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GNU Health in the Public Health System

New Features in 3.0
Luis Falcon, M.D.
falcon@gnu.org

TUBA 2015 : Tryton Unconference – Buenos Aires
November 2015 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 4.0

About GNU Solidario
“Delivering Health and Education with Free
Software”
GNU Health
The Free Health and Hospital
Information System.
(health.gnu.org)

IWEEE
International Workshop on E-Health
in Emerging Economies.
(www.iweee.org)

GNU Solidario first project :Santiago del Estero, Argentina, 2006

TUBA 2015 : Tryton Unconference – Buenos Aires
November 2015 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 4.0

GNU Health : Functionality Areas
Person and Community
Person, family, Socioeconomics, lifestyle ...
Domiciliary Units, Operational Areas, Institutions,

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

Health Institution Management
Hospitalizations, Finances, Laboratory, stock, HR, ..

Health Authorities / MoH
Health campaigns, epidemiology, ...

TUBA 2015 : Tryton Unconference – Buenos Aires
November 2015 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 4.0

GNU Health is Free/Libre Software

Freedom to run , adapt, improve and redistribute
Official GNU Package, from the Free Software Foundation

Open Documentation

Relies on free technology

International community (100+ language teams)

TUBA 2015 : Tryton Unconference – Buenos Aires
November 2015 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 4.0

GNU Health and Social Medicine

Child Vaccination on Kibati Camp - RDC - By Julien Harneis

TUBA 2015 : Tryton Unconference – Buenos Aires
November 2015 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 4.0

Over 20000 Children die every day from Social Diseases Human Trafficking Contaminated Water Malnutrition Cholera Drug abuse Prostitution Chagas Tuberculosis Ebola Child Labour War Family Violence Malaria HIV ... CC-BY.0 .NC-SA 4. TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario .

gnu.org TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario . The System of Health Paradigm System of Disease System of Health Community Family Nutrition biological Meds Disease Person Education Housing Reactive Exercise Sophisticated Patient Affection Proactive Bio Psycho Trans Invasive Social disciplinary curing Acute Healing Work health.0 .NC-SA 4. CC-BY.

0 . The Domiciliary Units (DUs) Address / Location Construction material Number of rooms Sanitary conditions Bathrooms Sewers Electricity .NC-SA 4.. CC-BY.. The DU shows the people currently living in it at any given moment The DU can be geolocated / linked to OpenStreetMap TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario .

NC-SA 4.0 . Health Institutions and Operational Sectors TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario . CC-BY.

CC-BY.0 . People Before Patients : Demographics TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario .NC-SA 4.

NC-SA 4. They may or may not share the same Domiciliary Unit TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario . CC-BY. Families Example of a “nuclear family” .0 .

Family Members and their roles Family Affection / Functionality Level Domiciliary Units conformants Contacts info : Key for quickly locating them in outbreaks . GNU Health promotes transdisciplinary work. Empowering the person.... and makes the person an active member of the system of health TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario . CC-BY.. family and community Socioeconomics Education Lifestyle Physical exercise Universal Person Identifier Nutrition Working conditions .NC-SA 4.0 .

CC-BY.NC-SA 4.0 . GNU Health WHO modules to fight against social diseases MDG 6 : Fight HIV. ) TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario .. Malaria & Tuberculosis NTD: Fight Neglected Tropical Diseases(Chagas. Dengue..

0 . CC-BY. Domiciliary Units Survey example : Chagas TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario .NC-SA 4.

NC-SA 4.0 . health.gnu.org Medical Practice and Health Center Management TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario . CC-BY.

GNU Health : Modularity and Interoperability TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario .NC-SA 4.0 . CC-BY.

Centralized Patient Information Critical Info : T1D TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario . CC-BY.0 .NC-SA 4.

NC-SA 4. Obstetrics & Pediatrics Preconception and Prenatal Care Genetic Risks and counseling Obstetric evaluations / imaging Nutrition and growth charts Socioeconomics Neonatology Immunizations Family Functionality and Affection level Psychosocial Risk (Mass General Hospital PSC) TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario . CC-BY.0 .

NC-SA 4.0 .Disease Groups Tuberculosis example Automatic triggers Patient Critical Info Reporting TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario . CC-BY.

CC-BY. Some Social and Lifestyle screening tools CAGE Alcoholism screening Smilkstein Family functionality test Henningfield recreational drug classification Pediatric Psychosocial risk (PSC from MGH) NIDA recreational drugs Database TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario .0 .NC-SA 4.

NC-SA 4. Quick retrieval of Person and Patient Info Critical Info : T1D Demographics PUID Contact Information Critical Information (allergies. diseases) ….0 . CC-BY. Person ID Card QR Codes Wearables TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario .

. accountability & non-repudiation Document validation ePrescriptions Evaluations / Encounters Birth and death certificates Lab Tests. . TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario .. Digital Signatures & ePrescriptions Digitally sign documents and medical acts GNU Privacy Guard (GNUPG) Integration Authenticity.0 .NC-SA 4. CC-BY.

CC-BY.org Tools for the Health Authorities TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario . health.0 .NC-SA 4.gnu.

NC-SA 4. Exchanging information HL7 FHIR TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario .0 . CC-BY.

0 .NC-SA 4. one history : PUID 63dd59be-141c-4ff9-a0a9-e43a6f754b39-GNU SOLIDARIO HOSPITAL TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario . CC-BY. One person.

