MONROVIA — OneHealthEHR Inc. has moved its electronic health records and disease surveillance platform from development into live pilot implementation in Liberia and Ghana, with clinicians at seven health facilities now using the system to manage patient records and support disease surveillance.
The company announced Wednesday, September 23, that the pilot, which began on September 1 with four clinics, has expanded to seven active facilities in just over three weeks, with additional facilities reportedly waiting to join.
OneHealthEHR said it is targeting between 30 and 40 clinics and hospitals by the end of December 2026 as it expands the platform across the two countries.
The platform is designed specifically for healthcare settings where internet connectivity and electricity can be unreliable. According to the company, its offline-first design allows clinicians to continue accessing and recording patient information when connectivity is unavailable, with data synchronized once a connection is restored.
The system is built around FHIR R4 and HL7 interoperability standards, which are intended to facilitate the exchange of health information between different digital health systems.
Beyond maintaining electronic patient records, OneHealthEHR says the platform is designed to provide public health authorities with more timely information for disease surveillance and outbreak response.
The company said the system was co-designed with local clinical staff to reflect how healthcare is delivered in participating facilities.
“This is a defining moment for OneHealthEHR and for the clinicians we serve,” said Richmond Appleton, President and CEO of OneHealthEHR Inc.
Appleton said the company’s objective was to develop a health information system capable of operating in facilities affected by unreliable power and internet connectivity.
“Seeing doctors, nurses, and registration staff use OneHealthEHR every day to care for real patients is the proof we have been working toward,” he said.
Christopher Kunney, Corporate Board Chair of OneHealthEHR, described the transition from development to live patient care in two countries as a significant milestone for the company.
“The Board is committed to supporting the team as it scales to meet growing demand across the region,” Kunney said.
Public Health Partnership
In Liberia, OneHealthEHR identified the National Public Health Institute of Liberia (NPHIL) as one of its key public health partners.
The company said its broader consortium includes organizations from Africa and Europe working on health information systems, public health, research and technology.
The consortium includes Actimage GmbH of Germany, OneHealthEHR Africa Inc. of Liberia, NPHIL, Eticas Research and Consulting SL of Spain, Vall d’Hebron Research Institute of Spain, MERIC of Switzerland, Dialectos.ai of Greece and Byron Labs SL of Spain.
Appleton said collaboration among the organizations would be important to strengthening digital health infrastructure and disease surveillance capacity in the region.
“No single organization can transform health systems alone,” he said, adding that the partners bring together public health leadership, technical expertise and research capacity.
The company says its broader mission is to develop digital health infrastructure aimed at improving access to health information and supporting patient care across Africa and the African diaspora.
Expansion Plans
With seven facilities currently participating, OneHealthEHR said it plans to continue expanding the pilot over the final months of 2026.
The company is also seeking additional healthcare facilities and partners interested in participating in the rollout, while inviting investors and supporters to contribute to its expansion efforts.
OneHealthEHR is headquartered in Monrovia, Liberia, and maintains operations in the Sinkor area. The company operates alongside the OneHealth Africa Foundation, a nonprofit entity focused on applied health information system implementation.
The company said the transition to live use represents the beginning of a broader rollout rather than the completion of its development process, with further expansion expected as additional facilities come online.
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