Hospital digitalization · IT upgrades · Health data
We digitalize hospitals - and keep them running.
eTech Solution takes Nepali hospitals from paper registers to working digital records - EMR, laboratory, pharmacy and billing - and upgrades the servers, networks and power those records depend on. Built to real standards, so the data still belongs to you in ten years, and supported long after we leave the room.
Based in Kathmandu · Working across Nepal · Replies within one working day
Why eTech
Digitalization is not a software purchase.
Hospitals rarely fail to go digital because they bought the wrong software. They fail because the network could not carry it, the power dropped at midday, the old registers were never brought across, and nobody trained the clerk who actually types. Going digital is an operational change, not a licence.
So we take on the whole of it: the digitalization programme department by department, the infrastructure upgrade underneath it, the interfaces between systems that were never meant to meet, and the analytics that finally make the data worth having.
We have run these systems from the inside - hospital ERP and reporting, laboratory automation, antimicrobial-resistance surveillance, clinic digitisation - which is why what we install survives contact with a real ward.
What we do
From the bedside to the national standard
Digitalization and the IT upgrade that carries it are where most engagements start. Around them sits everything that keeps a digital hospital honest: standards, interfaces, devices, analytics and support. Most clients begin with one department and end up with an ecosystem.
Hospital Digitalization
Taking a hospital from paper registers and disconnected spreadsheets to digital records that hold up - department by department, without asking clinical work to…
Hospital IT Upgrades
Upgrading the servers, network, power and security a digital hospital stands on - surveyed first, then replaced in an order that never interrupts clinical work.
EMR & Hospital Systems
EMR, HMIS, laboratory and pharmacy systems designed around the ward, the bench and the billing counter - not around a demo script.
Health Data Interoperability
FHIR and HL7 integration between systems that were never designed to meet - EMR to laboratory, device to record, hospital to national reporting.
Hospital Research & Analytics
Support for hospitals that want to use their own routine data - study design, extraction, analysis and write-up, done with your clinicians rather than instead of…
AI & Automation
Automation applied where it removes real drudgery - triage of documents, coding assistance, anomaly detection and reporting that writes itself.
How we work
Five habits we do not skip
Health IT projects rarely fail on code. They fail on assumptions nobody checked, standards nobody applied, and handovers nobody planned.
Understand the ward, not the brochure
We start on site - registration desk, laboratory bench, pharmacy counter - and map how the work actually flows before proposing a system.
Design to the standard
Data models are anchored to FHIR R4, HL7 v2, LOINC, SNOMED CT and ICD-11 from day one, so this year's project does not become next year's silo.
Build in the open
We prefer open-source foundations and we document what we deploy, so you are never locked to one vendor - including us.
Prove it with numbers
Every engagement carries a baseline: turnaround time, data completeness, uptime, revenue leakage. If the numbers do not move, the work is not finished.
Stay after go-live
Training, runbooks and a support arrangement, so your own team can run the system without a phone call for every change.
Selected work
Work we can show you
We publish a case study only when the client has agreed to it in writing. Most of our hospital and laboratory work sits under that rule, so this is deliberately short - the rest we will walk you through in person.
Experience
Where our team has worked
Organisations our team members have worked with, across international technology, government, development partners and hospitals.
International
Government
Development partners
Hospitals and colleges
Measured, not claimed
Years working inside hospital systems
Clinical and operational platforms live
Research analyses built from routine data
Standards we build to
Do you only work in healthcare?
Health data is our specialty, not our limit. The interoperability, standards and automation work is healthcare-specific, but custom software, infrastructure, networking, equipment supply and support contracts are delivered for any sector.
In practice, the discipline healthcare demands - identity, auditability, uptime - tends to make the other work better too.
We already have an HMIS. Can you integrate with it even if the vendor will not help?
Usually, yes. The cooperative route is an API or an HL7 feed from the vendor. When that is refused or priced unreasonably, we have used database-level extraction, scheduled file exchange and, occasionally, screen-level automation.
Each fallback carries trade-offs in reliability and support, and we will set those out plainly before you commit - including the cases where our honest advice is to renegotiate with the vendor instead.
What is FHIR, and do we actually need it?
FHIR is the modern international standard for exchanging health information - a defined way to represent a patient, an observation, a medication or a report, so two systems can share them without a custom translation for each pair.
You need it when you expect more than one system to exist, ever. If you are buying anything today, requiring FHIR support in the specification costs nothing now and saves an integration project later.
Do you work with open-source platforms like OpenMRS, DHIS2 and Bahmni?
Yes, and we prefer them where they fit. They remove per-seat licensing, keep your data in a schema you can read, and let a successor team take over.
Open source is not free, though - the cost moves from licence to implementation and support. We are explicit about that in every proposal rather than presenting it as a saving that will not materialise.
How does an engagement usually start?
With a conversation, then usually a short paid assessment. The assessment produces a written picture of your current systems, data quality and integration gaps, plus a roadmap with options and rough costs.
That document is yours whether or not you continue with us. We would rather you make a good decision than a fast one.
Do you supply hardware and provide annual maintenance?
Yes. We write vendor-neutral specifications, supply against them, and offer annual maintenance contracts with response and resolution times stated in hours.
For public and donor-funded procurement we provide the full documentation trail - specifications, comparative statements, delivery notes, warranty registration and serial-level asset records.
Planning a digitalization or an IT upgrade?
Tell us where you are - still on paper, half digital, or stuck with systems that will not talk. We will say honestly what it takes, in what order, and roughly what it costs.