Bangladesh National Health Information Exchange Angshuman Sarkar angshus

Bangladesh National Health Information. Exchange Angshuman Sarkar. @angshus

Present Day: Bangladesh National Health Information Exchange (HIE) http: //sharedhealth. github. io Shared Health Record Patient Index Terminology Registry Facility Registry Provider Registry Geocode Registry Identify Provider National Reporting System

VISION FORMATION

IN COLLABORATION WITH ‣ Direction & Guidance - Directorate General of Health Services (DGHS), Ministry of Health & Family Welfare (Mo. HFW) ‣ Development Partners - Thought. Works, Dev. Net, Activation, Right. Brain ‣ Support - UKAID, Directorate General of Health Services (DGHS) ‣ Other programs & initiatives - DHIS 2, Routine health Information System (RHIS), Unicef, International Centre for Diarrhoeal Disease Research, Bangladesh(ICDDRB), MSH

ARCHITECTURE ‣ Design for scale and extensibility ‣ Standard Compliant, Interoperable & easy to integrate ‣ Reliability, Availability, Serviceability (RAS) TECHNOLOGIES ‣ Cost effective, simple ‣ FOSS & maintainable , support ‣ Easy to adopt/develop/deploy

THE HIE ECOSYSTEM Central HIE System Admin Applications (HRM) Facility Registry Provider Registry Identity Provider Location Registry Patient Journal Datasense Client Management Application DHIS 2 Terminology Registry Master Client Index Shared Health Record Health Information Exchange Gateway Clinic Hospital 1 Open. MRS … Open. SRP Client System (e. g. Hospital EMRs, CHW Systems) Community Health Worker Applications

MICROSERVICES ARCHITECTURE ‣ Choreography not orchestration ‣ Independent systems ‣ Event Driven Architecture (EDA) ‣ Integration by subscription to event streams (e. g. Catchment Stream) ‣ Event Streams - Simple Atom based protocol ‣ Multi node cluster (SHR, MCI), asynchronous processing ‣ All systems speaking one language (same standard)

TOWARDS A DIGITAL HEALTH PLATFORM ‣ Life-time electronic health record ‣ Keeping in mind future Universal Health Coverage ‣ Measure progress of different health targets proposed in 20 30 SDGs ‣ Linking to Civi l Registration & Vital Statistics ( CRVS)

TECH STACK

Why this architecture? ‣ Build loosely coupled systems with reference/time/platform autonomy ‣ Maintain domain system integrity (bounded context) ‣ ‘Continuous Delivery’ ‣ Think Platform Unbundle common layers To build and stack over core services To build local capability and context To build ecosystem ‣ Evolve-ability is not an afterthought. This is one of the foundational first principles.

THANK YOU