为斯里兰卡电子保健系统的互操作性开发一个功能原型主患者索引（MPI）
Developing a functional prototype master patient index (MPI) for interoperability of e-health systems in Sri Lanka
摘要：
主患者索引（MPI）是医疗保健系统中所有患者的集中索引。该索引由每个患者的唯一标识符组成，该标识符与其人口统计学数据和临床接触有关。MPI对于确保不同医疗机构的数据互操作性至关重要。斯里兰卡卫生部计划为该国开发MPI。该项目的重点是为斯里兰卡开发多指标监测原型，以便在国家一级实施和推广。方法：本项目分3个阶段进行。第1阶段：使用与信息系统用户的焦点小组讨论（FGD）进行需求分析。阶段2：确定合适的应用程序编程接口（API）模型。第3阶段：开发MPI原型。结果：6家医院进行了烟气脱硫。调查对象共78人（男36人，女42人）。他们强调了MPI的关键要求。即唯一的识别方法和不同的检索标准以及合并记录以避免重复。利用这些信息，制定了MPI的需求规范。选择单片和微服务架构的组合来开发MPI。开发并实施了使用个人健康号码（PHN）作为唯一患者标识符和HL7标准的API。结论：制定和实施多媒体信息系统促进了斯里兰卡卫生信息系统之间长期以来对互操作性的需求。关键词MPI、互操作性、唯一标识符、PHN、API
英文摘要：
Introduction: A Master Patient Index(MPI) is a centralized index of all patients in a healthcare system. This index is composed of a unique identifier for each patient link to his/her demographic data and clinical encounters. A MPI is essential to ensure data interoperability in the different healthcare institution. The The health ministry of Sri Lanka planning to develop MPI for the country. This project focused on developing the prototype MPI for Sri Lanka with the view to implementing and scaling up at the national level. Methods: This project consisted of 3 phases. Phase 1: requirement analysis using focus group discussions (FGD) with information system users. Phase 2: identification of the suitable Application Programming interface (API) model. Phase 3: development of the prototype MPI. Results: FGD were conducted in 6 hospitals. There were 78 interviewers (Male -36, and female - 42). They highlighted the key requirements for the MPI. Which were the unique identification method and different searching criteria and merging records to avoid duplication. Using this information, the requirements specification for MPI was developed. A combination of monolithic and microservices architecture was selected to develop the MPI. The API using the Personal Health Number (PHN) as the unique patient identifier and HL7 standard was developed and implemented. Conclusions: Development and implementation of a MPI has facilitated the long due need for interoperability among health information systems in Sri Lankan. KEYWORDS MPI, Interoperability, Unique Identifier, PHN, API
机构、总结、中文摘要均由AI分析而来，可能存在错误，请以论文正文为准。
