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Ecosystem participants

ABDM is one network with several kinds of participant on it. Each holds an identifier issued by a registry, and each plays a role in the exchange. This section has one page per participant, and every page answers the same three questions: who you are, what you can do, and why it is worth taking part.

Two of the eight do not integrate with anything. A citizen carries an identity and makes decisions. We run the network and issue the identifiers. The other six build software.

ParticipantWho they are
CitizenThe person the records are about, holding an ABHA number and address
DoctorA registered professional holding an HPID from the professional registry
HospitalA facility that creates records, shares them, and reads records held elsewhere
DiagnosticsA laboratory or imaging centre, sharing reports as a facility
PharmacyA pharmacy, sharing prescription and billing records as a facility
InsurerA payer that reads records under consent, and settles claims on a separate gateway
PHR appThe citizen's own app: identity, linking, consent and records
NHAThe National Health Authority, which runs the gateways and the registries

A role belongs to the entity, not the software

HIP and HIU are roles an entity takes, not kinds of software and not kinds of company. Whoever holds a record and publishes it is the HIP: a facility publishing through its HMIS, or a citizen pushing a record from their PHR app. Whoever asks to read records they did not create is the HIU, and an insurer or a referral service asks while holding neither an ABHA address nor a facility ID. So a hospital, a laboratory and a pharmacy sit in the same position and differ only in the records they hold.

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