FHIR in India: An implementers perspective
summary
India mandates FHIR R4 payloads while national APIs are custom; the Ayushman Bharat Digital Mission pilots in 2020 and rolls out nationally in 2021, with 400 million ABHA IDs issued to enable unique patient IDs. The implementation uses a federated PHR model, exchanges FHIR documents and bundles (prescriptions, reports, discharge summaries) and maintains national profiles for federated PHR and claims IGs. Adoption barriers are low EMR penetration, many fragmented vendors, scarce discrete data so PDFs-in-FHIR are used now with a planned shift to discrete records, and a need for async/passing API patterns and affordable training.
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chapters (14)
- 0:00Introduction by host
- 0:20Overview of FHIR in India
- 1:05Healthcare ecosystem challenges
- 3:17Government digital health policy
- 4:19Ayushman Bharat Digital Mission
- 5:25Unique patient identification with ABHA
- 6:08Federated health records approach
- 7:14FHIR payload and API integration
- 8:21Healthcare vendor adoption status
- 9:03EMR adoption and data challenges
- 10:30Implementer challenges in India
- 11:55HL7 India community efforts
- 13:41FHIR Connectathons in India
- 14:46Conclusion and Q&A
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