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Luis Falcón Martín, MD, B.Sc Falcon@Gnu.Org GNU Health The Free, Community-based Hospital and Health Information System Luis Falcón Martín, M.D., B.Sc [email protected] GNU Health Con 2016 Luis Falcon Martin Nov 18 – 20, Las Palmas de Gran Canaria 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 / GNU Health Con International Workshop on E-Health in Emerging Economies. (www.iweee.org) GNU Solidario first project :Santiago del Estero, Argentina, 2006 GNU Health Con 2016 Luis Falcon Martin Nov 18 – 20, Las Palmas de Gran Canaria Gnu Solidario . CC-BY- NC-SA 4.0 health.gnu.org Motivation to start GNU Health GNU Health Con 2016 Luis Falcon Martin Nov 18 – 20, Las Palmas de Gran Canaria Gnu Solidario . CC-BY- NC-SA 4.0 Social Medicine Child Vaccination on Kibati Camp - RDC - y !ulien Harneis GNU Health Con 2016 Luis Falcon Martin Nov 18 – 20, Las Palmas de Gran Canaria Gnu Solidario . CC-BY- NC-SA 4.0 Les Misérables GNU Health Con 2016 Luis Falcon Martin Nov 18 – 20, Las Palmas de Gran Canaria Gnu Solidario . CC-BY- NC-SA 4.0 Over 20000 Children die every day from Social Diseases – in misery Human Trafficking Contaminated Water Malnutrition Cholera Drug abuse Prostitution Chagas Tuberculosis Child Labour War Family Violence Malaria HIV /AIDS GNU Health Con 2016 Luis Falcon Martin Nov 18 – 20, Las Palmas de Gran Canaria Gnu Solidario . CC-BY- NC-SA 4.0 The other Miserables: Those who cause misery The business of "ar GNU Health Con 2016 Luis Falcon Martin Nov 18 – 20, Las Palmas de Gran Canaria Gnu Solidario . CC-BY- NC-SA 4.0 80% of diseases on LMICs due to poor sanitation / unsafe water (UN) GNU Health Con 2016 Luis Falcon Martin Nov 18 – 20, Las Palmas de Gran Canaria Gnu Solidario . CC-BY- NC-SA 4.0 The System of Health Paradigm System of Disease System of Health Community Family )utrition biological *eds Disease #erson %ducation Housin$ Reacti+e %&ercise #atient Sophisticated 'ffection #roacti+e io #sycho In+asi+e Social Trans disciplinary curing 'cute Healing ,or- health.$nu.or$ GNU Health Con 2016 Luis Falcon Martin Nov 18 – 20, Las Palmas de Gran Canaria 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, ... GNU Health Con 2016 Luis Falcon Martin Nov 18 – 20, Las Palmas de Gran Canaria 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) GNU Health Con 2016 Luis Falcon Martin Nov 18 – 20, Las Palmas de Gran Canaria Gnu Solidario . CC-BY- NC-SA 4.0 The Domiciliary Units (DUs) 'ddress / Location Construction material )umber of rooms Sanitary conditions Bathrooms Se"ers %lectricity ... The DU sho"s the people currently living in it at any gi+en moment The DU can be geolocated / lin-ed to OpenStreetMap GNU Health Con 2016 Luis Falcon Martin Nov 18 – 20, Las Palmas de Gran Canaria Gnu Solidario . CC-BY- NC-SA 4.0 Health Institutions and Operational Sectors GNU Health Con 2016 Luis Falcon Martin Nov 18 – 20, Las Palmas de Gran Canaria Gnu Solidario . CC-BY- NC-SA 4.0 People Before Patients : Demographics GNU Health Con 2016 Luis Falcon Martin Nov 18 – 20, Las Palmas de Gran Canaria Gnu Solidario . CC-BY- NC-SA 4.0 Families %&ample of a “nuclear family4 . They may or may not share the same Domiciliary Unit GNU Health Con 2016 Luis Falcon Martin Nov 18 – 20, Las Palmas de Gran Canaria Gnu Solidario . CC-BY- NC-SA 4.0 Empowering the person, family and community Socioeconomics %ducation 0ifestyle #hysical e&ercise )utrition 1ni+ersal #erson Identifier ,orking conditions ... Family Members and their roles Family Affection / Functionality Le+el Domiciliary 1nits conformants Contacts info : Key for quickly locating them in outbrea-s ... GNU Health promotes transdisciplinary work, and makes the person an active member of the system of health GNU Health Con 2016 Luis Falcon Martin Nov 18 – 20, Las Palmas de Gran Canaria Gnu Solidario . CC-BY- NC-SA 4.0 GNU Health WHO modules to fight against social diseases MDG 6 : Fight HIV, Malaria & NTD: Fight Neglected Tropical Tuberculosis Diseases(Chagas, Dengue... ) GNU Health Con 2016 Luis Falcon Martin Nov 18 – 20, Las Palmas de Gran Canaria Gnu Solidario . CC-BY- NC-SA 4.0 Domiciliary Units Survey / Vector Control GNU Health Con 2016 Luis Falcon Martin Nov 18 – 20, Las Palmas de Gran Canaria Gnu Solidario . CC-BY- NC-SA 4.0 health.gnu.org Medical Practice and Health Center Management GNU Health Con 2016 Luis Falcon Martin Nov 18 – 20, Las Palmas