GNUmed 0.9.0 released

Hello all,

I am glad to be able to announce the immediate availability
of the GNUmed 0.9.0 Feature Release.


Downloads available from:

http://www.gnumed.de/downloads/client/0.9/
http://www.gnumed.de/downloads/server/v15/


Client installation:

Easily installable packages for your platform of choice
will be available shortly.

Meanwhile you can run the client from a downloaded tarball
or use the net based client installer:

http://www.gnumed.de/downloads/client/gm-install_client_locally.sh

which you need to download, make executable, and run.

More information available here:

http://wiki.gnumed.de/bin/view/Gnumed/InstallerGuideHomeShort


Database installation / upgrade:

Note that this release, as usual, DOES require a database
upgrade from v14 to v15 if you already have a database and
wish to retain the patient data you documented therein. For
uprading you can use the script provided in the tarball:

.../server/bootstrap/upgrade-db.sh 14 15

Alternatively, you can use the network upgrader:

http://www.gnumed.de/downloads/server/net_upgrade-gnumed_server.sh

which you need to download, make executable and run.

If you wish to install a fresh database (without upgrading
an existing one) you can use the install script:

.../server/bootstrap/bootstrap-latest.sh

or, again, the network based installer:

http://www.gnumed.de/downloads/server/net_install-gnumed_server.sh

Note that both ways WILL DELETE existing databases !

More information on installation or upgrading is found here:

http://wiki.gnumed.de/bin/view/Gnumed/ServerInstall
http://wiki.gnumed.de/bin/view/Gnumed/ServerUpgrade


Changelog:

0.9.0

NEW: use much enhanced, file-based FreeDiams API
NEW: support primary provider on patients along with configurable fallback
NEW: support array of contextual FKs per inbox message
NEW: support dicomscope as DICOM viewer
NEW: support summary field on health issues and episodes
NEW: translate database strings from within client and contribute translations
NEW: simplistic coding systems browser
NEW: cloning of workplaces
NEW: hook "post_person_creation"
NEW: placeholder: "emr_journal::soap//%(narrative)s//255//tex::9999"
NEW: LaTeX template: chronological EMR journal
NEW: placeholder: "free_text::tex//::9999"
NEW: LaTeX template: generic free-text medical statement (English and German)
NEW: full manual management of substances/drug components/branded drugs
NEW: implement our own date picker
NEW: implement searchable tags with image/name/comment on patients
NEW: Greek translation
NEW: log failed gm-dbo database access in database during restricted procedures
NEW: change gm-dbo password from client
NEW: implement leaving a message for oneself/other providers
NEW: Gulich Score on GABHS in sore throat
NEW: implement generic method for downloading data packs
NEW: placeholder: "soap_for_encounters::soap//::9999"
NEW: make client font configurable

IMPROVED: link test results directly to requests for them
IMPROVED: much better EMR tree root node tooltip
IMPROVED: improved adding of vaccinations
IMPROVED: now listing episodes/health issues at time of creation in EMR journal
IMPROVED: Boesner score now has internationally usable name: "Marburg CHD score"
IMPROVED: much better integration of visual progress notes
IMPROVED: procedures now support a duration and an "ongoing" state
IMPROVED: adjust to modified API of MMI/Gelbe Liste
IMPROVED: master data management interface
IMPROVED: fix "Current Substance Intake" edit area usability glitches (schedule, substance, preparation)
IMPROVED: much saner "deletion of substance intake entry" workflow
IMPROVED: logically cleaner substance intake handling
IMPROVED: find gm-print_doc in git tree, too
IMPROVED: relax URL sanity checks since Web 2.0 confuses all but the most sophisticated browsers
IMPROVED: default server profile names in gnumed.conf example
IMPROVED: alpha-sort list of master data lists as per mailing list
IMPROVED: external patient sources now generically import external IDs/comm channels/addresses
IMPROVED: fix detection of existing patient when loading from external source
IMPROVED: workplace plugin configuration using item picker
IMPROVED: in phrasewheel support dynamic part of tooltip based on selected item data
IMPROVED: location PRW in procedure EA: re-use hospitals from hospital stays
IMPROVED: support arriba 2.2.2 and its new file-based API
IMPROVED: substance intake grid: display unapproved by default
IMPROVED: default temporary directory now /tmp/gnumed/gm-/ per GNUmed instance
IMPROVED: menu structure creation such that accelerator keys work more reliably
IMPROVED: EMR tree can now display selective chronological journal on issues and episodes
IMPROVED: existing translations
IMPROVED: make showing audit trail a restricted procedure
IMPROVED: enable exporting of in-database form template
IMPROVED: show RFE/AOE in "recent notes" display in SOAP plugin
IMPROVED: much saner workflow when creating allergy entry from substance intake
IMPROVED: configurably auto-open editors for all open, recently worked-on problems when activating a patient
IMPROVED: SOAP plugin: [Save under] saves notelet under selectable rather than current encounter
IMPROVED: enable moving documents between encounters, mainly useful for visual progress notes
IMPROVED: do not at all use wx.DatePickerCtrl as it breaks on some locales (en_IN) [thanks vbanait]
IMPROVED: management of configuration items


