Moca, an organization I helped start, achieved an important milestone in releasing its source code to the public.
Telemedicine in the
Making: Moca Source Code Released
Moca, an MIT-based student organization, is pleased to
announce the official release of the Moca source code, a set of foundational
building blocks for telemedicine applications. This solution allows healthcare
workers to digitally capture patient information using Google Android-based
smartphones and transmit files via the cellular network to solicit feedback
from urban-area specialists. Fully integrated into the OpenMRS electronic
medical record system platform, the release of the Moca source code represents
an important contribution to the nascent health care open source movement.
The components of the Moca end-to-end solution are now
available for download by the public on the Moca website (www.mocamobile.org)
and include:
Google Android Client
Application: The interface with which a health care worker can document
patient information and upload the medical data to OpenMRS. This application
permits users to document information through text, images, and GPS location.
Any user is welcome to demo the application on their own Android smartphone and
upload their patient case to Moca's OpenMRS server for viewing.
Moca Dispatch Server: The
intermediary layer between Moca's Android client and the Electronic Medical
Record (EMR) system. The Moca Dispatch Server also provides flexibility to
extend Moca to other cell phone platform devices and medical record system
back-ends.
OpenMRS Moca Module: An
OpenMRS plug-in that allows urban-area specialists to receive patient cases
uploaded from the smartphone to the Moca Dispatch Server. The Moca Module
creates a queue of patient cases in need of review and allows for SMS or e-mail
messaging for specialists to send further instructions to healthcare workers.
OpenMRS Flash Media Viewer
Module: Moca's open source contribution to the OpenMRS platform. The Media
Viewer allows healthcare providers to view and manipulate patient images with
contrast, zoom, brightness, and sharpness, in addition to playing audio and
video media files. The Media Viewer is modular in design and can be used
outside of Moca's remote medical diagnostics applications.
Documentation:
Step-by-step instructions on how to demo the system and setup a development
environment.
Sample Questionnaires:
The application includes disease-targeted patient assessment questionnaires
developed by ClickDiagnostics in collaboration with a network of doctors
through extensive pilots in Africa and Asia. These assessment questionnaires
showcase the potential impact of Moca for field health professionals.
The Moca team approaches this project mindful that a strong
telemedicine solution needs to be made publically available and customizable.
The Moca client application was written for the Google Android operating system,
an open source operating system for smartphones, and is hardware agnostic to
allow for flexible adoption and compatibility with current technological
infrastructures.
The Moca team encourages health organizations to work with
this platform and to customize the solution for their own development projects.
As IT integrations into healthcare present immense challenges such as workflow
re-design and worker acceptance, Moca provides assistance for deployment
implementation and assessment. Developers are encouraged to contact Moca at questions@mocamobile.org to discuss
potential collaborations. Technical questions about the software can be
directed to the online forum: moca-users@googlegroups.com.
The team is currently in discussion to deploy the Moca
solution in the Philippines, U.S., India, and Mexico. Future plans for the
solution include the creation of an improved customization platform and the
expansion of data input functionality to include video and audio. Moca also
hopes to expand compatibility with plug-in medical devices for ultrasound and
electrocardiographic review.
The release of the source code represents a major milestone
in Moca's development. Moca began as a NextLab
student project at MIT, and has since grown to a group within MIT's Center for
Transportation and Logistics. Group members include student volunteers from
MIT, HarvardSchool of Public Health and Harvard Business School. Further, the
maturity of the current source code was made possible through the advisory of
field experts from a wide array of partners, both commercial corporations and
NGOs.
To contact the Moca team, please write to questions@mocamobile.org.
Moca would like to acknowledge Asia Pacific College,
ClickDiagnostics, Dimagi, Google SOC, IEEE, MIT Corporate Relations, MIT
Industrial Liaison Program, MIT Public Service Center, National Telehealth
Center of the University of the Philippines, Nokia, OpenMRS, Partners in
Health, Regenstreif Institute & Telmex for their support.
Moca Mission Statement:
To revolutionize healthcare delivery in remote areas through
innovative mobile information services that improve patient access to medical
specialists for faster, higher quality, and more cost-effective diagnosis and
intervention.
Based on the work and contributions of students, volunteers,
partner organizations, and sponsors, to build and be recognized as a leading
open source data collection and collaboration platforms for clinical research
and best practice health care delivery for the underserved.
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