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<h1 class="title">GNU Health (HPR Show 2093)</h1>
<h2 class="author">Dave Morriss</h2>
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<h1>Table of Contents</h1>
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<ul>
<li><a href="#introduction">Introduction</a></li>
<li><a href="#equipment">Equipment</a><ul>
<li><a href="#pi-tower">Pi Tower</a></li>
<li><a href="#intel-nuc">Intel NUC</a></li>
</ul></li>
<li><a href="#software">Software</a><ul>
<li><a href="#virtual-machines">Virtual Machines</a></li>
<li><a href="#raspberry-pis">Raspberry Pis</a></li>
<li><a href="#screen-images">Screen Images</a></li>
</ul></li>
<li><a href="#thanks">Thanks</a></li>
<li><a href="#links">Links</a></li>
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<h2 id="introduction">Introduction</h2>
<p>This is an interview with Dr Tom Kane and his student Euan Livingstone in Toms office at Edinburgh Napier University (ENU) on 2016-07-06.</p>
<p>Tom and Euan are investigating ways of running <a href="http://health.gnu.org/" title="GNU Health">GNU Health</a> for evaluation and demonstration purposes, using multiple Raspberry Pi systems and an Intel NUC. In particular they want to evaluate the conformity of interoperability (<a href="https://en.wikipedia.org/wiki/Fast_Healthcare_Interoperability_Resources" title="FHIR">FHIR</a>) standards, and are trying to build a reference implementation for decision makers who are procuring a Health and Hospital Information System.</p>
<p>In the interview Tom used some terminology that I have provided links for here and at the end:</p>
<ul>
<li><em>LIMS</em>: <a href="https://en.wikipedia.org/wiki/Laboratory_information_management_system" title="LIMS">Laboratory Information Management System</a></li>
<li><em>PACS</em>: <a href="https://en.wikipedia.org/wiki/Picture_archiving_and_communication_system" title="PACS">Picture Archiving and Communication System</a></li>
<li><em>FHIR</em>: <a href="https://en.wikipedia.org/wiki/Fast_Healthcare_Interoperability_Resources" title="FHIR">Fast Healthcare Interoperability Resources</a></li>
</ul>
<p>I had forgotten where Id seen Luis Falcón, originator of GNU Health, being interviewed. It was on <a href="https://twit.tv/shows/floss-weekly/episodes/288" title="FLOSS Weekly">FLOSS Weekly</a>, as linked below.</p>
<h2 id="equipment">Equipment</h2>
<h3 id="pi-tower">Pi Tower</h3>
<p>The Raspberry Pis are able to run GNU Health itself.</p>
<p>The Raspberry Pi 3s are not all in use all of the time yet. This is partly because the project is still in the development stage and partly because there is some doubt about the 10-port hubs ability to power them all at the same time.</p>
<p>The Pis are all using Ethernet connections at the moment, though the built-in Wi-Fi is a possibility.</p>
<p>The topmost Pi is connected to a small SSD for storage purposes.</p>
<p><img src="hpr2093_img_00.png" alt="Tower of Pi" /><br />
<em>1. The tower of ten Raspberry Pi 3 systems</em></p>
<p><img src="hpr2093_img_01.png" alt="Tower of Pi with hub" /><br />
<em>2. The tower of ten Raspberry Pi 3 systems with the 10-port hub</em></p>
<p>Some of the Pis are mounted on case tops which had to be drilled out for the nylon stand-offs fixed to the boards. The original metal stand-offs had screws top and bottom, but removal of the screw heads allowed them to be joined together.</p>
<p><img src="hpr2093_img_02.png" alt="Using individual cases to make the tower" /><br />
<em>3. The tower made from modified individual cases</em></p>
<p><img src="hpr2093_img_03.png" alt="Close-up of the tower" /><br />
<em>4. Close-up of the tower</em></p>
<p><img src="hpr2093_img_04.png" alt="The 10-port hub" /><br />
<em>5. The 10-port hub may be a little under-powered for 10 Pi 3s</em></p>
<h3 id="intel-nuc">Intel NUC</h3>
<p>The NUC is used to run VMWare VMs running some of the support systems like a database, and the PACS image library. Further details below of what is is being run.</p>
<p><img src="hpr2093_img_05.png" alt="Intel NUC" /><br />
<em>6. An Intel NUC with an i7 processor, 16GB RAM and an SSD</em></p>
<h2 id="software">Software</h2>
<p>The NUC is being used to run virtual machines for setting up components needed to support GNU Health, like PostgreSQL, a PACS server and a LIMS server. Some of these have already been migrated to Raspberry Pis as shown below.</p>
<h3 id="virtual-machines">Virtual Machines</h3>
<ul>
<li>4 x GNU Health application running on the Tryton Server, installed on Ubuntu 16</li>
<li>1 x Shared database on a PostgreSQL Server, installed on Ubuntu 16</li>
<li>1 x Orthanc PACS Server, installed on Ubuntu 16</li>
<li>1 x BikaLIMS LIMS Server, installed on Ubuntu 16</li>
</ul>
<h3 id="raspberry-pis">Raspberry Pis</h3>
