1. Medi-SIM Medical Tools and Applications using SIM cards Michael Gordon and Luis F. G. Sarmenta, Ph.D. (mgordon@mit.edu, lfgs@mit.edu) mgordon@mit.edulfgs@mit.edumgordon@mit.edulfgs@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. 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 364Balancing 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

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 WHO IMCI Medical Protocol Our Compiler SIM Toolkit SCWSJ2ME Electronic Baby Book Personal Health Records SIM Toolkit + NFC Personal Health Guide Health Education Old or Low-endMore capable phones Java XML Gemalto Developer Suite Baby Nutrition Monitoring Medical Records + Surveillance … Other Apps

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)