de Gran Canaria Gnu Solidario . CC-BY- NC-SA 4.0 Modularity GNU Health Con 2016 Luis Falcon Martin Nov 18 – 20, Las Palmas de Gran Canaria Gnu Solidario . CC-BY- NC-SA 4.0 Centralized Patient Information Critical Info : T1D GNU Health Con 2016 Luis Falcon Martin Nov 18 – 20, Las Palmas de Gran Canaria Gnu Solidario . CC-BY- NC-SA 4.0 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) GNU Health Con 2016 Luis Falcon Martin Nov 18 – 20, Las Palmas de Gran Canaria Gnu Solidario . CC-BY- NC-SA 4.0 Disease Groups Tuberculosis e&ample 'utomatic tri$$ers #atient Critical Info Reportin$ GNU Health Con 2016 Luis Falcon Martin Nov 18 – 20, Las Palmas de Gran Canaria Gnu Solidario . CC-BY- NC-SA 4.0 Nature vs Nurture Tuberculosis 5 ⅓ of the "orld infected . ,ho $ets sick 8 "Bernard avait raison. Le germe n'est rien, c'est le terrain qui est tout." 0ouis Pasteur “Epidemia de Injusticia” Dr. José Caminero GNU Health Con 2016 Luis Falcon Martin Nov 18 – 20, Las Palmas de Gran Canaria Gnu Solidario . CC-BY- NC-SA 4.0 Some Social and Lifestyle screening tools CAGE Alcoholism screening Smilkstein Family functionality test Henningfield recreational drug classification Pediatric Psychosocial risk (PSC from MGH) NIDA recreational drugs Database GNU Health Con 2016 Luis Falcon Martin Nov 18 – 20, Las Palmas de Gran Canaria Gnu Solidario . CC-BY- NC-SA 4.0 Quick retrieval of Person and Patient Info Critical Info : T1D Demo$raphics #1ID Contact Information Critical Information :aller$ies, diseases; <. #erson ID Card =R Codes ,earables GNU Health Con 2016 Luis Falcon Martin Nov 18 – 20, Las Palmas de Gran Canaria Gnu Solidario . CC-BY- NC-SA 4.0 Digital Signatures & ePrescriptions Digitally sign documents and medical acts GNU Privacy Guard (GNUPG) Integration Authenticity, accountability & non-repudiation Document validation e#rescriptions %+aluations / %ncounters irth and death certi7cates 0ab Tests, ... GNU Health Con 2016 Luis Falcon Martin Nov 18 – 20, Las Palmas de Gran Canaria Gnu Solidario . CC-BY- NC-SA 4.0 health.gnu.org Tools for the Health Authorities GNU Health Con 2016 Luis Falcon Martin Nov 18 – 20, Las Palmas de Gran Canaria Gnu Solidario . CC-BY- NC-SA 4.0 One person, one history : PUID >?dd@Abe-BCBc-C(A-aDaA-eC?a>fE@Cb?A-F)1 S20ID'RI2 H2S#IT'0 GNU Health Con 2016 Luis Falcon Martin Nov 18 – 20, Las Palmas de Gran Canaria Gnu Solidario . CC-BY- NC-SA 4.0 Demographics, Epidemiology, Early Warning Data a$$regation Demographics #eople "ithout health co+era$e Vital Records Sytem 2utbrake early "arning FeolocaliGation (OSM) Notifiable diseases GNU Health Con 2016 Luis Falcon Martin Nov 18 – 20, Las Palmas de Gran Canaria Gnu Solidario . CC-BY- NC-SA 4.0 Injury Surveillance System Records violent injuries :accidents, robberies, self harm, se&ual assaults,... ; Feoreferenced ICD BD encoded Conte&tual information :place, time, subjects in+olved, < ; Than-s to Jamaica *oH I GNU Health Con 2016 Luis Falcon Martin Nov 18 – 20, Las Palmas de Gran Canaria Gnu Solidario . CC-BY- NC-SA 4.0 Health Campaigns #ersonaliGed campaigns (a$e, se&, social conditions, … ) ImmuniGation status of the population Risk groups (obesity, diabetes, … ; GNU Health Con 2016 Luis Falcon Martin Nov 18 – 20, Las Palmas de Gran Canaria Gnu Solidario . CC-BY- NC-SA 4.0 VRS : Birth and Death Certificates Death certificate document as a legal, administrati+e, epidemidemiological document GNU Health Con 2016 Luis Falcon Martin Nov 18 – 20, Las Palmas de Gran Canaria Gnu Solidario . CC-BY- NC-SA 4.0 health.gnu.org New features in 3.2 GNU Health Con 2016 Luis Falcon Martin Nov 18 – 20, Las Palmas de Gran Canaria Gnu Solidario . CC-BY- NC-SA 4.0 Some of upcoming features & tasks Python ? Tryton C.J )e" modules 5 insurance, healthKcryptoKlab, emergency Enhanced Fenetics module, model and 1)I#R2T D F)1 Health Federation *yG)1Health mobile application #lu$in installer ( camera, crypto, ... ;. F)1 Solidario translation ser+er #erson address automatically $enerated from D1 and subdivisions Include 0aboratory and %+aluations on ser+ices Inte$rate Code?A in 0aboratory labels Interfaces / 0I*S Enhanced Documentation portal Security team GNU Health Con 2016 Luis Falcon Martin Nov 18 – 20, Las Palmas de Gran Canaria Gnu Solidario . CC-BY- NC-SA 4.0 3 GNU Health Con 2016 Luis Falcon Martin Nov 18 – 20, Las Palmas de Gran Canaria Gnu Solidario .
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