FMSS

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The Field Medical Surveillance System (FMSS)

FMSS

The Field Medical Surveillance System (FMSS) developed by the US Naval Health Research Centre Medical Information Systems and Operations Research Department is an easy to use Windows®-based program for medical surveillance, which allows Environmental Health Officers and Preventive Medicine Officers the ability to record, analyse and disseminate data on diseases and illnesses that may occur during foreign deployments or conflicts.

Using an interface specific to military requirements, the system incorporates the Global Infectious Disease & Epidemiology Network (GIDEON), a well known knowledge base for infectious diseases. GIDEON is the product of more than 13 years of intensive collaboration between specialists in infectious diseases, epidemiology and microbiology. Currently the knowledge base covers approximately 336 infectious and parasitic diseases form over 205 countries, including their symptomatology. GIDEON is designed to help diagnose most of the world’s infectious diseases based on the signs, symptoms and laboratory findings that you enter for your patient. FMSS also has a comprehensive list of injuries, non-infectious diseases, and mental illnesses that can be selected without the need for detailed symptomatology.

FMSS can help determine incidence rates, project short-term trends, profile the characteristics of the affected population by person, time, and place, track mode of disease transmission and generate various graphs and reports. The system also provides some on-line medical references, such as the Control of Communicable Diseases Manual, and select reports from the Armed Forces Medical Intelligence Centre's (AFMIC) MEDIC CD-ROM.

The user creates or opens an existing database, then names the medical unit and adds the population at risk. The Map or GPS option button is used to load a "Disease Threat Library" for that region of the world where the deployment is occurring. Pre-deployment reports for the country selected are available by selecting the Report(s) option button and are provided by AFMIC.

When FMSS is initialised for a particular country of the world where the deployment is occurring, its "Disease Threat Library" is loaded into the database. This library consists of all known endemic diseases as well as other potential threats that may occur during the deployment.

The user then enters information on the patient which includes SSN, Name, DOB, Sex, Race, Branch, Rank, and Status. This information may be read from a deployment personnel roster if available.

When a patient is evaluated during a sickcall visit, the user can assign a presumptive diagnosis several ways; The user can select a general category under the Major Reporting Categories list box, have FMSS help you with the diagnosis using Signs and Symptoms, or select from a comprehensive list of illnesses and injuries using ICD9, Disease Profiles, or the GIDEON Disease List.

The user can choose FMSS to help with the diagnosis using Signs and Symptoms. FMSS uses the GIDEON knowledge base which is designed to diagnose the entire world's known infectious diseases (over 330) from more than 200 countries, based on the symptoms, signs, and laboratory findings you enter for the patient.

Once the symptomatology and laboratory findings are entered for your patient, the input is processed by a Bayesian matrix, and compatible diagnoses are presented in order of probability. FMSS also highlights potential biological weapons agents in yellow that appear on this list.

The user can query the database using Agents, Vectors, Reservoirs, and Vehicles as filters. The country specific "Disease Threat Library" is searched for all diseases matching that profile.

FMSS allows the user to query the database to generate various surveillance reports, or quickly plot results using a comprehensive set of graphing routines

 

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This page was last modified December 19, 2000
Module Editor and Web Designer: M.Nabih-Kamel-Boulos@soi.city.ac.uk

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