Notice E1 Client Registries

Notice E for promoting investments in digital health global goods

CareCR (Afya Client Registry)

Two-sentence overview: 

The goal of the project is to develop Care client registry with online/offline capabilities while leveraging functionalities from existing open source tools like Medic CR, which is an open source tool Rasello has experience using and obtained an understanding to now cover gaps of function for a reliable open source client registry version as Care CR, noted gaps include but not limited to advanced configuration of matching attributes – extending from the list in Medic CR which will consequently improve deterministic matching. 

Rasello’s expertise in open source tools and technologies, application of principles of digital development and adherence to Open HIE guidelines will ensure to achieve effective and efficient functioning of Care CR, globally beneficial to in countries with limited health interventions.

Executive summary: 

The investment from Digital square will go towards the adoption of tools and technologies in health client registry, contextualizing technology across standard health practice as guided by eHealth Architecture Principles, open HIE architecture specification. The processes will include requirements and functionality elicitation, installation and deployment strategizing and documentation, quality assurance, testing and creating necessary means for building capacity among government officials, local technology teams and health workers in order to connect the underserved to better health outcomes.

The goal of the project is to develop an open-source and standards-compliant client registry being “Registration as a service” that will allow effective registration and unique identification of patient’s information. Rasello will develop the client registry leveraging knowledge from existing works, software, tools, products and experience in implementation of existing tools such as the use of Medic CR, a master patient index tool base tool used to develop the National Health Client Registry - Tanzania. In Rasello’s work with the Ministry of Health, Community Development, Gender, Elderly and Children (MoHCDGEC), we have been able to identify the identification gap, and disperse data locations across horizontal system (of general services, providing prevention and care for prevailing health problem) and of vertical programmes ( for specific health conditions). We have been able to understand the need for community ownership and lead a collaborative team in successful conceptualization, development and guidance to deployment procedures.

Rasello’s organization expertise will contribute to achieving the overall project goal from the experience with MoHCDGEC in the development of National Health Client registry (NHCR), PATH organization in the development of an Administrative area Registry System (AReS), through which Rasello has learnt efficient development methodologies and techniques for registries. Rasello will work along with IntelliSOFT expertise in digital health technology, to ensure further success of Open HIE compliant client registry. IntelliSOFT Consulting Limited has relevant expertise in Client Registries from 8 years ago when one of the Principals led a team that developed and implemented as a proof of concept, Kenya’s first attempt at establishing a health identifier. The project, the National Unique Patient Identifier (NUPI) was funded by PEPFAR through CDC and implemented by I-TECH Kenya and successfully demonstrated multiple methods of effectively and consistently identifying subjects of care in a national HIV program. IntelliSOFT was also engaged by Management Sciences for Health Tanzania to provide technical assistance for development of the Software Requirements Specifications for the National Health Client Registry (NHCR). At a global level, IntelliSOFT is an active member of the Open HIE Community of Practice including the Client Registry sub-community.

Consortium Team: 

The consortium is open to meaningful collaboration to ensure PATH’s objectives are reached and potential capability gaps assessed have been covered, subsequently feeding to the goal of connecting the world to better health.

Rasello is a global technology company with 5+ years of experience in analytical, database management and communication software, creating Software as a Service (SaaS) and Platform as a Service (PaaS) solutions tailored towards an organization's system needs in emerging markets with successes in public authorities, healthcare, telecommunications, insurance, education, and non-profit organizations. Rasello’s solutions range from open source to proprietary custom solutions, web-based applications, mobile applications, together with dynamic reporting, and analytics solutions. For development of the client registry, Rasello will take lead to oversee the overall project based and development-based work, project management, funds management, coordinate work between consortium members, serving as an intermediary to stakeholder.

IntelliSOFT Consulting Limited is a Kenyan company locally owned with +8 years of experience in development, implementation and use of Information, Communications and Technology (ICT) in the health sector. As a technology firm, IntelliSOFT has deliberately focused on designing, developing, implementing, supporting and maintaining digital health solutions, particularly in Low to Medium-Income Countries. IntelliSOFT Consulting specialises in supporting the realisation and continuous optimisation of business performance and productivity (including health outcomes) through effective implementation of technology agnostic digital health solutions appropriately optimised for the implementation context. We do this through appropriate application of technical and data standards throughout the software development process of our digital health solutions. Our approach and current focus is “health as an enterprise” aimed at strengthening the entire health system. Our current primary focus is data systems for research for health and for patient and population management.

Digital Health Atlas: 

Please see attachement for DHA registration

WHO Classification: 
Health management information system
Application Status: 
In Scope
Application Tags: 
community engagement
client registry


Thank you for the concept note, it would be good to clarify the reasoning behind, what seems to be, a new build of a tool and who the client would be to provide real world cases / experience to match the functionality. How is the team proposing to leverage the OpenHIE Community?

Thank you very much for your input. On high level we are going to build AFYA CR by enhancing functionalities from existing open tool i.e.Medic CR. In our initial instance to build the CR, we have an understanding to cover the gaps of function which we will be included in  AFYA CR, Enhancements will include advanced configuration of matching attributes extended from the list in Medic CR improving deterministic matching.

To further address the mentioned concerns can the final concept note extend from three pages?


Thanks for the concept note, a few thoughts:

  • it will be good to describe the current status of the product. is it completely a new development to enhancement to an existing product. what is the difference between AfyaCR and MedicCR?
  • where is the system currently being implemented and at what scale
  • what are the risks and mitigation plan

  • Afya CR is a new product to be developed, where we will leverage MedicCR as the base framework
  • Medic CR will differ from Afya CR to mention a few on criteria of matching algorithms, where we will incorporate probabilistic matching, addition of the number of variables used in matching for relevancy in

 * where is the system currently being implemented and at what scale

  • It’s currently not implemented, however in our ongoing effort for the Tanzania National Health Client Registry, it is a product to be implemented countrywide in all health facilities.
  • Afya CR is envisioned to be functional globally for countries with limited health technologies in subject.

 * what are the risks and mitigation plan

  • A few risks we encountered in our experience are on the limited support and documentation for MEDIC CR, and use of proprietary technology tools that may delay implementation process. 
  • A change in this implementation is to ensure that we call for more discussions in OpenHIE community and build Afya CR to be sustainable in terms of documentation and support, as part of the many other things we will add effort on.

We will likewise provide more elaboration on the risks and taken/to-be take mitigation plan, Afya CR scale and advantages in the technical proposal.