The Johns Hopkins University Applied Physics Laboratory (JHU/APL), 11100 Johns Hopkins Road, Laurel, MD 20723, USA.
J Am Med Inform Assoc. 2009 Nov-Dec;16(6):855-63. doi: 10.1197/jamia.M2647. Epub 2009 Aug 28.
This study introduces new information fusion algorithms to enhance disease surveillance systems with Bayesian decision support capabilities. A detection system was built and tested using chief complaints from emergency department visits, International Classification of Diseases Revision 9 (ICD-9) codes from records of outpatient visits to civilian and military facilities, and influenza surveillance data from health departments in the National Capital Region (NCR). Data anomalies were identified and distribution of time offsets between events in the multiple data streams were established. The Bayesian Network was built to fuse data from multiple sources and identify influenza-like epidemiologically relevant events. Results showed increased specificity compared with the alerts generated by temporal anomaly detection algorithms currently deployed by NCR health departments. Further research should be done to investigate correlations between data sources for efficient fusion of the collected data.
本研究引入了新的信息融合算法,以增强具有贝叶斯决策支持功能的疾病监测系统。该研究构建并测试了一个检测系统,该系统使用来自急诊就诊的主要抱怨、来自平民和军事设施的门诊就诊记录的国际疾病分类第 9 版(ICD-9)代码以及国家首都地区(NCR)卫生部门的流感监测数据。识别出数据异常,并建立了多个数据流中事件之间的时间偏移分布。建立贝叶斯网络以融合来自多个来源的数据,并识别流感样具有流行病学相关性的事件。结果表明,与 NCR 卫生部门当前部署的时间异常检测算法生成的警报相比,特异性有所提高。应进一步研究以调查数据源之间的相关性,以有效融合所收集的数据。