ABDM: Enabling Ecosystems

The Ayushman Bharat Digital Mission (ABDM) has set out to establish a common digital architecture for health—an interoperable backbone where citizens can own and control their health data, providers can exchange records seamlessly, and innovation can flourish without silos. From its very inception, Eka Care aligned itself closely with this vision, embedding within ABDM not as a peripheral participant but as an early contributor to the architecture itself.

We became one of the first private platforms to register as both a Health Information Provider (HIP) and Health Information User (HIU). This dual role allowed us to serve citizens across the full spectrum of health data journeys: from accessing and managing their own records, to enabling providers to share information responsibly and compliantly.

Through the Eka ABDM Connect API, we extended ABDM’s architecture outward—allowing partners to generate ABHA IDs, manage consent, and exchange health records securely. In this way, Eka functioned not just as an adopter of ABDM, but as a multiplier of its reach, carrying the rails of interoperability to more citizens, doctors, and health facilities.

Our role in the ecosystem has consistently been defined by contribution. From sandbox testing to pilot implementations, and now into the expansion phases of ABDM through UHI and NHCX, Eka has been present as a co-developer, helping refine and operationalize the standards that will power the next decade of Indian health. This is not Eka’s achievement alone—it is the proof that ABDM’s design works when committed partners lean in.

Scale and Impact Enabled by ABDM

The strength of ABDM’s architecture is visible in the scale it has unlocked through private and public partners. Eka’s own footprint illustrates this impact:

• ABHA IDs generated: ~1.8 crore +
  
  
• Health records linked (PHR / HFRs): ~2.85 crore +
  
  
• Scan & Share transactions (rapid record flows): ~58 lakh +
  
  
• Doctors registered in ABDM via Eka: ~3,500
  
  
• Health Facility Registrations (HFRs): ~3,150 +
  
  
• Record linkage success rate (2025): consistently above 93%, with peaks of ~97%
  
  
• Monthly record linkages: now crossing 1 lakh+, with historic peaks of 10 lakh+
  
  

These numbers are not standalone—they are ABDM’s success reflected through one of its most active private participants. They show that when the architecture is robust, citizen adoption and provider trust follow.

Current Capabilities & What’s Brewing

The ABDM framework provided the rails; Eka has focused on making the citizen and doctor journeys on those rails simple, intuitive, and powerful.

Core capabilities today, powered by ABDM:

• Citizen PHR / Health Locker: Link ABHA, organize, and share records via consent.
  
  
• Automated profiling & insights: Longitudinal health views drawn from ABDM-linked data.
  
  
• Doctor-facing ABDM EMRs: Fully integrated, FHIR-compliant, AI-enabled.
  
  
• Eka ABDM Connect API: Extending ABDM services to third-party developers.
  
  
• Ecosystem partnerships: For example, enabling ABHA IDs in Google Wallet with ABDM guardrails.
  
  

Innovation in progress:

• AI Scribe / Doctor Assist to reduce provider burden and improve quality of records.
  
  
• Intelligent Patient Summaries built from ABHA-linked histories to give doctors context at a glance.
  
  
• Anonymised health datasets to advance India-specific AI solutions.
  
  
• Continuous UX refinements to make ABDM adoption effortless for citizens.
  
  

All of this reflects the ethos that ABDM itself embodies: simplify, amplify, curate. Eka’s role has been to translate that ethos into tangible journeys that strengthen citizen trust and doctor adoption.

Looking Forward: The Next Chapter of ABDM

As ABDM evolves from building infrastructure to delivering outcomes, Eka is committed to supporting its next milestones:

1. NHCX Integration
   Enabling real-time, interoperable claims data exchange for providers, payers, and citizens, built on the same trust and consent architecture.
   
   
2. PM-JAY and Scheme Integration
   Extending ABDM’s identity and record rails into flagship public schemes, reducing friction for eligibility checks, claims, and entitlements.
   
   

Data Anonymisation & Public Health Use
Unlocking ABDM’s long-term value through safe, anonymised, population-level analytics for research, disease surveillance, and health planning—without compromising citizen privacy.