To complete development of the Fast Healthcare Interoperability Resources (FHIR) implementation guidelines for Indonesia
Description
As part one of the Adaptive Networks for Care at Scale (ANCS) programme, building a highly interoperable system utilising the Fast Healthcare Interoperability Resources (FHIR) standard is key. This system is also crucial to addressing emergent pandemic- and nutrition-related needs and to maintaining alignment with the deployment of new frontline health workers (FHWs), and with the requirement for facilities and doctors to be directly engaged with a pregnant woman earlier in pregnancy, and to make the interoperability fully FHIR-based. The FHIR migration will also enable interoperability with all other app systems in the future. At the same time, we are improving the capacity of health workers to utilise data for decision-making processes via the new health worker training processes.
We note this initiative has received interest and support from the Digital Transformation Office (DTO) of the Ministry of Health (MOH), the National Family Planning Coordinating Agency (NFPCA), the Ministry of Village, Development of Disadvantaged Regions and Transmigration (MoVDDRT), and the Ministry of Education. The current SID collaboration with DTO also strengthens and accelerates the pathway to adopting the FHIR system in Indonesia in order to enhance pregnancy and newborn care through joint team-based care that is well supported and connected with a highly interoperable FHW information system. This mutual collaboration between SID and DTO also strengthens the SID collaboration with Health Level Seven International (HL7 International), the global body overseeing the FHIR standard.
Specifically, Satu Data Indonesia (SID) can facilitate more Indonesians to actively participate in attending FHIR courses through scholarships and to continue working collaboratively with partners and FHIR course alumni to build FHIR implementation guides for Indonesia and further expand the use of the guideline to other low- and middle-income countries (LMICs).
Action plans:
1. SID will collaborate with HL7 International to provide 40 scholarships for Indonesians to attend two rounds of FHIR Fundamentals Courses by December 2021.
2. Forty FHIR course alumni will be involved in an FHIR Indonesia working group. Working groups will be created for developing an FHIR implementation guide for Indonesia by January 2022.
3. An interoperable system will be piloted in the context of ANC by utilising team-based care approaches in one of OpenSRP’s districts in Indonesia by December 2022. Evidence for a highly interoperable system in Indonesia utilising the HL7 FHIR standard will be provided by publishing at least one paper and one scientific article by December 2022.
4. A developer curriculum on FHIR Adaptation in Indonesia will be developed by December 2022.
5. A nondeveloper curriculum on the FHIR standard for global and local use will be developed by May 2022.
Overarching commitment (for commitments submitted pre-2025)
Title
Adaptive Networks for Care at Scale (ANCS)
Description
Satu Data Indonesia (SID) commits to overcoming bottlenecks in maternal and neonatal care and nutrition, utilising five core components:
1. Coordinated, data-driven maternal and newborn care and nutrition delivered by FHW teams through active use of routine client data on the OpenSRP mobile information system to ensure complete coverage and continuity of care. OpenSRP is currently deployed with the aim to enhance maternal care, including Covid-19 screening, vaccination, multiple micronutrient supplementation during pregnancy, blood pressure and diabetes monitoring and management, maternal, newborn and infant tracking for Covid-19 according to government schedules and the promotion of breastfeeding.
2. Enhanced FHW knowledge, skills and accountability through the proctored Knowledge Gateway (KG) online assessment platform. The platform provides targeted training (ie, interprofessional collaboration) for workers to attain professional society certification, meet public-sector human resource performance requirements and receive coaching for continuous improvement.
3. Universal health coverage provider incentivisation by real-time verification of service completeness and quality by OpenSRP and linked with accelerated provider claim payments.
4. Client demand-side incentives that promote improved quality of care based on client feedback on care completeness and quality.
5. Completion of app migration to the Fast Healthcare Interoperability Resources (FHIR) standard for a ‘One Data’ system, according to the Presidential Regulation No. 39 Year 2019.
The first four components are to be achieved through deployment of OpenSRP, the Knowledge Gateway and coaching activities. Meanwhile, the fifth component is an effort to create a highly interoperable system for a unified data system across FHWs. Therefore, all components are integrated to improve the quality of human resources in health and improve quality of maternal and child health and nutrition by improving the quality of human resources and the use of digital tools for health.
GNR assessment
| Verification status |
Verified
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| SMARTness index |
High
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Details
| Global nutrition target(s) |
Anaemia
Low birth weight
Exclusive breastfeeding
Childhood stunting
Childhood wasting
Adult diabetes
Raised blood pressure
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|---|---|
| Nutrition Action Classification(s) |
Enabling >
Research, monitoring and data
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| Linked event(s) |
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| N4G Summit theme(s) |
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Measurement
| Key indicator | Development of FHIR implementation guidelines |
|---|---|
| Measurement plan | Collect own data |
| Value | Measurement date | |
|---|---|---|
| Baseline | No | 2021 |
| Target | Yes | December 2027 |
