Node.js Its potential in healthcare Rob Tweed M/Gateway Developments Ltd http://www.mgateway.com Twitter: @rtweed
Background <ul><li>Management consultant: healthcare IT </li></ul><ul><li>IT Consultant: </li></ul><ul><ul><li>web/Ajax/XM...
Healthcare IT <ul><li>Your healthcare records are probably stored in a Cach é  or GT.M database </li></ul><ul><ul><li>Glob...
Open Source EHRs <ul><li>Dept of Veterans Affairs (VA): </li></ul><ul><ul><li>VistA </li></ul></ul><ul><ul><ul><li>Develop...
Modernising VistA with Node.js <ul><li>Problem: the programming language </li></ul><ul><ul><li>VistA and all Cach é  or GT...
Realtime web in healthcare <ul><li>Node.js & socket.io / Websockets </li></ul><ul><li>Realtime graphical display: </li></u...
Modernising VistA iPad interface on 30-year old application Uses Sencha Touch & EWD WebSockets + real-time charts is plann...
Semantic Healthcare Web <ul><li>Cach é /GT.M triple store </li></ul><ul><li>RDF-based data interchange </li></ul><ul><li>I...
Huge industry in need of new talent <ul><li>Most Node.js activity: </li></ul><ul><ul><li>Social networking & relatively tr...
Node.js in healthcare <ul><li>Node.js: huge potential for rejuvenating legacy systems </li></ul><ul><li>A great industry w...
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Node.js: its potential in healthcare

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Talk given at the Digital Pond Node.js showcase meeting in London on 6th December 2011

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Node.js: its potential in healthcare

  1. 1. Node.js Its potential in healthcare Rob Tweed M/Gateway Developments Ltd http://www.mgateway.com Twitter: @rtweed
  2. 2. Background <ul><li>Management consultant: healthcare IT </li></ul><ul><li>IT Consultant: </li></ul><ul><ul><li>web/Ajax/XML/Cloud/NoSQL </li></ul></ul><ul><li>Developer </li></ul><ul><ul><li>Node.js / Javascript </li></ul></ul><ul><ul><li>EWD: web application development framework </li></ul></ul><ul><ul><ul><li>Cach é & GT.M databases </li></ul></ul></ul>
  3. 3. Healthcare IT <ul><li>Your healthcare records are probably stored in a Cach é or GT.M database </li></ul><ul><ul><li>Global storage technology </li></ul></ul><ul><ul><li>UK: </li></ul></ul><ul><ul><ul><li>GP systems </li></ul></ul></ul><ul><ul><ul><li>Many hospital systems (especially in Scotland) </li></ul></ul></ul><ul><ul><ul><li>Many lab systems (especially in Wales) </li></ul></ul></ul><ul><ul><ul><li>All US veterans and their families ( > 4m people) </li></ul></ul></ul><ul><ul><ul><li>Many of the largest commercial US EHRs </li></ul></ul></ul><ul><ul><ul><li>Many healthcare exchanges (RHIOs) </li></ul></ul></ul><ul><ul><ul><li>Not just US & UK </li></ul></ul></ul><ul><li>Yet most people have never heard of them! </li></ul>
  4. 4. Open Source EHRs <ul><li>Dept of Veterans Affairs (VA): </li></ul><ul><ul><li>VistA </li></ul></ul><ul><ul><ul><li>Development started in late 1970s </li></ul></ul></ul><ul><ul><ul><li>Highly functional, well liked by VA clinicians </li></ul></ul></ul><ul><ul><ul><li>Available as Free Open Source EHR for use by anyone </li></ul></ul></ul><ul><ul><ul><li>Several commercial variants </li></ul></ul></ul><ul><ul><ul><li>WorldVistA: fully Open Source version </li></ul></ul></ul><ul><ul><li>WorldVistA: becoming recognised as a viable free alternative for small US hospitals </li></ul></ul><ul><li>Problem: </li></ul><ul><ul><li>VistA's UI is very old-fashioned </li></ul></ul><ul><ul><li>Needs modernising </li></ul></ul>
  5. 5. Modernising VistA with Node.js <ul><li>Problem: the programming language </li></ul><ul><ul><li>VistA and all Cach é or GT.M-based healthcare systems: </li></ul></ul><ul><ul><ul><li>M or MUMPS </li></ul></ul></ul><ul><li>Javascript as a new alternative </li></ul><ul><ul><li>Various connectors and interfaces at: </li></ul></ul><ul><ul><ul><li>https://github.com/robtweed </li></ul></ul></ul><ul><ul><li>One language, front and back </li></ul></ul><ul><ul><li>New, innovative functionality possible </li></ul></ul><ul><ul><li>New generation of developers </li></ul></ul>
  6. 6. Realtime web in healthcare <ul><li>Node.js & socket.io / Websockets </li></ul><ul><li>Realtime graphical display: </li></ul><ul><ul><li>Diagnostic information </li></ul></ul><ul><ul><li>Administrative information </li></ul></ul><ul><li>Using commodity mobile devices </li></ul>
  7. 7. Modernising VistA iPad interface on 30-year old application Uses Sencha Touch & EWD WebSockets + real-time charts is planned for next stage
  8. 8. Semantic Healthcare Web <ul><li>Cach é /GT.M triple store </li></ul><ul><li>RDF-based data interchange </li></ul><ul><li>Interconnected web of data </li></ul><ul><li>Querying/exploration using SPARQL </li></ul><ul><li>Looking at integrating https://github.com/antoniogarrote/rdfstore-js with Cach é /GT.M </li></ul><ul><ul><li>Node.js RDF/Triple store </li></ul></ul><ul><ul><li>Add persistence in Cach é /GT.M database </li></ul></ul>
  9. 9. Huge industry in need of new talent <ul><li>Most Node.js activity: </li></ul><ul><ul><li>Social networking & relatively trivial applications </li></ul></ul><ul><li>Healthcare IT is a huge industry </li></ul><ul><ul><li>Large, legacy applications that can't be easily replaced </li></ul></ul><ul><ul><li>Integration with old legacy code </li></ul></ul><ul><li>Massive opportunity for new skills for innovative UI design </li></ul>
  10. 10. Node.js in healthcare <ul><li>Node.js: huge potential for rejuvenating legacy systems </li></ul><ul><li>A great industry where you can really make a difference that genuinely matters </li></ul><ul><li>Javascript: </li></ul><ul><ul><li>An ideal replacement as the programming language for healthcare </li></ul></ul>

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