Please download, install, and report problems !

Thanks,
Karsten

How to contribute templates

We have started a Wiki page to support sharing templates you have created for GNUmed (all kinds of reports, letters, medication lists etc.)

http://wiki.gnumed.de/bin/view/Gnumed/TemplateRepository

Please send your template via e-mail to gnumed-devel@gnuremoveme.org. We will then have a look, check it in our systems and upload it. You might attach it (see Attach at the bottom) here as well.

Please provide:

filename: e.g. medication_list.tex
description: e.g. a list of past and prestent medications taken by the patient
version: e.g. 0.1 please increase the version when you update the template
date: when was it you created the template
targeted GNUmed version: e.g. 0.8.x
license: GPL , FDL or anything you would like
source: either your name or 'VCS' when it gets incorporated into the main GNUmed repository

We hope to have a lot of templates up for download soon.

GNUmed - job openings

This is not meant to be overly serious. However below is a bit of information what it would take to develop GNUmed from scratch. I encourage everyone to apply for one of these jobs. You will be reimbursed by the respect from your peers and the cosy feeling of having done the right thing.


GNUmed public relations manager

It will be your job to handle all kinds of communication with interested parties such as media, users, developers and either respond yourself or forward the issue to one or more people on the team that might handle the issue more profound. Furthermore it will be your job to research document and shape if neccessary the GNUmed project's visibility in media , search engines and user/developer communities. When new releases are made it part of the job to forward information or press releases to interested parties and parties that might have interest.


GNUmed wiki manager

It will be your job to document important information from all kinds of sources (e.g. design discussions on the mailing-list). You will be responsible for updating content as the need arises (e.g. new GNUmed release). It will be part of the job to work with the public relations manager and the IT-system administrator to keep the Wiki running and secure. This includes monitoring security related announcements. Furthermore it will be your job to initiate and work on improvements to the content and usability of the Wiki with regards to GNUmed users and developers.


GNUmed system admin

It will be your job to keep the infrastructure such as webserver, buildserver running. You will be responsible for security related issues and it is expected of you to initiate, plan and execute inprovements to the infrastructure.


GNUmed release manager

It will be your job to communicate with all parties regarding new releases of the GNUmed software. You will working with the PR manager and the system admin. It is your responsibility to ensure the availability of packages for all major platforms. You will be responsible for the creation and availability of demo media such as Live-CD, VMware images.


GNUmed webinterface developer

It will be your job to work with all other developers to develop a webbased interface for GNUmed. Preferred technologies are python based frameworks and a modern UI framework (e.g. AJAX, HTML5, no Flash). It is exprected that you have very good skills in python, Javascript, webframeworks or are willing to invest significant time into learning those skills in a reasonable timeframe. You will work with the interface designer to develop and deploy an interface that fits a physician's workflow.


