Ayushman Bharat Digital Mission
State Adoption
Overview and Pathways for HFR Registration
Objective
● The presentation is a comprehensive repository of all information regarding Health Facility Registry
(HFR), which is a core building block under ABDM (Ayushman Bharat Digital Mission). It includes an
overview on HFR, its benefits, pathways for registration on HFR, recommended practices and
supporting resources.
● The presentation may be utilised as part of NHA’s capacity building and IEC material, specifically for
the States, to drive ABDM adoption
● The intended audience of this presentation spans across State leadership/ Nodal officer, master
trainers as well as technical partners.
Version 1 (Dated: 15th February, 2023)
2
01 HFR Overview
3
Understanding HFR
● Health Facility Registry (HFR) is a comprehensive repository of health facilities of the country across
modern and traditional systems of medicine.
● HFR includes both public and private health facilities, including hospitals, clinics, diagnostic laboratories and
imaging centers, pharmacies, etc.
● The facility gets a unique 12 digit Facility ID, giving the facility an identifier in the healthcare ecosystem
● Benefits include:
○ Unique & Trustable Identity - Facility ID for identification of health facilities across the ABDM
ecosystem
○ Online Presence & Discoverability - Listing of health facilities on a national platform and availability in
search results
○ Ease of doing business - Digitisation of services reduces efforts for registration & renewal of various
licenses, and empanelment with insurance agencies, TPAs
○ Unified Digital Services - Access to telemedicine, digital health records and HMIS solutions
4
Pathways for
02 registration on HFR
Intended Audience: State/Programme Leadership and
Master Trainers
5
HFR - Registration Methods
Following are the two methods for HFR Registration
1 2
Self mode using HFR website Through API Integration
● User logs into the HFR ● Integrators/Technical Partners can
website leverage HFR Onboarding APIs to
register facilities in bulk
● This method uses Aadhaar
eKYC ● The relevant API is available here:
[Link]
● User creates and registers [Link]
their facility on HFR
6
Registration Process for Facilities
Generate Healthcare
Role Selection Search and Register Verification
Professional ID
Visit [Link] The user dashboard will show 2 The Facility manager will get four Upon submission of the
and click on Click Here for Login different roles if the user is not options here: registration request, verification
or Registration mapped to any role OR is logging 1. Search using health of existence of health facility is
into HFR for the first time: facility’s name done by the State government
User can login using their 2. Search using the ID of and UT administration
1. Facility Manager your health facility
Healthcare Professional ID (HP
2. Nodal Officer/Verifier registered in AB-PMJAY,
ID) and password (or Mobile/
NIN etc.
Aadhaar OTP) or can click on Click To Add/Register facilities, click on
3. Register New Facility
here to Register to generate an Facility Manager button
4. Add Facilities in Bulk
HP ID before registration of a On the next page, click on Search
health facility. and Register Facility Button Upon selecting the appropriate
search/register option, the
facility manager will be asked to
verify/fill information for
registration - facility name,
address, geo-location, contact
details, etc and submit the same.
Registration via API
APIs and documentation have been published which allow health For bulk upload, the facility
facility registration by respective HRPs and state governments manager will have to upload the 7
respective details as a csv file.
Registration for Verifiers
Generate Healthcare
Role Selection Register Verification
Professional ID
Visit [Link] The user dashboard will show 2 On the ‘Nodal Officer & Verifier Upon submission of the
and click on Click Here for Login different roles if the user is not Registration Form’: registration request, verification
or Registration mapped to any role OR is logging and approval of role request is
into HFR for the first time: 1. Request Assignment of done by officials per the system
User can login using their Role as hierarchy
1. Facility Manager
Healthcare Professional ID and - State Mission Director
2. Nodal Officer/Verifier
password (or Mobile/ Aadhaar - District Nodal Officer
OTP) or can click on Click here to To Add/Register facilities, click on - District Verifier
Register to generate an HP ID Nodal Officer/Verifier button 2. Select State/UT
before registration of a health
facility. Click on Initiate Request
8
Process Flows Software Linkage & Healthcare Professional Linkage
Software Linkage
From the Verify the details,
Add HRP*
Login using dashboard, check the
Visit HFR Bridge Id &
HPID & select ‘Software acknowledgement
website click on ‘Get
password Linkage’ on your checkbox and click
Details’
facility card on ‘Register HIP’
Healthcare Professional Linkage
From the Add & search Click on “Declare”
dashboard, to declare the
Login using Healthcare
Visit HFR select ‘Add
HPID & Professional & association of the
website Healthcare
password Professional’ on click get Healthcare
your facility card details Professional.
*HRP (Health Repository Providers): They are software service providers who offer ABDM compliant software and long-term digital storage of health records to Health Information
Providers (HIPs) like hospitals, labs, clinics, etc. Their primary role is to enable HIPs to meet their obligations of sharing and securely maintaining the health records of 9patients
digitally.
HFR Onboarding Pathways
States can select the pathways that best suit their context, and request NHA for the required support
Pathway for the State Method of Engagement Instances#
Self-mode Awareness Camp - IEC activity
Govt. of AP, UP, HMIS
API Integration Assisted-mode using Production APIs
Providers
eHospital, eSushrut
Health Facilities (District hospitals, CHCs, etc) Assisted-mode using HFR website
and other state HMIS
Back-end drives by the programs Using Programme Data PMJAY, PMNDP
#
10
This list is not exhaustive.
