Displaying results 1 - 7 of 7
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Analytic Fusion of ESSENCE Clinical Evidence Sources for Routine Decision Support
Content Type: Abstract
Block 3 of the US Military Electronic Surveillance System for Early Notification of Community-Based Epidemics (ESSENCE) system affords routine access to multiple sources of data. These include administrative clinical encounter records in the… read more… and others. CAPER records include a free-text Reason for Visit field, analogous to chief complaint text in civilian … and others. CAPER records include a free-text Reason for Visit field, analogous to chief complaint text in civilian … and others. CAPER records include a free-text Reason for Visit field, analogous to chief complaint text in civilian … -
Analytic Biosurveillance Methods for Resource-Limited Settings
Content Type: Abstract
Biosurveillance in resource-limited settings is essential because of both enhanced risk of diseases rarely seen elsewhere (e.g. cholera) and pandemic threats (e.g. avian influenza). However, access to care and laboratory test capability are… read more… has the added complication that day-of-week clinical visit patterns differ widely, (e.g. clinic closure on … has the added complication that day-of-week clinical visit patterns differ widely, (e.g. clinic closure on … -
Tuning a Chief Complaint Text Parser for Use in DoD ESSENCE
Content Type: Abstract
An expanded ambulatory health record, the Comprehensive Ambulatory Patient Encounter Record (CAPER) will provide multiple types of data for use in DoD ESSENCE. A new type of data not previously available is the Reason for Visit (ROV), a free-text… read more… type of data not previously available is the Reason for Visit (ROV), a free-text field analogous to the Chief … type of data not previously available is the reason for visit (ROV), a free- text field analogous to the CC. Intake … type of data not previously available is the Reason for Visit (ROV), a free-text field analogous to the Chief … -
Use of Severity Indicators in a Public Health Surveillance System
Content Type: Abstract
Data streams related to case severity have been added to the Electronic Surveillance System for the Early Notification of Community-based Epidemics (ESSENCE), a disease-monitoring application used by the Department of Defense (DoD), as an additional… read more… and death, but fatalities are rare and many DoD clinics lack admitting capability, so we sought to derive additional … and death, but fatalities are rare and many DoD clinics lack admitting capability, so we sought to derive additional … -
Development and Evaluation of a Data-adaptive Algorithm for Univariate Temporal Biosurveillance Data
Content Type: Abstract
Numerous recent papers have evaluated algorithms for biosurveillance anomaly detection. Common essential problems in the disparate, evolving data environment include trends, day-of-week effects, and other systematic behavior.… read more… of authentic outpatient data covering 1402 days of clinic visit counts. Receiver operating characteristic curves were … 2. Brillman JC, et.al. Modeling emergency department visit patterns for infectious disease complaints: results … -
Evaluation of Alerting Sparse-Data Streams of Population Healthcare-Seeking Data
Content Type: Abstract
Objective This presentation discusses the problem of detecting small-scale events in biosurveillance data that are relatively sparse in the sense that the median count of monitored time series values is zero. Research goals are to understand… read more… streams were small-scale series of 1400 days of daily visit counts in 20 syndromic categories. The simulated data … -
Utility of Syndromic Surveillance for Investigating Morbidity Resulting from a Severe Weather Event
Content Type: Abstract
On 12/14/06, a windstorm in western Washington caused 4 million residents to lose power; within 24 hours, a surge in patients presented to emergency departments (EDs) with carbon monoxide (CO) poisoning. As previously described, records of… read more… possibly resulting from ingestion of food spoiled by lack of refrigeration, were detected in the ED data but not …