GNUmed medical user interface designer

It will be your job to design medical user interfaces (web, fat client) that fits physician's workflow. You are expected to communicate with all developers including the webinterface developer and the core developers. You should have at least basic knowledge in python. It is expected of you that you have good skills or are willing to learn interface design and that you keep in mind industry standards.


GNUmed application developers

It will be your job to research , develop and deploy the GNUmed application. You will be responsible for creating , documenting and maintaining a solid database backend based on proved database technology (e.g. PostgreSQL). You will be writing code to abstract the user interface from the backend. It is essential for senior application developers to have excellent python, wxpython, SQL skills and a track record of active communication with all team members.


GNUmed application documentation manager

It will be your job to work with the developers and testing specialists to establish and keep up to date all programming information, guidelines, manuals. You will be working with users to find out what information is missing and you will be responsible for creating missing content. You will be responsible for setting up


GNUmed application testing specialist

It will be your job to establish a toolchain and testbed for continous testing of all aspects of the GNUmed application. You will be responsible for creating test routines and working with developers to turn test results into a better application.


GNUmed application support specialist

It will be your job to take care of the infrastructure to handle incoming support requests. You should furthermore have experience in triaging support requests and working with application developers and all other team members until an issue is resolved. It is part of the job to gather missing information and interact with the inquiring party until a solution has been found.

GNUmed translator

It will be your job to translate the user interface, the technical and user
manuals and the online content into a number of languages. It is part of the
job to work with users and developers to find the correct translation not only
literally but context-wise and language-specific

Ubunteros - we need you for GNUmed

Providing packages for various distributions is both challenging as well as rewarding. Many users are greatful when GNUmed is packaged for their favorite distribution. The challenge comes from the sheer number of operating systems and Linux distributions.

If you are a happy Ubuntu user and would like to support GNUmed by cooking up Ubuntu packages we would very much appreciate that. The nice thing about Ubuntu packages is that they pretty much stem from Debian packages without any change. And since Andreas Tille has continously provided high quality packages for Debian producing Ubuntu packages can be produced in about 30 minutes.

Please help out by donating 30 minutes each time a new version of GNUmed is released. Fellow Ubuntu users will be greatful. Help doctors install and update easily so they can have the best tools available to treat patients (which one day could be you)

Is there a need for a single-PC GNUmed ?

Following up on the issue of GNUmed's user interface.

In some countries the health system requires overly complex user interfaces and smart EMR and in some countries it seems to be possible to build you own EMR on OpenOffice and a Spreadsheet program.

I wonder if anyone feels that a special (reduced) version of GNUmed would make sense.

This version would
a) be non-network capable and therefore ship its own local (not systemwide) Postgresql (hidden from the user
b) get rid of server profiles in the login dialog (just one local server)
c) be Windows-only as non-systemwide installations of e.g. Postgresql on Linux and Mac is way too much work
d) have a local (non system wide) installation (hidden from the user) of Latex and pre-configured batch file for printing

I do not have the time to produce and maintain this but anyone wanting to do this can speak up.

It would be a one-time effort of 20-40hours (automate the changes) and another 2 hour effort for every GNUmed update.

salaam.homeunix.com fading out

salaam.homeunix.com was offered free of charge by dyndns. Recently there was a change where this domain name is only offered for a monthly fee.

We are currently replacing all instances which use this domain name (e.g. public database, online database schema documentation) by a new reference.

The new domain name will be publicdb.gnumed.de

This change will be effective in the Wiki immediately and in the GNUmed client starting with the next release.

Please let us know if you still find non-working references to salaam.homeunix.com

Best regards,
Sebastian

GNUmed wants you for translations

Hi all,

GNUmed 0.9 is nearing completion. This obviously will be the last major version before a 1.0 release. Generally 1.0 is seen as a stable release and creates all the media buzz.

Apart from the feature set I would really like to see a good set of translations. So if you have a few minutes to spare please consider translation a string or two into you mother tongue.

Head over to
https://translations.launchpad.net/gnumed/trunk/+pots/gnumed

and help out by giving GNUmed an interface in your language.

