{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T10:51:13Z","timestamp":1782989473869,"version":"3.54.5"},"reference-count":0,"publisher":"IOS Press","isbn-type":[{"value":"9781643686684","type":"electronic"}],"license":[{"start":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T00:00:00Z","timestamp":1782691200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,29]]},"abstract":"<jats:p>Transitions in national level health information systems (HIS) require careful assessment of technical, organizational, and policy implications, particularly in low- and middle-income countries. Mozambique is currently transitioning from a long-standing OpenMRS-based HIV electronic medical record (EMR) to a new national python-based EMR. This paper proposes a conceptual framework to guide such transitions, synthesizing digital health standards, enterprise architecture principles, and implementation science. The framework outlines five analytic domains: technical architecture; data governance and migration; interoperability and standards alignment; institutional and human capacity; and financial sustainability. Applying the framework to the Mozambican case demonstrates how structured evaluation can inform decision-making, mitigate migration-related risks, and ensure institutional continuity. Insights highlight the importance of phased implementation, adherence to global interoperability standards, and strengthened governance. The proposed framework provides a practical tool for countries undertaking nationally embedded HIS transitions.<\/jats:p>","DOI":"10.3233\/shti260901","type":"book-chapter","created":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T10:02:31Z","timestamp":1782986551000},"source":"Crossref","is-referenced-by-count":0,"title":["Approaches and Implications of Transitioning National Level Health Information Systems: Case Example of Mozambique"],"prefix":"10.3233","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6907-4054","authenticated-orcid":false,"given":"Nilza","family":"Collinson","sequence":"first","affiliation":[{"name":"University Eduardo Mondlane, Maputo, Mozambique"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1087-9365","authenticated-orcid":false,"given":"Emilio","family":"Mosse","sequence":"additional","affiliation":[{"name":"University Eduardo Mondlane, Maputo, Mozambique"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6182-093X","authenticated-orcid":false,"given":"Martin C.","family":"Were","sequence":"additional","affiliation":[{"name":"Vanderbilt University Medical Center (VUMC), Nashville, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8375-3926","authenticated-orcid":false,"given":"C. William","family":"Wester","sequence":"additional","affiliation":[{"name":"Vanderbilt University Medical Center (VUMC), Nashville, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"7437","container-title":["Studies in Health Technology and Informatics","Health Sciences Informatics Leads and Empowers the Digital Health Transformation"],"original-title":[],"link":[{"URL":"https:\/\/ebooks.iospress.nl\/pdf\/doi\/10.3233\/SHTI260901","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T10:02:31Z","timestamp":1782986551000},"score":1,"resource":{"primary":{"URL":"https:\/\/ebooks.iospress.nl\/doi\/10.3233\/SHTI260901"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,29]]},"ISBN":["9781643686684"],"references-count":0,"URL":"https:\/\/doi.org\/10.3233\/shti260901","relation":{},"ISSN":["0926-9630","1879-8365"],"issn-type":[{"value":"0926-9630","type":"print"},{"value":"1879-8365","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,29]]}}}