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RHINO Greetings Theo!
From our experience of working on interoperability in Tanzania, USA and being engaged in some other global discussion, we have learnt that before implementation of any solution, we need to design for scale! Once we are in the planning stage, it is crucial to develop a shared architecture and document long-term requirements. This is helpful in selecting a solution that has a potential to scale. The principle of working with the health system under the Ministry of Health’s leadership and strong governance are like essential spices/ingredients for scale.
my two cents…