PESCA - Plataforma para la eSalud en Código Abierto: Aplicaciones socio-sanitarias

International Classification of Diseases (ICD) RT @eqpaho

Sun, 04 Jul 2010 02:06:55 +0200

ICD-10 was endorsed by the Forty-third World Health Assembly in May 1990 and came into use in WHO Member States as from 1994. The classification is the latest in a series which has its origins in the 1850s. The first edition, known as the International List of Causes of Death, was adopted by the International Statistical Institute in 1893. WHO took over the responsibility for the ICD at its creation in 1948 when the Sixth Revision, which included causes of morbidity for the first time, was published. The World Health Assembly adopted in 1967 the WHO Nomenclature Regulations that stipulate use of ICD in its most current revision for mortality and morbidity statistics by all Member States.

The ICD is the international standard diagnostic classification for all general epidemiological, many health management purposes and clinical use. These include the analysis of the general health situation of population groups and monitoring of the incidence and prevalence of diseases and other health problems in relation to other variables such as the characteristics and circumstances of the individuals affected, reimbursement, resource allocation, quality and guidelines.

It is used to classify diseases and other health problems recorded on many types of health and vital records including death certificates and health records. In addition to enabling the storage and retrieval of diagnostic information for clinical, epidemiological and quality purposes, these records also provide the basis for the compilation of national mortality and morbidity statistics by WHO Member States.

- History of ICD [pdf, 148kb] [pdf 152kb]
- Implementation of ICD
- Updating process

Language Versions

ICD-10 is available in the six official languages of WHO (Arabic, Chinese, English, French, Russian and Spanish) as well as in 36 other languages.

ICD Language Versions [pdf 84kb]

Aplicaciones Open Source en el ámbito de la Salud y Sanidad

Carlos Luis Sánchez Bocanegra — Thu, 29 Apr 2010 01:24:57 +0200

Desde mi incorporación a este grupo (FeSALUD – Fundación para la eSalud) hemos tenido un fuerte interés en tratar de obtener un mapa global de apliccaciones/framework libres, de esta forma llevamos construyendo redes (redes.epesca.org) para comunicarnos y crear sinergias que permitan saber que se hace, como se hace y sobre todo que hay por hacer.

Sirva este documento como un reflejo de lo que pensamos un mapa global de salud open source en el que invitamos al lector a participar en la red social y poder mejorar y ampliar, para ello se puede modificar la página, ésta es una recopilación recogida de varias web y por las que espero que entre todos construyamos un mapa completo de aplicaciones libres relativas a la e-salud.

Los recursos usados para su búsqueda han sido muy meditados en incluso la forma de categorización ha sido seleccionada en base a aportaciones de profesionales de la salud en Internet.

Fuente

Escenarios de monitorización y tratamientos remotos de la salud

Thu, 22 Apr 2010 14:37:06 +0200

HOLA, ENISA publicó el pasado año un informe que presenta los riesgos potenciales en escenarios de monitorización y tratamiento remotos de la salud.

Este informe puede ser importante para el proyecto Tratamiento 2.0 particularmente el/los paquetes de demostración de monitorización de personas con diversas patologías crónicas. El informe es el resultado de la evaluación de dichos riesgos emergentes dentro de un escenario de simulación y su posterior análisis.

Este escenario de eSalud es el primero de una serie que serán desarrollados y analizados por un grupo internacional de expertos. Se han identificado 14 riesgos reflejados en el informe. Se subraya, además, la importancia de establecer un acercamiento paulatino a las soluciones basadas en la eSalud para obtener un claro beneficio de las mismas.

Vía Gonzalo Aranda.

Telehealth and Mobile Communications: The New Frontier in Modern Emergency Preparedness RT eqpaho

Mon, 12 Apr 2010 22:00:53 +0200

The aftermath of the earthquake in Haiti revealed how new “telehealth” technologies and mobile communications can literally be the difference between life and death when large-scale disaster strikes. While interest in these innovations has increased at the state and federal level, real-world use of, and investment in, these emergency management tools has been limited.

