About User Stories and Triage

[Wesly Huang]

Hello everyone:

This is Wesly [1] who joined the medical platform project this week, nice to meet you! I'm reading existing materials [2][3][4] and have 2 cents would like to share:

1. While looking current use cases, it seems to me some of them are more relevant to each other, hence I put a chart as attached. The grouping is just per my understanding so you may want to categorize them in a different way. (e.g. I simply put some cases in "SYSTEM" as I temporarily don't have a better idea to group them) I guess this slightly-visualized material may help people come out more thoughts? No matter it's new user story, suggestion/refinement of existing one, or even an idea of project strategy (e.g. Which area we should address first), etc.

For example, in "ACCOUNT..." group, existing user stories are for patient and doctor that both are in fact "user" to a system. Do we see a fit for platform's administrator role, hence related user stories?

2. Since we are going to have Triage for these use cases soon, I feel it will be good if we have an agreed criteria we are going to use (or we already have it?). I know there is "Priority" in spreadsheet [4] and see it as the overall end result of our coming Triage, and we may have factors from different perspectives which drive such result. For example (still personal idea and please feel free to share/comment/correct)

a. User value: for existing user stories, this means the value to doctors and patients (and elder people?), who are our target users

b. Alignment to Mozilla's strength: since medical area is not a new land and many players are already there, is this something that Mozilla can do much better than others? (Or, put in another way, as a user, why should I choose Mozilla's platform, if other companies like Google/Apple/Microsoft also have similar solutions?)

c. Technical/schedule feasibility: needless to say, no matter how big our ultimate goal will be, there is no unlimited time/resource so a balanced schedule and deliverables are important in from the beginning.

Again, above are just my two cents and hopefully this will bring us more idea/discussion/collaboration.
Thanks for your time to read this, I'm looking forward to working with you.

[1] I am from FxOS technical account management team that takes care of OEM/ODM partners, and was a SW engineer then SW project manager for years in previous jobs. Though have zero experience in medical area (except being a patient) but just can't wait to explore it!
[2] https://wiki.mozilla.org/Firefox_OS/MedicalPlatformProject
[3] https://groups.google.com/forum/#!topic/fxos-medical-platform/
[4] https://docs.google.com/spreadsheets/d/1kWzx8lcZcOLkVB2Ie79zzVNHWEIt9mUL7jgWOkeD3i4/edit#gid=1720263247

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BR,
Wesly

[Dr Tan Jit Seng]

Dear Wesly and all,

Sorry for being very inactive for a while, we are working on many projects here in Singapore with the government push for a “Smart Nation” concept and Healthcare, in fact, ageing population is getting much attention in recent years.

I have seen and involved in many “Internet of Medical Things” IOMT and perhaps in summary, here is what is needed:

1. On Cloud Electronic Health Records – Both a PMR or personal medical record for patients to keep their important health records online (which Singapore Ministry spend big money doing for all citizens:  http://www.healthhub.sg/ ) and EMR or Electronic Medical Records comprising of doctors notes, medication records, immunisation records, labs investigations, vitals monitoring and ICD stratified medical diagnosis. Some systems can even have artificial intelligent in which input health vital data can be processed and warned of impending complications:  https://www.youtube.com/watch?v=-wVeHZNn8aU  I worked with MS as well on some of these possibilities using Kortana.
2. Smart devices – Can be divided into a few  types:
• Assistive Devices – walking stick with bluetooth to you HP app with inbuilt GPS, Pill dispensers controlled by pre programmed regimes, reminders devices etc
• Rehabilitative Devices
• Therapeutic Devices – music therapy device for agitation in demented elderly or autistic child ( Lotus Eldercare Technologies is working on such developments)
• Monitoring devices – different methods of obtaining vitals and streaming remotely into EMRs as mentioned above, smart diapers to monitor for wetness and even for infections using pH and other forms of indices…
3. Smart Homes – monitoring at home for various activities like fall, alerts or calls for help and many other forms. Using voice activation or just advance ambience monitoring.

The only issue is too many people are developing similar stuff and there is many overlaps in all these developments.

If there is a specific question from anyone of you, I will be more than happy to share my experiences. 

Have a great day!

Dr  Tan Jit Seng

Lotus Eldercare Technologies

Lotus Eldercare Private Limited

From: Wesly Huang <weh...@mozilla.com>
Date: Wed, 30 Dec 2015 16:29:12 +0800
To: <fxos-medic...@googlegroups.com>
Subject: [fxos-medical] About User Stories and Triage

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[Kevin Hu]

Hi, Dr. Tan-Jit Seng,

In recent discussions, the same issue is also identified. If we look back to our system and the strength of Mozilla, one significant value from our deliverable is on the data center that is used to collect data from patient and also provide management console for doctors and hospitals. With Mozilla brand and technology, we can offer a secure web-based data center, and won't take these data for any commercial usage which is one of the major differences.

Given we are an open source organization, of course, our data center can definitely integrate with similar wearable devices from other competitors. We are very happy to see this happened.

Thanks.

Cheers,

Kevin Hu

To view this discussion on the web visit https://groups.google.com/d/msgid/fxos-medical-platform/D2B1F8DA.175EC%25drtanjitseng%40lotuseldercare.com.sg.

[Dr Tan Jit Seng]

Dear Kevin and all,

 

My role in all this web of things is to roll them out and see how it works out in the field. That has been my advantage and value to many technology developers. There is a real push for such technologies here in Singapore and if I see any suitable grants, I will be more than happy to collaborate with Mozilla. The only issue is the server for sensitive medical data will need to be physically sited in Singapore. But I do have 2 training schools in Myanmar and Cambodia and I can also try out on cloud technology with them. It will a step to do more meaningful missions such as provision of medical consults through the web to the villages.

