Expression of Interest For Assessment, Design And Implementation Of A National Unified Health Terminology Service

Expression Of Interest For Assessment, Design And Implementation Of A National Unified Health Terminology Service In Rwanda. Location: Kigali Deadline: Friday, 29/05/2026 17:00 The Deutsche Gesellschaft Für Internationale Zusammenarbeit (Giz) Gmbh Is A Federally Owned International Cooperation Enterprise For Sustainable Development With Worldwide Operations. The Giz Office In Kigali Covers GizS Portfolio In Rwanda And Burundi. Giz Rwanda/Burundi Implements Projects On Behalf Of The German Federal Ministry For Economic Cooperation And Development, The European Union And Other Commissioning Authorities In The Following Priority Areas: Sustainable Economic Development, Good Governance, Climate, Energy And Sustainable Urban Development, Digitalization And Digital Economy, Mineral Governance, Peace And Security In The Great Lakes Region. Health Data Interoperability Is Critical To Improving Healthcare Quality, Efficiency, And Access. However, A Large Share Of Health Data Globally Remains Underutilized Due To Fragmentation And Lack Of Standardization. While Regions Such As The European Union Have Established Initiatives To Advance Interoperability, Including The European Interoperability Framework And The European Health Data Space, Many Countries In Africa Continue To Face Challenges Related To Governance, Coordination, And Technical Capacity. Strengthening RwandaS National Terminology And Interoperability Foundations Will Support More Consistent Data Capture, Improved Data Exchange Across Systems, And Better Use Of Health Data For Service Delivery, Management, And Policy. This Activity Responds To A Need Identified In Collaboration With The Ministry Of Health To Support The Development And Implementation Of A National Health Terminology Service For Rwanda, Aimed At Improving Data Standardization And Interoperability Across Health Information Systems. It Addresses Gaps In Data Consistency, Clinical Coding Practices, And System Integration Across The Health Sector. The Work Includes Establishing Governance Arrangements, Assessing Current Systems And Terminology Use, Designing The Technical Architecture, And Developing A Minimum Viable Product (Mvp), Followed By Pilot Testing, Rollout, And Capacity Building. 1. Tasks To Be Performed By The Contractor The Contractor Shall Provide The Following Work/Service: Work Package 1 Framing And Governance Setup Objective:Have A Clear Objective And Link To Related Initiatives Tasks: Document The Objective Statement For The Centralised Terminology Service (Scope, Intended Users, Systems To Be Interconnected As The Basis For Defining Scope, High-Level Benefits). Document The Linkage Between Terminology Service, Capacity Building For Data Entry To Show How The Service Supports Better Data Capture In The Existing Systems. Identify And Formally Designate An Accountable Individual (Project Lead) To Coordinate All Activities Related To The Terminology Service. Map Key Stakeholders In Moh And Other Institutions That Must Be Involved Output Document Describing The Objective, Scope Anchored In The List Of Systems To Be Interconnected, And Linkage Between The Centralised Terminology Service And Data-Entry Capacity-Building Initiatives. Work Package 2 Project Planning And Resourcing Objective: Have An Approved Project Plan To Support Assessment And Design Of The Terminology Service. Tasks: Develop A Detailed Project Plan And Implementation Roadmap For The Terminology Service, Including Workstreams, Timelines, Roles And Responsibilities, Dependencies, And Budget. Integrate Explicit Activities For Current Status / Mapping Assessment And Technical Architecture And Mvp Into A Project Plan As Distinct Work Packages. Align And Validate The Project Plan With Moh And Relevant Stakeholders, Securing Formal Approval. Output Approved Project Plan And Implementation Roadmap, Including Timelines, Work Packages, Roles And Responsibilities, Dependencies, And Indicative Budget. Work Package 3 Assessment Of Current State And Mappings Objective: Consultant To Design A Clear Picture Of Current Status And Mappings For The Systems Identified As In Scope For Interconnection. Tasks: Conduct A Structured Assessment Of Each Of The In-Scope Systems I.E Those To Be Interconnected Via The Terminology Server -- Focusing On: How Diagnoses, Procedures, Medicines, And Other Key Data Elements Are Currently Coded. Existing Terminologies And Standards Already In Use (E.G. Any Code Lists, Value Sets). Document, Code Systems, And Value Sets, Including Owners, Update Processes, And Overlaps. Map All Data Elements From Each In-Scope Source System To Relevant International Standards (E.G. Icd, Snomed Ct, Loinc). Identify Data Elements Not Adequately Covered By International Standards And Propose Candidate National Standards For These, Producing A Consolidated Terminology List To Be Managed By The Server. Analyse And Document Mapping Needs (E.G. Between Local Codes And Standard Terminologies) And Current Gaps Or Inconsistencies. Produce A Current State And Mappings Report To Be Validated With Moh And System Owners. Conduct A Technical Workshop To Present All The Systems Currently In Use Output Validated Current-State Assessment Report Covering Existing Systems, Terminologies, Code Systems, Value Sets, And Mapping Gaps. Consolidated Terminology List, Documenting: Mapped Data Elements With Their International Standard References, Data Elements Requiring National Standards With Proposed Definitions, And The Complete List Of Terms To Be Managed By The Terminology Server. Technical Workshop Delivered And Documented To Review Findings With Stakeholders. Work Package 4 Technical Design And Mvp Objective:Have A Draft Technical Architecture/Specification And An Mvp Of The Terminology Service. Tasks: Define Functional Requirements For The Terminology Service (E.G. Terminology Storage, Search, Versioning, Mapping, Apis For Client Systems). Design A Draft Technical Architecture For The Unified Terminology Server, Following Enterprise Architecture (Togaf) Principles, And Detailing The Main Components, System Integration Patterns, Security And Access Control Mechanisms, Data Flow And Governance, As Well As Operational Considerations. Develop Draft Technical Specifications (E.G. Interfaces, Data Structures, Terminology Lifecycle Processes) In A Format Suitable For Review By Moh And Technical Stakeholders. Implement A Mvp Of The Terminology Service Aligned To The Draft Architecture, Sufficient To: Demonstrate Integration With At Least One Of The Identified Systems. Showcase Key Workflows (E.G. Retrieving Codes, Mapping). Organise A Review Session With Moh And Stakeholders To Get Feedback On The Architecture And Mvp, And Document Required Adjustments. Output Documented Functional Requirements, Technical Architecture, Technical Specifications, And Governance Mechanisms For The Terminology Service. Operational Mvp Of The Terminology Service With Integration Demo And Architecture Review Including Stakeholder Feedback. Work Package 5 Pilot, Rollout And Showcasing Objective:Pilot And Go Live With The Solution. Tasks: Plan And Execute A Pilot Of The Terminology Service, Including: Selection Of Pilot Sites And Systems. Pilot Success Criteria And Monitoring Mechanisms. Incorporate Lessons From The Pilot Into The Architecture And Implementation, Preparing For National Rollout. Complete Activities Required For The Solution To Be Fully Live By End Of December 2026 (Infrastructure, Support Processes, Governance Arrangements). Coordinate With The Go-Live Team To Define What Aspects Of The Terminology Service Will Be Demonstrated, And To Whom, And Where (Policy Brief, Conference, Etc.), Ensuring Evidence And Stories From The Pilot Are Captured. Provide Support For The Go-Live And Any Issues Faced During The Pilot Phase. Ensure Alignment With The Capacity Building Objective So That Training Materials And Strategies Reflect Use Of The Unified Terminology Service Within The Approved Systems Output Pilot Implementation Report With Performance Against Success Criteria, Lessons Learned, And Supporting Documentation Showcasing System Benefits.Terminology Service Deployed And Operational For Initial Rollout. Work Package 6 Capacity Building Objective: A Strategy Is In Place And Tested For Capacitating Health Workers To Better Use The Approved Systems, Aligned With The Unified Terminology Service. Develop A Short Proposal Describing The Capacity-Building Objective And Approach. Integrate A Capacity-Building Workstream Into The Overall Project Plan And Implementation Roadmap, Including Stakeholders, Timelines, Roles And Responsibilities, Delivery Approach (E.G. Training Institutions Or Moh Teams), And Indicative Budget. Conduct A Training Needs Assessment For Users Of The Approved Health Information Systems, Focusing On Accurate Data Entry, System Workflows, And The Appropriate Use Of Standardized Terminology. Define Competency Objectives For Key User Groups (E.G. Frontline Health Workers, Data Managers, Supervisors) And Design Or Adapt A Training Curriculum That Integrates System Workflows With Practical Use Of The Terminology Service. Develop Standardized Training Materials And Guidance, Including Slide Decks, Job Aids, Quick Reference Guides, User Manuals, And Sops Aligned With The Mappings And Value Sets Defined During The Assessment And Technical Design Phases. Implement Pilot Trainings Alongside The Terminology Service Pilot, Collect Feedback From Trainees And Supervisors, Refine The Training Approach, And Develop A Plan For National Scale-Up Including Processes For Updating Materials And Monitoring Indicators (E.G. Number Of Staff Trained, Proportion Of Correctly Coded Records). Output Capacity-Building Strategy And Workstream Integrated Into The Project Plan. Standardized Training Tender Link : Https://Www.Jobinrwanda.Com/Job/Expression-Interest-Eoi-Assessment-Design-And-Implementation-National-Unified-Health