Ayushman Bharat

Digital Mission
1
 Digital Health – Use of digital technologies to improve healthcare

eHealth: The cost-effective and secure use of information and communication technologies in support of
health and health-related fields, including health-care services, health surveillance, health literature, and
health education, knowledge and research. - WHO

“It can radically change health outcomes “It can improve the efficiency and
“Digital health through investment in governance, cost-effectiveness of care, allowing
should be an integral institutional and workforce capacity to for new business models in the
part of health enable the changes in digital systems.” delivery of services.”
priorities.”

WHO Global strategy on digital health 2020-25

 Some examples of Digital Health Solutions

Online search Telemedicine Online order of lab

test

Patient consulting with Patient searches for diagnostic

Patient searches for doctor using telemedicine laboratories
cardiologists in Delhi for remote access of
healthcare services. List of diagnostic laboratories
List of cardiologists in Delhi

Patient selects cardiologist Patient gets the cardiologist Patient gets lab test done at
for consultation for consultation home
India’s journey towards Ayushman Bharat Digital Mission

National Health National Health National Digital

Policy 2017 Stack 2018 Health Blueprint 2019

Specific goals for digital Components for digital Implementation

technologies: health: Guidelines: Ayushman
Bharat Digital
Mission
• Registries • Electronic registries • Layered framework
• Claims platforms • Building blocks
(ABDM)
• Federated
• Pilot launched
Architecture • Personal Health Standards &
on 15th Aug 2020
• Data Standards & Records regulations
Electronic Health • Federated • Institutional
Record Architecture framework
• Health analytics
Vision and Guiding Principles: For a Citizen-centric National Digital Health Ecosystem

Vision Federated Open APIs &

Interoperability
Architecture

To create a National Digital Health Eco-system that

Single Source IndEA
supports universal health coverage through of Truth Framework
Technology
provision of a wide-range of data, information and
infrastructure services, duly leveraging open,
Policy
interoperable, standards-based digital systems, and
Privacy & Wellness
ensuring the security, confidentiality and privacy of Security by Centric
Design
health-related personal information.
User Voluntary
Inclusivity Participation
ABDM won’t be built in a day, but India is uniquely placed to roll it out

Increasing Digital Access Digital Public Services

5.72 lakh out of 5.97 Lakh villages 129 crore Unique Aadhaar digital IDs
have mobile / network connectivity 5,750 crore Aadhaar authentications
956 crore eKYC transactions
117.6 crore wireless subscribers, 300 crore+ monthly UPI transactions
78 crore internet users 432 crore issued docs in DigiLocker

Largest mobile data consumers New Digital Health Solutions:

12 GB per person per month 44.3 crore CoWIN registrations
8 bn GB per month 19.9 cr Arogya Setu downloads
30 lakh+ Consultations on eSanjeevini OPD
As of August 2, 2021
 India’s ABDM Stack

Individual Apps Health Provider Apps

Solutions
Public &
Private
USER APPLICATIONS
Diverse user experiences & Arogya Other
e-Sanjeevani HIMS LIMS
innovative solutions Setu Apps

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
Teleconsult ... Avail Services ... Take Decisions …

Digital Public Infrastructure

DIGITAL REGISTRIES HEALTH INFORMATION HEALTH CLAIMS
HEALTH DATA EXCHANGE STANDARDS
EXCHANGE Health ID
Healthcare Professionals Health Information Exchange & eClaims standard
Streamlining flow of Consent Manager
patients, health information Health Facilities
Drugs Health document standards Health Claims Platform
and money
... (diagnostic reports, prescriptions,…)
Policy Markup Language
Aggregated health data &
analytics Bill Markup Language

JAM & OTHER DIGITAL

PUBLIC GOODS Aadhaar, UPI, e-RUPI voucher, e-Sign, Digilocker, Consent Artefact ...
Cross domain generic
building blocks
Unified Health Interface (UHI)
Unified decentralised network
based on a standard protocol
for all types of health services
without monopolistic platforms

