Pan American Health Organization
PAHO Consultant – Regional eMCCD Implementation, Digital Health Interoperability and ICD-11 Technical Cooperation

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OBJECTIVE OF THE OFFICE/DEPARTMENT
This is a requisition for employment at the Pan American Health Organization (PAHO)/Regional Office of the World Health Organization (WHO)
Contractual Agreement:
Non-Staff - International PAHO Consultant
Job Posting:
September 11, 2026
Closing Date:
September 21, 2026, 11:59 PM Eastern Time
Primary Location:
Off Site
Organization:
EIH Evidence and Intelligence for Action in Health
Schedule:
Part time
PURPOSE OF CONSULTANCY
Background
The Pan American Health Organization (PAHO/WHO) supports Member States in strengthening mortality information systems and advancing implementation of the International Classification of Diseases, 11th Revision (ICD-11), through digital transformation, interoperability, capacity building and regional technical cooperation.
As part of this work, PAHO is developing a regional electronic Medical Certificate of Cause of Death (eMCCD) application to support standardized, interoperable and high-quality mortality reporting. The application integrates international health information standards, including HL7 FHIR and the WHO ICD-11 API, within a modular architecture designed to facilitate implementation and adaptation across countries in the Region of the Americas.
The initiative includes development of a regional white-label eMCCD solution, country proofs of concept and implementation activities, interoperability with national health information and mortality coding systems, and development of approaches to improve the quality of medical certification of cause of death.
PAHO is also exploring the incorporation of AI-enabled clinical decision support within the eMCCD to assist physicians during completion of the Medical Certificate of Cause of Death, including approaches to improve the quality, completeness and consistency of medical certification.
In parallel, PAHO provides technical cooperation to Member States for ICD-11 readiness and implementation, including institutional and hospital-level maturity assessment, interoperability and terminology services, capacity building, technical training and implementation guidance.
PAHO requires specialized technical expertise to support these interrelated areas of work.
Purpose of the Consultancy
The purpose of the consultancy is to provide specialized technical expertise to support the development, implementation and regional scaling of the eMCCD initiative and related ICD-11 implementation, interoperability, terminology and digital health activities in Member States.
The consultant will work closely with PAHO technical teams, software development resources, Member States and relevant partners. The consultant will provide technical leadership, specifications, implementation support and coordination rather than being solely responsible for software development.
DESCRIPTION OF DUTIES:
Responsibilities
Under the supervision of the Regional Advisor, Digital Health and Information Systems, the consultant will undertake the following activities:
1. Regional eMCCD Development and Implementation
- Provide specialized technical support for the development, testing and implementation of the regional eMCCD solution.
- Support definition and refinement of functional and technical requirements for the regional application.
- Provide technical guidance related to information models, workflows, business and validation rules, terminology requirements and interoperability.
- Support the use of HL7 FHIR and other relevant health information standards within the regional eMCCD architecture.
- Support alignment and interoperability with the WHO ICD-11 API and relevant WHO digital mortality standards and specifications.
- Support interoperability with national health information systems and mortality coding solutions.
- Support development of technical specifications, implementation guidance, testing approaches and conformance requirements.
- Support preparation, implementation and evaluation of eMCCD proofs of concept and pilot implementations in participating Member States.
- Document implementation experience, technical findings and recommendations for regional scale-up.
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These responsibilities consolidate the eMCCD pilot, implementation and interoperability functions defined in the existing technical TOR.
2. AI-enabled Decision Support for Medical Certification of Cause of Death
- Support development of the functional and technical concept for AI-enabled clinical decision support within the regional eMCCD application.
- Identify and define priority use cases to assist physicians during completion of the Medical Certificate of Cause of Death.
- Develop recommendations for improving the quality, completeness and consistency of medical certification through digital and AI-enabled decision-support approaches.
- Define relevant technical, architectural, interoperability, terminology and governance considerations.
- Support alignment of the AI-enabled functionality with ICD-11 concepts and relevant clinical terminologies.
- Contribute to development of a roadmap for progressive development, testing and implementation of AI-enabled decision support within the eMCCD ecosystem.
The current technical workplan already defines this component as development of the functional/technical concept, priority use cases and a progressive implementation roadmap rather than full independent development of an AI system.
3. ICD-11 Implementation and Interoperability
- Provide specialized technical cooperation to Member States related to ICD-11 readiness and implementation.
- Support integration and use of the WHO ICD-11 API within national and regional digital health solutions.
