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Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon Gnu Solidario . CC-BY- NC-SA 3.0 GNU Health : Helping Governments in the Fight against Ebola and other Social Diseases MOSS 2014 : Kyoto, Japan 2014 Dr. Luis Falcon [email protected]

Gnu health helping governments fight against ebola and other social diseases

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Page 1: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

GNU Health : Helping Governments in the Fight against Ebola and other Social Diseases

MOSS 2014 : Kyoto, Japan 2014

Dr. Luis Falcon

[email protected]

Page 2: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

Person LevelDemographics, Socioeconomics, Lifestyle, ...

Patient Level Evaluations, Genetics, prescriptions, History, surgeries...

Health Center LevelHospitalizations, Finances, Billing, Laboratory, stock .....

Health Government LevelEpidemiology, OLAP, reporting

Functionality Areas : “People before Patients”

GNU Health : The Free Health and Hospital Information System

Page 3: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

GNU Health relies on Free Technology

Page 4: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

GNU Health : Modular Design

Page 5: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

Communitary Development Environment

Source code, mailing lists, bugsGNU Savannah

Localization portal : over 80 languages

Page 6: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

HL7 support - FHIR

Page 7: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

Lab Functionality

Page 8: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

Imaging Functionality

PACS server

GNU Health

Can store the image, metadataor DICOMDIR location

Page 9: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

Health Crypto: PKI / Signing / EncryptingDigitally sign documents and medical acts

GNU Privacy Guard (GNUPG) Integration

Authenticity, accountability & non-repudiation

Document validation

Electronic prescription

Page 10: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

health.gnu.org

Social Diseases

Page 11: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

Over 20000 Children die every day

MalnutritionCholera

Drug abuseProstitution

ChagasTuberculosisChild Labour

WarFamily Violence

Kala AzarMalaria

HIVContaminated Water

Page 12: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

Ebola is a Social Disease

“Many people have asked me why the outbreak of

Ebola virus disease in West Africa is so large, so

severe, and so difficult to contain. This questions

can be answered with a single word : Poverty”

Dr. Margaret ChanDirector General WHO, Geneva

Source: New England Journal of Medicine, sept 25th, 1014

Page 13: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

Saah Exco : The voice to the voiceless

Saah Exco, a 10-year-old child victim of EVD in Liberia, surrounded by bystanders, clings for his life.Photo: NBC news

Page 14: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

Saah Exco : The voice to the voiceless

Samaritan dresses a very sick Saah ExcoPhoto: NBC news

Page 15: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

Saah Exco : The voice to the voiceless

Saah Exco dies in solitudePhoto: NBC news

Page 16: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

health.gnu.org

How can GNU Health to help governments in the fight against social diseases

Page 17: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

GNU Health is Free Software• Freedom to run the system

• Freedom to examine and adapt it to YOUR needs

• Freedom to improve it and send your contributions to the benefit community

• Freedom to re-distribute the source code

GNU Health = Public Good = Social Activism

Page 18: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

GNU Health: Family & Social Medicine

Strong Focus on Primary Care & Family Medicine

Page 19: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

GNU Health in the fight against social diseases

MDG 6 : Fight HIV, Malaria & Tuberculosis NTD: Fight Neglected Tropical Diseases(Chagas, Dengue... )

Page 20: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

“Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity” (WHO)

GNU Health promotes the proactive Primary Care “System of Health” (people) and moves away from the traditional “System

of Disease” (patients)

People before Patients

Page 21: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

Empowering your Community

SocioeconomicsEducation LevelLifestyle: Sexuality / Physical activity / addictions .. Nutritional statusEnvironmental and Living conditionsMedical History...

Family Members and their rolesFamily Affection / Functionality LevelDomiciliary Units conformantsContacts info : Key for quickly locating them in outbreaksFamily History / Genetics...

Universal Person Identifier

GNU Health promotes transdisciplinary work, and makes the person an active member of the system of health

Page 22: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

Operational Sectors & Health Institutions

Page 23: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

Disease Groups

Page 24: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

Disease Groups – Tuberculosis Example

Page 25: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

DSS and Automated actions

For example, it could automatically notify the Ministry of Health depending on the disease group.

Page 26: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

Domiciliary Units Survey example : Chagas Disease

Page 27: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

Georeferencing and Early Warning System

Open Street Maps (OSM) & GNU Health Integration

Page 28: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

Data aggregation, Reporting and Epidemiology Engine

“Epidemiological Transition”

Page 29: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

Government of Jamaica chooses GNU Health

Page 30: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

GNU Health in Jamaica Ministry of Health

Page 31: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

300+ “GNU” Health facilities nation-wide

Page 32: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

health.gnu.org

Some GNU Health events during the period 2013 - 2014

Page 33: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

health.gnu.org

La salud es un DERECHO HUMANO NO NEGOCIABLE

Twitter : @gnuhealth

Page 34: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

health.gnu.org

La salud es un DERECHO HUMANO NO NEGOCIABLE

Twitter : @gnuhealth

Page 35: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

health.gnu.org

La salud es un DERECHO HUMANO NO NEGOCIABLE

Twitter : @gnuhealth

Page 36: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

health.gnu.org

La salud es un DERECHO HUMANO NO NEGOCIABLE

Twitter : @gnuhealth

Page 37: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

health.gnu.org

La salud es un DERECHO HUMANO NO NEGOCIABLE

Twitter : @gnuhealth

Page 38: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

health.gnu.org

La salud es un DERECHO HUMANO NO NEGOCIABLE

Twitter : @gnuhealth

Page 39: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

health.gnu.org

La salud es un DERECHO HUMANO NO NEGOCIABLE

Twitter : @gnuhealth

Page 40: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

health.gnu.org

La salud es un DERECHO HUMANO NO NEGOCIABLE

Twitter : @gnuhealth

Page 41: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

health.gnu.org

La salud es un DERECHO HUMANO NO NEGOCIABLE

Twitter : @gnuhealth

Page 42: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

health.gnu.org

La salud es un DERECHO HUMANO NO NEGOCIABLETwitter : @gnuhealth

Page 43: Gnu health helping governments fight against ebola and other social diseases

Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis FalconGnu Solidario . CC-BY- NC-SA 3.0

In Loving Memory

Health must remain a NON-NEGOTIABLE RIGHT, for ALL animals

Twitter : @gnuhealth

Killed in Spain by the same who destroyed the public health system