ZuriHIS
Enterprise hospital management built on 18 independent microservices, FHIR R4 native, and Kafka event choreography. Clinical-grade reliability for teaching hospitals, districts, clinics, and health networks across Ghana.
18
Microservices
5
Architectural layers
FHIR R4
Interoperability native
99.99%
Uptime SLA
Who we serve
Built for Ghana's healthcare facilities.
From teaching hospitals to community clinics — ZuriHIS scales to fit how each facility actually delivers care.
Teaching Hospitals
2,000+ · Beds supported
Multi-site, multi-specialty, multi-tenant.
Complex referral hospitals with research, teaching, and tertiary care. Support for hundreds of concurrent users, thousands of beds, and specialty workflows across dozens of departments.
- Multi-site deployment with unified patient identity
- Specialty workflows for surgery, ICU, oncology, cardiology
- Research data exports and de-identified datasets
Regional Hospitals
500+ · Beds
Referral hub for an entire region.
Regional referral centers managing complex cases, ambulance coordination, and specialist clinics across multiple district feeder facilities.
- Referral tracking between district and regional facilities
- Ambulance dispatch and patient transport coordination
- Regional bed availability and capacity dashboards
District Hospitals
200+ · Beds
Full-service care at district scale.
District-level care with OPD, inpatient, maternity, theatre, laboratory, pharmacy, and public health programs — a complete hospital in one platform.
- OPD, inpatient, maternity, and theatre workflows
- NHIS claims processing from admission to discharge
- DHIS-2 monthly reporting automation
Polyclinics & Clinics
500+ · Patients / day
Fast-paced outpatient care, done right.
High-volume outpatient facilities with appointment scheduling, queue management, quick triage, and streamlined pharmacy dispensing.
- Queue management with SMS patient notifications
- Rapid triage and consultation workflow
- Walk-in and appointment hybrid scheduling
Private Hospitals
20+ · Insurers
Premium service, fully digital.
Private facilities offering concierge-grade patient experience alongside clinical workflow. Support for insurance, corporate accounts, and self-pay billing.
- Multi-insurer billing with automated claims
- Corporate wellness and executive health packages
- Patient portal with premium features
Health Networks & HMOs
100+ · Network facilities
Coordinate care across facilities.
Health networks, HMOs, and managed care organizations coordinating care across multiple facilities with shared patient records and unified claims.
- Cross-facility patient record sharing
- Network-wide claims processing and adjudication
- Provider performance and utilization analytics
Platform capability
Eighteen microservices.
Five architectural layers.
Every clinical, diagnostic, and financial workflow is an independent service — with its own database, its own deployment lifecycle, and its own scaling profile. No shared databases. No single points of failure.
18
Microservices
5
Layers
FHIR R4
Native
Core Infrastructure
Every request passes through these services. Authentication, authorization, audit, and communication.
API Gateway
FHIR-aware routing, rate limiting, request validation
Identity & Access (IAM)
OAuth 2.1, OIDC, JWT, RBAC, MFA, device binding
Audit Service
Immutable event log, access trails, compliance reports
Notification Service
SMS, email, push, WhatsApp, in-app, multi-language
Patient & Clinical
The clinical heart of ZuriHIS. Where patient care is documented, ordered, and delivered.
EMPI / Patient Index
Master patient index, Ghana Card verification, dedup
Registration / ADT
Admission, discharge, transfer, bed management, wards
EMR / Clinical Records
Notes, diagnoses, procedures, allergies, vitals
CPOE / Orders
Physician order entry, order sets, decision support
Nursing Service
Assessments, eMAR, care plans, vitals capture
Scheduling / Appointments
OPD, theatre, resource allocation, queue management
Diagnostic
Laboratory, imaging, and pharmacy — the diagnostic engines that drive clinical decisions.
Laboratory (LIS)
Test orders, specimen tracking, results, QC, HL7v2
Radiology (RIS)
Imaging orders, modality worklist, PACS, DICOM
Pharmacy
Prescription validation, dispensing, inventory, interactions
Financial
Billing, insurance, and accounting — every cedi tracked, every claim processed.
Billing & Invoicing
Charges, invoices, payments, refunds, price lists
NHIS Claims
G-DRG coding, claim generation, rejection handling
General Ledger
Chart of accounts, journal entries, financial periods
Enterprise
Supply chain and workforce — the operational backbone supporting clinical care.
