Chief Technology Officer · Kathmandu, Nepal

I build the digital infrastructure that public health systems run on.

I am a CTO and digital health architect in Kathmandu. Twelve years designing the systems Nepal’s health service runs on — from the national FHIR exchange down to the app a health worker opens where the signal drops.

  • 12+ years in technology
  • Digital health
  • AI & interoperability
  • Enterprise systems
  • 12+ Years across enterprise, government, and health technology
  • 5M+ Vaccination records verifiable in real time
  • 20K+ Health records digitized across two municipalities
  • 500+ Students mentored in IT and health informatics

Selected work

Systems built for scale, interoperability, and real-world impact.

Six engagements that show the range — national standards infrastructure, emergency-scale public services, municipal transformation, and AI over clinical data.

  1. 01

    National HL7 FHIR platform

    Nepal’s FHIR-based health data exchange capability, implementation guidelines, and Open Concept Lab terminology deployment.

    Architecture · Interoperability · Standards
    Case study

  2. 02

    QR vaccine verification

    Real-time verification across 5M+ COVID-19 vaccination records, integrated with DHIS2 and the Government of Nepal’s Nagarik App.

    Architecture · Integration · Public scale
    Case study

  3. 03

    DHIS2 eHMIS transformation

    End-to-end municipal rollout digitizing 20,000+ records, plus the Nepali calendar localization that made DHIS2 usable for frontline workers.

    Implementation · Localization · Training
    Case study

  4. 04

    Amakomaya health platform

    Award-winning maternal and neonatal mHealth platform, built on an OpenHIE-aligned stack with AI-assisted decision support.

    Co-founder · CTO · Platform architecture
    Case study

  5. 05

    Digital Health MCP Server

    A Model Context Protocol server exposing health data and terminology services to AI agents over standards-compliant data.

    AI systems · Terminology · Protocol design
    Case study

  6. 06

    IMU COVID-19 system

    National case tracking, management, and analytics system feeding aggregated data into the national DHIS2 platform.

    Systems design · Analytics · Reporting
    Case study

About

Technology is most valuable when it improves how people and institutions work.

I am a technology executive working at the intersection of software architecture, interoperability standards, and public-sector delivery. As Co-Founder and Chief Technology Officer of Amakomaya, I lead the technology function of a digital health platform recognised nationally for advancing maternal and neonatal health among rural and underserved populations.

Alongside that, I work as a senior digital health consultant with the Ministry of Health and Population, the Integrated Health Information Management Section, municipal health authorities, and development partners — building national interoperability capability, assessing and remediating the systems government already depends on, and turning operational data into decisions leaders can act on. The work spans HL7 FHIR, SNOMED CT, ICD-11, OpenHIE, and DHIS2, and it is judged on whether frontline health workers can actually use what gets built.

I hold a Master of Health Informatics and an MBA, which is deliberate: most digital health failures are organisational before they are technical. I spent five years teaching software engineering and health informatics at university level, and I still think the best test of an architecture is whether you can explain it to the people who have to run it.

More about RC

Capabilities

Where I go deep.

Six areas. The places where they overlap is usually where the hard problems are.

Digital transformation

  • Technology strategy
  • Enterprise architecture
  • Systems assessment & re-engineering
  • Digital government
  • Programme & risk management

Digital health

  • Health information systems (HIS/HMIS)
  • DHIS2 — aggregate, tracker, localization
  • OpenMRS · OpenIMIS · eLMIS
  • eHealth governance
  • WHO digital health ecosystem alignment

Standards & interoperability

  • HL7 FHIR resources & profiles
  • SNOMED CT · ICD-11 terminology services
  • OpenHIE architecture
  • Open Concept Lab
  • Master facility registries · API integration

AI & automation

  • AI in healthcare
  • Clinical decision support
  • Generative AI & prompt engineering
  • NLP for clinical datasets
  • Business process automation

Engineering & delivery

  • Software architecture & system design
  • PostgreSQL · Java · REST APIs · ETL
  • Docker · Linux · Nginx · Keycloak
  • CI/CD & DevOps-driven delivery
  • Agile team leadership across the SDLC

Data & decision systems

  • Health data analytics
  • Executive & programmatic dashboards
  • Monitoring & evaluation
  • Business intelligence
  • Evidence-based decision support

Experience

Twelve years, three altitudes.

2019 — Present

Co-Founder & Chief Technology Officer

Amakomaya · Digital health · Kathmandu, Nepal

  • Lead the technology function of an award-winning mHealth platform advancing maternal and neonatal health education and access among rural and underserved populations.
  • Designed a health interoperability platform on OpenHIE architecture, enabling standards-based exchange between facility systems, national registries, and DHIS2.
  • Implemented HL7 FHIR profiles, SNOMED CT terminology mapping, and ICD-11 services so health data stays semantically interoperable, not just syntactically valid.
  • Established the production stack — Docker, PostgreSQL, Supabase, Keycloak, Nginx, hardened Linux — with GitHub-based CI/CD for secure, reproducible, cost-efficient deployment.

2019 — Present

Senior Digital Health Consultant

Government & development partners · MoHP, IHIMS, municipal health authorities

  • Developed Nepal’s national HL7 FHIR interoperability platform, implementation guidelines, and Open Concept Lab deployment, contributing to the national HIS interoperability roadmap.
  • Architected a QR-based vaccine verification system covering 5 million+ COVID-19 vaccination records in real time, integrated with DHIS2 and the Nagarik App.
  • Delivered DHIS2 eHMIS in Tokha and Gokarneshwor Municipalities — 20,000+ records digitized — and localized DHIS2 with a Java-based Bikram Sambat calendar.
  • Assessed the national DHIS2 HMIS across infrastructure, configuration, data integrity, and security; resolved unmanaged log growth of 10–50 GB/day, metadata defects, and authentication weaknesses.
  • Trained 300+ healthcare professionals and built executive dashboards adopted for programmatic and organisational decision-making.

Mar 2019 — Mar 2024

Lecturer, Information Technology

Himalayan WhiteHouse International College & CITE · Part-time

  • Taught Software Engineering, Programming, Information Systems, Data Analytics, and Emerging Technologies at undergraduate level.
  • Mentored and supervised 500+ students across research, capstone, and software development projects in IT and health informatics.
  • Designed industry-aligned curricula and ran technical workshops that strengthened learning outcomes and employability.

2014 — 2019

Software Developer → Senior Software Developer

Early career · Digital health & enterprise applications

  • Led design, development, and deployment of digital health and enterprise applications.
  • Progressed into architecture and technical leadership across the full delivery lifecycle.

Education

Informatics, and the business of making it stick.

2024 — 2026

Master of Health Informatics

Kathmandu University, Dhulikhel

2019 — 2023

Master of Business Administration

ACE Institute of Management, Kathmandu

2014 — 2019

Bachelor of Information Technology

College of Information Technology and Engineering (CITE)

Certifications & credentials

Insights

Writing & ideas

In progress

Notes on digital transformation, health technology, AI, and building systems that work at scale — drawn from national implementations rather than theory.

Tell me when the first piece lands

Contact

Have a difficult technology problem?

I’m interested in conversations around digital transformation, health interoperability, AI, and technology strategy — advisory, leadership, and speaking.

Start a conversation