This paper is about the production of the health information system in Rwanda. It is a critical account which situates the ongoing architectural process historically and spatially. We have drawn on the ideas of Henri Lefebvre to pay particular attention to the often underplayed spatial dimension of information systems architecture. We draw some connections between the national space of Rwanda and other spaces and places in the world. We conclude that the architecture of such systems (including its discourse) takes place within the connected space of the world and actively produces all of that space simultaneously.