Inventory & Supply Chain
Medical supplies, equipment, purchase orders, stock
HR & Staff
Records, rosters, attendance, leave, credentials
Electronic Medical Records
The complete patient chart.
Every note, every observation, every result — in one chronological timeline that follows the patient across every admission and every department.
Structured Clinical Notes
SOAP notes, specialty templates, voice dictation with medical vocabulary, and structured data capture.
Vitals & Observations
Real-time vitals capture with early warning scores (MEWS/NEWS) and automatic escalation alerts.
Problem List & Diagnoses
ICD-10 and SNOMED coded diagnoses, chronic condition tracking, and care gap identification.
Medication History
Complete medication reconciliation across admissions, including allergies and adverse reactions.
Results Timeline
Unified clinical timeline — labs, imaging, notes, and orders in a single chronological view.
Care Team Collaboration
Multi-disciplinary notes, referrals, consultation requests, and shared care plans.
Clinical Search
Full-text search across all clinical documents with patient-level and cross-patient query.
Medico-Legal Records
Immutable clinical records with e-signature, tamper evidence, and full audit trail.
Computerized Physician Order Entry
Every order, tracked to completion.
Structured order entry with clinical decision support, real-time alerts, and end-to-end tracking from physician to pharmacist to bedside.
Structured Order Entry
Order sets for common conditions, drug protocols, and specialty-specific templates.
Clinical Decision Support
Real-time alerts for drug interactions, allergies, dose limits, and guideline deviations.
e-Prescribing
Direct electronic prescription to pharmacy with formulary checks and NHIS coverage validation.
Diagnostic Orders
Lab, imaging, and procedure orders with priority levels and turnaround tracking.
Order Approval Workflow
Multi-level approval for high-cost orders, restricted drugs, and specialist referrals.
Order Tracking
Real-time status — placed, acknowledged, in-progress, completed — for every order.
Critical Value Alerts
Panic value notification to the ordering physician via SMS, app, and in-system alert.
Order Sets Library
Evidence-based order sets, customizable per facility, department, and specialty.
From specimen to result, fully tracked.
Bi-directional analyzer integration with every major vendor. Barcode-tracked specimens. Automated QC. Critical value alerts. No manual transcription anywhere.
Specimen Tracking
Barcode-based specimen lifecycle from collection through processing to result, with chain of custody.
Test Catalog
Full test catalog with LOINC codes, reference ranges, and facility-specific pricing.
Analyzer Integration
Bi-directional HL7v2 interface with lab analyzers — no manual result entry.
Quality Control
Levey-Jennings charts, Westgard rules, daily QC runs, and instrument calibration tracking.
Critical Value Workflow
Automatic critical value detection with read-back confirmation and physician notification.
Result Verification
Multi-level verification for pathology and specialized tests, with pathologist sign-off.
Reference Lab Interface
Send-out tests to reference labs with automatic result reconciliation.
Lab Analytics
Turnaround time, volume by test, revenue per test, and quality metrics dashboards.
Radiology Information System
Every image. Every report. Every time.
DICOM-native integration with CT, MRI, X-ray, ultrasound, and mammography. Structured reporting. Long-term archive. Radiologist remote review.
Modality Worklist
DICOM worklist integration with CT, MRI, X-ray, ultrasound, and mammography equipment.
PACS Integration
Full DICOM integration with PACS vendors for image storage, retrieval, and viewing.
Radiology Reporting
Structured reporting templates per modality, with speech recognition and macros.
Radiologist Sign-Off
Peer review workflow, discrepancy tracking, and double-read for critical studies.
Turnaround Tracking
Real-time monitoring of radiology TAT from order to final report.
Critical Findings Alert
Immediate notification of critical radiology findings to the ordering clinician.
Mobile Image Review
Radiologists can review studies remotely with secure mobile access.
Long-Term Archive
Vendor-neutral archive (VNA) for lifetime image retention with cost-efficient tiering.
Pharmacy Management
The right drug. The right patient. Every time.
Prescription validation, dispensing workflow, inventory management, controlled substance register, and NHIS formulary integration.
Prescription Validation
Automated checks for drug interactions, allergies, contraindications, and dose appropriateness.
Dispensing Workflow
Order queue, batch dispensing, inpatient and outpatient workflows, barcode verification.
Inventory Management
Real-time stock levels, batch tracking, expiry management, and automated reorder points.
