Publish/Subscribe Cloud Middleware for Real-Time Disease Surveillance

摘要

This paper presents the design and implementation of a cloud-based middleware built on top of the Google Cloud Platform (PaaS), in order to exchange real-time information about outbreak notifications of global diseases in a system-level by using an extension of the HL7 Fast Healthcare Interoperability Resources (FHIR) specification to support statistical data based on the ICD-10 medical classification list. The proposed solution aims to allow healthcare organizations to register their systems to send and receive notifications, so the alerts are spread to all the subscribed systems using webhooks in a publish/subscribe fashion.