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Implementation of Pilot FHIR-based National Health Shared Record, Sri Lanka

Healthtech

Sri Lanka faced a critical challenge with the absence of a National HealthData Exchange, which hindered seamless data sharing and effectivepatient care.

KEY CHALLENGES

  • Absence of a National Health Data Exchange or repository for clinical patient-level data.
  • Four major EMR implementations with poor interoperability.
  • Disparate systems hindering patient care continuity.
  • High patient roaming between healthcare providers.

KEY OUTCOMES

Unified Health Data Exchange

Created a centralised platform for sharing patient information across different health systems.

Improved Interoperability

Enabled seamless communication and data exchange between previously disparate systems.

Enhanced Patient Identification

Implemented a master patient index to ensure accurate patient identification and reduce duplication.

Standardised Data Formats (FHIR)

Ensured data consistency and interoperability by aligning with international standards.

Capacity Building

Provided training and knowledge sharing to empower local stakeholders and ensure sustainable adoption.

SYMBIONIX@WORK

  • Collaborated with the Ministry of Health and Jembi Health Systems to define and shape the required HIE.
  • Implemented the technical infrastructure for the HIE.
  • Shaped and defined FHIR specifications for data exchange.
  • Facilitated the development of an International Patient Summary (IPS) profile.
  • Implemented a Master Patient Index for unique patient identification and deduplication.
  • Implemented terminology mapping resolution leveraging an open-source terminology service tool Open Concept Lab.
  • Provided up-skilling knowledge transfer through hackathons, training sessions, and knowledge-sharing initiatives.