CRVS systems achieve their goals through the implementation of processes. For example, when someone dies in a health facility, the attending physician may fill an MCCOD and give it to the family, expecting they will take it to the civil registration office (CRO) and register the death. The civil registrar will verify the information, will register the event, and will send the information to the national statistics office (NSO). The NSO will compile the information about the events registered in all registration offices around the country and will produce the vital statistics.

The process described above, even though it is very simplified and not ideal, involves four different stakeholders (family, physician, civil registrar and NSO) and multiple administrative procedures. If the CRVS system is producing vital statistics based on only a fraction of the deaths that have occurred in the country, we need to review the process from end to end to understand why the system is not achieving its expected outputs (completeness).

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One of the few attempts to use enterprise architecture to strengthen health systems in low- and middle-income countries is the Better Immunization Data (BID) Initiative with the objective of empowering countries to "enhance immunization and overall health service delivery through improved data collection, quality, and use.”