Starter list of UHI services

Discover
- hospitals
- labs
- pharmacies
- a medicine across pharmacies
Book
- a physical appointment
- a teleconsultation
- an ambulance
- home collection of samples
Get
- investigation
- treatment
- medicines
 UHI - An Open Network for Digital Health Services

(All Services) (Telecommunication)

(Lab Services)

Open APIs

(Teleconsultati (Online (Lab Services)

on) Pharmacy)

Doctors & Pharmacies Laboratories

hospitals Open APIs

Laboratories

*HSP: Health Service Provider

Building Blocks - Designed to unify a fragmented digital health ecosystem

Core Building Blocks

Common/Reference Applications
Health ID
ABDM Health Records Hospital Information
App (PHR) Management System
Health records of a person (HIMS)
from multiple healthcare IT solution for hospital
providers operations and management

Healthcare Professionals Registry

Telemedicine e-Pharmacy
Online patient-doctor Online drugs order and
interaction delivery

Health Facility Registry

 ABDM Architecture – Illustrating generation and sharing of records

Health Information Building Blocks Health Information

Providers (HIP) Users (HIU)

Health ID
Public Health Public Health
Programs Programs

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

Diagnostic Healthcare Citizens

Centres Professionals Registry

Health Facility
Registry
Health Locker Health Locker

Viewing / Sharing of Health Records after consent

Entities providing or using information could be same or different

 Unified Health Interface benefits all stakeholders

Doctors/ Health tech/

Citizens Pharmacies Diagnostic laboratories
Hospitals startups
Access to healthcare Easy discoverability Easy discoverability Easy discoverability Easy discoverability

Choice of providers Fast ramp up of practice Increased footfalls Increased footfalls Access to verified
registries
Competing prices Ease of doing business Faster inventory Ease of reporting
turnover results Leverage common public
Control over data Access to longitudinal platform
patient data

Inclusion. Accessibility. Affordability. Diversity. Innovation.

ABDM Ecosystem – Use cases for improving public health access and outcomes

1 2 3 4

Need for care Search & Avail Testing & Reports Diagnosis & Prescription
Diabetic villager goes to a local Finds & teleconsults a kidney Digitally discovers a local lab that Diagnosis & medicine
doctor who says his leg swelling is specialist in a distant city, 200km can conduct tests required; Lab prescription given virtually by
due to a kidney problem away. reports shared. doctor
Pays via UPI.

5 6 1
7
1 Notification
Medical Report

Search & Avail Follow up Longitudinal Health

Digital search of local Weekly lab testing & Record
pharmacies for the medicines teleconsultation and villager’s early Villager’s medical history is added
prescribed; home delivery of Renal failure comes under to his health record for easy access
medicines control
ABDM Ecosystem – Use cases for improving public health access and outcomes

Longitudinal Health Records Public Health Programs

Access to diagnostic reports, IPD Streamlining implementation by
records, discharge summaries and enabling identification of
prescriptions on phone - from both beneficiaries across programs and
public and private facilities regions, and provision of
entitlements

Healthcare Health Indicators & Policy

Improved healthcare via Monitoring and mapping public
Telemedicine and wider health health program outcomes and using
insurance access will improve anonymized aggregated data sets
healthcare access and early across public and private facilities
diagnosis

Research & Development Innovation

Anonymized data sets and Open ecosystem will drive
aggregated data sets will enable development of innovative
health research healthcare delivery solutions and
improve health access and outcomes
 Unified Health Interface benefits all stakeholders

Doctors/ Health tech/

Citizens Pharmacies Diagnostic laboratories
Hospitals startups
Create your Health IDs Register on ABDM Register on ABDM Register on ABDM Develop ABDM compliant
solutions

Search, book, and avail Use ABDM Use ABDM Use ABDM Innovate in digital health
digital health services integrated solutions integrated solutions integrated solutions and wellness service
delivery

Create and access Create and access Provide services Share reports
longitudinal health digital health records digitally
records

healthid.abdm.gov.in | hpr.abdm.gov.in | facility.abdm.gov.in | sandbox.abdm.gov.in

Thank You!