Moca is a cell phone-based clinical information system that improves diagnostics, screening and therapeutic capabilities of health staff in remote resource-poor settings. The software allows users to transmit any medical file, whether a photo, x-ray, audio or video file, through a cell phone into an electronic medical record. The file can also be sent to a remote specialist for real-time decision support. The open source software is designed to seamlessly connect health care workers to medical professionals and specialists.
Moca allows health workers to transmit written information, photographs, audio, video, x-rays and ultrasound images when available to diagnosticians for immediate analysis. Health workers use a simple set of options on the keypad, which can be customized for their needs. Moca then sends patient information to a centralized server with sophisticated workflow management and diagnosis software. Procedures and attachments are uploaded through the wireless communication service General Packet Radio Service (GPRS) or WiFi to a Java-developed Linux server application called the Moca Dispatch Server.
Moca was built to be integrated with OpenMRS, a standardized medical records database and archiving system that is used in many developing countries. The server handles packetization, the breaking down of large image files into smaller packets for transmission, and sends the data to OpenMRS, where diagnosing physicians access it via the web. This allows Moca to operate even in poor cellular coverage areas.
The Moca application can be used for various procedures such as screening of pregnant women, follow-up after surgery, tele-dermatology, and cervical cancer screening.
MoCa is being implemented as a pilot project in conjunction with a consortium consisting of six universities: Universiti Sains Malaysia (Malaysia), Institut dela Francophonie pour Medicine Tropicale (Laos), University of the Philippines Manila (Philippines), University of Gadjah Mada (Indonesia), Ciputra University (Indonesia) and Hanoi Medical University (Vietnam).