Interoperability Framework for Electronic Health Records (EHR) Systems for Tanzania Government Hospital in the Iringa Region.

Kamba, Yahya Ally (2025) Interoperability Framework for Electronic Health Records (EHR) Systems for Tanzania Government Hospital in the Iringa Region. Masters thesis, The Open University of Tanzania.

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Abstract

Interoperability in healthcare is a requirement for effective communication between healthcare facilities to ensure timely access to up-to-date patient information and medical knowledge to facilitate consistent patient care. The lack of interoperability between health information systems reduces the quality of care provided to patients and wastes resources. Many of the government health facilities have adopted different health information systems, like GoT-HoMIS, Afya Care, EHMS, and others, which have been deployed locally where each of them stores its own patient medical records and still has not centralised them. Therefore, the patient medical records between these health facilities cannot be exchanged and used among themselves. Interoperability will allow different information systems and organisations to work together. The study will address various challenges facing the interoperability of different electronic health record (EHR) systems hosted locally in Tanzanian government hospitals. Looking at various government interoperability initiatives and frameworks developed that can assist in solving interoperability issues for health information systems and finally developing an appropriate interoperability framework for the government electronic health record (EHR) systems for the Tanzanian government hospitals. The results of the study reveals that the major barriers of EHRS interoperability are organization and ICT infrastructure. Therefore the study come up with an appropriate EHRS interoperability framework for the Government hospitals that can be used to design and implement interoperability of heterogeneous Electronic Health Records (HER) Systems. Keywords: Interoperability; EHRs; EHRs interoperability framework; GoT-HoMIS; AFYA CARE

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