That reminded me about story my friend told me some time ago. He's IT specialist in hospital, they were having some problems with x-ray machine with server based on windows XP and thin clients as viewing stations. Eventually it was replaced with debian based workstations and haven't look back ever since. After this he told me about interesting case with it, there was patient complaining about middle foot pains, on previous setup x-ray photos showed nothing, after switching to debian workstations they were using aeskulap dicom viever (http://aeskulap.nongnu.org/index.html) which had more adjustments for viewing those files, like hue, saturation, color and so on, so after opening those photos with aeskulap and fiddling a bit with parameters it clearly showed that patient has broken bone in foot but in unweighted position it was almost invisible line on black and white default viewer.
Open source software for developing world hospitals
11–20 of 119 posts
Re: Open source software for developing world hospitals
#12While this is a good idea, how are the health compliance requirements enforced?
I'm struggling to understand the question - by testing for compliance like other software?
I'm assuming there'd need to be a services business installing and maintaining the software, and adding improvements particular customers need.
Re: Open source software for developing world hospitals
#13While this is a good idea, how are the health compliance requirements enforced?
Regulatory compliance is secondary to having an hospital information system at all - remember that this software aims at the developing world.
We're in a a post-plaintext world. There is zero reason why any system should not have crypto around sensitive data.
Re: Open source software for developing world hospitals
#14This is great. I recently had to create a prototype application for a charity with offices in a developing country and this would have been a perfect fit. I don't have access to GitHub at the moment but I wonder how far along their implementation of the 'off-line first' sync mechanism is, this is a non-trivial thing to implement.
I had a quick look at the demo and it looks like the development is in the early stages- a bit of (hopefully constructive) feedback: I think they (you?) may be trying to attempt to do (and cover) too many clinical disciplines at the same time- maybe implement individual modules (like patient registration) and test them in all (old!) browsers in more detail before moving on to the next. Also think long and hard about how you implement your data model (clinical indicators e.g. blood pressure often have a context and are temporal values, how do you model these?). This is a great effort and has lots of potential.
EDIT: also, the name seems to suggest to me like there is a run on hospitals- but that may be a personal thing.
Re: Open source software for developing world hospitals
#15Looks like it's way more open source than the two "open source" school MIS systems I looked at, one had no code available, the other an old version dumped on github, but not linked from their main page until you signed up.
Could you link to them please as I work at an MIS company that moved from open to closed source and wondering if our old codebase is still out there.
This project looks good, but it does remind me of the issues with management systems for public services. With the level of requests we deal with from school users that "need" features to satisfy management/governors/government it makes it very hard to do open source and be suitable.
Re: Open source software for developing world hospitals
#16Earlier quoted context omitted.
Regulatory compliance is secondary to having an hospital information system at all - remember that this software aims at the developing world.
We're in a a post-plaintext world. There is zero reason why any system should not have crypto around sensitive data.
That's not what compliance is about in the medical field.
Re: Open source software for developing world hospitals
#17This is great. I recently had to create a prototype application for a charity with offices in a developing country and this would have been a perfect fit. I don't have access to GitHub at the moment but I wonder how far along their implementation of the 'off-line first' sync mechanism is, this is a non-trivial thing to implement. I had a quick look at the demo and it looks like the development is in the early stages-…
> I wonder how far along their implementation of the 'off-line first' sync mechanism is, this is a non-trivial thing to implement.
The are using PouchDB + CouchDB for offline first / syncing which is how I came to notice it (I am a maintainer for PouchDB). So their ability to sync should be reliable and well tested and if not then its bugs for us to fix :)
Re: Open source software for developing world hospitals
#18This is great. I recently had to create a prototype application for a charity with offices in a developing country and this would have been a perfect fit. I don't have access to GitHub at the moment but I wonder how far along their implementation of the 'off-line first' sync mechanism is, this is a non-trivial thing to implement. I had a quick look at the demo and it looks like the development is in the early stages-…
> I wonder how far along their implementation of the 'off-line first' sync mechanism is, this is a non-trivial thing to implement. The are using PouchDB + CouchDB for offline first / syncing which is how I came to notice it (I am a maintainer for PouchDB). So their ability to sync should be reliable and well tested and if not then its bugs for us to fix :)
That is great :) As a complete newbie on the subject- does the offline caching use HTML5 browser storage or something like that? I can imagine there may be a limit on the amount of data that can be stored? It's not unusual for an internet connection to be cut out an entire day :)
Re: Open source software for developing world hospitals
#19This is a great initiative, I logged in the beta and tried a few things, which mostly worked, although somewhat slow. Probably a lot of hospital administrators active now :-)
What surprised me most is that the UI does not seem to be mobile responsive, and does not work well on smartphones. I would have guessed that in developing countries mobile use would be hugely important?
Re: Open source software for developing world hospitals
#20Why is it so similar to codio.com homepage?
Because a large number of sites use Bootstrap, Materialize, or one of a small set of base themesets.