Attachment F High Level Inclusive Architecture for EDSS Modernization Page 1.pdf
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- Solicitation number
- P25001422
- Issued by
- Honolulu County, Hawaii
About this file
This file contains architectural diagrams showing the Department of Health's (DOH) Electronic Disease Surveillance System (EDSS) process flows, with both current ("As Is") and future state ("To Be") architectures. The diagrams detail how various external and internal inputs (including state/local/tribal jurisdictions, healthcare providers, laboratories, and information systems) interface with the EDSS through different transport methods like Rhapsody integration and manual entry.
The diagrams illustrate a modernization initiative to reduce manual entry components and increase program support. The future state architecture shows migration from an on-premise SQL database to Azure cloud services, including new components like DOH Data Quality Tool, Data Catalog, Enterprise Data Warehouse, and EDSS Master Patient Index. The system supports multiple DOH programs including Disease Investigation, Immunization, Lead Prevention, Chronic Disease, and various district health offices. Output capabilities include data visualizations through Power BI, exports for epidemiological analysis, and integration with various national surveillance and reporting systems.
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External I Internal Input
L STLT (State, Territorial, Local, Tribal) Jurisdictions --Rhapsody-f--
Department of Veteran L Affairs -Rhapsody-�
(Genesys Cloud CX)
Rhapsody
Providers / Clinicians - & -� Manual
L National Healthcare Safety
-ManualNetwork (NHSN)
L Hawaii Health Information
Exchange (HHIE) -Rhapsody-�
L.::
Electronic Case Reporting
(CDC) -Rhapsody-
L.::
Syndromic Surveillance Manual
BioSense/Essence -R*Cod Query
L.::
Commercial Laboratories -Rhapsody �
National Tuberculosis L.::
Surveillance System --Manual
(NETSS) (CDC)
L CDC Laboratories -Manua•
L ARUP Laboratories -Manual-�
State Laboratories L
SFTP
Division - & -�
(CliniSys) Rhapsody
L.::
Immunization Information
---Rhapsody � System
L.::
Electronic Test Orders and
Result Form -Manual-�
L Vital Statistics System -SFTP
External I Internal Input
L STLT (State, Territorial, Local, Tribal) Jurisdictions
Department of Veterans t.:::, Affairs
(Genesys Cloud CX) t.:::, Providers / Clinicians
National Healthcare Safety
Network (NHSN)
L Hawaii Health Information
Exchange (HHIE)
L Electronic Case Reporting
(CDC)
L Syndromic Surveillance
BioSense/Essence
L Commercial Laboratories
National Tuberculosis t.:::, Surveillance System
(NETSS) (CDC)
t.:::, CDC Laboratories
L.::
ARUP Laboratories
Electronic Report of L Verified Case of
Tuberculosis (E-Rvcn
State Laboratories L.::
Division
(CliniSys)
L Immunization Information
System (Envision)
L Electronic Test Orders and
Result Form t.:::, State Vital Statistics
System {VSS)
DOH As Is EDSS Process Architecture and Flow
Transport Program (Non-Exhaustive Users) Report / Response
Disease Disease Outbreak Investigation Division Branch
Immunization Enhanced
- Branch HIV/AIDS
Reporting
� System
Childhood State, � C Lead Lead Poising Territorial, 'tl 0 Prevention Local, Tribal (I,) Jurisdictions
; C � �
U) ·-... C') c..
C') Arboviral
C1S C Chronic Surveillance .c (I,) w Disease and System ..., 0:: C Public Health
Nursing
E E Division t::
(I,) � (I,)
..., )( ..., w U) U)
(I,) (I,)
C Harm C C1S I----+ C1S Reduction - -
- - Services - Nationally ·-
(I,) Branch ·- Notifiable (I,) (I,) - - Disease ·- ...
0 > '--._...,� C: LL (I,) ....... Surveillance a.
Ito- (.) :::::s :::::s
System (I,) U) 0 I-
... C ..., LL (/) � (/)
:::::s C1S 0 (.) (/) (I,) Sexually (I,)
U) U) (I,) I- a.
- Transmitted C1S Infections C1S
(/) (I,) (I,) U) � U) ·- ·- Message C C Mapping
Guides
C C 0 - Kauai
(I,) (I,)
..., u w District Health w C - � Officers Big Island w -C1S - ..., � � C1S ...
0:::::s C a. Maui - -C1S
� � '- ✓ 'LL -
DOH Ideal To Be EDSS Architecture: Reduction of Manual Entry Components
& Increased Program Support Transport Program (Non-Exhaustive List of Users) Report / Response
Disease Disease Outbreak Investigation Division - Branch
Immunization Enhanced L_. Branch HIV/AIDS
Reporting
� System
Childhood State, (I,) Territorial,Lead Lead Poising -
C . Local, TribalPrevention Jurisdictions·-
C') � � � C
'tl w Arboviral 0 Chronic Surveillance U) C Disease and Tuberculosis System c.. 0
Public Health Control C1S
E ;
Nursing Branch
E National .c (I,)
Division - (I,) Environmental
0::
C')
..., ..., - Assessment
(I,) U) U) Reporting
..., � Hansen's � System C (/) i----
Disease (/) Branch - National
(I,) � (I,) Outbreak
-- Reporting
C C System C1S ____., Harm C1S - Reduction -
- - Nationally ·-
L_. Services ·- Notifiable (I,) Branch (I,) - Disease >
> Surveillance
:::::s :::::s System
�- CDC
(.) C1S � (I,) (I,) Specimen C1S :::::s ... U) Sexually -
..., U) Test Order c,C C
- C1S Transmitted C1S and Reporting
(I,) C1S (I,) Infections (I,) w
...J � U) U)·- � ·- Message C C - Mapping
Guides
C C 0 Kauai DHO
Tuberculosis
... ... - Surveillance ..., ..., . System
� (.) (.) (NTSS)
C1S (I,) (I,) - -
; w w District Health Big Island - ------. Officers DHO C a. -
<C "- ,..,....----... '-- - 'tl ✓ ' - - :::::s
0 � ... f------ Maui DHO u 0 L_.
(I,) (.) � - ... C1S
:::::s LL N Hazard <C Evaluation &
- Emergency Response Office
Chronic Disease Prevention and
Health Promotion
Division
Output / Data Storage
Data Visualizations (Power Bl)
Exports for Epidemiological Coding Analysis (R/Python)
DOHSQL
Database
(On-Prem)) -
Output / Data Storage vss
Electronic Death
Registry
Data Visualizations
(PowerBI)
Exports for Epidemiological Coding Analysis (R/Python)
DOH Data Quality Tool (Azure)
DOH Data Catalog
(Azure)
DOH Enterprise Data
Warehouse {Azure)
EDSS Master Patient Index
(Azure) -
Attachment F
High Level Inclusive Architecture for EDSS Modernization - Page 1
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