National eHealth Vision — Ghasi Platform (Afghanistan reference jurisdiction)
Status: Normative synthesis (links to module specs for behavior)
Date: 2026-04-11
Audience: Ministry of Public Health (MoPH), architecture, program management, donors
1. Purpose
This document describes how the Ghasi platform supports a national-scale digital health ecosystem: patient and provider journeys from first contact through care delivery, financing, engagement, population health, interoperability (HIE), and responsible secondary use for HMIS and research. It does not replace module SPEC.md files; it maps business outcomes to deployables documented elsewhere in specs/.
2. Vision statement
Enable safe, standards-based, equitable digital health for Afghanistan (and aligned deployments): one backbone that connects facilities, pharmacies, labs, public-health reporting, and research—under national governance, with FHIR-first interoperability and auditability.
3. Lifecycle map (patient → system → country)
| Stage | User / actor | Platform capability | Primary specs / services |
|---|---|---|---|
| Identity & entry | Registration clerk | Patient registration, identifiers | registration, registration |
| Access to care | Patient, scheduler | Appointments, capacity | scheduling, scheduling |
| Care delivery | Clinician | Chart, notes, orders, results, meds, problems, allergies, vitals | CORE_EHR_DEFINITION.md, core clinical services |
| Diagnostics | Lab, radiology | Orders → results/imaging | laboratory-lis, radiology-pacs, results, orders-cpoe |
| Medication safety | Prescriber, pharmacist | Rx, e-prescribing, dispense | medication, pharmacy, ghasi-e-prescribing-gateway |
| Financing | Billing, payer | Encounters, claims | billing, insurance, claims |
| Engagement | Patient, care team | Portal, messaging, telehealth | patient-portal-api, digital-communication |
| Population & quality | MoPH, hospital quality | Cohorts, registries, HMIS-oriented exports | health-population, immunizations |
| Interop | HIE, partners | FHIR R4, HL7 v2 | interop/SOLUTION_DESIGN.md, fhir-gateway, hl7v2-interop |
| Governance | Security, compliance | IAM, ABAC, audit | iam, access-policy, audit, COMPLIANCE_SECURITY.md |
4. Relationship to EHR
The EHR is the clinical system of record for encounters and longitudinal care (CORE_EHR_DEFINITION.md). The eHealth platform adds non-EHR boundaries: pharmacy/LIS/PACS workflows, revenue cycle, patient engagement, health-population analytics, national medication interop (e-prescribing-gateway), and integration services.
5. Donor-aligned outcomes (index)
Program-level outcomes, indicators, and evidence pointers live in:
docs/funding/DONOR_PROGRAM_LOGFRAME.md(non-normative program narrative)DONOR_OUTCOMES_FRAMEWORK.md(specs index + links)
6. Related documents
- Regional baseline:
REGIONAL_PROFILE.md - As-built services:
../IMPLEMENTED_PLATFORM_ARCHITECTURE.md - Standards matrix:
STANDARDS_ALIGNMENT.md - HMIS indicators (catalog):
../../core/NATIONAL_HMIS_INDICATORS.md - Research / secondary use:
RESEARCH_AND_SECONDARY_USE.md