Notice E0 Phase 1 Shelf Readiness

Notice E for promoting investments in digital health global goods

Tamanu: Electronic Medical Record

Two-sentence overview: 

Our goal is to improve healthcare in Pacific Islands through the implementation of Tamanu, our free, open-source, patient-level electronic medical record (EMR) built for the uniquely remote settings across the region, with an offline-first, sync-enabled design across desktop and mobile. Beyond Essential Systems (BES) is well placed to achieve this goal, as we have in-depth, contextually appropriate experience in delivering successful, transformative digital projects in eight countries across the Pacific Region, with partners including the Australian Department of Foreign Affairs and Trade, the New Zealand Ministry of Foreign Affairs and Trade, WHO, UNFPA and the Bill and Melinda Gates Foundation.

Executive summary: 

The Digital Square investment will contribute to the continued development of the Tamanu software, improving shelf readiness and reducing the cost of individual deployments. Optimisations will include development of quality assurance and testing frameworks, contribution to the OpenHIE Testing Framework, further documentation of our open-source code repository and further investment into aligning of Tamanu with the OpenHIE architecture. Ideally, this would include mentoring and non-financial support.

As an EMR, the primary goal of Tamanu is to support clinical workflows in low-middle income countries to improve patient care and outcomes, specifically in the Pacific setting. The system must meet the technical and operational challenges that are faced in these settings, whilst aligning with principles of OpenHIE.

Tamanu has been developed by the same software team that developed Tupaia, mSupply and mSupply Mobile, working in collaboration with Sustainable Solutions and designed specifically for the Asia-Pacific context.

Tupaia demonstrates the success that has been achieved by BES. It is a data aggregation, analysis and visualisation platform designed to provide a comprehensive map of health systems in the Pacific region. Combining data from DHIS2, mSupply and other sources in real-time, it is used for health supply chain strengthening, disease surveillance, disaster response and strengthening service provision. Tupaia is currently in 8 countries and growing.

Consortium Team: 

Required: Aligning Tamanu with OpenHIE architecture

This would entail non-financial support for our software development team, ideally through regular remote mentorship sessions and the development of a highly detailed interoperability roadmap.

Prime Organisation: Beyond Essential Systems (BES)

We are an Australian eHealth company that has managed large projects across the Pacific region. Our software solutions are Tamanu and Tupaia (a multi-award winning open-source health data aggregation and visualisation platform implemented in 9 Pacific Island Countries). We additionally have extensive experience implementing DHIS2 and mSupply. Tamanu has been developed solely by BES and we will continue to be the primary developer of this software.

Supporting Organisation: OpenHIE

A mentor from OpenHIE to provide support on OpenHIE architecture. Working alongside this mentor, we will conduct a system analysis of Tamanu, and put together the technical documents required to guide us on our transition towards alignment with OpenHIE architecture. Additionally, we will use this mentorship to build up a series of test suites based on the principles behind the OpenHIE Testing Framework.

Digital Health Atlas: 

See attachments for DHA registration. 

Geographic Reach: 

Nauru, Solomon Islands, Samoa

WHO Classification: 
Electronic medical record
Application Status: 
In Scope
Application Tags: 
Mobile tools
digital transformation


Hi Megan,

Thank you for submitting a concept note for Notice E0. Could you please add more of an anticipated timeline to meet deliverables? Final concept notes are due May 22 at 5pm EDT.


Hi Megan

Thanks for the note, the OpenHIE is an open community and we'd encourage you to engage with them even now. The SILA ( may be a good local (timezone) resouce to help regardless. It would be good if you could call out some specific deliverables (FHIR Compliance etc) that you'd hope that this award would support.