Digital Health Transformation in Nepal: Building Integrated Systems with FHIR and Standards

Details

Aamako Maya Apps has deployed a comprehensive Digital Health Infrastructure (CIHIS) in Nepal. This system integrates multiple national-level data systems—including DHIS2, HMIS, eLMIS, CRVS—into a unified, interoperable ecosystem. A key feature is the establishment of national registries for clients, health facilities, health workers, and health products, ensuring data consistency and a single source of truth by utilizing global standards such as HL7 FHIR, ICD-11, and SNOMED CT. Furthermore, it implements a national Health Information Exchange (HIE) layer using FHIR-based APIs and master patient indexing, enabling secure data sharing across fragmented health systems. This initiative goes beyond mere information management; it supports evidence-based policy making and decision support at the government level through real-time dashboards, GIS-based health mapping, and predictive analytics for areas like maternal health, disease surveillance, and vaccine coverage monitoring. The system aligns with Nepal’s eHealth Strategy and contributes to international goals such as SDG 3 (Good Health), SDG 9 (Infrastructure), and SDG 10 (Equity). Product offerings include a Government Health Service Directory and geospatial health intelligence platform, providing comprehensive solutions that cover everything from local data collection to national reporting, thereby achieving improved data accuracy and efficient resource allocation across Nepal.