Case Study · Healthcare Consultancy

Patient Health InformationSystem Improvement — NHK

A WHO-funded consultancy engagement to assess and modernise the existing Health Information Management System at National Hospital Kandy — introducing EHR, MPI, and telemedicine capabilities to transform patient care across Sri Lanka.

World Health OrganisationNational Hospital KandySri LankaEHR · MPI · Telemedicine
Healthcare Consultancy
NHK PHIMS
WHOClient
EHRCore Tech
NationalScope
Electronic Health Records for NCD clinics
Master Patient Index across all facilities
Bi-directional NHK ↔ PMCI data sharing
FunderWorld Health OrganisationNational Hospital Kandy
The Challenge

Sri Lanka's most critical hospitals were operating siloed, legacy systems — leaving patient records fragmented, care uncoordinated, and NCD clinics dependent on paper-based workflows that couldn't scale.

Project Overview

What We Delivered

A vast number of patients seek treatment at National Hospital Kandy, making it one of Sri Lanka's most critical healthcare institutions. Maintaining high standards of care and treating all patients within specified timeframes is paramount.

This WHO-funded engagement tasked us with providing technical expertise and strategic consultancy to upgrade NHK's existing HIMS — improving its EHR capabilities, implementing a Master Patient Index, and enabling nationwide interoperability.

We collected data from both users and non-users of the existing system, then restructured the architecture to deliver better clinical service — enabling NHK to run its NCD clinics electronically and share patient data bi-directionally with connected PMCIs.

Client
National Hospital Kandy
Funder
World Health Organisation
Focus
HIMS Modernisation
Standard
HL7 FHIR / NEHR

Project Role

System Analysis & AssessmentDelivered
Technical Advisory & ConsultancyDelivered
Equipment Supplier
End User & Medical Staff TrainingDelivered
Maintenance Contract
Platform Capabilities

Key Capabilities

Electronic Health Records (EHR)

Aggregated, lifelong patient health records accessible across Sri Lanka's healthcare network — entered and managed by licensed practitioners.

Master Patient Index (MPI)

Unique patient identification across all hospitals and PMCIs, enabling consistent data retrieval regardless of care location.

Telemedicine Platforms

Remote clinical consultation capabilities enabling NCD patients to receive follow-up care at their nearest primary medical care institution.

Bi-directional Interoperability

Clinical data, prescriptions, lab results, and radiology reports shared seamlessly between NHK and connected PMCIs.

Cloud-Based & Scalable

Cloud-hosted architecture with stand-alone fallback capability for hospitals operating without an existing HIMS.

HL7 FHIR Compliance

NEHR-aligned API integration and HL7 FHIR standards ensuring secure, standards-compliant health data exchange.

System Scope

Enhancements & Compliance

Structural improvements to NHK's HIMS alongside national standards adoption.

NCD Clinic Modernisation
EHR · MPI · Telemedicine · Shared HIMS
EHR Integration
Patients enrolled in NCD clinics get a comprehensive electronic health record that travels with them across care facilities.
MPI Implementation
A single master identity for every patient — preventing duplicate records and enabling accurate cross-facility data joins.
Telemedicine Enablement
NCD clinic patients eligible for shared care are seen at their nearest PMCI monthly, with investigations performed at the relevant hospital.
Shared HIMS Cluster
National Hospital Kandy and its cluster of PMCIs operate on a shared enhanced HIMS for coordinated care delivery.
Standards & Compliance
HL7 FHIR · NEHR · Security

The enhanced HIMS aligns with Sri Lanka's National Electronic Health Record framework and internationally recognised HL7 FHIR standards — ensuring secure, standards-compliant health data exchange across the national network.

NEHR-provided API for EMR-to-EMR communication
HL7 FHIR-compliant data exchange standards
Controlled read/write access via approved EMR systems
Secure authentication and role-based authorization
Patient access through a secure web portal
National healthcare data integration framework

Additional Scope

Training of medical personnel to operate the system
Expansion of modules for clinical data management
Enabling nationwide healthcare data integration
Interoperability

Data Sharing Architecture

Bi-directional clinical data exchange between National Hospital Kandy and its PMCI cluster.

National Hospital Kandy
Primary hub
Clinical diagnoses
Specialist referrals
Radiology reports
Lab investigations
Shared HIMS Cluster
Bi-directional sync
EHR linked to MPI
Real-time data sync
Secure access control
HL7 FHIR API layer
PMCIs
Primary Medical Care Institutions
Monthly NCD clinic visits
Prescription dispensing
Follow-up investigations
Patient progress updates
Clinical data, prescriptions, lab results, and radiology shared in both directions
Controlled access via NEHR-approved EMR systems with role-based auth
Stand-alone mode for hospitals without existing HIMS connectivity
Results

Outcomes & Impact

Improved Patient Care Efficiency

Faster, more coordinated care delivery across NHK's NCD clinics and connected primary care institutions.

Enhanced Cross-Institution Data Sharing

Clinical data, prescriptions, and lab results flowing bi-directionally between NHK and all PMCIs in the cluster.

Strengthened National Digital Health

NHK positioned as a model for NEHR-aligned digital health integration across Sri Lanka's public sector.

Scalable Connected Ecosystem

Cloud-based HIMS cluster designed to onboard additional facilities without architectural rework.

Trained Clinical Workforce

Medical personnel across NHK and partner PMCIs trained on EHR, MPI, and new module workflows.

Standards & Security Compliance

Full alignment with HL7 FHIR, NEHR APIs, and national healthcare data governance standards.

"The goal of this project is to provide technical assistance and information to National Hospital Kandy in order to update its Health Information Management System — improving Electronic Health Records, Master Patient Index, and enabling nationwide health data interoperability."

World Health Organisation · National Hospital Kandy, Sri Lanka
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