Why national health systems should be built on the clinical record

Ministries of health typically procure national systems one at a time: a surveillance system, then a supply chain system, then a system for research.
Each requires its own data entry, and each is only as reliable as the paper forms that feed it.
Moana Digital Health has taken the opposite approach.
The clinical record as the foundation
The core of Moana is the clinical and operational record: MOANA EHR, MOANA LIS, the Moana Pharmacy Management System, MOANA PACS and hospital operations. That is where data is created, at the point of care, by the clinicians and staff delivering the service.
MOANA Surveillance, the Moana Medical Supply System and MOANA Clinical Research are standalone systems built on top of that record. Each has its own users and screens, but none requires information to be entered a second time.
- MOANA Surveillance classifies diagnoses into syndromes as they are recorded, so the national picture remains current.
- The Moana Medical Supply System draws on what was dispensed, so requisitions reflect actual consumption.
- MOANA Clinical Research counts eligible patients from the same data, without revealing their identities.
Implications for ministries of health
When national systems read from routine care, reporting is no longer a separate task for clinical staff.
The figures a ministry sees are the figures clinicians recorded, not an estimate assembled at the end of the month.
Each system can also be adopted on its own timeline. A ministry can begin with surveillance and add medical supply later, with the underlying data already in place.