03 Supporting Resources
Intended Audience: State/Programme Leadership and
Master Trainers
11
Recommended Practices
● Use of [Link] for individual facility registration or enumeration drives, to
increase registration
● HFR integrator* must ensure that the state, health programs and private entities have full
understanding of the HFR registration process and features.
● Engage officials at health facilities through ABDM enabled HMIS**. Tangible benefits like Unique &
Trustable Identity, Online Presence & Discoverability, Ease of doing Business, and Unified Digital
Services of health facilities can be demonstrated to encourage public and private entities to
register on HFR
● Integration of program portals with HFR to engage beneficiaries and create “Single Source Of
Truth”
*Any party leveraging API integration to onboard facilities to HFR
**List of existing partners is available at [Link]
12
Lessons from the States
State/UT Actions Taken
● Geo-tagged all public health facilities to create a repository (UP ke Swasthya Kendra) which was
leveraged for registration on HFR
Uttar Pradesh ● Leveraged API based bulk upload approach to generate Health Facility ID for all public health
facilities
● Conducted Alternate day virtual training cum meeting sessions with district team
● Created a sense of competition among districts for registration on HFR
● Mapped transferred verifiers to the new location through login of District Nodal officer in cases of
posting transfer of District verifiers and nodal officers
Bihar
● Used mapping feature available in the District Nodal officer login to map multiple health facilities
to respective facility manager (Facility manager of a PHC (block) mapped to all lower level health
facilities i.e. APHC and HSC in that block)
● Conducted training at the state level for all District nodal officers and District verifiers
West Bengal
● Conducted Follow-up training of all facility managers (both government and private facilities)
Sikkim ● Renewal of Private health facilities’ licence conditional on HFR registration.
Puducherry &
Arunachal ● Leveraged the Clinical establishment Act to mandatorily get facilities to register on HFR
Pradesh
13
Note: This list is not exhaustive.
Tracking Mechanisms
States are recommended to use the ABDM Dashboard ([Link]) for tracking their progress.
Select State
district-wise
overall
date-wise
14
Common Challenges
[Link] Issue Resolution/ Common Cause
The existing construct in ABDM allows linkage of one facility to a single HRP (HMIS/LMIS
etc) only. However, a facility can have multiple softwares such as HMIS, LMIS as well as
government programs and applications like e-Sanjeevani, RCH, UWIN etc.
1 Multiple HRP linkages To enable adoption and scaling up, and building longitudinal health records, it is essential
to enable linkage of 1 Facility to multiple HRPs
Solution: NHA is aware of this challenge and will work on revision of architecture with
changes in both HFR and Gateway, to enable linkage to multiple HRPs
The existing application has been built with changing requirements, and the processes
have been refined since the launch of National Digital Health Mission (NDHM) in 2020.
Database structure, User Some of the workflows and entity attributes are hard-coded affecting user experience.
2 experience – Need for Application
Redevelopment Solution: NHA has taken note of the issues related to user experience and will work on
revamping application UI/UX and updating the database architecture to allow dynamic
updates
15
Frequently Asked Questions
● Why is there a need to have a healthcare professional ID to register in the Health Facility Registry?
The Healthcare Professional ID is an authentication mechanism that allows users to access Health Facility
Registry and various services in the Ayushman Bharat Digital Mission, without having the need to enter user
credentials at multiple places. It essentially ensures that no unauthorised person can access the health facility
details.
● Who can access the data on the Health Facility Registry?
Only publicly visible information can be accessed by third parties. The administration/ verifiers/ governing body
under which the health facility comes also have access to the data.
● How can the data in Health Facility Registry be used?
Basic minimal data has been requested to ensure that the health facility which is applying on the ABDM platform
can be verified and onboarded by respective authorities. It is also essential to ensure that even if healthcare
facilities are authentic, the claims that they make regarding various attributes such as, facilities/services
available are also cross verified. This information shall only be used for analysis from a public health point of
view. Select data will also be provided to digital health solution providers who integrate with ABDM so they can
display the list of healthcare facilities with suitable attributes for the prospective patients.
● How much time it will take to complete the application?
Time taken to enter the information depends on information being readily available in the form of supporting
address proof documents, internet speed. However, if you have all information and supporting documents are
available, registration can be completed within 20-30 minutes. The time required for a small facility will be less as
compared to the time required for a large hospital. Facility will be required to upload two photographs (one of the
facility and the other showing the board) during application. 16
Frequently Asked Questions
● A facility has not yet started digitalization completely. Can they join ABDM?
Yes they can. Joining ABDM is just first step to enter the digital health ecosystem of India. It is understood that
digitization of health records is difficult and at times time-consuming, particularly for older records. Therefore, the
ABDM does not insist that from the day of joining, there will be digitization of every health record within the facility.
However, ABDM does encourage the facility to shift to digital health systems in a gradual and phased manner.
● A facility wants to update the details in the Health Facility Registry. What is the procedure for the same?
Once a facility has been approved for listing in the HFR, a facility manager can update basic details about the facility
by logging in at [Link] using Healthcare Professional ID. However, any change in facility name,
address and other essential information will be shown as self-declared until it is verified again by the appropriate
authorities.
● If having issues with the application, whom should the facility contact?
The facility should register their grievance on [Link] or call 1800 11 4477.
● More FAQs can be found under the support section on the HFR and ABDM websites.
17
Resources
● Sandbox link for Benefit Programs and HMIS portals to start integration with HFR:
[Link]
● Documentation of APIs for integration with HFR:
[Link]
● Swagger link for Benefit Programs and HMIS portals to start integration with HFR:
[Link]
● Grievance Portal : [Link]
● Call Center : 1800-11-4477
18
.
Thank You
