Care coordination
Referral acknowledgement, acceptance, completion, outcome return, and avoidable delay.
Outcomes framework
Measure the health-system change—not the page views.
Until verified deployments and approved baselines exist, PHX describes the outcomes it is designed to improve rather than presenting projections as impact.
Outcome domains
What a country programme should be able to measure
Exchange reliability
Successful exchanges, recoverable failures, acknowledgements, conformance, and availability.
Coverage
Connected facilities, participating vendors, service availability, and responsible adoption.
Public-health action
Reporting timeliness, completeness, signal review, and time from authorized signal to action.
Trust
Consent coverage, appropriate access, audit evidence, incidents, corrective action, and user confidence.
Country capability
Local operating capacity, institutional ownership, sustainable financing, and knowledge transfer.
Evidence standard
Every published result needs context
Baseline
Define what was true before the intervention and how it was measured.
Intervention
Describe the approved scope without exposing confidential methods.
Result
Report the observed measure, period, source, and responsible approver.
Limitations
State uncertainty, confounding factors, missing data, and transfer limits.
Publication integrity
What PHX will not do
No invented scale
No patient, facility, country, uptime, performance, or adoption figure without current evidence.
No implied endorsement
No partner, ministry, donor, or standards-body claim without authority and permission.
No patient exposure
No personal health information or re-identifiable small-cell detail in public reporting.
Build the baseline first
Design measurement into the deployment.
Country and evaluation partners can define outcomes, safeguards, and evidence before implementation begins.