Much to my surprise Italian translation is about 85% complete. Thanks for that and thanks to all who have contributed to date.

Best regards,
Sebastian Hilbert

GNUmed 0.9 call for testing

We are nearing feature completion for GNUmed 0.9. Only minor
enhancements / fixes are planned to be added for this
release.

The current Git master at gitorious.org is fit for testing.
Downloading the "master" branch as a tarball, unpacking, and
running ./gm-from-vcs.sh from that should work. Note that
you need a properly upgraded database.

Please test, test more, test again, and report problems.

Karsten



Here is the preliminary changelog:

0.9.0

NEW: use much enhanced, file-based FreeDiams API
NEW: support primary provider on patients along with configurable fallback
NEW: support array of contextual FKs per inbox message
NEW: support dicomscope as DICOM viewer
NEW: support summary field on health issues and episodes
NEW: translate database strings from within client and contribute translations
NEW: simplistic coding systems browser
NEW: cloning of workplaces
NEW: hook "post_person_creation"
NEW: placeholder: "emr_journal::soap//%(narrative)s//255//tex::9999"
NEW: LaTeX template: chronological EMR journal
NEW: full manual management of substances/drug components/branded drugs
NEW: implement our own date picker
NEW: implement searchable tags with image/name/comment on patients

IMPROVED: link test results directly to requests for them
IMPROVED: much better EMR tree root node tooltip
IMPROVED: improved adding of vaccinations
IMPROVED: now listing episodes/health issues at time of creation in EMR journal
IMPROVED: Boesner score now has internationally usable name: "Marburg CHD score"
IMPROVED: much better integration of visual progress notes
IMPROVED: procedures now support a duration and an "ongoing" state
IMPROVED: adjust to modified API of MMI/Gelbe Liste
IMPROVED: master data management interface
IMPROVED: fix "Current Substance Intake" edit area usability glitches
(schedule, substance, preparation)
IMPROVED: much saner "deletion of substance intake entry" workflow
IMPROVED: logically cleaner substance intake handling
IMPROVED: find gm-print_doc in git tree, too
IMPROVED: relax URL sanity checks since Web 2.0 confuses all but the most
sophisticated browsers
IMPROVED: default server profile names in gnumed.conf example
IMPROVED: alpha-sort list of master data lists as per mailing list
IMPROVED: external patient sources now generically import external IDs/comm
channels/addresses
IMPROVED: fix detection of existing patient when loading from external source
IMPROVED: workplace plugin configuration using item picker
IMPROVED: in phrasewheel support dynamic part of tooltip based on selected item
data
IMPROVED: location PRW in procedure EA: re-use hospitals from hospital stays
IMPROVED: support arriba 2.2.2 and its new file-based API
IMPROVED: substance intake grid: display unapproved by default
IMPROVED: default temporary directory now /tmp/gnumed/gm-<unique ID>/ per
GNUmed instance
IMPROVED: menu structure creation such that accelerator keys work more reliably
--
GPG key ID E4071346 @ wwwkeys.pgp.net
E167 67FD A291 2BEA 73BD 4537 78B9 A9F9 E407 1346

PostgreSQL 8.4 for GNUmed 0.9

Looks like GNUmed 0.9 will require PostgreSQL 8.4. Preliminary tests indicate that the default values including a silent installation work well with regards to letting GNUmed bootstrap a database. This pretty much means the 0.9 Windows installer can be shipped with PG 8.4.

There is no explicit support for Windows users switching from GNUmed on PG 8.3 (current default) to PG 8.4 (default from 0.9). However the usual procedure stays unchanged.

1.) Backup your databases and roles in a running PG 8.3 or start PG 8.3 on another port (e.g. 5433)
2.) Let the GNUmed-server package install PG 8.4 and the GNUmed update files for you
3.) Make sure it is started on port 5432 (default)
4.) Restore the databases and roles
5.) Upgrade your databases via the GNUmed menu item

If you have any questions don't hesitate to contact gnumed-devel@gnu.org

GNUmed in Fedora Core

Thanks to the effort by members of the Fedora medical special interest group gnumed-server is now up for review in Fedora's Bugzilla.

http://comments.gmane.org/gmane.linux.redhat.fedora.reviews/193175

If you have a Fedora system please try it and report any problems so there is a chance to get GNUmed included into Fedora proper.

