test the partner’s readiness </li></ul><ul><li>Click “Sync Now” </li></ul>To gain a perspective of the cases, the adapter creates a KML file to be displayed in Google Earth (map layers).
    23. 23. <ul><li>To show the map, the user opens the Google Earth file generated by the Epi Info™ Mesh4X tool. </li></ul><ul><li>Cases are marked with colored pins (e.g. Red pins show the ill patients and Yellow pins show the cases with no illness) </li></ul>Generate Google Earth Map
    24. 24. Synchronizing Data with Others <ul><li>The user may evaluate the data in the cloud </li></ul>Before Synchronization: No data in the cloud After Synchronization: the user verifies that the data is in the cloud
    25. 25. Synchronizing to Update Data Data synchronized as XML (RDF Standard)
    26. 26. Analysis of Synchronized Data <ul><li>The user launches Epi Info™ Mesh4X tool on their laptops and generates a local map including all synchronized data. </li></ul>
    27. 27. Analysis of Synchronized Data <ul><li>The user now has the data from other investigators. In this example, the State’s Database in the cloud has the data from each county. </li></ul>Epi Info™ Analysis frequency of County
    28. 28. Analysis of Synchronized Data <ul><li>The Epi Info Analysis 2 x 2 Tables of the two exposure variables, Baked Ham and Vanilla. </li></ul><ul><li>Baked Ham is not significant, but Vanilla is still significant at the P = 0.05 level </li></ul>Vanilla x ILL Baked Ham x ILL Only VANILLA is significant at P value = 0.05 level
    29. 29. Benefits of Mesh4X <ul><li>Database, device, application, and platform independent </li></ul><ul><li>Make changes anywhere. See the changes everywhere. </li></ul><ul><li>Allows secure communications and encrypted data storage to protect privacy </li></ul><ul><li>Socio-politically neutral architecture where no one party controls the only copy of the data </li></ul><ul><li>Multiple, distributed copies of data mean no single point of failure </li></ul><ul><li>Designed to keep working when Internet access is slow, unreliable, or entirely unavailable </li></ul>
    30. 30. The Tools <ul><li>Mesh4X Project </li></ul><ul><li>http://code.google.com/p/mesh4x </li></ul><ul><li>Discussion Group </li></ul><ul><li>http://groups.google.com/group/mesh4x </li></ul><ul><li>Epi Info™ </li></ul><ul><li>http://www.cdc.gov/epiinfo </li></ul><ul><li>Discussion Group </li></ul><ul><li>http://cms.MyEpi.Info </li></ul>
    31. 31. Data Data Data Data Geo Names + Google + Yahoo Data Stores System Stores: Configuration, Versioning, Security, Ontologies, Schemas Storage Update APIs FeedSync HTTP AtomPub* JavaROSA Endpoint* Format Transformers Ontology Extraction Filtering GeoChat Bridge* Ontology Mapping FrontlineSMS~ .NET Java Python* Ruby~ J2ME MS Access MS Excel HTTP Adapter File Adapter SMS Adapter KML MS Groove~ C~ Hibernate Amazon S3 GData~ JavaScript* Core Library Implementations Storage Adapters Split Adapter Utils Transports Django~ .NET CF ~ Proposed KML GeoRSS* RDF (Native) XForms Form XForms Data Scheduler~ GeoCoder* Utilities Application – Specific Adapters & Clients JavaROSA Epi Info™ OpenMRS* EpiSurveyor~ Martus~ Generic Sync Clients Generic Sync Servers & Services InSTEDD Store (Mesh4x Server on EC2 / S3) AED Gather~ Mesh4x Server* (Hosted by CDC) Mapping Service (Auto KML or GeoRSS) Java* Zoho~ Google Spreadsheet MySQL~ Other * In Progress
    32. 32. Thank You! <ul><li>Taha A. Kass-Hout, MD, MS </li></ul><ul><li>BioSense Program Manager and </li></ul><ul><li>Director (Acting), Division of Emergency Preparedness and Response </li></ul><ul><li>Centers for Disease Control (CDC) </li></ul><ul><li>404.498.2014 </li></ul><ul><li>[email_address] </li></ul>David A. Nitschke, PMP Project Manager - Epi Info™ Centers for Disease Control (CDC) 404.498.6272 [email_address] http://www.CDC.gov/EpiInfo
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