Nirmitee.io
ABDM Integration Services · India

Your product.
India’s health network.
Connected.

ABDM integration for hospital groups, HMIS vendors and healthtech teams. Bring ABHA, consent-based record sharing and patient history into the software you already run—with a clear path from sandbox to production.

ABHAHIPHIUNHCXFHIR R4Integration engineering · Sandbox validation · Production handover
ABDM in practice

One patient.
A connected care journey.

  1. At registration M1 · ABHA

    Create or verify ABHA

    Connect the patient’s health account to your local record.

  2. After the visit M2 · HIP

    Link and share records

    Make reports and care summaries available through consent-based sharing.

  3. At the next consultation M3 · HIU

    Bring history into care

    Request available records from other providers with the patient’s consent.

Illustrative journey across participating ABDM systems.

M1–M3
ABHA identity, HIP record sharing and HIU record access
6+
Live across more than six HIMS and hospital implementations
Your team
Source, mapping documentation and an operational handover
Built to grow
Plan for facility onboarding and tenant boundaries from day one
Who this is for

Start with what your organisation needs to achieve.

ABDM means something different depending on what you sell and who you answer to. Pick the one that sounds like you — the trigger, what it unlocks, and what we actually hand over.

Hospitals and hospital chains

ABDM arrives through empanelment paperwork, a scheme requirement, or patients who expect their ABHA to mean something at your desk.

6–12 weeks
typical, M1 + M2, single HIS

What usually triggers it

Empanelment and scheme paperwork that asks for ABDM participation, a group-level digital mandate, or a corporate customer who wants records to move between your units.

What it unlocks

  • Your facility listed and verified on the national registries
  • ABHA created and linked at registration, in the workflow your staff already use
  • Discharge summaries and reports released to the patient on consent, instead of over WhatsApp
  • Eligibility to participate in digital-health incentive schemes, where terms apply

What we hand over

Your HIS talking to ABDM, the NHA test evidence for each certified milestone, staff-facing screens that don't add clicks, and a runbook your IT team can actually operate.

Timelines are from our own delivery, for planning. Yours gets scoped on the call.

The milestones, in business terms

From patient identity to useful clinical context.

Choose the milestone scope around the workflows your product needs to support. NHCX is a separate claims workstream, not a fourth ABDM milestone.

M1Patient identity

Your patients get an ABHA

Identity, created or verified at your registration desk and tied to your own record.

Why it mattersIt's what tenders and scheme checklists mean when they ask if you're ABDM-enabled.
M2Record sharing

Your records travel

Reports and summaries released to whoever the patient consents to share them with.

Why it mattersRecords follow the patient instead of living in your building.
M3Record access

You see their history

A patient's prior records pulled in from other providers, with their consent.

Why it mattersFewer repeat tests, and a real reason to be chosen for continuing care.
NXClaims workstream

Connect the claims lifecycle

Eligibility, pre-authorisation and claims exchange with participating payers.

Why it mattersThe same national rails, pointed at how quickly money reaches you.

Registry onboarding and NHCX requirements are scoped separately. Production access depends on the applicable NHA review and approval process—not a vendor guarantee. Explore the official ABDM sandbox ↗

M2 and M3 need your clinical data, not just an API connection.

FHIR is the exchange format. Mapping your existing records and making received information usable inside your product is custom integration work.

M2 · Sharing as a HIP

Your records → ABDM FHIR documents

Map your source fields into the applicable ABDM FHIR profiles, assemble document bundles and validate the records you intend to share.

  • Patient, encounter and care-context mapping
  • Agreed reports, prescriptions and discharge summaries
  • Consent-based exchange, callbacks and error handling
You receive

Mappings, validated example bundles and tested sharing flows for the agreed record types.

M3 · Receiving as an HIU

Consented FHIR records → your care workflow

Handle consent and record requests, receive and interpret FHIR documents, and present available information in the relevant patient workflow.

  • Consent status and request lifecycle handling
  • Record validation, patient matching and provenance
  • Display or storage integration, as agreed in scope
You receive

A tested record-access journey with agreed display, storage and failure-handling behaviour.

What determines the custom work?

Your data model, record types, missing fields, coding systems, existing APIs, tenant setup and UI requirements. We agree these before estimating; an SDK does not eliminate product-specific mapping.

ABDM FHIR Implementation Guide ↗
Engagement models

The right delivery model for your team.

Two questions: who writes the code, and how many applications need to end up certified.

Your team codes

Our SDK, our consultants

You keep the keyboard. Our consultants sit with your developers and stay on it until you're certified.

