jueves, 23 de febrero de 2012

GNU Health Decision Support on Prescription Writing

In this entry I will briefly talk about how GNU Health can help the professional in making the best decision, and how to minimize mistakes.

I will focus in prescription writing and how we're incorporating DS (Decision Support) to GNU Health.

GNU Health uses the WHO (World Health Organization) essential list of medicines by default, so you already have a very nice and updated set for your daily practice.

The medicament model incorporates the pregnancy category. In this case, we have opted for the FDA pregnancy categories, but you can configure GNU Health to use another categorization system.

In the next screenshot, you can see a list of medicines, with an specific color, that specifies the pregnancy category. That visual aid quickly differentiate those medicaments to avoid use in pregnancy (all in categories D and - especially category X ), from those that will be generally safe to use (such as those in categories A and B ).
 

Color encoded WHO list of essential medicines by FDA pregnancy category


So, from that very starting point, you have GNU Health assisting you visually to choose the right drug. 

After you have finished the prescription writing process, GNU Health does different checks in relation to the patient you are writing the prescription.

In its simplest form, let's check the next example. GNU Health checks the patient sex and age, and determines the risks associated to that patient. In this case, the patient belongs to a potential childbearing / fertile group. So, GNU Health will set a verification flag and will remind the health professional to ask the patient basic but very important questions about the patient status, such as :

- Is she pregnant
- Is the patient planning to become pregnant
- In the case of pregnancy, in which trimester is she in

In other words, GNU Health will stop us from making the prescription until we have verified that what we are prescribing is an educated and thoughtful decision, the best possible for our patient.

By the way GNU Health keeps record of the gynecological and obstetric status of the patient, but this might be the first encounter or her medical record might be in another center that has some dark privative software that does not share the information ;-)

GNU Health prescription verification process in specific patients

Of course, the ultimate decision will always be on the doctor. This type of Decision support we aim to minimize common pitfalls due to fatigue, inexperience, etcetera that can jeopardize the wellbeing of the patient.

Many thanks to Dr. Christoph Larsen and Andrew Gledhill (NHS) that have helped me in the process.

We will definitely enhance the Decision Support from GNU Health, such as in the clinical context, always keeping simplicity and just as a guiding / aiding tool for the professional.

About GNU Health

GNU Health is a free Health and Hospital Information System that provides the following functionality :

  •     Electronic Medical Record (EMR)
  •     Hospital Information System (HIS)
  •     Health Information System

GNU Health is an official GNU Package , chosen by Richard Stallman, and is part of GNU Solidario. GNU Solidario is a NGO that delivers education and health to emerging economies with free software.

GNU Health is the Hospital Information System chosen by the United Nations International Institute of Global Health.

Main site : health.gnu.org

Governments hosting GNU Health through their portals :

    European Commission (EU) , JoinUp

    Brazil: Portal do Software Público Brasileiro (SPB)

lunes, 6 de febrero de 2012

GNU Health new partner in India


It's great to see how fast the GNU Health community is growing, not only in installations, but in companies and institutions delivering implementation and training.
The latest service and training provider is Serpent Consulting Services in India. 

"Serpent Consulting Services feels immense pleasure to say that we are in partnership with Thymbra and supporting GNU Health" , said Jay Vora, Managing Director from Serpent CS.

So, now, besides de supporting governments (like Brazil or the European Community ) and multilateral organizations (like United Nations ), there are private companies that are commited to Free Software in health care using GNU Health.

We'll be generating a map with all the service and training partners in the world, so you can choose the one closest to you.

This raise in the number of service and training providers show that Free Software is both ethical and a great business model.
Thank you to all the health professionals and the community at large that contribute with their talent in suggestions, questions, answers and bug reports.

Finally, our gratitude goes to the GNU project, Richard Stallman and the Free Software Foundation , for adopting GNU Health in their GNU System !

We fight for equity in health care. We deliver health and education with Free Software universally, and it would have been impossible without your contribution.

If you provide services around GNU Health and want your company to be shown in the services section of http://health.gnu.org send us a mail to health@gnusolidario.org and we'll be happy to publish it.

