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Ayushman Bharat

Digital Mission

(ABDM)
Vision and Mission - For a Citizen-centric National Digital Health Ecosystem

Vision Mission
To create anInclusive, Accessible, Affordable and To createDigital Platform for evolving Health Eco-
Efficient Digital Health Infrastructure across the system through wide-range of data, information and
Country in a Safe and Time bound manner. infrastructure services while ensuring security,
confidentiality and privacy.

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Technology Policy

Single source of truth: Data is validated by Privacy & Security by design: Consent based
authorized entities. information exchange

Federated architecture: No central storage User inclusivity: All Indian citizens can
of data. participate

Open API and Interoperability: Any Voluntary participation: End-users have option
compliant Health Care entity can integrate. to opt-out of ecosystem at any point of time

Standard frameworks: Widely accepted Wellness Centric: It will enhance efficiency of


industry standard can be used. Health Care system by providing access to real-
time Health Care records

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Health Data Management Policy: https://ndhm.gov.in/publications/policies_regulations/health_data_management_policy
Citizens Hospitals/ Labs/ Policy-makers and
don’t have: Doctors program managers
don’t have: don’t have:
1. Access to all medical records 1. Access to patient’s medical 1. Sufficient information about
2. Information about doctors, history what kind of diseases are
hospitals and labs 2. Ability to ensure follow up after coming up that can be
treatment prevented
3. Knowledge about qualification
of doctor 3. Feature to remotely consult 2. Complete monitoring and
patients control in unified manner
4. Choice to consult doctors
remotely 4. Ease of doing business
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Enable inter-operable Health Enable inter-operable Enable inter-operable
Data Health Claims Health Services
via via Via
Health Information Exchanges Health Claim Exchanges Unified Health Interface
(UHI)

Personal Disease Surveillance Anonymized large Standardize the interchange Allow consumers to choose any
Health & data for public datasets for of information between UHI app to reach any participating
Records Health management machine learning payers and providers health care provider for these
services
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Health Information Health Information
Providers (HIP)
Building Blocks
Users (HIU)

ABHA
Public Health Public Health
Programs Programs

Health Information Health Information Health Information


Provider (HIP) Exchange User (HIU)
Doctors & (Gateway) & Doctors &
Hospitals Consent Manager Hospitals

Diagnostic Citizens
Centres Healthcare Health Facility
Professionals Registry Registry

Health Locker Health Locker


Viewing / Sharing of Health Records after consent

Health information with user consent is exchanged seamlessly between ABDM building blocks and entities involved 6
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Closed / Restricted Systems Unified Health Interface
No provision to communicate across platforms An Open Network for Digital Health Services

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Individual Apps HEALTH PROVIDER APPS
USER APPLICATIONS
Diverse user experiences & Govt Private Other
HIMS LIMS
innovative solutions Backed Health Apps Apps Iva
tio
n

ub l
c&
Pri
va et

Telemedicine APIs Lab & Drugs APIs Other Health Service APIs
UNIFIED HEALTH INTERFACE Discover Doctor Discover Lab Discover Bed Availability
APIs for Health services Book Appointment Discover Pharmacy Discover Hospital facilities
Receive Consultation Discover Generic Drugs Discover Health Resources

DIGITAL REGISTRIES HEALTH RECORDS HEALTH CLAIMS


P
Inf
asc
ture

HEALTH DATA EXCHANGE - ABHA for all Individuals - Health Data controlled by - eClaims standard
Streamlining flow of patients, Individuals, shared with consent
health information and - Healthcare Professionals - Health Claims Platform
- Health document standards
money - Healthcare Facilities (diagnostic reports, prescription) - Policy Markup Language
- Drugs - Aggregated Health data for - Bill Markup Language
policy & Health Analytics

INDIA’S DIGITAL PUBLIC


GOODS
Cross domain generic Aadhaar (Identity), UPI (Payments), e-Sign, Digilocker, Consent Artefact
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building blocks
ABHA Health Facility
14-digit number Registry
Currently created through Facility ID:
Aadhaar or DL Healthcare Professionals 12-digit number
Registry generated for healthcare
facilities
Healthcare Professional ID:
14-digit number generated for
healthcare professionals

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• Ayushman Bharat Health Account (ABHA) is a
randomly generated 14-digit number used for the
purposes of uniquely identifying persons,
authenticating them, and threading their health
records (only with their informed consent) across
multiple systems and stakeholders.

