Since its launch in 2011, the Asia eHealth Information Network, as a community of eHealth advocates in the public sector, has seen the growth of electronic health information systems among its member countries. Due to the decreased costs of connectivity and technology, these systems have easily propagated. Yet information fragmentation persists. Despite the availability of patient-level indicator reporting systems, many Ministries of Health still grapple with interoperability, accuracy, completeness, timeliness, and availability of data for decision-making.

Globally, various efforts have emerged that try to help countries with their national eHealth program. The WHO-ITU National eHealth Strategy Toolkit helped countries understand the major components of an eHealth program and how to craft a strategy. Other partners like DIAL, Broadband Commission, OpenHIE, etc have also created their own artifacts that aim to make it easy for developing countries to establish robust health information systems at a national scale. Yet despite these frameworks, countries remain challenged with integrating data from patient-level indicator reporting systems for decision-making.

Recognizing this, AeHIN members are collaborating to create an easy to use tool that guides countries in the development of local policies and artifacts which they will need to build their foundations.

The software tool guides policymaker and technologists through a workflow from governance to architecture to program management to standards.

The output will be country-specific policies and artifacts which the MOH can distribute to its stakeholders especially those maintaining patient-level indicator reporting systems. With the policies and artifacts, the stakeholders will now have an understanding of what the government requires, and how they can contribute to the national eHealth program.

<name of country>

<Governance>

<national eHealth focal point/name/address>

<name of strategic level eHealth governance structure>

<name of leader/designation>

<name of member/designation>*

<name of tactical level eHealth governance structure>

<name of leader/designation>

<name of member/designation>*

<Architecture>

<name of architecture>

<name of client registry>

<name of client registry focal point>

<name of client registry>

<name of client registry focal point>

<name of client registry>

<name of client registry focal point>

<name of client registry>

<name of client registry focal point>

<Digital Health Atlas entry ID>

<name of provider registry>

<name of provider registry focal point>

<Digital Health Atlas entry ID>

<name of facility registry>

<name of facility registry focal point>

<Digital Health Atlas entry ID>

<name of terminology service>

<name of terminology service focal point>

<Digital Health Atlas entry ID>

<name of terminology service>

<name of terminology service focal point>

<Digital Health Atlas entry ID>

<name of interoperability layer>

<name of interoperability layer focal point>

<Digital Health Atlas entry ID>

<name of shared health record>

<name of shared health record focal point>

<Digital Health Atlas entry ID>

<name of health management information system>

<name of health management information system focal point>

<Digital Health Atlas entry ID>

<name of patient-level indicator reporting system>*

<name of patient-level indicator reporting system>

<Digital Health Atlas entry ID>

The Digital Square investment will be used to bring together a consortium of partners to collaborate on solution to patient-level monitoring that is appropriate and scalable for low and middle income countries (LMICs). We propose the use of a standards-based architectural framework and integrated solutions to patient-level monitoring. Our vision of an integrated approach adopts the use of international architectural patterns (OpenHIE) to provide a mature solution that is both instantiable and reusable, through the use of an extensible framework able to support a multitude of Point of Service (PoS) applications in an integrated patient level monitoring system.

The consortium aims to use the Digital Square investment to support FHIR profiling activities to specify the data model, resource mappings, terminologies and indicator definitions relevant to the priority use case, supporting the development of HL7 FHIR interfaces in the selected PoS applications and IOL, and demonstrating the end-to-end feasibility of the paired and integrated approaches to extracting indicator data from a Minimum Data Set Message or a shared longitudinal data store.