On April 19, the Brookings Institution will host a policy discussion on how health technology, mobile communications and telehealth can spur more efficient and effective care for disaster survivors, as well as better equip first responders. The event will also focus on the investment required to support a technologically enhanced emergency preparedness system. Darrell West, Brookings vice president and director of Governance Studies, will moderate a panel of disaster relief and emergency management experts including Alexander Vo of the University of Texas at Galveston, Marion Orr of Brown University, and Joe Becker of the American Red Cross.

After the program, panelists will take audience questions.

Participants

Moderator

Darrell M. West

Vice President and Director, Governance Studies

Panelists

Alexander Vo

Executive Director, AT&T Center for Telehealth Research and Policy
University of Texas at Galveston

Marion Orr

Director, A. Alfred Taubman Center for Public Policy and American Institutions
Brown University

Joe Becker

Senior Vice President, Disaster Services
American Red Cross

Using Open Source Technologies in Disaster Response and Beyond - Knowledge Management and Communication KMC - Knowledge Sharing

Carlos Luis Sánchez Bocanegra — Thu, 04 Mar 2010 22:00:40 +0100

Developers for Development:
Using Open Source Technologies in Disaster Response and Beyond

World Bank Institute - Keys to Innovation - Discussion Series - March 2010-

Website: http://info.worldbank.org/etools/bspan/PresentationView.asp?PID=2493&EID=1138

“…Find out how innovative grassroots technology movements are changing the landscape of disaster response and governance.
See live demonstrations of the software that groups such as Crisis Commons, Random Hacks of Kindness, Ushahidi, Crisis Mapping, and the Global Earth Observation – Catastrophe Assessment Network (GEO-CAN) have been using in Haiti and Kenya.

Experts and developers shared examples of how they have been working to identify key challenges in the Haiti disaster management and show how they have developed dynamic solutions that are implemented in days and hours by volunteers. …”

“….CrisisCommons, Geo-Can, Ushahidi, Open Street Map, and Random Hacks of Kindness all utilize open source programming and the expertise of a global pool of volunteer programmers, scientists, and technical experts to provide fast help in disaster areas. They all provide support in the aftermath of the Haiti disaster. CrisisCommons brought together programmers to develop applications that can help people on the ground to, for instance, find earthquake victims buried under rubble. Geo-Can uses high-resolution optical, thermal infra-red, topographic images to assess building damage. Ushahidi is a platform that was originally developed to report violence after the 2008 elections in Kenya. The program has now spread widely and is used in very different contexts such as election monitoring, reporting of corrupt behavior by officials, or tracking the stockouts of essential medicines in Eastern Africa.

In Haiti it is used to track emergencies, threats, and logistics. Open Street Map is a map database that collects aerial and satellite imagery to prove up-to-date maps for relief operations in Haiti. Random Hacks of Kindness is a collaboration of Microsoft, Yahoo!, Google, the World Bank, and NASA where disaster relief experts and software engineers work together on technology solutions for disaster response….” [ from: http://blogs.worldbank.org/publicsphere/node/5375 ]

Video: http://info.worldbank.org/etools/docs/voddocs/1138/2493/hi.htm

B-SPAN

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Event Title	:	Developers for Development
Date	:	2010-03-03
Duration	:	1 h 58 minutes
Language	:	English
Country/Region	:	World

Presenter	:	Heather Blanchard Michele de Nevers Ronald Eguchi Schuyler Erie Francis Ghesquiere Stuart Gill Ory Okolloh Patrick Svenburg Aleem Walji Edith Wilson

Thx Cisco for this.

Merge Healthcare Solutions Foster Interoperability RT@HL7Tools

Tue, 02 Mar 2010 09:34:43 +0100

Health care providers are becoming well versed in the language of information technology. Concepts like health information exchange (HIE) are widely understood and adopted as health records must be shared across and among organizations. Another term, "interoperability," is also moving from the IT glossary to medical usage.

