Nkwapa EMR
Nkwapa is a multi-clinic electronic medical record (EMR) platform focused on hypertension and diabetes care pathways. It is built for community health programs that need dependable clinical documentation, operational visibility, and responsible handling of sensitive patient data.
The system is developed in support of Akomapa—the nonprofit behind community-driven screening, education, and longitudinal care for non-communicable diseases.
What the platform does
Nkwapa ties together frontline intake, structured encounters, vitals and screening workflows, care planning, prescribing, patient engagement (including reminders), and research-grade export—all under role-based access and clinic-level isolation. The goal is a single source of truth for clinic operations while staying practical for low-connectivity and high-throughput field settings.
Capabilities
- Clinic operations — Shifts, check-ins, queue-style boards, and assignments so teams can coordinate who is working, who is waiting, and who is responsible for each step of care.
- Clinical documentation — Encounters with screening modules (e.g. vitals, diabetes, hypertension), care plans, and prescriptions tied to a shared patient record and drug catalog.
- Identity-aware access — Staff permissions are modeled explicitly; actions are scoped to the clinic context so users only work within what they are authorized to see and change.
- Audit and accountability — Important writes are recorded for traceability, supporting quality improvement and governance expectations.
- Offline-first web experience — The patient-facing and field workflows are designed around resilient sync: capture data locally when connectivity is poor, then reconcile when the network is available.
- Research and reporting — Controlled export pipelines support de-identified datasets and approval workflows, so program data can support evidence and partnerships without sacrificing patient trust.
- Patient touchpoints — Appointment requests, portal-style self-service where appropriate, and reminder channels help close the loop between visits.
Architecture (overview)
Nkwapa is maintained as a TypeScript monorepo: a NestJS API for business rules and integrations, a Next.js progressive web application for staff and patients, and a PostgreSQL data layer with a versioned schema. Authentication integrates with Keycloak (OpenID Connect / JWT), aligning enterprise identity practices with nonprofit deployment realities.
License and organization
This project is licensed under the GNU General Public License v3.0—see LICENSE. For more about Akomapa’s mission, programs, and how to engage with the organization, visit akomapa.org.
