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In this tutorial, the speaker addresses the issue of duplicate medical records, a persistent problem for decades. They introduce NextGate's plan to eliminate these duplicates, starting with an overview of NextGate and AWS. The discussion highlights the negative impact of duplicate records and how Enterprise ation indexes have been utilized for the past 25 years to tackle this issue. The presentation will detail how 100% of duplicate records can be accurately resolved and conclude with insights into digital identity within healthcare. NextGate, a pioneer of the Enterprise Master Patient Index (EMPI), has evolved from on-premise solutions to a SaaS model hosted by AWS, enhancing patient identification across various systems.