Maximising HRIS opportunities with interoperable open standards architecture

Mr. Comfort Mankga, Software Engineering Coordinator, HISP SA, South Africa

· Session Title: Interoperability country examples
· Date and time (tentative): Wednesday 22 June, 13:00-15:00

South Africa has recently updated its Human Resources Information System (HRIS) architecture to be more robust and fit-for-purpose, motivated by increasingly complex reporting requirements and interoperability challenges.

Two critical components of the Human Resource for Health (HRH) information landscape are the HRH Registry and HRH Datawarehouse, built for South Africa using an open standards-based architecture. The HRH Registry contains individual HRH records from multiple sources. This data is aggregated, anonymised, and combined with data from other sources in a Datawarehouse. Data from both HRH Registry and Datawarehouse are available to users through DHIS2 dashboards and a custom DHIS2 Portal app. South Africa’s initial HRIS architecture included an Extract Transform and Load (ETL) process to consume data from several transactional sources into a Fast Health Interoperability Resources (FHIR) server. The Mobile Care Services Discovery (mCSD) profile of Integrating the Healthcare Enterprise (IHE) was used with an interoperability layer mediated through an OpenHIM. Data from the HRH Registry was aggregated and sent from the FHIR server into a DHIS2 Data warehouse via an ETL process.

In the latest iteration of the HRIS architecture, we added a dimensional data store that houses disaggregated data and connects other related databases to it. It allows data provenance, meaning users want to track mappings to their source values, and we can interoperate and share data with partners who do not yet use FHIR. DHIS2 still forms an integral part of this architecture. The architecture model allows for advanced analytics and machine learning to gain insights that otherwise would not be available from source data alone, allowing managers to make decisions on HR that advance Univeral Health Coverage (UHC).

Key Words: Human Resources Information System (HRIS), Human Resource for Health, Datawarehouse, Fast Health Interoperability Resources (FHIR), Extract Transform and Load (ETL)

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Thanks for sharing this use case on interoperability @mankgamc :+1: