Military Real-time Syndromic Surveillance System for Biosurveillance Portal in Korea

As a part of the Korea-US joint Biosurveillance Portal project, we have developed the military syndromic surveillance system with electronic medical records from military hospitals for early identification of bio-terror related events among Armed Forces in Korea. Respiratory, Gastrointestinal, Botulism, Dermatologic, Neurologic, Hemorrhagic and Fever syndromes were defined by different ICD-10 codes and their alert thresholds were developed based on the characteristics of time series derived using daily counts of ICD-10 codes for each syndrome.