Healthcare interoperability infrastructure for India.
Prana is building the interoperability layer that connects hospital management systems to India's national digital health ecosystem. Consent-governed. FHIR-native. Designed for the systems that healthcare actually runs on.
India has over 1,500 HMS vendors. Most hospitals operate in data silos.
Patient records don't travel between systems. Each HMS stores clinical information in its own format. A discharge summary at one hospital is invisible to the specialist receiving that patient at another. The information exists, but it cannot move.
ABDM creates the national infrastructure for health data exchange. But bridging existing hospital systems to these new standards without forcing hospitals to rebuild what already works requires an integration layer designed for this purpose.
Why interoperability remains difficult.
Legacy systems designed for billing, not data exchange
Most HMS systems were built to manage appointments, billing, and internal records. Sharing structured clinical data with external systems was never part of the original design.
No standard data formats across 1,500+ HMS vendors
A prescription in one system looks nothing like a prescription in another. Without a common structure, records cannot move between providers with meaning preserved.
Hospitals cannot pause operations to upgrade
A hospital seeing hundreds of patients daily cannot shut down its HMS for migration. Any path to interoperability must work alongside existing systems, not replace them.
Clinical workflows are high-volume and time-sensitive
Doctors in busy OPDs see over 100 patients a day. Any additional step, however small, multiplied across every encounter becomes a significant operational burden.
Compliance requirements without operational support
ABDM mandates and DPDPA requirements add regulatory surface. Healthcare systems need infrastructure that handles compliance without adding to the daily workload.
Healthcare interoperability layer.
Prana operates as the integration layer between existing hospital systems and the ABDM ecosystem. FHIR transformation, consent orchestration, and registry integration, handled as infrastructure so healthcare systems don't have to build it themselves.
Your hospital's existing HMS continues to operate as before. Prana connects alongside it, translating clinical records into interoperable formats, managing consent workflows, and communicating with the ABDM gateway. No rebuilds. No migration.
From identity to exchange.
Designed for healthcare systems.
Hospitals
ABDM integration without disrupting existing clinical workflows or requiring HMS replacement. Your systems continue operating with a new interoperability surface.
↗TECHNOLOGYHMS Vendors
FHIR transformation and certification handled as infrastructure. Your product stays yours. Every client facility gains interoperability through one integration.
↗HEALTHCAREClinics
Lightweight interoperability participation without dedicated engineering. Designed for outpatient care workflows and smaller facilities joining the ABDM network.
↗DIAGNOSTICSLaboratories
Standardized diagnostic reporting into the national health network. Structure lab results as shareable, consent-governed FHIR records.
↗Security & consent infrastructure.
Every health data exchange in ABDM begins with patient consent. The consent lifecycle (REQUESTED, GRANTED, DENIED, REVOKED, EXPIRED) creates an auditable governance record. Prana is designed around consent-first architecture, aligned with DPDPA data protection principles.
India's healthcare infrastructure is entering a new interoperability era.
Ayushman Bharat Digital Mission defines how patient records move between systems , governed by consent, structured by open standards. ABDM establishes a unified ecosystem where patients, hospitals, laboratories, and health applications exchange data securely.
Four foundational registries underpin the system: ABHA for patient identity, HPR for healthcare professionals, HFR for facilities, and a Consent Manager that orchestrates every data exchange. Compliance is structured across four progressive milestones , from identity creation to full ecosystem participation.
Current focus.
Prana is currently focused on building interoperability infrastructure for India's healthcare ecosystem: the systems, standards, and integration architecture that reliable health data exchange requires.
- Interoperability architecture and systems design
- Healthcare workflow research across Indian hospital operations
- FHIR transformation pipeline development
- Consent orchestration and governance design
- ABDM ecosystem integration and standards alignment
Building healthcare systems in India? Let's talk.
Whether you are a hospital navigating ABDM compliance, an HMS vendor enabling interoperability for your clients, or a health platform exploring integration, we are building the infrastructure layer designed for your systems.