Interoperability & HIE v1.0
Health Information Exchange governed & secure
Governance, policies, standards, and operational controls enabling secure, standards-based healthcare information exchange across organizations, networks, insurers, public health institutions, and national digital health programs.
Interoperability principles
Six principles governing every exchange
Patient-centred exchange
Information exchange exists to improve patient care. The patient is the ultimate beneficiary of every data flow.
Authorized access only
Information is only exchanged among authorized participants, subject to clear consent policies.
Data minimization
Only necessary information is exchanged — no superfluous data in transit.
Standards-based
Exchange follows recognized international standards: HL7 FHIR, ICD-11, SNOMED CT, LOINC.
Security & privacy
Confidentiality, integrity, and availability are guaranteed at every stage of exchange.
Full accountability
All exchange activities are traceable and auditable at any time.
Governance structure
Five committees for a trusted ecosystem
National Interoperability Governance Board
National interoperability strategy, policy approval, ecosystem governance at national scale.
Interoperability Standards Committee
Standards adoption and updates, FHIR version governance, and terminology mapping management.
Health ID Governance Committee
Identity policies, identity quality, duplicate resolution, and Health ID lifecycle management.
Information Exchange Committee
Exchange policies, partner participation, data sharing governance, and consent management.
Technical Architecture Committee
APIs, integration infrastructure, registry services, and interoperability service governance.
Interoperability architecture
Six components, one connected ecosystem
OPES Health ID
Unique patient identification
- Identity assignment
- Identity verification
- Cross-facility recognition
Master Patient Index (MPI)
Centralised identity repository
- Patient matching
- Duplicate detection
- Identity resolution
Health Information Exchange
Cross-facility clinical exchange
- Clinical data exchange
- Results exchange
- Referrals & transfers
API Gateway
Secure integration portal
- API security
- API monitoring
- Version governance
Terminology Services
Standardised terminology mapping
- ICD-11 management
- SNOMED CT mapping
- LOINC mapping
Interoperability Registries
Reference directories
- Facility registry
- Provider registry
- Organisation registry
Data exchange categories
Five information domains covered
Clinical information
Diagnoses
Medications
Allergies
Encounters
Laboratory information
Orders
Results
Quality information
Imaging information
Imaging requests
Radiology reports
DICOM metadata
Referrals & transfers
Referrals
Counter-referrals
Transfer notes
Public health information
Disease notifications
Surveillance reports
Programme reporting
API & partner integration
A clear framework for joining the ecosystem
API lifecycle
Design
API designed to FHIR and REST standards.
Review
Technical Architecture Committee review.
Approval
Security, documentation and versioning validation.
Deployment
Production via the secured API Gateway.
Monitoring
Availability, performance and security monitoring.
Retirement
Formal deprecation and retirement procedure.
Partner onboarding process
Every facility or organisation wishing to participate in information exchange must complete the following certification process.
1
Registration
Organisation identified and formally registered.
2
Verification
Legal and organisational validation.
3
Technical assessment
Integration capability and systems review.
4
Security assessment
Security audit and OPES controls compliance check.
5
Certification
Formal certification and exchange charter signature.
Eligible participants
Hospitals
Clinics
Laboratories
Pharmacies
Insurers
Public health programmes
Government agencies
Research institutions
Consent & data sharing
The patient controls their information
Authorization
Every exchange requires explicit authorization — patient consent or a documented legal basis.
Purpose validation
The purpose of each exchange is validated before transmission. No unauthorized secondary use.
Audit logging
Every exchange is recorded: who, what, when, why. Complete, immutable audit trail.
Consent management
Patient consent recording, management, revocation, and auditing via a dedicated consent registry.
Interoperability KPIs
Six metrics for a healthy exchange ecosystem
Exchange success rate
% of exchanges completed without error
Duplicate patient rate
% of duplicates detected / resolved in MPI
Identity match rate
% of identities correctly reconciled
Referral completion rate
% of referrals with a documented follow-up
API availability
% uptime of exchange services
Data quality score
Conformance to validation and completeness rules
Supported standards
Built on international digital health standards
HL7 FHIR R4
Clinical data exchange protocol
ICD-11
International disease classification
SNOMED CT
Clinical terminology system
LOINC
Lab & clinical observations
DICOM
Medical imaging standard
REST API
Web integration architecture
Integrate your system into the OPES ecosystem?
Our technical team can assess your integration capability and guide you through the partner certification process.