Determine Resources and Identify Constraints and Environmental Factors

Component Level Project and Exchange Level Project

Determine Resources and Identify

Explore Opportunities and Challenges

The motivations driving an implementation can be detailed by the perceived opportunities or challenges that stakeholders face. For example, implementing a Facility Registry might include the desire to share data across systems related to health facilities for supply chain management, monitoring and evaluation, health service delivery and many other systems.

Resources and Examples:

• Job aid: Opportunity Brainstorming Methods - Example for a facility registry. This can be modified for use with other project types.

• Job aid: Risk Identification and Management; Risk Matrix Template

• Tanzania Example: Tanzania Facility Registry Goals and Challenges

Identify Applicable Standards

While researching the data needed in your context, list any applicable terminology and data standards used. The source of these standardized data lists can either be from international sources or defined by appropriate national bodies. In some cases, there may be local standards that are used across health systems. If local terminology standards are used, you may want to consider linking those to international standards or codes.

Each standardized list should include a code that components of the health information system can use to refer to the element as well as a textual representation of that element in one or more languages.

Examples:

• Philippines National Health Data Dictionary

• The FHIR Patient Resource identifies options for gender

• FHIR Implementation Guides Registry - Each FHIR IG may contain applicable value sets.

• ISO/TS 22220:2011 Identification of Subjects of Healthcare

• ISO 21091:2013: Health informatics -- Directory services for healthcare providers, subjects of care and other entities.

• Laboratory Tests -- LOINC

Critical Integrations

In addition to collecting and standardizing facility lists, it is important to identify and achieve critical integrations with priority systems. Multiple APIs are available to facilitate the automated transmission of data; however, it will be required that some code be incorporated into the partner system to consume the API. For example, common high priority systems to consider integration with the facility registry include: DHIS2, CommCare, PROMIS, and OpenLMIS. You’ll need to determine what the critical integrations are for your project.