Regards,

Dr Tan Jit Seng
Director / Senior Home Care Physician
Lotus Eldercare Private Limited

[Dr Tan Jit Seng]

Dear all,

 

http://in-uat.com/himss/epush/dec-2015/asiapac16-call-for-paper/index.html

 

Here is the link for the recent call for paper by HIMSS.

To view this discussion on the web visit https://groups.google.com/d/msgid/fxos-medical-platform/568cdb27.c92a620a.3a9e2.ffff9574SMTPIN_ADDED_MISSING%40gmr-mx.google.com.

[Dr Tan Jit Seng]

Dear Kevin,

If that is the case, we have some wearable technologies which might be able to piggy back on your organisation.

My lead engineer Mr Jason Wong is developing some wearable monitors in the community and institutional setting and might be good to link up.

Dear Jason and Weng Fai,

Kevin is childhood friend of mine working for Mozilla. They are also trying to develop a open source health platform and I am the Medical Advisor in their projects. Perhaps we can work in tandem.

Warmest Regards,

Dr  Tan Jit Seng

Director / Senior Home Care Physician

Lotus Eldercare Private Limited

To view this discussion on the web visit https://groups.google.com/d/msgid/fxos-medical-platform/CAAFOh%2BehkgucjqxJc_miBs%2BFFt9fJpsP2hLrL%2BF%2Bpn1rRzG_wQ%40mail.gmail.com.

[Kevin Hu]

Comments inline.

On Thu, Jan 7, 2016 at 11:51 AM, Dr Tan Jit Seng <drtanj...@lotuseldercare.com.sg> wrote:

Dear Kevin,

If that is the case, we have some wearable technologies which might be able to piggy back on your organisation.

My lead engineer Mr Jason Wong is developing some wearable monitors in the community and institutional setting and might be good to link up.

That sounds good! Would you mind asking Jason to put his information in the following spreadsheet?
https://docs.google.com/spreadsheets/d/1kWzx8lcZcOLkVB2Ie79zzVNHWEIt9mUL7jgWOkeD3i4/edit#gid=0

Also, to subscribe this mailing list if he hasn't done it yet.
https://groups.google.com/d/forum/fxos-medical-platform

[Jason Wong]

Hi Kevin,

Are you up for Skype-ing next week so I can get a better idea on the
plans and state of the health data platform?

I'm late into the game and have a few questions:

*. The Excel sheet is a wish list? I see 31 rows of use cases.
*. Is it based on Open mHealth, the open source platform by Cornell,
Stanford and UCBerkeley researchers?
*. I'm logging data from smartphone sensors and IMUs later with the
goal of helping users (stroke, dementia and other cognitive-motor
disabilities) and their caregivers to better understand their everyday
traces and daily living activities (ADL) under the constraints of
their chronic condition and its effects on moods. It's longitudinal
data. So an mHealth platform, analogous to a cloud EHR, would be a
good candidate as a repository for a visualization dashboard to be
built on. I'm looking at a separate diet management system to
understand effects of diet on ADL and energy levels but that's still
in a nascent stage.
*. Someone had posted about uploading EEG scans. Telemedicine is
something to support?

Cheers
Jason




On 7 January 2016 at 11:51, Dr Tan Jit Seng

[Kevin Hu]

Hi, Jason,

1. The excel spreadsheet collected user stories. We also filed these user stories into Bugzilla. You can enumerate all user stories from the following bug:
https://bugzilla.mozilla.org/show_bug.cgi?id=1223309

2. I don't have enough knowledge about Open mHealth. Would you mind sharing with us?

My Skype account is kaichih.hu.

Cheers,

Kevin Hu

[Jason Wong]

Hi Kevin,

I need to dig into Open mHealth more first. I just saw that
ThoughtWorks had collaborated with SaveTheChildren during the Ebola
crisis to develop an EMR tracking patient status between the Red and
Green zones without compromising on the infection safety. And OpenMRS
was used involving volunteers from many nations. Kind of like in
Mozilla's spirit!

Let me get back to you on Open mHealth. Perhaps after CNY.

Cheers
Jason

[Jason Wong]

Hi Kevin,

I promised to get back after CNY on Open mHealth. Can Skype end of
week or next over Open mHealth? It's an initiative from Stanford,
Cornell and perhaps other universities in the US. A Stanford
preventive cardiology clinic has built on it http://www.linqhealth.co/
for example.

Cheers
Jason

[Kevin Hu]

Hi, Jason,

How about sharing these topics during our regular weekly meeting?

It would be at 4pm this Wednesday. I believe most of us will be interested in this topic.

I put this item in the agenda here:
https://docs.google.com/document/d/1TQRfJYBNp8qO8oLx5gsah2Fy4dlapBXWXur2KzxXa84/edit#

Please let us know if it works for you or not. Thanks.

Cheers,

Kevin Hu

[Jason Wong]

Hi Kevin,

Can I suggest covering this in the next weekly meeting instead of
tomorrow to give people time to digest the URLs and then next week we
can dive straight into how OpenEMR and Open mHealth can be useful to
Mozilla's health platform? Otherwise I'd just be regurgitating what's
on the sites.

1. OpenEMR http://www.open-emr.org/
2. http://www.openmhealth.org/

They're both open source and OpenEMR was in the news: ThoughtWorks
extended it for patient data flow in the red zone during the Ebola
crisis.