<ul>
<li>4 x GNU Health application running on the Tryton Server, installed on Raspbian</li>
<li>1 x GNU Health application running on the Tryton Server and a database on a PostgreSQL Server, installed on Raspbian</li>
<li>1 x OrthancPi PACS Server, installed on Raspbian</li>
</ul>
<h3 id="screen-images">Screen Images</h3>
<p><img src="hpr2093_img_06.png" alt="GNU Health Web Interface" /><br />
<em>1. GNU Health Web Interface</em></p>
<p><img src="hpr2093_img_07.png" alt="Laboratory Information Management System" /><br />
<em>2. Laboratory Information Management System</em></p>
<p><img src="hpr2093_img_08.png" alt="Orthanc DICOM server for medical imaging" /><br />
<em>3. Orthanc DICOM server for medical imaging</em></p>
<p><img src="hpr2093_img_09.png" alt="Orthanc Web Viewer example image" /><br />
<em>4. Orthanc Web Viewer example image</em></p>
<h2 id="thanks">Thanks</h2>
<p>Thanks to Tom and Euan for taking the time to talk to me.</p>
<h2 id="links">Links</h2>
<ul>
<li><em>GNU Health</em> website: <a href="http://health.gnu.org/" class="uri">http://health.gnu.org/</a></li>
<li><em>GNU Health</em> Wikipedia page: <a href="https://en.wikipedia.org/wiki/GNU_Health" class="uri">https://en.wikipedia.org/wiki/GNU_Health</a></li>
<li><em>Tryton</em> application platform: <a href="http://www.tryton.org/" class="uri">http://www.tryton.org/</a></li>
<li>Luis Falcón, MD:
<ul>
<li>On Twitter (<span class="citation" data-cites="meanmicio">@meanmicio</span>): <a href="https://twitter.com/meanmicio" class="uri">https://twitter.com/meanmicio</a></li>
<li>On the web: <a href="http://www.meanmicio.org/" class="uri">http://www.meanmicio.org/</a></li>
</ul></li>
<li>Wikipedia page for <em>SAP SE</em>: <a href="https://en.wikipedia.org/wiki/SAP_SE" class="uri">https://en.wikipedia.org/wiki/SAP_SE</a></li>
<li><em>LIMS</em> (Laboratory Information Management System):
<ul>
<li>Wikipedia page : <a href="https://en.wikipedia.org/wiki/Laboratory_information_management_system" class="uri">https://en.wikipedia.org/wiki/Laboratory_information_management_system</a></li>
<li><em>BIKA</em> LIMS: <a href="http://www.bikalabs.org/" class="uri">http://www.bikalabs.org/</a></li>
</ul></li>
<li><em>PACS</em> (Picture Archiving and Communication System):
<ul>
<li>Wikipedia page: <a href="https://en.wikipedia.org/wiki/Picture_archiving_and_communication_system" class="uri">https://en.wikipedia.org/wiki/Picture_archiving_and_communication_system</a></li>
<li><em>DICOM</em> (Digital Imaging and Communications in Medicine):
<ul>
<li>Wikipedia page: <a href="https://en.wikipedia.org/wiki/DICOM" class="uri">https://en.wikipedia.org/wiki/DICOM</a></li>
<li><em>Orthanc</em> DICOM server: <a href="http://www.orthanc-server.com/" class="uri">http://www.orthanc-server.com/</a></li>
</ul></li>
</ul></li>
<li>Wikipedia page on <em>Fast Healthcare Interoperability Resources</em>: <a href="https://en.wikipedia.org/wiki/Fast_Healthcare_Interoperability_Resources" class="uri">https://en.wikipedia.org/wiki/Fast_Healthcare_Interoperability_Resources</a></li>
<li>FLOSS WEEKLY episode 288 “<em>GNU Health</em>”: <a href="https://twit.tv/shows/floss-weekly/episodes/288" class="uri">https://twit.tv/shows/floss-weekly/episodes/288</a></li>
<li>Jamaica Ministry of Health:
<ul>
<li>From opensource.com “<em>Jamaica adopts GNU Health</em>”: <a href="https://opensource.com/health/13/11/jamaica-adopts-gnu-health" class="uri">https://opensource.com/health/13/11/jamaica-adopts-gnu-health</a></li>
<li>Ministry of Health Jamaica, Health Informatics: <a href="http://moh.gov.jm/divisions-agencies/divisions/technical-services-division/health-informatics/" class="uri">http://moh.gov.jm/divisions-agencies/divisions/technical-services-division/health-informatics/</a></li>
</ul></li>
<li>Nelson Mandela Childrens Hospital:
<ul>
<li>Website: <a href="http://www.nelsonmandelachildrenshospital.org/" class="uri">http://www.nelsonmandelachildrenshospital.org/</a></li>
<li>Bongi Mkhabela, CEO NMCH Trust: <a href="http://whoswho.co.za/sibongile-mkhabela-1939" class="uri">http://whoswho.co.za/sibongile-mkhabela-1939</a></li>
</ul></li>
<li>Wikipedia page on the <em>Intel NUC</em> (Next Unit of Computing): <a href="https://en.wikipedia.org/wiki/Next_Unit_of_Computing" class="uri">https://en.wikipedia.org/wiki/Next_Unit_of_Computing</a></li>
<li>Dr Tom Kane, Edinburgh Napier University: <a href="http://www.iidi.napier.ac.uk/c/people/peopleid/13383286" class="uri">http://www.iidi.napier.ac.uk/c/people/peopleid/13383286</a></li>
<li>Euan Livingstone (<span class="citation" data-cites="euanlivingstone">@euanlivingstone</span>): <a href="https://twitter.com/euanlivingstone" class="uri">https://twitter.com/euanlivingstone</a></li>
</ul>
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