PiR2-IT demo

Workflows

Seven end-to-end workflows as swimlanes: patient registration, ePrescription, laboratory, vaccine replenishment, outbreak response, AI model governance and data quality review.

Patient registration & identity verification

Patient: Presents at facility with national ID or biometric
Registration clerk: Searches the client registry before creating a record
HIE / platform: Matches demographics; returns the national health ID or candidates
HIE / platform: Verifies identity against the national eID (where consented)
Registration clerk: Confirms or creates the record; duplicate is flagged for steward review
HIE / platform: Retrieves the patient summary for the consultation

ePrescription & dispensing

Clinician: Prescribes using coded product list and decision support
HIE / platform: Validates prescriber in health worker registry; routes the prescription
Patient: Receives prescription token by SMS / app
Pharmacist: Retrieves prescription, checks interactions and stock
Pharmacist: Dispenses and records GS1-scanned product
HIE / platform: Decrements stock; triggers claim if insured

Laboratory order to result

Clinician: Orders test with LOINC-coded request
Lab technician: Receives order, registers and tracks the sample
Lab technician: Validates result (technical and biological validation)
HIE / platform: Returns DiagnosticReport to the ordering EMR
HIE / platform: Auto-notifies notifiable-disease positives
Clinician: Reviews result and updates care plan

Vaccine stock replenishment

CHW: Records doses administered and stock on hand
HIE / platform: Calculates consumption and min/max levels
Store manager: Approves the generated requisition
District officer: Allocates from district store; dispatches with cold-chain monitoring
Store manager: Confirms receipt by GS1 scan
District officer: Monitors stock-out and wastage rates

Outbreak detection & response

Lab technician: Confirms a positive case of a notifiable disease
HIE / platform: Aggregates cases; applies alert thresholds
Surveillance officer: Verifies the signal and declares an alert
District officer: Activates the rapid response team; tracks contacts
Store manager: Pre-positions medicines and supplies
Surveillance officer: Monitors epidemic curve until closure

AI model lifecycle governance

AI system owner: Registers the use case, intended purpose and risk class
Ethics / DPO board: Runs DPIA and algorithmic impact assessment
AI system owner: Validates locally on representative, de-identified data; bias audit
Ethics / DPO board: Approves deployment with human-in-the-loop conditions
HIE / platform: Monitors drift, performance and incidents
Patient: Can contest an AI-supported decision (redress)

Routine data quality review

HIE / platform: Applies validation rules at entry and on submission
Data steward: Reviews completeness, timeliness and outliers monthly
District officer: Conducts verification-factor audit against source registers
Data steward: Publishes the data quality scorecard
District officer: Gives feedback and coaching to facilities

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