Benefits*

*Includes envisaged benefits


Live on Google Play Store

• A citizen facing app that enables users ABHA


to view a longitudinal record from
various health care providers and to
manage exchange of their health records
using federated architecture and
consent framework .
• Currently live on Google Play Store
(Android)
• To be launched on iOS platform soon
• 100K+ downloads
• Available In English and Hindi
• A comprehensive repository of all healthcare
professionals in the country, across both modern
and traditional systems of medicine such as
Modern Medicine, Dentistry, Ayurveda, Unani,
Siddha, Sowa-Rigpa, Homeopathy etc.

• It covers all categories of healthcare professionals


– Doctors, Nurses, ASHAs etc. and meets a critical
need of having an updated registry of all
healthcare professionals in the country with active
usage.

Benefits*

Online Presence Ease of Trust & Improved Digital Telemedicine Linkage to Health
& Discoverability Access Reputation Processes Readiness Facilities
*Includes envisaged benefits
• A comprehensive repository of all the health
facilities of the country across both modern and
traditional systems of medicine - Modern
Medicine, Dentistry, Physiotherapy, Ayurveda,
Unani, Siddha, Sowa-Rigpa, Homeopathy.

• It includes both public and private health facilities


including hospitals, clinics, diagnostic laboratories
and imaging centers, pharmacies, etc. and meets a
critical need of having an updated registry of all
health facilities in the country with active usage.

Benefits*

Online Presence Ease of Trust & Digital Health Telemedicine Linkage to


& Discoverability Access Reputation Records Readiness Doctors 14
*Includes envisaged benefits
https://dashboard.abdm.gov.in/abdm/

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ABDM Public Dashboard
https://dashboard.abdm.gov.in/abdm/
Expectations from States

CreatingꢀModelꢀFacilitiesꢀofꢀABDM

IECꢀCampaignsꢀforꢀABDMꢀAdoption

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Desired Features in HMIS

➢Cloudꢀandꢀweb-based
➢Endꢀtoꢀendꢀintegration
➢Autoꢀpopulationꢀofꢀrecords
➢Noꢀneedꢀtoꢀwriteꢀname,ꢀage,ꢀvitals
➢FavoriteꢀList
➢Prescriptionꢀrecordꢀcanꢀbeꢀconfigured
➢Predictiveꢀtechnology
➢Prescribingꢀdrugsꢀ[drugsꢀorderedꢀtogether,ꢀallergicꢀactionsꢀorꢀside-effects]
➢AI/MLꢀforꢀdiagnostics,ꢀradiologyꢀetc.
➢Speechꢀtoꢀtextꢀconversion
➢Tremendousꢀuseꢀinꢀradiology
➢Augnito,ꢀDragon
➢Mobile/Tabletꢀmodulesꢀforꢀusersꢀ(doctors,ꢀnurses)
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HMIS – Way Forward
IMPLEMENT HMIS IN A PHASED MANNER

LOW HANGING FRUIT MODERATELY DIFFICULT DIFFICULT

OPDꢀRegistration
OPꢀConsultation IPDꢀ(IncludingꢀICU)

LaboratoryꢀReports

Radiology OperationꢀTheatre

Billing

DischargeꢀSummary

Theꢀbeginningꢀisꢀtheꢀmostꢀimportantꢀpartꢀofꢀtheꢀwork.ꢀPlatok.ꢀPlato
Ayushman Bharat Digital Mission (ABDM)
Q &A
Banking Arrangement – New Guidelines

Ayushman Bharat Digital Mission

Central Sector
Scheme

Single Nodal
Account opened Central Nodal Agency
at scheduled (CNA)
commercial Bank

Key Asks: State office of


• Details of CNA as per the DoE OM in March and April 2022. (sent to ABDM
all SMD’s on email)
• Bank Mandate form
• Budgetary proposal supplemented by documents

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Empanelment of HR Agencies by NHA

01 RFE Published by NHA dated 18/May/2022

• https://eprocure.gov.in/eprocure/app?component=%24DirectLink&page=Fro
ntEndTendersByOrganisation&service=direct&session=T&sp=S7MIFQe5vD
4UwH5ZGKJ7GZtS0Fec7wUuNy1YFXyqSerE%3D

02
The process of empanelment of the HR agencies is under final
stages at NHA

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Empanelment of Software Development Agencies (SDA’s) by
NHA

01
ꢀNHAꢀhasꢀempaneledꢀ12ꢀsoftwareꢀdevelopmentꢀagenciesꢀ
(SDA’s)ꢀforꢀprovidingꢀꢀvariousꢀsoftwareꢀdevelopmentꢀandꢀ
maintenanceꢀservicesꢀꢀ
ꢀSDA’sꢀmayꢀbeꢀusedꢀforꢀworkꢀasꢀmentionedꢀinꢀtheꢀscopeꢀofꢀ