"Interoperability is really a tool, solution or method of resolving a problem," said Toni Skokovic, VP Product Management, Merge Healthcare, OEM Division. "It is really about driving an efficient health care system --from a cost perspective-- where money spent on health care delivery by and large is utilized on the care delivery itself.... Another aspect is enabling a more effective health care system in that all of the decisions that are made over the course of care delivery are done on the basis of having full access to all of the information available about the patient."

When everything is clicking along, any health care provider could access patient history, medications, test results, medical images, etc. on any device including a smart phone. Whether it's a family doctor, specialist, or post-operative care giver, everyone would be on the same (electronic) page.

"For us to think about interoperability, we take as broad of a data scope as possible of the full information domain around a patient. When we talk about information we are talking about anything from initial encounter records about initial complaint, to laboratory results, to diagnostic images and results, pathology images and results, to any sort of cardiac assessment analysis. Combining all that together to complete the picture of the patient's particular situation or a continued history, which is extremely important for chronic condition [management]," Skokovic said.

The reason this degree of medical intelligence is possible today, is because several data standards have become widely accepted, allowing information sharing of software products from many companies. Two of these standards are DICOM for medical imaging and HL7 for patient record data.

"A lesson learned from the financial and insurance industries and all the commercial domains that have fully embraced information technology is that proprietary formats and integrations lead to very expensive migrations that work to the detriment of the users. So this is where interoperability based on standards is a key element to enabling innovation in health care technology," he said. "The good news is that over the last 10 to 15 years, emergence of standards-based interfacing has progressed ...Which is a great foundation to start a practical, working, implementation of interoperability. We already have a good enough starting point for sharing what is available and that adds tremendous value."

Merge Healthcare Solutions

Merge has leveraged its roots in diagnostic imaging and invested substantially in R&D to build a service-based platform for diagnostic information exchange. The company's Cedara WebAccess™ solution delivers critical diagnostic results throughout the continuum of care in a "zero client" configuration over the web, on any device.

Customers for this software product include EMR/EHR vendors or IT integrators who enjoy letting Merge handle the technical intricacies of DICOM/HL7/XDS standards.

"WebAccess is a web application that does all of its image processing and communication on the back end, which makes it amenable to any number of implementation scenarios including hosted, mobile phone implementations, anything that is browser based; and we're looking forward to trying it out on Apple's new [iPad] tablet," Skokovic said.

The way it works is that image rendering, DICOM interfacing, and federation of multiple sources all take place on the server side. To see reports and images, the user needs only an Internet connection and a browser, no plug-ins, hence the term "zero client."

Merge will showcase Cedara WebAccess at HIMSS10 this week along with the rest of its portfolio.

A particular attraction for customers is Merge's philosophy of working with existing systems to bring customers along in advancing their health information technology.

"Where we at Merge feel we make a big difference compared to other vendors is we can go in and say 'Leave everything as is.' We will just connect it and enable the access as a portal with their existing portal across the enterprise and provide them a better integrated workflow for the system that they have," Skokovic said. "So from that perspective we believe that there is enough in maturity and experience with standards-based interoperability to make this happen without causing any pain, but rather removing a layer of pain away from health care enterprises and allowing them focus on patient care."

Medical free/libre Open Source Software

Mon, 22 Feb 2010 22:27:27 +0100

Click on the 'Application Type' or 'Enterprise Function' to show all projects that are related to it [see right navigation pane "Project Explorer"].
In case you want to narrow your search results by listing only projects that are related to multiple enterprise functions or/and application types, use the "Category Browser" [see right navigation pane directly under "Project Explorer"].
To view all details of a certain project, just click on its title. Certain attributes of a project link to separate pages that contain additional information (e.g. publications, professional service providers, licenses, standards, distros, etc.). Make sure that you do not miss these either.
Giving up?! Better give the "Search/Advanced search" function a last try as all projects (description, details, etc.) are completely indexed [see top of left navigation pane].

