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DakarSenegal: launchWest Africa: nextAfrica: the visionAppointmentPatient
The African Health Standardby Quralys

01Senegal

One languagefor care

From paper agendas, to a crowd of disconnected apps, to a national system built to count rather than to treat, Senegal has digitised health in pieces. Quralys connects the pieces with one international language for health data: FHIR.

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A hand holding a phone showing an available appointment

We start with the most ordinary act in healthcare, booking a doctor, and build outward to pharmacies, labs, insurers, the national health system and, later, West Africa and the continent.

Illustrated portrait of a patient in a head wrap holding a phone
Illustrated portrait of a doctor in a white coat with a stethoscope
See the platform
PatientsSearch, book, pay and consult from a phone
A blister pack of pills with one red pill
Private doctorsPlanning, consultation, ordonnances
A clinic waiting room with a row of empty chairs

Quralys is not one more booking app. It is a standardised health ecosystem: a FHIR-native core that every module writes into, and a gateway that lets other apps and the national health information system read from it. Patients never pay for the app; doctors pay for the tools they use every day.

“We don’t want to compete with the apps already in Senegal. We want to give them, and the national system, one shared language, so a patient’s record finally follows the patient.”
— Quralys founding team

The entry point is deliberately small. A patient finds a doctor, books, pays with mobile money, consults in person or by video, and leaves with a digital ordonnance. Every one of those steps already writes a real FHIR resource, so the first demo tells the whole ecosystem story.

“Standard first, from the first table. Everything else can change; the data model can’t.”
— Quralys founding team

The problem

Fragmented by default. Senegal’s health data problem isn’t a lack of software. It’s that the software doesn’t connect. Public programmes, private clinics and health startups each keep their own records in their own format, so a patient’s history stays wherever it was first written down.

On the ground

Dakar, today

Appointments taken by phone and written in paper agendas. Saturated lines at peak hours, empty slots from no-shows, prescriptions written by hand and lost.

Why health data is fragmented
Scattered paper records, a busy phone and a broken chain link

Patients

  • Repeated calls to get a slot
  • History starts from zero at every new clinic
  • Paper prescriptions that get lost

Doctors

  • Secretariat saturated at peak hours
  • No-shows leave empty slots
  • Each app is another silo to feed

One record, every door

Seven kinds of partners, one shared language. Every booking, consultation and prescription becomes a standard FHIR resource that any authorised system can read, with the patient’s consent.

01 / 07

Clinics & private practices

Online agenda, consultation notes and ordonnances, all in one place. Every booking, visit and prescription is written once, in the international format.

  • A live agenda patients can book into, day and night
  • Fewer calls at peak hours, fewer empty slots
  • The patient’s history on screen before they sit down

FHIRSchedule · Slot · Appointment · Encounter

See all seven systems
FHIR resourceAppointment

FHIR, simply

Imagine every clinic in Dakar writing prescriptions in its own private shorthand. Each one makes sense inside its own walls and nowhere else. FHIR, pronounced “fire”, is the international answer: a shared way to write, label and exchange health information, published by HL7 and free for anyone to use.

Messy notes, a spreadsheet and a phone turn into one standard Patient card, with Appointment and Prescription cards behind it
01

Standard forms

Every piece of health information has an agreed shape, called a resource: a patient, an appointment, a prescription, a blood-pressure reading. Like an official form, everyone fills in the same boxes in the same way, so any system can read it.

Three different words for malaria all point to one shared code tag: ICD-11 1F40
02

Shared codes

Diseases, lab tests and medicines carry international codes. Whether a doctor writes paludisme, malaria or palu, the record carries the same code, 1F40, and every system understands it the same way.

A pharmacy asks a clinic for a patient's prescriptions and receives a standard prescription card in return
03

A common way to ask

Systems talk over the internet using the same simple requests, a bit like ordering from the same menu everywhere: “give me this patient’s prescriptions”. Any FHIR system understands the question and answers in the same format.

A phone asks the patient to allow or refuse a pharmacy's access to their prescription, with a padlock, a key and an access log
04

The patient holds the key

Nothing is shared by default. An app or a pharmacy only sees what it has been allowed to see, with the patient’s consent, and every access is recorded.

FHIR in five minutes
“FHIR is to health data what the shipping container was to trade: the box is standard, so everything else can move.”
— Quralys founding team
The film

See it inseventy seconds.

An interactive film, not a video file: scrub it, switch it between English and French, and watch it full screen.

Two apps, one loop

Thirty days, one loop, end to end. A patient app to find, book and pay, and a doctor console to plan and run the consultation. Video is just another way to hold the same appointment.

  1. 1

    Search

    Specialty, neighbourhood, language and the next free slot, from a phone, in French first.

    FHIR · Practitioner · HealthcareService
  2. 2

    Book

    The patient picks a slot straight from the doctor’s live agenda, with the doctor’s own availability rules.

    FHIR · Slot → Appointment
  3. 3

    Pay

    Wave or Orange Money through a local aggregator, confirmed instantly. Paying at booking is designed to cut no-shows.

    FHIR · ChargeItem
  4. 4

    Consult

    At the clinic or by video in the browser. The doctor console holds notes, history and the patient’s details.

    FHIR · Encounter
  5. 5

    Ordonnance

    A pre-filled template the doctor adjusts, signed and delivered to the patient’s phone as a PDF with a QR check.

    FHIR · MedicationRequest
  6. 6

    Follow up

    Reminders and the next appointment by SMS or WhatsApp.

    FHIR · Communication
Explore the platform
“Success is simple: three to five private doctors running real appointments, real patients paying, and a live demo on stage that never breaks.”
— Quralys founding team

Market

Young, mobile, and already paying by phone. Senegal is young and urbanising fast, and its people are connected through the phone. Mobile money is the default way to pay, which removes the biggest barrier to paid online booking.

18.1MResidents, 2023 census
122%Mobile connections per person
DakarLaunch city
14.6MActive e-money accounts, 2024
19Median age, in years
DHIS2National backbone, 10+ years
~80%Of e-money held through Wave

Sources: ANSD, RGPH-5, DataReportal, Digital 2026 Senegal, BCEAO, digital financial services 2024, UMOA Banking Commission data, via Senego (Aug. 2026).

Built in Senegal.Designed for Africa.

Nothing in Quralys is specific to one country except configuration. FHIR is international, DHIS2 runs national health information in many African countries, and mobile money is how the region pays. Each new country is a deployment, not a rebuild.

Dakar

Prove the loop in Dakar

Private doctors first, then clinics, pharmacies and labs, then the national DHIS2. Data hosted in Senegal.

Our vision and roadmap

From the blog

Plain-language explainers on health data, standards and care in Senegal, each one sourced.

All articles

Build the standardwith Quralys.

We’re looking for

  • Private doctors for the pilot
  • Conference stages
  • National health partners
  • DHIS2 technical partners
  • Seed funding for sovereign hosting
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