ADBM
ADBM
ADBM
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
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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
Diagnostic Citizens
Centres Healthcare Health Facility
Professionals Registry Registry
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
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
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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*
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.
Benefits*
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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
OPDꢀRegistration
OPꢀConsultation IPDꢀ(IncludingꢀICU)
LaboratoryꢀReports
Radiology OperationꢀTheatre
Billing
DischargeꢀSummary
Theꢀbeginningꢀisꢀtheꢀmostꢀimportantꢀpartꢀofꢀtheꢀwork.ꢀPlatok.ꢀPlato
Ayushman Bharat Digital Mission (ABDM)
Q &A
Banking Arrangement – New Guidelines
Central Sector
Scheme
Single Nodal
Account opened Central Nodal Agency
at scheduled (CNA)
commercial Bank
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Empanelment of HR Agencies by NHA
• 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
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ꢀ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
LinkingꢀofꢀPatientꢀspecificꢀhealthꢀrecord
Mandatory Mandatory Mandatory
againstꢀaꢀspecificꢀABHAꢀid.
ExchangeꢀofꢀHealthꢀRecordsꢀwithꢀotherꢀHMIS/LMIS
Mandatory Mandatory Mandatory
/ꢀABDMꢀCompliantꢀSolutions
ViewꢀofꢀHealthꢀRecordsꢀgeneratedꢀin
Minimum Viable Product Requirements
MobileꢀAppꢀforꢀaccessꢀbyꢀReceptionistꢀand
Suggested Suggested Suggested
otherꢀstaff
UpcomingꢀFeature ꢀ ꢀ
Toꢀbeꢀmandated
*ꢀHealthꢀClaimꢀExchange Suggested NA
UpcomingꢀFeature ꢀ
Toꢀbeꢀmandated Toꢀbeꢀmandatedꢀ
Minimum Viable Product Requirements
Core Functionalities
Hospital (HMIS) with
Clinic - No IPD LMIS
IPD
DischargeꢀSummary NA Mandatory NA
Core Functionalities
Hospital (HMIS) with
Clinic - No IPD LMIS
IPD
OT NA 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