MOCA - @ciscogii

Sat, 20 Feb 2010 20:39:04 +0100

Mission

Our mission is to revolutionize healthcare delivery in remote areas through innovative mobile information services that improve patient access to medical specialists for faster, high quality, and more cost effective diagnosis and intervention.

Based on the work and contributions of students, volunteers, partner organizations, and sponsors, Moca offers an open source data collection and collaboration platforms for clinical research and best practice health care delivery for underserved rural populations.

The Problem

One of the largest problems facing the developing world is a lack of trained physicians. While there is not a shortage of untrained or semi-trained workforce, many health workers in many developing nations are not able to dispense adequate care due to a lack of expertise.

Issues in delivering affordable and effective health care in developing countries include: lack of skilled or semi-skilled health care workers for accurate screening and referral; lack of a permanent and portable record of a patient's medical history; lack of medical diagnostic devices; poor supply chains for replacing medical equipment; poor treatment compliance; slow rates of information flow; and lack of quality auditing to identify bottlenecks and quantify health care improvements.

NGOs and social entrepreneurs are starting to build their own models to solve different types of medical challenges all over the developing world using the power of mobile solutions. Our system provides an instant infrastructure to capture media and patient information using whatever method is appropriate to the locale, and send it to a centralized server with sophisticated workflow management and diagnosis software. The system is turnkey, allowing for easy integration with existing systems. In addition, it is completely customizable for any organization.

Our Solution

Moca, is a student organization based at the Massachusetts Institute of Technology (NextLab, Center for Transpotation and Logistics, Engineering Systems Division) that offers an end-to-end system that seamlessly connects health workers to medical professionals. In addition, the group assists its partner organization with implementation through collaborative innovation. The team consists of volunteers with diverse background – medicine, computer science, clinical informatics, health policy, social sciences, and business and operations management. It strongly believes that there is a need to bring together experts from various disciplines in order to design an operating system around the delivery of care that is facilitated by mobile technology. The technology is a crucial but is not the sole component of the solution. It is the centerpiece of a learning system that is designed not only to improve clinical outcomes, but the health delivery process itself.

Why Moca?

Moca recognizes that using mobile technologies for telehealth in developing nations requires dealing with many standards, different networks and local challenges ranging from intermittent connectivity and cultural differences. Our system provides an instant end-to-end infrastructure for media-centric remote decision support by experts . Packetization, a synchronization model, and multi-modal data transport allow Moca to operate even in poor cellular coverage areas. While the system is mobile-centric, it is designed to provide alternatives such as WiFi and tethered uploads for bandwidth-constrained situations.

Moca also realizes that few instantiations of remote medical diagnostics are the same. Unlike hodge-podge solutions, Moca is highly customizable, allowing organizations to design their own applications. These applications can be dynamically loaded onto phones running Moca, and they can be shared between other organizations.

We understand that user interface is extremely important, that's why the Moca interface has been laboriously engineered for ease-of-use and clarity. By leveraging Google Android's API, Moca offers a highly usable and inviting interface.

Another reason to use Moca is because of its commitment to Open Source. The Moca platform is released under the GNU GPL, allowing people to extend, improve, and tweak the system as they choose. We feel that the best way to innovate is through open innovation, allowing organizations, universities, and companies to contribute to Moca.

Moca Demo - Mexico from nextlab on Vimeo.

Moca Lien i3 video from nextlab on Vimeo.

