The slides by Dr Luis Falcon, at MOSS9 Kyoto 2014.

1. MOSS 2014 : Kyoto, Japan 2014
GNU Health : Helping Governments in the Fight against
Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0
Ebola and other Social Diseases
Dr. Luis Falcon
falcon@gnu.org

2. Functionality Areas : “People before Patients”
Person Level
Demographics, Socioeconomics, Lifestyle, ...
Patient Level
Evaluations, Genetics, prescriptions, History, surgeries...
Health Center Level
Hospitalizations, Finances, Billing, Laboratory, stock .....
Health Government Level
Epidemiology, OLAP, reporting
GNU Health : The Free Health and Hospital Information System
Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0

3. GNU Health relies on Free Technology
Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0

4. Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0
GNU Health : Modular Design

5. Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0
Communitary Development Environment
Source code, mailing lists, bugs
GNU Savannah
Localization portal : over 80
languages

6. Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0
HL7 support - FHIR

7. Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0
Lab Functionality

8. Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0
Imaging Functionality
PACS server
GNU Health
Can store the image, metadata
or DICOMDIR location

9. Health Crypto: PKI / Signing / Encrypting
Digitally sign documents and medical acts
GNU Privacy Guard (GNUPG) Integration
Authenticity, accountability & non-repudiation
Document validation
Electronic prescription
Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0

10. health.gnu.org
Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0
Social Diseases

11. Over 20000 Children die every day
Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0
Malnutrition
Cholera
Drug abuse
Prostitution
Chagas
Tuberculosis
Child Labour
War
Family Violence
Kala Azar
Malaria
HIV
Contaminated Water

12. Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0
Ebola is a Social Disease
“Many people have asked me why the outbreak of
Ebola virus disease in West Africa is so large, so
severe, and so difficult to contain. This questions
can be answered with a single word : Poverty”
Dr. Margaret Chan
Director General WHO, Geneva
Source: New England Journal of Medicine, sept
25th, 1014

13. Saah Exco : The voice to the voiceless
Saah Exco, a 10-year-old child victim of EVD in Liberia, surrounded by bystanders, clings for his life.
Photo: NBC news
Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0

14. Saah Exco : The voice to the voiceless
Samaritan dresses a very sick Saah Exco
Photo: NBC news
Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0

15. Saah Exco : The voice to the voiceless
Saah Exco dies in solitude
Photo: NBC news
Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0

16. health.gnu.org
How can GNU Health to help governments in
Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0
the fight against social diseases

17. GNU Health = Public Good = Social Activism
Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0
GNU Health is Free Software
• Freedom to run the system
• Freedom to examine and adapt it to YOUR needs
• Freedom to improve it and send your contributions to the benefit community
• Freedom to re-distribute the source code

18. GNU Health: Family & Social Medicine
Strong Focus on Primary Care & Family Medicine
Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0

19. GNU Health in the fight against social diseases
MDG 6 : Fight HIV, Malaria & Tuberculosis NTD: Fight Neglected Tropical
Diseases(Chagas, Dengue... )
Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0

20. People before Patients
“Health is a state of complete physical, mental and social well-being
and not merely the absence of disease or infirmity” (WHO)
GNU Health promotes the proactive Primary Care “System of
Health” (people) and moves away from the traditional “System
Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0
of Disease” (patients)

21. Universal Person Identifier
Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0
Empowering your Community
Socioeconomics
Education Level
Lifestyle: Sexuality / Physical activity / addictions ..
Nutritional status
Environmental and Living conditions
Medical History
...
Family Members and their roles
Family Affection / Functionality Level
Domiciliary Units conformants
Contacts info : Key for quickly locating them in outbreaks
Family History / Genetics
...
GNU Health promotes transdisciplinary work, and makes the
person an active member of the system of health

22. Operational Sectors & Health Institutions
Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0

23. Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0
Disease Groups

24. Disease Groups – Tuberculosis Example
Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0

25. Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0
DSS and Automated actions
For example, it could automatically notify the Ministry of Health
depending on the disease group.

26. Domiciliary Units Survey example : Chagas Disease
Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0

27. Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0
Georeferencing and Early Warning System
Open Street Maps (OSM) & GNU Health Integration

28. Data aggregation, Reporting and Epidemiology Engine
Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0
“Epidemiological Transition”

29. Government of Jamaica chooses GNU Health
Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0

30. Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0
GNU Health in Jamaica Ministry of Health

31. 300+ “GNU” Health facilities nation-wide
Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0

32. health.gnu.org
Some GNU Health events during the period 2013 - 2014
Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0

33. health.gnu.org
La salud es un DERECHO HUMANO NO NEGOCIABLE
Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0
Twitter : @gnuhealth

34. health.gnu.org
La salud es un DERECHO HUMANO NO NEGOCIABLE
Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0
Twitter : @gnuhealth

35. health.gnu.org
La salud es un DERECHO HUMANO NO NEGOCIABLE
Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0
Twitter : @gnuhealth

36. health.gnu.org
La salud es un DERECHO HUMANO NO NEGOCIABLE
Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0
Twitter : @gnuhealth

37. health.gnu.org
La salud es un DERECHO HUMANO NO NEGOCIABLE
Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0
Twitter : @gnuhealth

38. health.gnu.org
La salud es un DERECHO HUMANO NO NEGOCIABLE
Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0
Twitter : @gnuhealth

39. health.gnu.org
La salud es un DERECHO HUMANO NO NEGOCIABLE
Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0
Twitter : @gnuhealth

40. health.gnu.org
La salud es un DERECHO HUMANO NO NEGOCIABLE
Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0
Twitter : @gnuhealth

41. health.gnu.org
La salud es un DERECHO HUMANO NO NEGOCIABLE
Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0
Twitter : @gnuhealth

42. health.gnu.org
La salud es un DERECHO HUMANO NO NEGOCIABLE
Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0
Twitter : @gnuhealth

43. Killed in Spain by the same who destroyed the public health system
Twitter : @gnuhealth
Medical Free and Open Source Conference # 9 . Kyoto, Japan – October 11th 2014 Luis Falcon
Gnu Solidario . CC-BY- NC-SA 3.0
In Loving Memory
Health must remain a NON-NEGOTIABLE RIGHT, for ALL animals