Until this happens you can alway download Fedora packages prepared by the GNUmed team
via wiki.gnumed.de

GNUmed in 2010

It is this time of the year again. Let's see what GNUmed was up to in 2010.

Jan 2010 - GNUmed 0.6 was released. The big improvements were LaTeX
based letter writing and medication handling. A Live CD was
offered to the crowd.

Feb 2010 - GNUmed started to migrate from CVS to GIT version control
system. GNUmed 0.6.1 and 0.6.2 was released. FreeDiams was
first sighted but drugref 2 was evaluated first. Twitter and Identi.ca
accounts were created.

Mar 2010 - GNUmed was polished to run on Mandriva. A web interface was
discussed. More work on interaction with FreeDiams. Windows
packages were build using pyinstaller.

Apr 2010 - GNUmed 0.7.0 and 0.7.1 were released. A lot of features were added.
FreeDiams started to include more drug databases. Medication list
templates were improved.

May 2010 - GNUmed 0.7.2 and 0.7.3 were released. Invoicing software packages
were looked at. Test result plotting was announced. Lx-Office was
scripted to produce invoices from scripts.

Jun 2010 - GNUmed 0.7.5 was announced. GNUmed was successfully installed
on a Mac through MacPorts. A lengthy article appeared on how to go
about a web interface for GNUmed.

Jul 2010 - An article appeared on how to develop plugins for GNUmed. A number of
bugs were reported and fixed. The server saw another round of Wiki spam.
Pyjamas was actively evaluated for the web interface and finally a working
demo was provided.

Aug 2010 - More info on the web client surfaced. A lot of effort went into parsing Hl7
lab data.

Sep 2010 - GNUmed 0.7.9 was released and so was 0.8 to 0.8.3. Many improvents to
existing features made their way in.

Oct 2010 - GNUmed 0.8.4 was released. A few teaser scrennshots of the upcoming
version 0.9 appeared.

Nov 2010 - We were made aware of an installation in Sudan, Africa and provided
e-mail installation support. Jim greatly helped out by reporting a number of
observations from his tests. GNUmed 0.8.5 was released.

Dec 2010 - More info on GNUmed 0.9 appeared. GNUmed was updated to run on the
Mac.

During the whole year people helped translating GNUmed. The GNUmed team would like to thank everyone for the effort to further enhance the free and open source electronic medical record.

Sebastian Hilbert

Osirix XML-RPC

Found this screencast today which show how Osirix can be remote controlled through XML-RPC.



This should make it possible to do some interaction between GNUmed and Osirix. Since more and more hospitals hand Dicom CDs to doctors it might make sense to have GNUmed remote control Osirix to open and display the studies.

There even seems to be an XML-RPC test tool available at ClubPacs Western Michigan

GNUmed 0.8.5 for Mac OSX

Occasionally we have access to a Mac. Make that Mac OS 10.4 (quite dated). Turns out the work put in to make GNUmed 0.7.6 run on Mac was worth the effort. I was able to run an unaltered GNUmed 0.8.5 without any lock ups.

Expecting a user to run GNUmed from a tarball is not really state of the art. The last Mac bundle we have ships GNUmed 0.5 and does not really reflect the current feature set.

Update:
Meanwhile we have packaged GNUmed 0.8.5. Please download and report success or failure.

Another solution would be to work on the MacPorts port of GNUmed. I am not aware of any effort. Given the current state of affairs it would be safe to say that the quickest way to run GNUmed on a Mac would be to use the tarball and run this.

Any reports on success or failure are appreciated. You can use the bug tracker to send feedback.

Best regards,
GNUmed team

GNUmed server back online

Following up on the server outage we are now back up and running.