Health 2.0 - Salud 2.0: categorización

Carlos Luis Sánchez Bocanegra — Sun, 20 Dec 2009 13:46:03 +0100

Health 2.0- Salud 2.0: categorización

Me gustaría escuchar comentarios respecto a: a) inadecuación de los 8 bloques; b) mala asignación de alguna iniciativa a un bloque concreto; y c) olvido de alguna iniciativa (hay algunas conscientes: blogs, grupos de Facebook, MeetUp, etc.):

1. COMUNIDADES DE PACIENTES PARA PACIENTES (Communities for patients by patients)

PatientsLikeMe
ACOR
Grupos de Facebook: Gripe A - Ante todo mucha calma
Grupos de Meetup: Autism
SugarStats
DiabetesMine
Estudiabetes.com
Daily Strength
Cure Together
Inspire
Disaboom
Healia
Face2Face Health
MDJunction
PeoplesMD
Hope Cube
Wego Health
My Health Experience
MyCancerPlace
CarePages
Wiser Pregnancy

2. COMUNIDADES DE PROFESIONALES PARA PROFESIONALES (Communities for professionals by professionals)

Sermo
Esanum
Within3
Doc2Doc
5MinuteMD
Medbook
Doctrs
MedicSpeak
SocialMD
Ozmosis
Doctor Networking
Asklepios
NurseLinkUp
MyMedPort
DoctorsHangout
Medical Education Evolution
Medicalia
NewDocs
DoctorsNetUk
iMedExchange
NurseConnect
Cuidatel
PeSCA

3. UTILIDADES PARA PROFESIONALES (médicos, enfermería, investigadores) (Tools for professionals (physicians, nurses, researchers))

Medting
Connotea
Citeulike
GoPubMed
Mendeley
Winking Skull
QuizMD
MedicoOnNet
Galenicom
myPACS
CiteMD
Practice Fusion

4. UTILIDADES PARA PACIENTES (Tools for patients)

PHR (Personal Health Record)
Keyose
Microsoft HealthVault
Google Health
Dossia

Monitorización y seguimiento
change:healthcare
HealthierMee
TrialX
Anoigma
My Family Health
iGuard
Double Check MD
Bloodr
Report My Health
Keas
NHS HealthSpace
PersonalMD
MyOpenCare
ItRunsInMyFamily

Buscador de profesionales
ZocDoc
Find A Doc
ReachMyDoctor
CitasOnNet
Masquemedicos
Doctoralia
abcmedico

Expense Tracker
Quicken Health

Clinical Trials
Healogica

5. REDES DE SALUD (Healthcare Networks)

Revolution Health
EverydayHEALTH
Wellsphere
vi.vu
Onsalus
CarePilot
MyDiabetes
MedHelp
RelateNow
iMedix
AccessDNA
MedHelp

6. ONLINE CARE

HelloHealth
American Well
Current Health
Healthcare Magic
RelayHealth
3G Doctor
SwiftMD
MD Live Care

7. FUENTES DE INFORMACIÓN SOBRE SALUD (Healthcare Information Sources)

Wikipedia
Medpedia
WebMD
Health Central
HealthTuber
EyeTube
YouMedic
Medgle
ICYou
CheckMD
Right Health
Organized Wisdom
Amniota
Health Communities
Search Medica
Google Flu Trends
HealthMap
ForumClinic
Salupedia
MyDynamicHealth
QNA Health
Healthline
Healthwise
HealthMash
Who Is Sick?
OnMedica
MedWorn
WebHealth
ganfyd
dLife
Tu otro médico

8. TRANSPARENCIA DE INFORMACIÓN / RANKINGS (Information Transparency / Ranking)

Sobre instituciones (On institutions)
PatientOpinion
NHS Choices
Rate My Hospital
The Healthcare Scoop
Hospital Food
HealthNet
MyHealthCareOptions

Sobre profesionales (On professionals)
RateMDs
Vitals
YourCity.MD
MyDocHub
IWantGreatCare

Sobre costes (On costs)
Healthcare.com
Healthcare Shopper
New Choice Health
Healthcare Blue Book
Ventana
My Health and Money
Seguropia

Sobre ideas (On ideas)
My Health Innovation
SaludInnova
Plataforma “Ideas para la Sanidad Pública”

Sobre medicamentos (On drugs)
Rate A Drug