  • Reusable SDK foundations for common integration flows
  • Field mapping done with you, against your data model
  • We still run certification and the NHA calls
  • Your team owns it afterwards, properly
You have engineers free
We code

Our developers, in your codebase

Engineers who have shipped ABDM before write it inside your product. No separate system, no handover gap.

  • .NET and TypeScript, on ABDM V3
  • UI, consent screens and linking flows included
  • Consent-based exchange with explicit data boundaries
  • Full source handed over — you're never locked in
Your team is committed
Many apps

One gateway, every application

One central layer with shared mapping and consent screens. Plan approval and onboarding requirements for each application before rollout.

  • Shared integration services with tenant isolation
  • Onboarding requirements reviewed for each application
  • One consent experience for the patient
  • Consent and token storage designed up front
States, groups and vendors

Fixed price agreed before we start, or a dedicated team by the month. Licensing is a one-time fee bundled with the consultancy — source code included, engineers with you until go-live. No per-transaction fee, nothing that grows as you do.

Timeline & cost

How Long Does ABDM Integration Take, and What Does It Cost?

The build is predictable. Everything around it isn't — certification queues and how many facilities you're rolling out move the date far more than the code does. Ranges from our own delivery.

Scope
Typical timeline
What actually drives it
ABHA onlyM1
~4–6 weeks
to certified
The fastest route to a defensible "yes" in a tender.
Share recordsM1 + M2
~8–12 weeks
to certified
Where most single-hospital programmes stop. Driven by how your data is structured today.
Full ABDMM1 + M2 + M3
~3–5 months
to certified
Adds consent management and exchange with other providers — more test cases, more review.
Vendor rolloutper facility
+ days to weeks
each, after the first
Design it multi-tenant once and each new hospital is onboarding, not a project.
NHCX claimsextension
~6–10 weeks
after ABDM is live
Depends on how clean your billing data is, and how much mapping it needs.
Keeping it liveannual
continuous
The specification changes. Budget for monitoring, updates and new facilities.

Planning ranges from projects we've delivered, not a quote. You get a fixed number after one scoping call, before you commit to anything.

Every review has a purpose. Every stage has an output.

Our delivery sequence includes two internal demos, formal testing, the NHA review and feedback handling before production. Open a stage to see what to expect.

  1. 01Sandbox setup & implementationBuild

    Confirm milestone scope, set up access and implement the agreed ABHA, HIP and HIU workflows against your existing product.

    What you receive

    A scope checklist, integration build and mapped test scenarios.

    What we need from you

    Your application APIs, data model, sandbox credentials and technical owner.

  2. 02First internal demoReview

    Walk through the implemented patient journeys with your team. Check happy paths, exceptions and the fit with your operational workflows.

    What you receive

    A demonstrated build and an agreed list of fixes before formal testing.

    What we need from you

    Product and operational feedback on the demonstrated flows.

  3. 03Functional testing & WASAValidate

    Coordinate applicable functional testing and Web Application Security Assessment with the required assessment agencies. Resolve findings and support retesting.

    What you receive

    Test reports, assessment evidence and a tracked remediation log.

    What we need from you

    A stable test environment, assessor coordination and agreed audit scope and fees.

  4. 04Second internal demo & readiness reviewRecheck

    Demonstrate the corrected build again after testing. Review evidence, unresolved items and the scenarios to be presented externally.

    What you receive

    A reviewed demo build and a consolidated submission checklist.

    What we need from you

    Your sign-off on the corrected workflows and outstanding dependencies.

  5. 05NHA demo & reviewDemonstrate

    Support the scheduled NHA review, present the applicable workflows and evidence, and respond to questions or requested changes.

    What you receive

    A review-action log, responses and any follow-up demonstrations required.

    What we need from you

    Stakeholder availability and timely decisions on review feedback.

  6. 06Website listing & feedback window15-day planning allowance

    Plan for the website-listing and feedback stage in our delivery sequence. Monitor comments and address any issues raised before moving forward.

    What you receive

    Tracked feedback, responses and any changes required for closure.

    What we need from you

    Allow for the 15-day window and follow-up work. The applicable listing duration and requirements are confirmed with the ABDM team.

  7. 07Production access & controlled rolloutGo live

    After applicable approvals and production access, configure the live environment, onboard facilities and validate the agreed production workflows.

    What you receive

    A rollout checklist, operational runbook and engineering handover.

    What we need from you

    Production owners, infrastructure readiness and an agreed rollout window.

