Medi-SIMMedi-SIMMedical Tools and Applications using SIM Medical Tools and Applications using SIM

cardscards

Michael Gordon and Michael Gordon and Luis F. G. Sarmenta, Ph.D.Luis F. G. Sarmenta, Ph.D.

((mgordon@mit.edu, , lfgs@mit.edu))Massachusetts Institute of TechnologyMassachusetts Institute of Technology

Gemalto SIMagine 2008 Final PresentationGemalto SIMagine 2008 Final PresentationMobile World CongressMobile World Congress

Barcelona, Spain, February 2008Barcelona, Spain, February 2008

Why Medi-SIM?

New Opportunities

• help improve people’s health even save lives!

• bring true value to consumers

• Pesinet project in Mali and Senegal (not our work)

• Local staff transmit infants’ weights and symptoms via a Java app on their cell phones

• In Senegal, infant mortality rate fell from 120 per 1000 to 8 per 1000

• Self-financing, after installation costs covered by donors

Reported July 20, 2007 by Balancing Act, Africa, issue 364

Our Goal:

Build platforms for mobile health applications achieve this kind of impact

in more places around the world

An Inspiring Example

Mobile Health Applications

• Tools for Health Workers

• Mobile Medical Records

• Public Health Data Collection and Surveillance

• Personal Health Care and Education

Tools for Health Workers

• Help with medical calculations– growth chart– medication dosage

• Help with medical protocols– WHO Integrated

Management of Childhood Illness

• Logistical Tools– NFC ID cards– Drug Inventory Tracking

• Medical Records

photo courtesy of AHEAD Initiative

Mobile Medical Records and Data Collection

• Patient Medical Records(details from patient visits)– diagnoses, lab results– prescriptions– growth record– vaccinations– etc.

• Public Health Monitoring(stats from aggregated records)– malnutrition level– disease surveillance– vaccine adverse reaction

reporting– etc.

photo courtesy of Dimagi

Personal Health Care and Education

• Enable people themselves to monitor and learn more about their health

• Simplified Tools– simple symptom checker– baby growth chart– etc.

• Personal Health Records– personal records– lab results– medication tracking

photo courtesy of Dimagi

Medi-SIM• Enables development of

these applications using SIM cards

• SIM-based solution ensures broadest possible reach

• Enables low-end phones– important in developing world

• While taking advantage of new features where available– Gemalto’s SCWS, NFC, etc.

How Medi-SIM works

WHO IMCIMedicalProtocol

OurCompiler

SIM Toolkit

SCWS J2ME

Electronic Baby Book

Personal Health Records

SIMToolkit+ NFC

Personal Health Guide

Health Education

Old or Low-end More capable phones

Java

XML

Gemalto Developer Suite

Baby NutritionMonitoring

Medical Records + Surveillance

…Other

Apps

Medi-SIM Demos(Proofs-of-Concept)

• WHO Integrated Management of Childhood Illness (IMCI)– demonstrates mobile phone as tool for health workers– SCWS version demonstrates multimedia

• Baby Growth Chart with NFC– tool for health workers– but also demonstrates use of NFC for more accurate ID

• Personal Health Tool– personal health records example– educational tool

Using Gemalto Technologies

• SIM Toolkit– text-based interaction– works on even very old low-end phones with no J2ME– broadest reach

• NFC– use to scan ID– other possible uses (e.g.,pharmaceutical inventory

tracking)

• SCWS– multimedia interface

WHO Integrated Management of Childhood

Illness (IMCI)• Guides health workers through

the 5 leading illnesses responsible for 70% of child deaths

• Previous work (by Dr. Neal Lesh et al.) has shown PDAs can be helpful

• SIM-based IMCI originally proposed by Dr. Alvin Marcelo (Philippines) for use in his community health projects in remote rural areas

WHO IMCI

Medi-SIM Personal Applications

• Personal Electronic Baby Book– growth chart calculator and record– record other health info and notable events

• e.g., vaccinations, prescriptions, etc.

– can be used by both parents and doctors / health workers

– “Twitter for new parents”!

• Medical Guides for Patients– simplified guides and information

Near Field Communication (NFC)

• For Patient ID cards– more accurate and secure

• Tracking package tags– e.g., drug inventory and

logistics tracking

• Demo– ID scanning application

using Gemalto’s Proximera SIM

– can also use J2ME

Smart Card Web Server (SCWS)

• Automatic code generationXML our compiler SCWS

• Supports images and media

Other Possibilities

• Security– one of the main advantages of SIMs– use SIMs even when using J2ME for the GUI

• Back-end Databases, Medical Records– we are part of the OpenROSA consortium– potential to hook up with widely used systems such as OpenMRS

• Integration of Other SIMagine projects and techniques– security and privacy are very important in health applications

Marketing Appeal(for Mobile Network Operators)

• Health is an important issue to everyone

• Corporate Social Responsibility – Maybe not directly profitable– But help save lives and improve people’s health

• Consumer-oriented Services may be profitable– Mobile Personal Medical Records– Mobile accessible informative medical content– etc.

Conclusion

• Our goal is not just to create a few apps• We want to enable many apps

Future potential• Develop and field-test Medi-SIM in

partnership with health projects in developing countries

• Develop personal health care value-added services– in both developing and developed countries

Conclusion

• Our goal is not just to create a few apps

• We want to enable many apps

• Future potential– develop and field test Medi-SIM in partnership with

health projects in developing countries– develop personal health care value-added services

(in both developing and developed countries)