National HMIS indicators — catalog (Afghanistan placeholder)
Status: Draft catalog — nationalize with MoPH before production use
Date: 2026-04-11
Authority: Complements EHR_FUNCTIONAL_REQUIREMENTS.md; does not override module SPEC.md.
1. Purpose
Define MoPH-aligned aggregate indicators and reporting expectations so that:
health-populationexports and quality metric snapshots can be mapped to national HMIS requirements.- De-identified aggregates feed decision-making without duplicating clinical truth in OLTP services.
2. Principles
- Source of truth remains clinical services + FHIR projections; HMIS aggregates are derived.
- Consent and access policy govern any identifiable exports; default public-health reporting uses aggregates.
- Schedules (daily/weekly/monthly) are tenant/nationally configured—not hardcoded in application code.
3. Illustrative indicator families (to nationalize)
| Family | Example metrics | Platform inputs |
|---|---|---|
| Service utilization | Encounters per facility, new vs follow-up | registration, scheduling, encounters |
| Maternal & child | ANC visits, immunization coverage (aggregate) | immunizations, health-population |
| NCD | Diabetes/hypertension registry counts | health-population registries, problem-list |
| Quality | Screening compliance, care-gap rates | health-population FR-POP series |
| Medication safety | E-prescribing volume, dispense linkage | e-prescribing-gateway, pharmacy |
4. Implementation hooks
| Mechanism | Spec / service |
|---|---|
| Cohort & quality snapshots | health-population/EVENT_MODEL.md |
| Async exports | POST /v1/health-population/exports per API_DOCS.md |
| Event pipeline | NATS subjects POPULATION_HEALTH.* |
| De-identification | RESEARCH_AND_SECONDARY_USE.md |
5. Next steps (program)
- MoPH workshop to lock indicator definitions, denominators, and reporting periods.
- Map each approved indicator to FR-POP / export profiles and to health-population workers.
- Optional: national FHIR MeasureReport profiles when IG available.