FHIR Implementation Guide for ABDM
6.0.0 - active
This page is part of the FHIR Implementation Guide for ABDM (v6.0.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
Official URL: https://nrces.in/ndhm/fhir/r4/ImplementationGuide/ndhm.in | Version: 6.0.0 | |||
Active as of 2024-01-24 | Computable Name: FHIR-Implementation-Guide-for-ABDM |
Enduring with the vision of National Health Policy (NHP) 2017, ‘Health and wellbeing for all at all ages’, Ministry of Health and Family Welfare (MoHFW), Government of India recognized the need for creating a framework for the evolution of a National Digital Health Eco-system (NDHE), which will support ‘Continuum of care’ for an individual.
To create and enable digital health ecosystem and prioritize digital health in India, and to develop an implementation framework for the National Health Stack, the committee constituted by MoHFW Government of India produced the National Digital Health Blueprint (NDHB), laying out the building blocks and an action plan to comprehensively and holistically implement digital health.
The Government has established the Ayushman Bharat Digital Mission (ABDM), with The Ministry of Health and Family Welfare defining the policy and regulatory frameworks with implementation by the National Health Authority (NHA).
The vision of ABDM is, to create a national digital health ecosystem that supports universal health coverage in an efficient, accessible, inclusive, affordable, timely and safe manner, that provides a wide-range of data, information and infrastructure services, duly leveraging open, interoperable, standards-based digital systems, and ensures the security, confidentiality and privacy of health-related personal information. This will include adoption of open standards by all the actors in the National Digital Health Eco‐system.
The FHIR Implementation Guide for ABDM Health Data Interchange Specifications 1.0 is based on FHIR Version R4 and defines the minimum conformance requirements for accessing health data to achieve continuity of care in the Indian context.
The purpose of this implementation guide is to provide essential and minimum health record artefacts that can be captured and exchanged as per ABDM Health Data Interchange Specifications 1.0.
This guide refers to relevant standards and coding systems as specified for implementation of ABDM envisaged under NDHB and other guidelines such as EHR Standards for India (2016), Medical Council of India (MCI), Pharmacy Council of India (PCI), and Health Claim Exchange Platform (NHCX).
Technical details on the ABDM ecosystem can be found at the ABDM Sandbox at sandbox.abdm.gov.in
This Guide is divided into several pages which are listed at the top of each page in the menu bar.
The list of profiles below defines the minimum mandatory elements and terminology requirements that MUST be present. For each profile, requirements and guidance are given in a simple narrative summary. A formal hierarchical table that presents a logical view of the content in both a differential and snapshot view is also provided along with references to appropriate examples.
Name | Based On | Definition |
---|---|---|
DiagnosticReportRecord | Composition | The Clinical Artifact represents diagnostic reports including Radiology and Laboratory reports that can be shared across the health ecosystem. |
DischargeSummaryRecord | Composition | Clinical document used to represent the discharge summary record for ABDM HDE data set. |
HealthDocumentRecord | Composition | The Clinical Artifact represents the unstructured historical health records as a single of multiple Health Record Documents generally uploaded by the patients through the Health Locker and can be shared across the health ecosystem. |
ImmunizationRecord | Composition | The Clinical Artifact represents the Immunization records with any additional documents such as vaccine certificate, the next immunization recommendations, etc. This can be further shared across the health ecosystem. |
OPConsultRecord | Composition | The Clinical Artifact represents the outpatient visit consultation note which may include clinical information on any OP examinations, procedures along with medication administered, and advice that can be shared across the health ecosystem. |
PrescriptionRecord | Composition | The Clinical Artifact represents the medication advice to the patient in compliance with the Pharmacy Council of India (PCI) guidelines, which can be shared across the health ecosystem. |
WellnessRecord | Composition | The Clinical Artifact represents regular wellness information of patients typically through the Patient Health Record (PHR) application covering clinical information such as vitals, physical examination, general wellness, women wellness, etc., that can be shared across the health ecosystem. |
Name | Based On | Definition |
---|---|---|
InvoiceRecord | Composition | The billing artifact represents the invoice details such as pharmacy invoice, consultation invoice etc. along with the support for scanned documents attached for the patient which can be shared across the health ecosystem. |
Name | Based On | Definition |
---|---|---|
DocumentBundle | Bundle | This profile sets minimum expectations for the DocumentBundle that includes all resources into a single instance with containing context to act as an exchangeable clinical document. |
AllergyIntolerance | AllergyIntolerance | This profile sets minimum expectations for the AllergyIntolerance resource to record, search, and fetch allergies/adverse reactions associated with a patient. |
Appointment | Appointment | This profile sets minimum expectations for the Appointment resource to searching for and fetching information about a booking of a healthcare event among patient(s), practitioner(s), related person(s), and/or device(s) for a specific date/time for a patient. |
Binary | Binary | This profile sets minimum expectations for the Binary resource to searching for and fetching the data of a single raw artifact as digital content accessible in its native format of a patient. |
CarePlan | CarePlan | This profile sets minimum expectations for the CarePlan resource to record, search, and fetch assessment and plan of treatment data associated with a patient. |
