ABDM-Compliant Health Data Platform

What is ABDM and why does it matter for your infrastructure? The Ayushman Bharat Digital Mission (ABDM) is India's national digital health initiative, creating a unified health data ecosystem through ABHA (Ayushman Bharat Health Account) identifiers, a Health Information Exchange (HIE), and interoperability standards based on HL7 FHIR R4. Every healthcare entity — hospitals, diagnostics labs, health-tech platforms, insurance companies — that participates in ABDM must implement systems that handle ABHA-linked health records under strict data governance requirements. NHA mandates that health data remain within India and under governance frameworks that prevent unauthorised foreign access. Compliance Requirements What ABDM-compliant infrastructure must do ✓ Store all patient health records within India ✓ Implement ABHA-based patient identity and consent management ✓ Expose HL7 FHIR R4-compliant APIs for HIE interoperability ✓ Enforce patient consent before any data sharing ✓ Maintain end-to-end encryption for health data at rest and in transit ✓ Support data portability — patients own their records ✓ Provide full audit trails of all data access events ✓ Enable break-glass emergency access with post-hoc audit ✓ Support anonymisation and de-identification for research use ✓ Comply with DPDP Act 2023 for personal health data AravaliStack Delivers How the platform satisfies each requirement ✓ On-premise deployment — all data physically in your facility ✓ Self-hosted identity platform with ABHA federation APIs ✓ FHIR R4 gateway and SMART-on-FHIR authorisation server included ✓ Consent management engine with patient portal APIs ✓ AES-256 encryption at rest, TLS 1.3 in transit — enforced by service mesh ✓ Patient data portability APIs — FHIR-standard export ✓ Immutable, tamper-evident audit log for all data access ✓ Emergency access workflow with automatic post-hoc audit notifications ✓ Built-in de-identification pipeline for research datasets ✓ Data Principal rights APIs (access, correct, erase) for DPDP compliance ABDM Reference Architecture On AravaliStack 🔐 ABHA Identity Layer Federated identity with NHA's ABHA services. Patients authenticate with ABHA ID to access or share their records. Consent tokens issued per access request. 📋 FHIR Data Platform HL7 FHIR R4 server storing clinical resources — Observations, DiagnosticReports, Immunizations, Medications, Conditions. Full FHIR search and subscription support. 🔗 Health Information Exchange ABDM HIE gateway — send and receive health records from other ABDM-registered HIP/HIU entities. Encrypted end-to-end with patient consent validation. 🛡️ Consent Management Patient consent vault — granular permissions per data category, per recipient, per time window. Consent revocation propagates in real time to all dependent services. 📊 Clinical Analytics De-identified data pipeline for population health analytics, disease surveillance, and clinical research — DPDP-compliant anonymisation before any aggregation. 📝 Audit & Compliance Every data access, consent grant/revoke, and record modification logged to tamper-evident storage. Ready for NHA compliance audits and DPDP Act oversight. Integrations & Interoperability 🏥 HIS/EMR

HL7 v2, FHIR R4, CDA — interoperable with major Indian HIS vendors

Diagnostics

LIS integration — lab reports auto-posted to patient FHIR record

Pharmacy

ABDM-linked prescription management — NMC/IPC compliant

Patient App

SMART-on-FHIR PHR apps — patients view and share their records

COWIN / NHA

Direct API integration with NHA services, COWIN, and national health registries

Insurance / TPA

Pre-auth and claims — NHCX-compliant health claims exchange

HMIS Reporting

Automated HMIS submissions — facility-level and national health reporting

ABHA Verify

Real-time ABHA verification and demographic seeding from NHA