PiR2-IT demo

Reference IT architecture

Layered OpenHIE-style reference architecture: channels, point-of-service applications, interoperability layer, shared registries, data and analytics, and the national DPI foundation, with standards and open-source options.

Channels & users

Citizen portal / app — FHIR, OIDC
CHW mobile app — FHIR, ADX; CHT, DHIS2 Android
Clinician workstation — SMART on FHIR
Telemedicine — FHIR Appointment, WebRTC
Decision-maker dashboards — —; DHIS2, Superset

Point-of-service applications

EMR / EHR — FHIR R4, ICD-11; OpenMRS, Bahmni
Laboratory IS — FHIR, LOINC; OpenELIS
Pharmacy / ePrescription — FHIR MedicationRequest, GS1
eLMIS — GS1, OpenLMIS API; OpenLMIS
HMIS (aggregate & tracker) — ADX, FHIR; DHIS2
Surveillance system — FHIR, IDSR; SORMAS, DHIS2
Insurance / claims — FHIR Claim; openIMIS

Interoperability layer (HIE)

Interoperability mediator / API gateway — FHIR, IHE ATNA; OpenHIM, Kong
Shared Health Record — FHIR IPS; HAPI FHIR
Terminology service — ICD-11, LOINC, SNOMED CT; OCL
Consent & audit service — FHIR Consent, AuditEvent

Shared registries

Client registry / MPI — FHIR PIXm/PDQm; OpenCR, SanteMPI
Health worker registry — FHIR mCSD; iHRIS
Facility registry — FHIR mCSD; DHIS2 / GOFR
Product registry — GS1

Data & analytics

Health data warehouse — FHIR Bulk, SQL; PostgreSQL, Spark
AI / ML services & model registry — —; MLflow
Data quality engine — WHO DQR; DHIS2 DQ app

DPI foundation

National digital ID — OIDC, ISO/IEC 29115; MOSIP
Payments switch — ISO 20022; Mojaloop
Gov data exchange — X-Road, GovStack IM; X-Road, OpenCRVS
Sovereign gov cloud — ISO 27017/27018

Illustrative countries and data. Independent PiR2-IT tool aligned with the six pillars of health digital transformation used in World Bank Group HNP practice; not an official World Bank Group product.

Digital Health Transformation Navigator — live demo