term Presentation o

1. Presenter
Louis
HAKIZIMANA
Supervisor
Muhammad
WANNOUS, Ph.D.
Infinity Lab

2. Distributed Medical Record System Using
Portable Devices,
Case Study of Rwanda
Specific Theme Study B

3. Outline
Louis HAKIZIMANA | Distributed Medical Record System Using Portable Devices, Case Study of Rwanda | Kobe Institute of Computing | Kobe, Hyogo, Japan
● About Rwanda
● Problem Statement
● Current Situation Analysis
● Tankyu Chart
● Objectives
● Proposed Solution
○ System Architecture
○ Workflow
● Current Situation
● Future Plan
● Proposed Solution Evaluation Plan
● Summary
● Progress Plan
● Q & A
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4. About Rwanda
Louis HAKIZIMANA | Distributed Medical Record System Using Portable Devices, Case Study of Rwanda | Kobe Institute of Computing | Kobe, Hyogo, Japan
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● Rwanda is known as "the land of a thousand hills’’(Kigali is
the capital)
● Situated in East – central Africa.
● Rwanda is bordered by Uganda to the north, Tanzania to
the east, Burundi to the south and the Democratic
Republic of Congo to the west. with Average temperatures
range from 16-22 degree Celsius.
● Current population of Rwanda is 12,501,156
○ Population density is 507 /Km2 (1,312 /mi2).
○ Land area is 24,670 Km2 (9,525 sq. miles)
○ 34.0 % of the population is urban
● Kigali - Kobe Distance 11519 km(7158 mi)
Internet users by Dec/2017, 29.8%,
3,724,678 of the population (per Rwanda
Utilities Regulatory Authority RURA)

5. Problem Statement
Louis HAKIZIMANA | Distributed Medical Record System Using Portable Devices, Case Study of Rwanda | Kobe Institute of Computing | Kobe, Hyogo, Japan
● Currently, an unavailability of online medical central system is
a common issue Rwanda shared with other many developing
countries.
● Patients pay the additional cost for medical treatment due to
the absence of their previous medical records especially
when it comes to change their medical centers/healthcare
facilities.
● A common complaint is that emergency services response is
slow. Even after the patient has reached the hospital,
precious time is lost waiting test results and/or previous
patient’ health information before the doctors can get to work.
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6. Current Situation Analysis, in Rwanda
Louis HAKIZIMANA | Distributed Medical Record System Using Portable Devices, Case Study of Rwanda | Kobe Institute of Computing | Kobe, Hyogo, Japan
Survey results: Does your doctor keep your previous
records?
What is type of mobile phone do use?
Do you think patients pay extra
expenses on medical test (like blood
type test) because of inaccessible data
of their health history?
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7. Louis HAKIZIMANA | Distributed Medical Record System Using Portable Devices, Case Study of Rwanda | Kobe Institute of Computing | Kobe, Hyogo, Japan
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Tankyu ChartIssuesIdentified
PossibleSolutions
Solution Enablers
BusinessModel
Technologies
HumanResources
Patients’ medical records are
not saved in centralized space.
• Ministry of Health
• NGOs
• Healthcare Institutions
• Patients
Distributed health
information system to store
the most important records
of patients.
• Ministry of Health
• Ministry of ICT
• WHO
• Developers
• Google Cloud
Services
• Web and Mobile
application

