Medi-SIM Medical Tools and Applications using SIM cards

1. Medi-SIMMedical Tools and Applications using SIM cards Michael Gordon and Luis F. G. Sarmenta, Ph.D. (mgordon@mit.edu, lfgs@mit.edu) Massachusetts Institute of Technology Gemalto SIMagine 2008 Final Presentation Mobile World Congress Barcelona, Spain, February 2008

2. Why Medi-SIM? New Opportunities • help improve people’s health  even save lives! • bring true value to consumers

3. Our Goal: Build platforms for mobile health applications  achieve this kind of impact in more places around the world An Inspiring Example Reported July 20, 2007 by Balancing Act, Africa, issue 364 • 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

4. Mobile Health Applications • Tools for Health Workers • Mobile Medical Records • Public Health Data Collection and Surveillance • Personal Health Care and Education

5. 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

6. 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

7. 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

8. 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.

9. How Medi-SIM works Baby NutritionMonitoring Medical Records + Surveillance Electronic Baby Book Personal Health Records WHO IMCI MedicalProtocol Personal Health Guide Health Education Other Apps … XML Our Compiler Java SIM Toolkit SCWS SIMToolkit + NFC J2ME Gemalto Developer Suite Old or Low-end More capable phones

10. 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

11. 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

12. 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

13. WHO IMCI

14. 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

15. 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

16. Smart Card Web Server (SCWS) • Automatic code generation XML  our compiler  SCWS • Supports images and media

17. 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

18. 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.

19. 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

20. 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)