Digital Health Transformation in Nepal: Building Integrated Systems with FHIR

Details

Aamako Maya Apps has implemented a comprehensive national digital health infrastructure (CIHIS) in Nepal. This system integrates various existing Health Management Information Systems (HMIS), such as DHIS2, eLMIS, CRVS, into a single, interoperable ecosystem. A key technical aspect is the use of global standards like HL7 FHIR and SNOMED CT for establishing national-level registries (clients, facilities, workers). This ensures data consistency and reliability. Furthermore, their Health Information Exchange (HIE) function implements a national interoperability layer using FHIR-based APIs and master patient indexing, enabling secure data sharing across fragmented health systems. The platform supports evidence-based planning by providing real-time dashboards, GIS-based mapping, and predictive analytics for areas like maternal health, disease surveillance, and vaccine coverage. This structure helps support policy making and public health improvement in Nepal, aligning with international goals such as SDG 3 (Good Health) and SDG 9 (Infrastructure).