Skip to main content

Future Scale & Expansion Pathway

The MOANA Digital Health platform is built with a scalable, modular architecture designed to support progressive expansion beyond Angau Memorial Hospital to other healthcare facilities across Papua New Guinea.

1. Phased Expansion Journey​

The roadmap for scaling MOANA is divided into five logical stages:

[ Stage 1: Angau Pilot ] --> [ Stage 2: Additional Facilities ] --> [ Stage 3: Hospital Network ]
                                                                             |
                                                                             v
[ Stage 5: National Program ] <-- [ Stage 4: Regional Systems ] <------------+
  1. Angau Pilot: Verify configuration, establish local clinical competencies, and complete technical handover.
  2. Additional Facilities: Deploy MOANA to other provincial hospitals using the configuration templates established at Angau.
  3. Hospital Network: Interconnect provincial systems to support patient transfers and medical record sharing.
  4. Regional Systems: Sync regional data warehouses to track disease vectors and healthcare indicators.
  5. National Digital Health Programme: Full integration with national healthcare databases as part of the Papua New Guinea Ministry of Health digital health strategy.

2. Standards-Based Interoperability (FHIR R4)​

To support future integration, MOANA uses HL7 FHIR R4 (Fast Healthcare Interoperability Resources) as its native database representation and API layer. This ensures that:

  • Patient demographics conform to standard Patient resources.
  • Laboratory orders are sent via ServiceRequest and results retrieved via DiagnosticReport and Observation.
  • Prescriptions and administrations use MedicationRequest and MedicationAdministration.
  • National indicator reporting compiles data via MeasureReport resources.

3. Scale-Up Requirements Checklist​

Before deploying MOANA at a new facility, the following readiness conditions must be met:

  • Angau Handover: Successful completion of the Angau pilot and documented IT sign-off.
  • MOH Governance: Formal administrative approval and project funding from the Papua New Guinea Ministry of Health.
  • Site Survey: Technical infrastructure survey at the target facility (assessing electricity reliability, backup generators, local cabling, and WAN bandwidth).
  • Clinical Adaptations: Localization of fee schedules, test catalogs, and staff directories to the new facility's operational structures.
  • Security & IAM: Network security assessments, firewalls, and local RBAC configuration.