The server hardware has been replaced. No data was lost.

Go visit the GNUmed website at http://wiki.gnumed.de

Best regards,
GNUmed team

GNUmed project offline - until new server is ready

Hi all,

The server hardware (not the harddrives) died on us. The server is hosted by Hetzner which has been kind enough to plug the harddrives in a new server and provide a rescue shell. We do have all data so no harm done. Sourcecode is hosted offsite so no loss there. The wiki and some downloads are hosted on the failed server. We are working hard to restore the site on a new server.

Meanwhile:

Sourcecode is at http://gitorious.org/gnumed
Debian packages can be obtained via Debian servers
Ubuntu packages can be obtained via Ubuntu GNUmed PPA
Windows packages will be back after the server is back up

Best regards,
Sebastian Hilbert
GNUmed team

GNUmed deployment in Yei Sudan

Hi all,

Imagine my surprise when I was contacted just 4 days ago by someone who was
trying to deploy GNUmed in Yei Sudan.

This work is being done for Matthias Rossow, M.D.  and is one of your
(German) countrymen.  Matthias has done an unbelievable job putting together a
medical clinic, and is one of 3 physicians in Yei Sudan.  He has some
community health works that function nearly as physicians, and your EMR
(GNUmed) will allow him to monitor and communicate with these workers.  I
(Greg) can't take credit for the idea, but Matthias has asked me to set things
up.

It would be better for his operation to be able to function via the server so
everyone can have access.  All of the Microsoft machines are laptops.

I'm impressed with what you have developed,and am going to install it in our
office when I get back to Texas.

This person was trying to set up a server on openSUSE 11.1 and clients on
Windows laptops.

The GNUmed log files have proven very valuable.

E-Mailing back and forth for 4 days led to a working deployment. Just a few
hours before the guy installing it had to head home to Texas we received the
following message.

We have it running.  Wish you were here, I would give you a cigar. Thank you
very much for all of your assistance!!!!

Greg

Here are just a few problems they face down there:

Internet speed is 300baud per second. there is just no way to download large
files. There is just no way to connect to a webbased server hosted in some
cloud in Europe or the US.

Electricity is shut show every night and available for a few hours during
the day

I wonder what the climate does to the hardware

Sebastian

GNUmed 0.8.4 available for openSUSE and more

GNUmed 0.8.4 has been made available for openSUSE , CentOS, Fedora, Mandriva, RHEL, SLE.
Get it via openSUSE build service or from http://download.opensuse.org/repositories/home:/SebastianHilbert:/GNUmed/

Enjoy,
Sebastian

GNUmed EMR available for Ubuntu

It has taken a while but now it is out. GNUmed 0.8 series is now available as Ubuntu packages. This has been made possible by the Debian med team. GNUmed 0.8 is a major feature update of the medical record application.

Head over to our wiki at http://wiki.gnumed.de and install it.

GNUmed in Debian and Ubuntu - when software becomes critical to your health

Both Debian and Ubuntu are about to release now versions of their respective distributions. Both include GNUmed, an electronic medical record. Previous releases never really shiped a fitting candidate for people to try out. This time we opted to provide a well tested version. But it turns out that a bug was found that had the potential to cause some serious medical trouble such as allergic reactions.

At this point both distributions were frozen to be further stabilized and no updates are allowed during that period to avoid introducing new bugs. However because of the severity of the problem we asked both the Debian people and the Ubuntu people to make and exception and include a fixed version of GNUmed.

Both camps agreed that this was the best option and included an updated version of GNUmed into their software repositories. Well done.

Sebastian Hilbert, MD

Thera-Pi - Software für die Physiotherapiepraxis

Ich hatte ja schon einmal darüber berichtet. Thera-pi ist eine Open Source Software für Physiotherapiepraxen. Mehrfach wurde versucht das Projekt mittels Hackerangriffen zu stoppen. Aber nun ist es voll einsatzfähig.

Herzlichen Glückwunsch.

Schauen Sie sich Thera-Pi an unter http://www.thera-pi.org