Containing infectious disease requires coordination among various epidemiology organizations on a global basis. Coordination at a global level is dependent epidemiological surveillance processes that, while under the management of local epidemiology departments, require the participation of a disparate group of non-epidemiologists. In this paper, the influenza virus is isolated to examine if strong analytic process coordination is occurring in practice for this annually reoccurring disease. Confirmatory factor analysis is utilized on 2,484 cases of influenza recorded during a 15-month timeframe in the epidemiological database of a local public health department. The results confirm the presence of four, primary constructs that underlie this analytical process. The results suggest that coordination conflict is substantial even with a cyclically, reoccurring disease. The analysis demonstrates how theory and methodology can intertwine to assist in identifying process coordination and conflict in epidemiological surveillance, and support the application of this analysis approach to other analytical processes.