The Outbreak Services Domain within EHRi Services represents one architecture alternative in the acquisition or development of a Public Health Surveillance solution. The split of Outbreak Management functions between PHS point-of-service applications and “outbreak services” is to be determined by the PHS project underway in 2005.

The Outbreak domain may send requests to the Laboratory domain for communicable disease case information, or may respond to automated reporting of cases by the Lab domain or a point of service system. Automated reporting of a communicable disease case or “event” may be supported by the Lab domain, the point of service systems/portals, or might be initiated by a business rule within Longitudinal Record Services.

The following lists the service operations within Outbreak Management, some of which may be deployed as services within the EHRi.

Operations
Name	Return Type
Identify Outbreak()
Integrate Case Management()
List Immunization Detail()
Manage Outbreak()
Support Outbreak Analysis()

Relations
Name	Type	Begins	Ends
	generalization	Outbreak Management	Ancillary Data and Services

A combination of automated and human assisted functions determining that a case or set of cases represents an Outbreak.

Receives communicable disease case reports from PHS or other point of service systems, or from the Lab Domain and makes the case information available to Public Health staff through a PHS point of service application or portal.

Retrieves immunizations a patient has received and when.

Provide services to point of service systems, PHS portals, and inter-provincial to monitor and manage a communicable disease outbreak.

Supports exporting data to a Data Warehouse environment where general purpose analysis tools and domain-specific analysis tools will be used.