CC-BY. Early Warning Data aggregation / Synchro Demographics People without health coverage Vital Records Sytem Outbrake early warning Geolocalization (OSM) Notifiable diseases . Epidemiology. TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario ... Reporting.0 .NC-SA 4.

. self harm. sexual assaults.0 . ) Georeferenced ICD 10 encoded Contextual information (place. robberies.NC-SA 4. … ) Thanks to Jamaica MoH ! TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario . Injury Surveillance System Records violent injuries (accidents. subjects involved. CC-BY.. time..

diabetes. social conditions.NC-SA 4. Health Campaigns Personalized campaigns (age. … ) TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario . … ) Immunization status of the population Risk groups (obesity. sex. CC-BY.0 .

VRS : Birth and Death Certificates Death certificate document as a legal. CC-BY. epidemidemiological document TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario .0 . administrative.NC-SA 4.

gnu.0 .NC-SA 4.org What is new in upcoming 3. health.0 ? TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario . CC-BY.

8 Compatibility TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario . CC-BY. Tryton 3.0 .NC-SA 4.

0 .gnu.NC-SA 4.org Current Tryton modules account stock_lot account_invoice purchase account_product account_invoice_stock calendar stock_supply company country party product stock TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario . CC-BY. health.

Faster and more efficient medical practice Networks of health institutions (countries) Data aggregation Synchronization ( Thanks B2CK :-) ) TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario . CC-BY.NC-SA 4.0 .

GNU Health Citizen and Patient Portal (3. GNU Health FHIR server TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario .NC-SA 4. CC-BY.0 ..0) GNU Health Central Instance GNU Health Citizen & Patient Portal Demographics Appointments Lab tests Social Services Domicilary surveys Domestic Violence Drug problems PSC ..

HL7 support .0 .NC-SA 4. CC-BY.FHIR TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario .

NC-SA 4. Incorporate HL7 FHIR HumanName TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario . CC-BY.0 .

Functioning and Disability Module TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario . CC-BY.NC-SA 4.0 .

Ophthalmology Module TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario .NC-SA 4. CC-BY.0 .

Enhanced Health Services integration Service templates Automatic addition from different health sectors to service model Patient Evaluation integration TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario .NC-SA 4.0 . CC-BY.

0 .NC-SA 4. Incorporate visual aids in tree views TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario . CC-BY.

NC-SA 4. CC-BY.0 . Optimize daily practice Optimize encoding and management of appointments and evaluations Auto-fill default prescription details from the medicament Allow including the medication on the list of the patient relevant meds TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario .

ICD10-PCS. New procedures (ICD-9 v3) Current Procedures codes : ICPM. CC-BY.NC-SA 4. ICD9 v3 TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario .0 .

NC-SA 4.0 . Free Hardware Arduino integration TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario . CC-BY.

include demographics on patient evaluation view. CC-BY. appointment. Core : Move ECG to core from ICU.NC-SA 4. prescription and evaluation improvements Hospitalization / Inpatient : Meal order management. Summary of Improvements on current modules Surgery : Surgery teams. bed cleaning TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario . Operating Room reservation and management. surgery progress. special needs.0 . length.

TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario . Additionals models in Health Crypto Digitally sign documents and medical acts GNU Privacy Guard (GNUPG) Integration Authenticity. accountability & non-repudiation Document validation Prescriptions Evaluations Birth and death certificates . CC-BY.0 .NC-SA 4...

0 .NC-SA 4. CC-BY. ./gnuhealth-update Update manager Critical Patches Large installations Can be run non- interactively TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario .

0 .sh Can be used as a stand-alone process TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario .NC-SA 4. ./serverpass Harden security at installation level (cracklib) Integrated in the installation script gnuhealth- install. CC-BY.

NC-SA 4. Pootle as the Translation Platform TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario . CC-BY.0 .

CC-BY. 1-Year Release Cycle TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario .0 .NC-SA 4.

org Community TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario .gnu.0 . health. CC-BY.NC-SA 4.

Argentina Harvard-MIT. Kuala Lumpur.0 . United States TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario . Role of the Academia United Nations University. Boston.NC-SA 4. CC-BY.Malasia University of Entre Rios.

NC-SA 4. TB. HIV Essential list of medicines Neglected Tropical Diseases ICD-10 ICPM MDG4 : Reduce Child mortality Immunization schedules Pediatric growth charts TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario . CC-BY.0 . GNU Health & WHO MDG6 : Malaria.

NC-SA 4. ICPM and ISS modules were born in Jamaica ! TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario .0 . CC-BY.GNU Health at the Government of Jamaica Started as a joint project between Government of Jamaica Ministry of Health and GNU Solidario Local team Sustainability and independence Unique ID for each individual across the country Data aggregation at MoH GNU/Linux on both workstations and servers GNU Health Synchro engine.

350+ “GNU” Health facilities nation-wide TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario .0 . CC-BY.NC-SA 4.

0 . CC-BY.NC-SA 4. GNU Health at Laos Public Health System TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario .

NC-SA 4.0 . CC-BY. Philippines – Navotas City TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario .

0 . South Africa : Visit to Nelson Mandela Children Hospital TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario . CC-BY.NC-SA 4.

NC-SA 4. CC-BY. GNU Health in Mexico Morelos Public Health TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario .0 .

0 .NC-SA 4.org IRC : #gnu-health Twitter : @gnuhealth TUBA 2015 : Tryton Unconference – Buenos Aires November 2015 Luis Falcon Gnu Solidario . Thank you ! http://health.gnu. CC-BY.