The national exchange layer

Connect care without replacing every system.

PHX provides the trusted exchange, governance, and operational layer between existing public and private health systems—so information can move with purpose, accountability, and country control.

1governed exchange layer
Manysystems and vendors connected
Countryauthority over policy and operation

Protect existing digital investment

PHX connects the ecosystem. It does not erase it.

Countries retain the tools already serving facilities and programmes. PHX adds a governed national trust and exchange layer between them.

Verified DPG examplesRegistry status checked July 2026
DHIS2National reporting & surveillanceDPG
OpenMRSClinical recordsDPG
OpenELIS GlobalLaboratory informationDPG
BahmniHospital & clinical operationsDPG
National trust & exchangeIdentity · consent · policy · terminology · routing · audit
Other country investmentsExamples, not endorsement claims
OpenEMRFacility clinical systems
OpenHIMInteroperability middleware
National registriesPeople, workers, facilities
Claims platformsCoverage & reimbursement

Product names are used as plain-text interoperability references. PHX does not imply endorsement, partnership, or ownership of those products.

Core capabilities

A shared foundation for a connected health ecosystem

PHX groups national capabilities into clear trust and exchange domains. Detailed internal methods remain protected; public interfaces and assurance stay verifiable.

Identity

Trusted identity and directories

Governed patient matching, verified health-worker identities, and national facility and service directories.

Care

Care exchange and referrals

Authorized clinical exchange, accountable cross-facility referrals, acknowledgements, and continuity-of-care pathways.

Trust

Consent, privacy, and audit

Purpose-aware decisions, minimum-necessary access, privacy controls, and durable evidence of sensitive actions.

Operations

Interoperability operations

Conformance, routing health, data quality, terminology, acknowledgements, and recoverable exchange operations.

Public health

National insight

Privacy-protected surveillance, coverage, trends, and programme monitoring for authorized national audiences.

Ecosystem

Governed participation

Clear onboarding paths for public and private facilities, insurers, regulators, programmes, and software vendors.

How it works

Four layers, one accountable exchange

01

Connect

Existing systems join through approved interfaces and country-defined onboarding requirements.

02

Govern

Identity, purpose, consent, policy, and institutional roles determine what is allowed.

03

Exchange

Authorized information moves with traceability, acknowledgement, and operational safeguards.

04

Act

Care teams coordinate care while authorized leaders receive privacy-protected national insight.

Product boundary

What PHX deliberately does not replace

PHX does not duplicate everyday hospital operations. It connects the ecosystem around them.

Facility operations stay local

Billing, dispensing, ward management, laboratory workflow, and daily clinical operations remain in facility applications.

Policy stays authoritative

The user interface explains policy; the trusted service layer remains the source of truth for authorization and exchange.

Data access stays bounded

Partner and population views use authorized, de-identified aggregates—not a path into individual patient records.

Start with the national priority

See where PHX fits in your country architecture.

Begin with a defined problem, map the current ecosystem, and shape the smallest credible path to national scale.