8. Objectives
● To improve patient data availability through integrated mobile
and web application in health sector
○ Developing patient mobile application to store basic
patient medical data.
○ Implement a distributed web application in clinics to keep
patient records.
● To reduce patients’ treatment cost
○ Reducing double medical tests due to inaccessibility of
patient past medical records.
○ Improving cost effectiveness related to paper use.
Louis HAKIZIMANA | Distributed Medical Record System Using Portable Devices, Case Study of Rwanda | Kobe Institute of Computing | Kobe, Hyogo, Japan
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9. Proposed Solution
Louis HAKIZIMANA | Distributed Medical Record System Using Portable Devices, Case Study of Rwanda | Kobe Institute of Computing | Kobe, Hyogo, Japan
To achieve said objectives, we proposed a solution (mrHose)
with two parties:
● Mobile application
○ create account, login, update profile
○ connect to local clinic network and share stored data to
doctor,
○ synchronize patient clinic data with his/her with mobile
device storage
● Web application distributed in different clinics
○ Patient registration
○ Save and view patient medical records
○ synchronize local data storage and cloud where internet is
available.
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10. Proposed Solution
Louis HAKIZIMANA | Distributed Medical Record System Using Portable Devices, Case Study of Rwanda | Kobe Institute of Computing | Kobe, Hyogo, Japan
System Architecture of mrHose:
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11. Proposed Solution
Louis HAKIZIMANA | Distributed Medical Record System Using Portable Devices, Case Study of Rwanda | Kobe Institute of Computing | Kobe, Hyogo, Japan
Workflow of mrHose:
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12. Current Situation
Louis HAKIZIMANA | Distributed Medical Record System Using Portable Devices, Case Study of Rwanda | Kobe Institute of Computing | Kobe, Hyogo, Japan
● Currently, we are at the end of Prototype phase of mrHose
and doing to unit tests in Lab,
● We are preparing functional system test of both applications
and, conducting a experiment by
○ Setting up from to 3 clinics’ simulation servers
○ Prepare account of doctor, laboratory technician and
receptionist for each clinic,
○ Add samples of patient profiles to use in simulation
● We are preparing to conduct a simulation of patient treatment
flow (in our lab), whereby we will invite volunteers to
participate and contribute on this said phase
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13. Screenshot of Prototype
Louis HAKIZIMANA | Distributed Medical Record System Using Portable Devices, Case Study of Rwanda | Kobe Institute of Computing | Kobe, Hyogo, Japan
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14. Screenshot of Prototype (cont...)
Louis HAKIZIMANA | Distributed Medical Record System Using Portable Devices, Case Study of Rwanda | Kobe Institute of Computing | Kobe, Hyogo, Japan
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15. Screenshot of Prototype (cont...)
Louis HAKIZIMANA | Distributed Medical Record System Using Portable Devices, Case Study of Rwanda | Kobe Institute of Computing | Kobe, Hyogo, Japan
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16. Future Plan
Louis HAKIZIMANA | Distributed Medical Record System Using Portable Devices, Case Study of Rwanda | Kobe Institute of Computing | Kobe, Hyogo, Japan
I our next step
● To complete our simulation cycle, a patient will install
application on his/her mobile device, visit more than one
clinics, scan QR code to connect to LOCAL clinic’ network,
try to share his/her profile with clinic s/he visited, share
his/her and/or synchronize his/her medical record(s) with one
or more clinic(s) will visit
● As same clinics already have their existing systems, we still
need to work with other teams
○ start the next step of finding out how it will be integrated
with other systems
○ and conduct evaluation from user experience on mrHose.
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17. Proposed Solution Evaluation
Louis HAKIZIMANA | Distributed Medical Record System Using Portable Devices, Case Study of Rwanda | Kobe Institute of Computing | Kobe, Hyogo, Japan
Mixed method approaches
● Qualitative
● Quantitative
Techniques/Tools
● Questionnaires/Surveys
● Unit and Functional test
● Experiment/Simulation
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18. Summary
Louis HAKIZIMANA | Distributed Medical Record System Using Portable Devices, Case Study of Rwanda | Kobe Institute of Computing | Kobe, Hyogo, Japan
In developing countries where more than 100 countries in world,
including Rwanda, are now exploring the use of ICT to improve
their service delivery to population.
● We have a hope that soon or later this research will contribute
a lot in health social issues raised from inaccessibility of
patient’s background records data.
● It is not easy to achieve all goals in healthcare sector to
overcome the major health issues with limited time, but still,
we never give up our journey even if is full of challenges to
our ambitions of change the world to better place where
everyone could be served easy within minimum cost by using
ICT, regardless of area and limited infranstritures.
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19. Progress plan
Louis HAKIZIMANA | Distributed Medical Record System Using Portable Devices, Case Study of Rwanda | Kobe Institute of Computing | Kobe, Hyogo, Japan
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7 Presentations 10
6 Thesis Writing 5
5 Solution Evaluation 30
4 Prototype Development and Testing 90
3 System Architecture and Design 100
2 Requirement Generation and Analysis 100
1 Literature Review 100

20. “The previous second is the past,
the next second is the future. there
is no present time, consequently we
are always running out of time.”
Hlo as L i .
Q & A
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End of today’s Presentation.

21. Presenter
Louis
HAKIZIMANA
Supervisor
Muhammad
WANNOUS, Ph.D.
Infinity Lab
Thank you for your
Attention.