02 workꢀincludingꢀworkꢀrelatedꢀtoꢀintegrationꢀofꢀtheꢀITꢀsystemsꢀofꢀ
variousꢀhealthꢀprogrammesꢀwithꢀABDMꢀorꢀanyꢀotherꢀrelatedꢀ
softwareꢀdevelopmentꢀꢀꢀ
Financialꢀsupportꢀforꢀtheꢀpaymentsꢀtoꢀbeꢀmadeꢀtoꢀtheꢀselectedꢀ

03 SDA’sꢀꢀmayꢀbeꢀprovidedꢀbyꢀNHAꢀonꢀaꢀcase-to-caseꢀbasis,ꢀonlyꢀ
toꢀtheꢀextentꢀofꢀintegrationꢀofꢀtheꢀITꢀsystemꢀwithꢀABDMꢀꢀ

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Incentives for Eco-system Partners

NationalꢀHealthꢀAuthorityꢀisꢀdiscussingꢀvariousꢀmethodsꢀ

• ToꢀincentivizeꢀStates/UT’sꢀandꢀtheirꢀABDMꢀteamꢀ
• Toꢀincentivizeꢀtheꢀstakeholders/playersꢀinꢀABDM
• ToꢀrecognizeꢀtheꢀworkꢀalreadyꢀdoneꢀbyꢀtheꢀStateꢀTeam
• Toꢀbuildꢀcapacityꢀofꢀtheꢀstateꢀteamꢀthroughꢀdomestic/foreignꢀexposureꢀvisits
• ToꢀbuildꢀupꢀaꢀpositiveꢀcompetitionꢀforꢀearlyꢀadoptionꢀofꢀABDMꢀinꢀallꢀplayersꢀofꢀtheꢀecosystem.

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Minimum Viable Product Requirements

• TheꢀMVPꢀguidelinesꢀ(versionꢀ2.0)ꢀhasꢀbeenꢀpublishedꢀonꢀABDMꢀportal.ꢀ
• TheꢀguidelinesꢀlistsꢀtheꢀfeaturesꢀthatꢀareꢀMandatoryꢀandꢀSuggestedꢀinꢀHMISꢀandꢀLMISꢀ
thatꢀareꢀcompliantꢀtoꢀABDM
• Theꢀstakeholdersꢀsuchꢀasꢀclinics,ꢀhospitals,ꢀorꢀstates/UT’sꢀcanꢀuseꢀthemꢀwhileꢀdecidingꢀ
whichꢀoneꢀtoꢀpurchase.
• TheꢀNHAꢀisꢀinꢀtheꢀprocessꢀofꢀcomingꢀupꢀwithꢀsomeꢀmoreꢀfeaturesꢀtoꢀmakeꢀitꢀmoreꢀ
convenientꢀtoꢀdecideꢀtheꢀchoiceꢀofꢀproductꢀ(HMIS/LMIS).

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Minimum Viable Product Requirements

Core ABDM Requirements


Hospital (HMIS) with
Clinic - No IPD LMIS
IPD
CreationꢀofꢀABHAꢀ(HealthꢀIDs) Mandatory Mandatory Mandatory

VerificationꢀofꢀABHAꢀ(HealthꢀIDs) Mandatory Mandatory Mandatory

ProfileꢀSharingꢀusingꢀQRꢀCode Suggested Suggested Suggested

HealthꢀRecordsꢀSharingꢀusingꢀQRꢀCode Suggested Suggested Suggested

IsꢀABHAꢀcreationꢀnativeꢀtoꢀHMIS/LMISꢀSystem Mandatory Mandatory Mandatory

LinkingꢀofꢀPatientꢀspecificꢀhealthꢀrecord
Mandatory Mandatory Mandatory
againstꢀaꢀspecificꢀABHAꢀid.
ExchangeꢀofꢀHealthꢀRecordsꢀwithꢀotherꢀHMIS/LMIS
Mandatory Mandatory Mandatory
/ꢀABDMꢀCompliantꢀSolutions
ViewꢀofꢀHealthꢀRecordsꢀgeneratedꢀin
Minimum Viable Product Requirements

Core ABDM Requirements


Hospital (HMIS) with
Clinic - No IPD LMIS
IPD

CloudꢀBasedꢀStorageꢀ(+ꢀDisasterꢀRecoveryꢀPlan) Mandatory Suggested Toꢀbeꢀmandated

