Hi NWRUG,

I'm a locum (freelance) GP in the Manchester area and I'm a bit of a geek too. 
I'm looking for developer(s) who would be interested in an open source project 
I am trying to get started. Initially this would be 'pro bono' or 
voluntary/gratis work, but there is clear potential for it to become paid work.

The project I have in mind is a simple open source digital dictation platform 
(NB not voice recognition). Every NHS body I have worked in (hospitals, GP) 
currently uses some form of dictation to allow doctors/other staff to dictate 
their clinical letters, which are then typed (usually on site). Most of the 
larger orgs use digital dictation, using an SD card recorder or USB handset.

Technically, these systems are simply storing a digital audio file and 
connecting it to some metadata (patient information etc), and then some of them 
also manage the workflows associated with the dictation -e.g. allocation of 
dictations to a 'pool' of typists, etc. They are very expensive for what they 
do (think £1000 pa for a GP surgery, and tens of thousands p.a. for hospitals) 
and are functionally poor. Because some organisations are very very small they 
can't find the funds to get these services and so some are still using analogue 
tape (yes really), which would be fine I suppose except the cost of replacing 
hardware is getting extortionate (£500 for a new pedal-operated transcription 
machine)

Problems of the current systems:
expensive, far more than one would expect for the degree of complexity of the 
software
closed and proprietary
often some degree of hardware lock in or contracting bundle meaning handsets 
have to be bought with software
no 'notifications' functionality (e.g. As A Doctor I get notifications when my 
dictation has been done, As A Secretary I get a notification when there are 
dictations for me to type... etc)
no 'failsafe/trackback' functionality (e.g. I get a notification if my 
dictation hasn't been done in the next X days) - bearing in mind the potential 
consequences of a 'lost' dictation I cannot believe these features don't exist
No audit trail accessible by ordinary users (e.g. As A Consultant In A Hospital 
I might want to see why there is a long delay in my letters being sent out) - I 
could interrogate the 'log file' for a given dictation task and see where the 
hangups are.

I think there is a definite opportunity to fix several of these problems by 
developing a simple open source digital dictation system, which would lower the 
bar to entry to small organisations. The free 'community' version could be run 
on local server by small orgs with the knowhow, but I had envisaged also 
eventually offering dictation management as a SaaS platform with a kind of 
freemium pricing scale, hosted within the NHS National Network (N3). [I am 
medical director of Tactix4 (www.tactix4.com) who are a London-based company 
doing similar things with other types of open source software in the NHS and 
they have a data centre within the N3 -  so some of the more obvious hurdles 
such as N3 overheads are already cleared.]

I have a Community Interest Company set up (www.opengpsoc.org) which currently 
houses open source code for a variety of projects, functioning as code 
custodian. 

I have been hacking away at bits of the problem in Rails but haven't got very 
far, and to be honest I'm not sure whether any of my code past <code>rails new 
...</code> would be much use. I am pretty expert in the use-case and domain 
however, have contacts++, access to N3 hosting, and I can write features in 
Gherkin (this is one of my paid jobs) so maybe writing the actual code isn't my 
best role in the project.

I had been hoping to get down to a NWRUG meeting but haven't been able to 
because of work commitments, so I thought I'd get the ball rolling with an 
email instead.

Anyone interested please contact me at [email protected]
for context my website is www.bawmedical.co.uk
me on twitter @marcus_baw
the existing code, for what it's worth: https://github.com/pacharanero/sakebu - 
note I am in the (very early stages of the) process of refactoring into Rails 4 
- so the 'active' development is on the 'refactor' branch.

Marcus

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