Rio Info 2015 – Palestra Medicina Social, Governança da Saúde Pública e Código Aberto - Roberto novaes

1. Luis Falcon
GNU Solidario CC-BY- NC-SA 3.0
Roberto Vasconcelos Novaes
roberto.novaes@silexsistemas.com.br
GNU Health : Social Medicine & Public Health

2. Luis Falcon
GNU Solidario CC-BY- NC-SA 3.0
About GNU Solidario
GNU Health
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
“Health and Education with Free Software”

3. Luis Falcon
GNU Solidario CC-BY- NC-SA 3.0
Social Diseases and children : 20000 deaths every day
Human Trafficking
Contaminated Water
Malnutrition
Cholera
Drug abuse
Prostitution
Chagas
Tuberculosis
Child Labour
War
Family Violence
Malaria
HIV

4. Luis Falcon
GNU Solidario CC-BY- NC-SA 3.0
Freedomto run , adapt, improve and redistribute
Official GNU Package
Documented on Wikibooks
100+ language teams
GNU Health is Free/Libre Software
GNU Health relies on libre technology

5. Luis Falcon
GNU Solidario CC-BY- NC-SA 3.0
FSF Best Project of Social Benefit

6. Luis Falcon
GNU Solidario CC-BY- NC-SA 3.0
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 : Freedom and Equity in Healthcare

7. Luis Falcon
GNU Solidario CC-BY- NC-SA 3.0
GNU Health : Modularity and Interoperability

8. Luis Falcon
GNU Solidario CC-BY- NC-SA 3.0
Centralized Patient Information
Critical Info : T1D

9. Luis Falcon
GNU Solidario CC-BY- NC-SA 3.0
Digital Signatures & ePrescriptions
Digitally sign documents and medical acts
GNU Privacy Guard Integration
Document validation
ePrescriptions
Evaluations / Encounters
Birth and death certificates
Lab Tests, ...

10. Luis Falcon
GNU Solidario CC-BY- NC-SA 3.0
Obstetrics & Pediatrics Modules
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)

11. Luis Falcon
GNU Solidario CC-BY- NC-SA 3.0
CAGE Alcoholism screening
Smilkstein Family functionality test
Henningfield recreational drugs classification
Pediatric Psychosocial risk (PSC from MGH)
NIDA recreational drugs Database
Some Social and Lifestyle screening tools

12. Luis Falcon
GNU Solidario CC-BY- NC-SA 3.0
PACS server
GNU Health
Can store the image, metadata
or DICOMDIR location
Interoperability : Dx Imaging

13. Luis Falcon
GNU Solidario CC-BY- NC-SA 3.0
Arduino integration / eHealth Sensors
Images from Cooking-Hacks

14. Luis Falcon
GNU Solidario CC-BY- NC-SA 3.0
health.gnu.org
Tools for the
Health Authorities

15. Luis Falcon
GNU Solidario CC-BY- NC-SA 3.0
One person, one history : PUID
63dd59be-141c-4ff9-a0a9-e43a6f754b39-GNU SOLIDARIO HOSPITAL

16. Luis Falcon
GNU Solidario CC-BY- NC-SA 3.0
Reporting, Epidemiology, Early Warning
Data aggregation / Synchro
Demographics
People without health coverage
Vital Records Sytem
Outbrake early warning
Geolocalization (OSM)
Notifiable diseases
...

17. Luis Falcon
GNU Solidario CC-BY- NC-SA 3.0
Health Institutions and Operational Sectors

18. Luis Falcon
GNU Solidario CC-BY- NC-SA 3.0
Injury Surveillance System
* Records violent injuries (accidents, robberies, self harm, sexual assaults,... )
* Georeferenced
* ICD 10 encoded
* Contextual information (place, time, subjects involved, … )
* Thanks to Jamaica MoH !

19. Luis Falcon
GNU Solidario CC-BY- NC-SA 3.0
Health Campaigns
Personalized campaigns (age, sex,
social conditions, … )
Immunization status of the population
Risk groups

20. Luis Falcon
GNU Solidario CC-BY- NC-SA 3.0
Vital Records Systems : Birth and Death certificates
Death certificate document as a legal, administrative, epidemidemiological document

21. Luis Falcon
GNU Solidario CC-BY- NC-SA 3.0
GNU Health & WHO
ICPM
Essential list of medicines
ICD-10
Pediatric growth charts
Neglected Tropical Diseases
MDG6 : Malaria, TB, HIV
MDG4 : Reduce Child mortality
Immunization schedules

22. Luis Falcon
GNU Solidario CC-BY- NC-SA 3.0
WHO modules to fight against social diseases
MDG 6 : Fight HIV, Malaria & Tuberculosis NTD: Fight Neglected Tropical
Diseases(Chagas, Dengue... )

23. Luis Falcon
GNU Solidario CC-BY- NC-SA 3.0
Domiciliary Units Survey for Chagas and Dengue

24. Luis Falcon
GNU Solidario CC-BY- NC-SA 3.0
health.gnu.org
GNU Health
Community

25. Luis Falcon
GNU Solidario CC-BY- NC-SA 3.0
GNU Health around the World

26. Luis Falcon
GNU Solidario CC-BY- NC-SA 3.0
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, ICPM and ISS modules were born in Jamaica !

27. Luis Falcon
GNU Solidario CC-BY- NC-SA 3.0
350+ “GNU” Health facilities nation-wide

28. Luis Falcon
GNU Solidario CC-BY- NC-SA 3.0
Hospital Universitário São José
Hospital Universitário São José
Hospital Universitário São José

29. Luis Falcon
GNU Solidario CC-BY- NC-SA 3.0
Hospital Universitário São José
Hospital Universitário São José
Hospital Universitário São José – Folha Branca

30. Luis Falcon
GNU Solidario CC-BY- NC-SA 3.0
Hospital Universitário São José
Hospital Universitário São José
Hospital Universitário São José – Sobrevida

31. Luis Falcon
GNU Solidario CC-BY- NC-SA 3.0
Angola - Direcção Provincial de Saúde em Huíla

32. Luis Falcon
GNU Solidario CC-BY- NC-SA 3.0
Obrigado!
Obrigado!
www.silexsistemas.com.br
wiki.silexsistemas.com.br
(31) 3273-1530