Mostrando entradas de julio, 2009

Medical 0.0.34 . It's all about standards

Medical: The Universal Health and Hospital Information System

Hello there

Medical version 0.0.34 has just been released !

The most important feature of this version is the addition of ICD-10-PCS.
The International Classification of Diseases tenth revision Procedure Coding System (ICD-10-PCS) will complement the already implemented ICD-10 coding for pathologies. This duple provides a very efficient way of coding for doctors and administrative personnel, making the data interchange between organizations very easy and with a common language, around the world.

In this version of Medical we have the 2009 ICD-10-PCS version, which contains 72589 medical procedures, from surgery to substance administration and monitoring. ICD-10-PCS is the replacement for ICD-9-CM.

In this way, Medical ispioneer by having already the two standard for diagnosis (ICD-10) and procedures (ICD-10-PCS) that are to be adopted by most institutions in the coming years.

This version also has major improvements in dealing wit…

Thoughts about H1N1, cytokine storm and public health decisions

Since the first fatalities related to H1N1 that affected young, healthy people, the cytokine storm theory was raised. And it makes sense. In many cases, after a couple of days, patients would develop severe pneumonia and die in a very short period of time.

The cytokine storm is a over-reaction of the immune system when trying to attack the invader ( in this case, the influenza virus ). The hiper-cytokinemia triggers a positive feedback vicious cycle, releasing a huge amount of pro-inflammatory messengers (Tumor Necrosis Factor - TNF -, and other Interleukins ).

These messengers signal leukocytes ( T-cells, neutrophils... ) to go to the site of infection. Since there is a over-reaction, the white cells action produce damage in the area of action. In the case of the H1N1, in the lung parenchyma.

Now, with several months that H1N1 is among us, and with the experience of the H5N1 (avian flu), in which cytokine storm was the cause of most deaths, my questions are :

- Do we have conclusive evid…

Latin America gains momentum in Open Source

Great news for all of us open source activists in Latin America.

This year we have three projects "hechos en latinoamérica" that are finalist in sourceforge : Medical (Best Project for Government), Elastix(Best Project for the Enterprise) and Process Maker (Best Commercial Open Source and Best Visual Design)

I want to thank the community and, specially, the organizations like Free Software Foundation (FSF), and great guys like Jon "Maddog" Hall, who have been key for the adoption of the Open Source in Latin America (and worldwide).

Here is a picture from Debconf 2008 in Buenos Aires, Argentina, where I met with Jon and talked about the Medical project.