- Provide technical guidance related to semantic interoperability, clinical terminologies, health information standards and digital health architecture.
- Support development of technical guidance and implementation materials related to ICD-11.
- Review and contribute to the Spanish-language ICD-11 API course.
- Support implementation of the course through the PAHO Virtual Campus, including technical sessions and guidance to participants as appropriate.
- Contribute to other regional ICD-11 capacity-building and implementation activities.
The API course and related capacity-building activities are part of the existing scope.
4. ICD-11 Hospital Maturity Assessment and Country Implementation
- Support implementation and further refinement of the ICD-11 Hospital Maturity Assessment Model.
- Provide technical guidance during institutional assessments and preparation of recommendations.
- Support selected Member States in assessing institutional readiness for ICD-11 implementation.
- Support development of practical implementation guidance for hospitals and other health facilities transitioning to ICD-11.
- Contribute to country-level readiness, implementation planning and follow-up technical cooperation.
The current TOR provides for application of the Hospital Maturity Assessment in one or two Member States together with broader ICD-11 technical guidance.
5. Regional Technical Cooperation and Documentation
- Participate in technical consultations and coordination with PAHO/WHO teams, Member States and relevant partners.
- Participate in regional and country-level technical meetings, workshops and implementation activities as required.
- Prepare technical specifications, guidance documents, reports, recommendations and other knowledge products arising from the consultancy.
- Document lessons learned and technical recommendations to support replication and regional scale-up.
- Support knowledge exchange among participating countries.
Consultant Profile
Education
- Essential: Advanced university degree in Biomedical Informatics, Digital Health, Computer Science, Health Information Systems, Medicine, Public Health, Engineering, or another discipline directly relevant to the technical functions of the consultancy.


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Experience
- Essential:
- Minimum of 9 years of relevant professional experience in digital health, biomedical informatics, health information systems, health data standards or related technical fields.
- Demonstrated professional experience supporting ICD-11 implementation.
- Proven professional experience with HL7 FHIR and semantic interoperability.
- Showed experience with clinical terminologies, classifications and health information standards.
- Experience in design, development, implementation or technical assessment of interoperable digital health solutions.
- Experience providing technical cooperation or implementation support to ministries of health, health authorities, health care institutions or other health-sector organizations.
- Experience developing technical specifications, implementation guidance or other specialized technical documentation.
- Experience developing and delivering specialized technical training.
- Experience supporting digital health implementation in Member States or comparable national health-system environments.
- Desirable:
- Experience with mortality information systems, Civil Registration and Vital Statistics (CRVS), medical certification of cause of death and/or electronic Medical Certificates of Cause of Death.
- Experience integrating or implementing the WHO ICD-11 API.
- Experience developing or implementing HL7 FHIR profiles, Implementation Guides, terminology bindings, validation or conformance testing.
- Experience with digital public goods, reusable digital health solutions or open digital health architectures.
- Experience with clinical decision-support systems, artificial intelligence or related emerging technologies in health.
- Previous experience with PAHO, WHO, other United Nations agencies or international health organizations.
The technical threshold intentionally retains the core requirements of the existing TOR, which requires ICD-11 implementation experience, semantic interoperability/FHIR, clinical terminology and standards experience, technical training and country implementation experience.
Skills
- Advanced technical knowledge of digital health architecture and interoperability.
- Strong knowledge of ICD-11 and health classification and terminology systems.
- Strong knowledge of HL7 FHIR and semantic interoperability principles.
- Ability to translate clinical, public health and information requirements into technical specifications and implementation guidance.
- Ability to analyze complex health information workflows and identify appropriate technical solutions.
- Ability to work effectively with multidisciplinary teams involving public health, clinical, informatics and software-development professionals.
- Strong analytical and problem-solving skills.
- Strong technical writing and communication skills.
- Ability to work independently and manage multiple technical workstreams and deliverables.
- Ability to collaborate effectively in multicultural and multidisciplinary environments.
Languages
- Essential: Very good knowledge of English and Spanish, both written and spoken.
- Desirable: Knowledge of Portuguese.
Daily Payrate
Depending on deliverables, daily rates can vary from $258 to $314 USD.
Duration
The consultancy is expected to last from 16 October 2026 to 30 June 2027.
The assignment is part-time, with an estimated level of effort equivalent to approximately 60% FTE over the contract period.
The work will be organized around agreed technical deliverables and milestones established in the detailed consultancy workplan. The distribution of effort may vary during the contract period according to country implementation schedules, technical development milestones and other agreed priorities
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