This is our delivery plan, not a guaranteed approval schedule. Review findings may require another demo or retest. External review, listing and production access remain subject to the applicable ABDM process. NHA sandbox guidance ↗

Get a scoped estimate
Live implementation experience

Already connecting Healthcare beyond the Sandbox.

Our ABDM implementation is live across more than six HIMS and hospital implementations. Customer work includes Pace Softronix and AffEx Health Platform.

Read the multi-module HIMS integration case study
HMIS vendor

ABDM integrated into an existing hospital information management product, supporting live hospital workflows.

M1M2M3
Healthcare platform

Live ABDM implementation for AffEx Health Platform, an initiative of the Anjani Mashelkar Foundation.

M1M2
Product foundation
Nirmitee ABDM SDKs

Our own .NET and TypeScript SDKs for ABDM V3, maintained in production and reused across every client project.

.NETTypeScript
HMIS product vendor

Three milestones inside a live product, no rewrite

ABDM appeared in their customer contracts with a hard date. We delivered M1, M2 and M3 inside their existing application and covered every mandatory NHA test case — without touching the clinical modules their hospitals use daily.

60/60
mandatory test cases
0
clinical modules touched
Multi-tenant HIS

One ABDM layer, many hospitals

One tenant-aware ABDM layer behind separate identities and databases per hospital. Adding the next facility became a configuration step, not a delivery project.

1
shared ABDM layer
n
facilities onboarded
Engineering depth

We build and maintain our own ABDM SDKs

We maintain production ABDM V3 SDKs in .NET and TypeScript — milestone flows, encryption and FHIR bundles, under a real test suite. Your project starts on tested foundations, not a blank sandbox.

2
languages supported
296
automated tests
FAQ

ABDM, Answered.

The questions that come up before anyone signs anything.

What does ABDM actually get us commercially?
Three things, in the order people usually care about them. It answers the compliance question in tenders, empanelment paperwork and customer RFPs — often the reason the project exists at all. It makes records portable, which is what patients and referring providers notice. And through NHCX it extends to claims, which is where it starts affecting cash flow rather than just compliance. Digital-health incentive schemes have existed for ABDM-linked transactions; check the current terms before you count on them, and we'll tell you honestly what applies to you.
Do we have to replace our HIS or EHR?
No — and we'd push back if someone told you otherwise. ABDM is added alongside what you run today: new flows inside your existing application, and a small number of screens your staff already recognise. We've done this inside stacks a decade old. The clinical software people rely on every day does not get migrated to make ABDM work.
How long does ABDM certification take?
Separate the engineering estimate from the external review schedule. Our delivery sequence includes sandbox implementation, a first internal demo, functional and WASA testing, a second internal readiness demo, the NHA demo, website listing and feedback handling, then production access after applicable approvals. We allow for a 15-day listing and feedback stage in planning, with the actual requirement confirmed with the ABDM team. Findings can lead to remediation, retesting or another demo. M2 and M3 also require product-specific FHIR mapping and workflow work, which we scope before agreeing a delivery estimate.
What does it cost?
It depends on which milestones you need, how many systems are involved, and how much your own team keeps. We won't publish a number that turns out to be wrong for you — but you will get a fixed figure and a timeline after one scoping call, before you commit to anything. If the honest answer is that you should do it in-house, we'll say that too.
We run several applications. Do they each need their own certification?
Approval scope must be confirmed for your architecture. Instead of putting our SDK into every application, we build one central ABDM gateway — a shared mapper and a common consent experience. Shared mapping reduces repeated engineering, but does not remove application-specific approval requirements. This can fit a state department running multiple schemes, a hospital group with different systems per unit, or a vendor with more than one product line. We'll tell you on the call which of the two approaches fits, and we're happy to say "just use the SDK" when that's the honest answer.
What's the SDK licensing model, and do we get the source code?
A one-time licence fee, bundled with the consultancy — not a subscription, not a per-transaction charge, and nothing that grows as your volumes do. You get the full source code, and our engineers stay with your team until you're live rather than handing over a zip file and disappearing. The SDK runs inside your application: it does the ABDM work, writes to your database, and stores nothing on our side. If you later want to maintain it yourself, everything you need is already yours.
Talk to our integration team

Turn your ABDM requirement into a delivery plan.

Bring your current stack, milestone status and target date. We’ll review your scope, identify dependencies and recommend the next engineering step.

+1 (669) 649 0706
hello@nirmitee.io
India

Baner, Pune,
Maharashtra 411045

USA

Iselin,
NJ 08830

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An engineer who has actually shipped ABDM will reach out within one business day.