Dose Preparation
IV admixture, chemotherapy compounding, and pediatric dose calculation with safety checks.
Controlled Substances
Narcotics register, dual control, and regulatory compliance for controlled drugs.
NHIS Formulary
Real-time NHIS coverage check, generic substitution, and co-pay calculation.
Consumption Analytics
Trend analysis, ABC analysis, and procurement planning based on consumption patterns.
Returns & Recalls
Batch recall management with patient-level traceability and credit note processing.
Nursing Service
Bedside care, documented digitally.
Shift assessments, medication administration, vital signs capture, care plans, and structured handover between shifts.
Nursing Assessments
Standardized assessments — admission, shift, falls risk, pressure ulcer, pain, and sepsis screening.
eMAR
Electronic medication administration record with barcode verification and five-rights checks.
Vitals Monitoring
Timed vital signs capture with automatic early warning score calculation and escalation.
Care Plans
Individualized care plans with nursing diagnoses, interventions, and outcome tracking.
Shift Handover
Structured SBAR handover, shift reports, and critical patient alerts across shifts.
Patient Movement
Bed transfers, ward transfers, and discharge documentation with full audit trail.
Billing & Revenue Cycle
Every cedi, accounted for.
Automatic charge capture from clinical events. Multi-channel payments. Insurance splits. Full revenue cycle from admission to final settlement.
Charge Capture
Automatic charge capture from clinical events — consultations, procedures, medications, diagnostics.
Invoice Generation
Patient invoices with itemized charges, insurance split, discounts, and payment history.
Payment Processing
Cash, MoMo, bank transfer, card, insurance — all channels with automatic reconciliation.
Price Lists
Multiple price lists per facility, insurance, and patient category with effective dating.
Refunds & Adjustments
Approval workflow for refunds, write-offs, and billing corrections with audit trail.
Revenue Analytics
Daily revenue, department-wise analysis, payment mix, and outstanding receivables.
NHIS Claims Processing
NHIS claims that get paid.
G-DRG coding, electronic submission, rejection handling, and revenue reconciliation — all built into the clinical workflow. No manual claims preparation.
G-DRG Coding
Automatic Ghana Diagnosis Related Group coding based on clinical documentation.
Claim Generation
NHIS-compliant claim files with G-DRG codes, procedure codes, and clinical attachments.
Electronic Submission
Direct integration with NHIS claims portal — no manual uploads or paper submissions.
Rejection Handling
Automatic categorization of rejections with correction workflows and resubmission.
Eligibility Verification
Real-time NHIS eligibility check at registration and admission with Ghana Card linkage.
Claim Tracking
End-to-end claim status — submitted, under review, approved, paid, rejected.
Revenue Reconciliation
Automated reconciliation of NHIS payments against submitted claims.
Claims Analytics
Approval rates, rejection reasons, and revenue cycle dashboards.
Ghana Health Ecosystem
Built for how Ghana actually delivers care.
NHIS, DHIS-2, Ghana Card, GHS reporting, e-zwich — every national system your facility needs to integrate with, pre-built and maintained.
NHIS Claims Processing
Full Ghana NHIS integration — eligibility, G-DRG coding, claims, and reconciliation.
DHIS-2 Reporting
Automated monthly and quarterly DHIS-2 reporting for national health data.
Ghana Card Verification
National ID verification at registration via NIA integration.
GHS Reporting
Ghana Health Service reporting templates and regional health directorate returns.
GRA Tax Compliance
VAT, NHIL, GETFund, and COVID-19 levy handling for private hospitals.
Regional Medical Stores
Integration with regional medical stores for essential drug supply tracking.
e-zwich Linkage
Biometric payment and patient identification via e-zwich smart cards.
Multi-Language UI
English, Twi, Ga, Ewe, Dagbani, and Hausa interface options.
Hospital Departments
Thirty-two modules.
Every department covered.
From registration through theatre, from pharmacy through mortuary — every department in a modern hospital runs on ZuriHIS.
Registration / ADT
Admission, discharge, transfer, bed management, ward allocation.
Outpatient (OPD)
Clinic appointments, consultation workflow, queue management.
Emergency Department
Triage, casualty tracking, MLC cases, fast-track registration.
ICU / Critical Care
Ventilator charts, hourly monitoring, sedation, APACHE scoring.
Theatre / OR Management
Surgical scheduling, anaesthesia records, instrument tracking.