MobileꢀAppꢀforꢀaccessꢀbyꢀPatients Suggested Suggested Suggested

MobileꢀAppꢀforꢀaccessꢀbyꢀDoctors/Healthꢀprofessionals Mandatory Mandatory Mandatory

MobileꢀAppꢀforꢀaccessꢀbyꢀReceptionistꢀand
Suggested Suggested Suggested
otherꢀstaff

CompliantꢀwithꢀSetꢀofꢀConsentꢀManagerꢀandꢀABDMꢀAPIs Mandatory Mandatory Mandatory

UpcomingꢀFeature ꢀ ꢀ
Toꢀbeꢀmandated
*ꢀHealthꢀClaimꢀExchange Suggested NA

UpcomingꢀFeature ꢀ
Toꢀbeꢀmandated Toꢀbeꢀmandatedꢀ
Minimum Viable Product Requirements

Core Functionalities
Hospital (HMIS) with
Clinic - No IPD LMIS
IPD

OPDꢀRegistration Mandatory Mandatory Mandatory

LaboratoryꢀReports Suggested Mandatory Mandatory

Radiology Suggested Mandatory Mandatory

Billing Mandatory Mandatory Mandatory

DischargeꢀSummary NA Mandatory NA

OPꢀConsultation Mandatory Mandatory Mandatory

IPD NA Mandatory Suggested


Minimum Viable Product Requirements

Core Functionalities
Hospital (HMIS) with
Clinic - No IPD LMIS
IPD
OT NA Suggested Suggested

Pharmacy Suggested Mandatory Suggested

Inventory Suggested Suggested Suggested

Dashboardꢀforꢀpublicꢀhealthꢀpurposes Suggested Suggested Suggested


SpeechꢀtoꢀTextꢀandꢀTextꢀToꢀSpeech
ꢀ ꢀ ꢀ
Novelꢀmethodsꢀofꢀdataꢀentryꢀ(smartꢀpen,ꢀpaper,ꢀvoiceꢀ
Suggested Suggested Suggested
commands,ꢀetc.)

InterfaceꢀwithꢀMedicalꢀdeviceꢀusingꢀstandards Suggested Suggested Suggested

ArtificialꢀIntelligenceꢀ(useꢀofꢀAI/MLꢀforꢀdata
Suggested Suggested Suggested
entry,ꢀcollectionꢀforꢀresearchꢀpurposes)
Minimum Viable Product Requirements

Compliance to Standards
Hospital (HMIS) with
Clinic - No IPD LMIS
IPD
InterfaceꢀwithꢀDICOMꢀCompliantꢀRISꢀ(ꢀRadiologyꢀ
InformationꢀSystem)
ꢀꢀSuggested ꢀꢀMandatory Mandatory
• DICOMꢀcompliantꢀfiles/reportsꢀDICOMꢀCompliantꢀ
PACSꢀInterface,ꢀifꢀseparateꢀRIS
InterfaceꢀwithꢀLOINCꢀCompliantꢀLISꢀ(Laboratory
ꢀInformationꢀSystem),ꢀifꢀseparateꢀLIS
ꢀꢀꢀSuggested ꢀꢀSuggested ꢀꢀSuggested
• HL7ꢀv2.8.2ꢀbasedꢀorderꢀmanagementꢀandꢀreporting.
• LOINCꢀcodesꢀforꢀtestsꢀandꢀobservations
PrivacyꢀandꢀSecurityꢀStandards:
- AlignmentꢀwithꢀHealthꢀDataꢀManagementꢀPolicy
- Accessꢀcontrol
ꢀMandatory ꢀMandatory ꢀMandatory
- TransportꢀEncryption
- DataꢀEncryptionꢀ(atꢀrest)
- Auditꢀtrail
ComplianceꢀwithꢀISO
18308:2011ꢀStandardsꢀ(ꢀRequirementsꢀof ꢀSuggested Suggested ꢀSuggested
electronicꢀHealthꢀRecordꢀArchitecture)
Minimum Viable Product Requirements

Compliance to Standards
Hospital (HMIS) with
Clinic - No IPD LMIS
IPD
ComplianceꢀwithꢀISO/HL7ꢀ10781:2015ꢀStandardꢀ ꢀ ꢀ ꢀ
(Healthꢀ Suggested Suggested Suggested
Informaticsꢀ—ꢀHL7ꢀElectronicꢀHealthꢀRecords-System
FunctionalꢀModel,ꢀReleaseꢀ2ꢀ(EHRꢀFM))

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Thank you

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