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Journal of the American Medical Informatics Association 9:105-115 (2002)
© 2002 American Medical Informatics Association


Review Paper

Roundtable on Bioterrorism Detection

Information System–based Surveillance

William B. Lober, MD, MS, Bryant Thomas Karras, MD, Michael M. Wagner, MD, PhD, J. Marc Overhage, MD, PhD, Arthur J. Davidson, MD, MSPH, Hamish Fraser, MBChB, MSc, Lisa J. Trigg, BSN, RN, Kenneth D. Mandl, MD, MPH, Jeremy U. Espino, MD and Fu-Chiang Tsui, PhD

University of Washington, Seattle, Washington (WL, BK, LT); University of Pittsburgh, Pittsburgh, Pennsylvania (MW, JUE, FCT); Indiana University School of Medicine, Indianapolis, Indiana (JMO); Denver Public Health Department, Denver, Colorado (AD); Children's Hospital, Boston, Massachusetts (HF, KDM).

Correspondence and reprint requests: William B. Lober, MD, MS, Box 357420, 1959 NE Pacific St, Seattle, WA 98195; e-mail: <lober{at}u.washington.edu>.

During the 2001 AMIA Annual Symposium, the Anesthesia, Critical Care, and Emergency Medicine Working Group hosted the Roundtable on Bioterrorism Detection. Sixty-four people attended the roundtable discussion, during which several researchers discussed public health surveillance systems designed to enhance early detection of bioterrorism events. These systems make secondary use of existing clinical, laboratory, paramedical, and pharmacy data or facilitate electronic case reporting by clinicians. This paper combines case reports of six existing systems with discussion of some common techniques and approaches. The purpose of the roundtable discussion was to foster communication among researchers and promote progress by 1) sharing information about systems, including origins, current capabilities, stages of deployment, and architectures; 2) sharing lessons learned during the development and implementation of systems; and 3) exploring cooperation projects, including the sharing of software and data. A mailing list server for these ongoing efforts may be found at http://bt.cirg.washington.edu.




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