Maternity / Obstetrics
ANC visits, delivery records, partogram, newborn records.
Pediatric / NICU
Age-appropriate dosing, growth charts, immunisation tracking.
Inpatient / Wards
Ward rounds, bed occupancy, patient census, discharge planning.
Architecture
Eight layers. Event-driven. Zero trust.
A polyglot microservices architecture with Kafka event choreography, Saga orchestration for distributed transactions, CQRS for read/write separation, and Istio service mesh for zero-trust security. Every service owns its database. Every event is replayable. Every request is audited.
Client & Channels
Every user touchpoint — clinician mobile, patient portal, admin web, kiosk, and USSD.
API & Zero Trust
Every request authenticated, authorized, and audited through a single gate.
Core Infrastructure
Authentication, audit, notification, and gateway — the services every request touches.
Clinical Microservices
Independent services for patient, clinical, diagnostic, and financial domains.
Event Backbone
Event-driven choreography between services with guaranteed delivery and replay.
Data & Persistence
Polyglot persistence — the right store for each data type.
Infrastructure & Reliability
Runs on cloud, on-prem, or hybrid. Your data, your rules.
Observability
Distributed tracing, metrics, logs, and clinical workflow analytics.
<180ms
p99 latency
99.99%
Uptime SLA
15 min
RPO target
30 min
RTO target
Built with
The stack underneath ZuriHIS.
Healthcare standards native (FHIR R4, HL7v2, DICOM, LOINC, ICD-10, SNOMED). Polyglot backend (Quarkus, .NET, Node.js). Event-driven with Kafka. Containerized on Kubernetes with Istio service mesh. Every layer battle-tested at enterprise scale.
Backend & Microservices
Java
Quarkus
.NET
Node.js
Python
Healthcare Standards
FHIR R4
HL7v2
DICOM
LOINC
ICD-10
SNOMED
Web & Mobile Clients
React
Vue
TypeScript
Tailwind CSS
Native & Cross-Platform Mobile
Kotlin
Swift
Flutter
React Native
Data & Event Bus
PostgreSQL
MongoDB
Redis
Apache Kafka
Elasticsearch
MinIO
DevOps & Infrastructure
Docker
Kubernetes
Istio
AWS
Azure
Terraform
Security & Identity
Keycloak
Vault
OPA
Observability
OpenTelemetry
Prometheus
Grafana
Jaeger
Integrations
Connected to Ghana's healthcare ecosystem.
National health infrastructure, lab analyzers, imaging equipment, insurers, pharmaceutical supply chains, and payment rails — all pre-built and maintained.
Ghana Health System
National health infrastructure — every hospital in Ghana integrates with these.
NHIA
DHIS-2
Ghana Health Service
Ghana Card (NIA)
e-zwich
Regional Medical Stores
Laboratory & Diagnostic Systems
Analyzer and PACS integrations using HL7v2, DICOM, and FHIR.
Roche
Abbott
Siemens Healthineers
GE Healthcare
Philips
Mindray
Insurance & HMOs
Major health insurers and HMOs in Ghana for claim processing.
NHIA
Acacia Health
Apex Health
Glico Healthcare
Premier Health
Metropolitan
Pharmacy & Supply Chain
Pharmaceutical distributors and supply chain integrations.
Kina Group
Pharmanova
Ernest Chemists
Danadams
Regional Medical Stores
Payment & Mobile Money
Payment rails for hospital billing and patient out-of-pocket payments.
MTN MoMo
Telecel Cash
AT Money
GhIPSS Instant Pay
Paystack
Hubtel
Government & Regulatory
Revenue, pension, and regulatory system integrations.
GRA
SSNIT
Registrar General
National Ambulance Service
Implementation
From discovery to go-live.
Discovery & clinical mapping
We map your departments, workflows, forms, and reporting. Deliverable: written implementation plan with facility-specific configuration.
Configuration & data migration
Master data, price lists, formularies, order sets, and historical records configured. Legacy data migrated with parallel run.
Clinical training & UAT
Doctors, nurses, pharmacists, lab staff, and admin trained on role-specific workflows. UAT against real patient scenarios.
Go-live & hypercare
Phased cutover by department. 60 days of clinical hypercare, then ongoing support via SLA tier.
FAQ
Common
questions.
Let us talk
Ready to modernize
your hospital?
Tell us about your facility, your departments, and your reporting obligations. We'll tell you honestly if ZuriHIS is the right fit.
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