Case M2: Ministry of Health – A Digital Health Record Isn’t an Enterprise Architecture v2 💲
- Sunil Dutt Jha
- Jul 12
- 6 min read
Updated: Aug 2
What was delivered: national Electronic Health Record (EHR) system and health facility digitization.
What was missing: a structural model of how public health, clinical operations, funding, workforce, and care outcomes fit together.
Claimed EA Success
The Ministry of Health claimed an ambitious EA transformation aligned with its digital health strategy. The key announcements included:
Nationwide EHR and health data exchange platforms
Integration of lab, pharmacy, radiology systems
Smart health cards and mobile health apps
AI-driven diagnostics and telemedicine infrastructure
EA maturity scored high in regional health governance reports
The ministry presented EA as the digital foundation of a “connected, patient-centered health system.”
Scope Reality – What Was Actually Done
Yes, significant tech milestones were achieved.
What was delivered:
EHR and Health Information Exchange (HIE) platforms across public hospitals
Digital registration, lab orders, prescriptions, and billing
Pilot AI services in diagnostics and patient triage
Mobile apps for appointment booking and health records access
But structurally:
No architecture of care pathways, service design, or regional access models
No modeling of public health functions (immunization, disease surveillance, outreach)
HR, capacity planning, and workforce distribution left outside EA scope
Financing models and outcome-based reimbursements not architected
The EA was system-deep, but functionally shallow.A digital shell – without an enterprise skeleton.
What Was Missing — Deeper Structural Gaps
1. No Patient Journey Architecture
Digital systems captured transactions
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