Remember that, as in today, GNU Health runs on Tryton ... just in case ;-)

About GNU Health

GNU Health is a free Health and Hospital Information System that provides the following functionality :


  •     Electronic Medical Record (EMR)
  •     Hospital Information System (HIS)
  •     Health Information System

GNU Health is an official GNU Package , chosen by Richard Stallman, and is part of GNU Solidario. GNU Solidario is a NGO that delivers education and health to emerging economies with free software.

GNU Health is the Hospital Information System chosen by the United Nations International Institute of Global Health.

Main site : health.gnu.org

Governments hosting GNU Health through their portals :

    European Commission (EU) , JoinUp

    Brazil: Portal do Software Público Brasileiro (SPB)


All the best

Luis Falcon
President
GNU Solidario

domingo, 5 de febrero de 2012

GNU Health Reporting

In the last blog I talked about the QR codes integration in GNU Health.

Today I am very happy to  show a couple of reports from GNU Health, done in the Tryton (Relatorio and Libre Office) framework.

In GNU Health you can generate complex dynamic reports. In the next two examples, the patient and newborn information is displayed. Some of the information is encoded in the QR code.

Patient ID card report on GNU Health

Tryton allows you to create dynamic LibreOffice reports, and these two examples show how we can embed functions, real-time graphics or change the font color depending on the gender of the patient, to name a few capabilities of this great environment.


Newborn wristband Identification, with all the information encoded in QR

We show again how Free Software (Tryton, Libre Office, Python, Postgresql, GNU/Linux, ... ) allow us doing anything we need. So, please use Free software. It's ethical.  

We fight for equity in Health care, and one way of doing so is by using Free Software !


About GNU Health

GNU Health is a free Health and Hospital Information System that provides the following functionality :

  •     Electronic Medical Record (EMR)
  •     Hospital Information System (HIS)
  •     Health Information System

GNU Health is an official GNU Package , chosen by Richard Stallman, and is part of GNU Solidario. GNU Solidario is a NGO that delivers education and health to emerging economies with free software.

GNU Health is the Hospital Information System chosen by the United Nations International Institute of Global Health.

Main site : health.gnu.org

Governments hosting GNU Health through their portals :

    European Commission (EU) , JoinUp

    Brazil: Portal do Software Público Brasileiro (SPB)


jueves, 2 de febrero de 2012

QR codes in GNU Health

QR (Quick Response) codes are great, versatile matrix-encoded graphs. Unlike traditional bar codes, they allow to store a lot more information and can be read from most mobile devices.

GNU Health, the Free Health and Hospital Information System now supports QR codes, which will have many uses. To name a few :

  • Patient identification
  • Newborn identification and wristband
  • Electronic prescriptions
  • Health promotion and disease prevention
  • Health center Inventory control

So, anyone with a camera enabled tablet, game console or cell phone can read QR codes. This generates a great scenario for Health promotion. 

We now can have posters in health centers or schools , providing the guidelines for prevention of obesity, diabetes, tuberculosis, HIV, teenage pregnancy, etcetera, all of them with  the proper links with the proper links  so they can be read at home. They can be shared among friends or social networks.

Here is a small demo that you can scan with your favorite QR reader. 


In GNU Health, we have found that all the items enumerated above will help all parties. From the social worker, the health professional, the patient, the families and the ministry of health.

Example on how GNU Health encodes newborn information using QR codes 


There are many applications in the social and medical fields that we can encode in this format, so please give us your feedback and we'll be happy to incorporate it !

We fight for equality in health care, and incorporating QR codes into GNU Health is just one more step forward.

About GNU Health

GNU Health is a free Health and Hospital Information System that provides the following functionality :

  • Electronic Medical Record (EMR)
  • Hospital Information System (HIS)
  • Health Information System

GNU Health is an official GNU Package and is part of GNU Solidario. GNU Solidario is a NGO that delivers education and health to emerging economies with free software.

GNU Health is the Hospital Information System chosen by the United Nations International Institute of Global Health. 

Main site : health.gnu.org

Governments hosting GNU Health through their portals :
  • European Commission (EU) , OSOR
  • Brazil: Portal do Software Público Brasileiro (SPB)