ChargeItem | ChargeItem | This profile sets the minimum expectations for the ChargeItem resource in order to store various details about the items under invoice which are being charged. |
Condition | Condition | This profile sets minimum expectations for the Condition resource to record, search, and fetch a list of conditions associated with a patient. |
DiagnosticReportImaging | DiagnosticReport | This profile represents the set of information related to the Imaging diagnosis report generated by imaging services like Radiology, Cardiology, Endoscopy, etc. are ordered for the patient. |
DiagnosticReportLab | DiagnosticReport | This profile represents the set of information related to the Laboratory diagnosis report generated by the laboratory services like Complete Blood Count, Basic Metabolic Panel, Lipid Panel, Urinalysis, etc. are ordered for the patient. |
DocumentReference | DocumentReference | This profile sets minimum expectations for searching and fetching patient documents including the Clinical Notes using the DocumentReference resource. |
Encounter | Encounter | This profile sets minimum expectations for the Encounter resource to record, search, and fetch basic encounter information for an individual patient. |
FamilyMemberHistory | FamilyMemberHistory | This profile sets minimum expectations for the FamilyMemberHistory resource for searching and fetching significant health conditions of a person related to the patient in the context of care. |
ImagingStudy | ImagingStudy | This profile sets minimum expectations for the ImagingStudy resource to searching for and fetching the content produced in a DICOM imaging study. |
Immunization | Immunization | This profile sets minimum expectations for the Immunization resource to record, fetch and search immunization history associated with a patient. |
ImmunizationRecommendation | ImmunizationRecommendation | This profile sets minimum expectations for the ImmunizationRecommendation resource to support the next immunization to be taken by the patient. |
Invoice | Invoice | This profile sets the minimum expectations for the details to be added in order to generate invoices for various healthcare process or workflows. |
Media | Media | This profile sets minimum expectations for the Media resource to searching for and fetching media like a photo, video, or audio recording acquired or used in healthcare, associated with a patient or provider. |
Medication | Medication | This profile sets the minimum expectations for the medication resource in order to store various details about a given medicine. |
MedicationRequest | MedicationRequest | The MedicationRequest resource can be used to record a patient’s medication prescription or order. This profile sets minimum expectations for the MedicationRequest resource to record, search, and fetch medications associated with a patient. |
MedicationStatement | MedicationStatement | The MedicationStatement resource can be used to record a patient’s medication information. It is used to record the information about the medications consumed by the patient in the past, present, or future. |
Observation | Observation | Observation resource represents an individual laboratory test and result value, a “nested” panel (such as a microbial susceptibility panel) which references other observations, or rarely a laboratory test with component result values. This profile sets minimum expectations for the Observation resource to record, search, and fetch laboratory test results associated with a patient. |
ObservationBodyMeasurement | Observation | This profile sets minimum expectations for the ObservationBodyMeasurement to record, search, and fetch the details of the body measurements of the patient. |
ObservationGeneralAssessment | Observation | This profile sets minimum expectations for the ObservationGeneralAssessment to record, search, and fetch the details of the general health assessment of a patient. |
ObservationLifestyle | Observation | This profile sets minimum expectations for the ObservationLifestyle to record, search, and fetch the details of the lifestyle of the patient. |
ObservationPhysicalActivity | Observation | This profile sets minimum expectations for the ObservationPhysicalActivity to record, search, and fetch the details of the physical activities of a patient. |
ObservationVitalSigns | Observation | This profile sets minimum expectations for the ObservationVitalSigns to record, search, and fetch the details of the vital signs of a patient. |
ObservationWomenHealth | Observation | This profile sets minimum expectations for ObservationWomenHealth to record, search, and fetch the details of women’s health. |
Organization | Organization | This profile sets minimum expectations for the Organization resource to searching for and fetching an Organization associated with a patient or provider. |
Patient | Patient | This profile sets minimum expectations for the Patient resource to record, search, and fetch basic demographics and other administrative information about an individual patient. |
Practitioner | Practitioner | This profile sets minimum expectations for the Practitioner resource to record, search, and fetch basic demographics and other administrative information about an individual practitioner. |
PractitionerRole | PractitionerRole | This profile sets minimum expectations for the PractitionerRole resource to record, search, and fetch the practitioner role for a practitioner. |
Procedure | Procedure | This profile sets minimum expectations for the Procedure resource to record, search, and fetch procedures associated with a patient. |
ServiceRequest | ServiceRequest | This profile sets minimum expectations for the ServiceRequest resource to searching for and fetching information about services like a request for a procedure or diagnostic or other services to be planned, proposed, or performed associated with a patient or provider. |
Specimen | Specimen | This profile sets minimum expectations for the Specimen resource to searching for and fetching information regarding a sample to be used for the analysis of a patient. |