diff --git a/ABDM_GATEWAY_PHP_DEPLOYMENT.md b/ABDM_GATEWAY_PHP_DEPLOYMENT.md
index ebb487c..f1df8d4 100644
--- a/ABDM_GATEWAY_PHP_DEPLOYMENT.md
+++ b/ABDM_GATEWAY_PHP_DEPLOYMENT.md
@@ -247,17 +247,34 @@ curl -i -H "Authorization: Bearer $TOKEN" https://abdm-bridge.e-atria.in/api/v3/
 ssh user@hms-server
 
 cd /opt/hms-ci4
-# Process up to 5 queued events
+# Install/update cron jobs for HMS background workers (idempotent)
+bash scripts/install_hms_cron.sh /opt/hms-ci4
+
+# Manual one-time run checks
+php spark abdm:push-sync --limit=20
 php spark bridge:sync --limit 5
 ```
 
 **Expected Output:**
 ```
+ABDM Push Sync
+Processed: N
+Success: N
+Failed: 0
+
 Bridge sync completed:
-- Processed: 5
-- Sent: 5
+- Processed: N
+- Sent: N
 - Failed: 0
-- Message: queue processing completed
+```
+
+### 4. Recommended Cron Block (Installed by Script)
+```cron
+* * * * * cd /opt/hms-ci4 && php spark abdm:push-sync --limit=20 --worker=cron-abdm-m2 >> /opt/hms-ci4/writable/logs/cron/abdm_push_sync.log 2>&1
+* * * * * cd /opt/hms-ci4 && php spark bridge:sync --limit 10 >> /opt/hms-ci4/writable/logs/cron/bridge_sync.log 2>&1
+* * * * * cd /opt/hms-ci4 && php spark snomed:process-coding >> /opt/hms-ci4/writable/logs/cron/snomed_process.log 2>&1
+*/2 * * * * cd /opt/hms-ci4 && php spark abdm:hiu-poll --limit=30 >> /opt/hms-ci4/writable/logs/cron/abdm_hiu_poll.log 2>&1
+*/5 * * * * cd /opt/hms-ci4 && php spark abdm:hiu-retry --limit=20 >> /opt/hms-ci4/writable/logs/cron/abdm_hiu_retry.log 2>&1
 ```
 
 ---
diff --git a/ABDM_M2_PUSH_SYNC_IMPLEMENTATION.md b/ABDM_M2_PUSH_SYNC_IMPLEMENTATION.md
index f13e48b..d3f27cb 100644
--- a/ABDM_M2_PUSH_SYNC_IMPLEMENTATION.md
+++ b/ABDM_M2_PUSH_SYNC_IMPLEMENTATION.md
@@ -3,7 +3,7 @@
 ## Architecture Summary
 - Added dedicated sync tables: `abdm_sync_patient`, `abdm_sync_record`, `abdm_sync_outbox`.
 - Added queue/outbox service and worker command for reliable push delivery.
-- Added Gateway client for `/api/v3/records/push` with response mapping (201/409/4xx/5xx).
+- Added Gateway client for `/api/v1/abdm/gateway/care-context/link` with validation and response mapping.
 - Added FHIR generator framework with module-specific generators.
 - Added advanced coding resolver with LOINC/SNOMED/UCUM fallback logic and validation scoring.
 - Added observability endpoints:
@@ -32,8 +32,8 @@
 - Score < 70: mark review-needed (policy hook available)
 
 ## Outbox Retry Policy
-- 8 retries: 1m, 5m, 15m, 30m, 1h, 2h, 4h, 8h
-- After retry 8 -> `dead`
+- Care-context outbound default retries: 10s, 30s, 60s
+- Legacy schedule fallback still supported for older outbox rows
 
 ## Security Notes
 - Bearer token never logged.
@@ -63,6 +63,16 @@
 - Worker: `php spark abdm:push-sync --limit=20`
 - Existing bridge worker remains separate: `php spark bridge:sync`
 
+## Cron Setup (HMS Server)
+- Use `bash scripts/install_hms_cron.sh /var/www/html/hms_etria`
+- Deploy script now runs this installer automatically after migrate.
+- Managed cron block includes:
+  - `abdm:push-sync` every minute
+  - `bridge:sync` every minute
+  - `snomed:process-coding` every minute
+  - `abdm:hiu-poll` every 2 minutes
+  - `abdm:hiu-retry` every 5 minutes
+
 ## Manual Replay
 - Endpoint: `POST /AbdmSync/replay_dead/{id}`
 - Resets dead row to `pending` for reprocessing.
diff --git a/app/Controllers/AbdmSync.php b/app/Controllers/AbdmSync.php
index 207d78f..dbe0637 100644
--- a/app/Controllers/AbdmSync.php
+++ b/app/Controllers/AbdmSync.php
@@ -49,6 +49,7 @@ class AbdmSync extends BaseController
         $payload = [
             'local_record_id' => (string) ($this->request->getPost('local_record_id') ?? ''),
             'local_patient_id' => (int) $this->request->getPost('local_patient_id'),
+            'hospital_id' => (int) ($this->request->getPost('hospital_id') ?? 0),
             'hi_type' => (string) ($this->request->getPost('hi_type') ?? ''),
             'care_context_reference' => (string) ($this->request->getPost('care_context_reference') ?? ''),
             'care_context_display' => (string) ($this->request->getPost('care_context_display') ?? ''),
@@ -59,6 +60,9 @@ class AbdmSync extends BaseController
             'hfr_id' => (string) ($this->request->getPost('hfr_id') ?? ''),
             'source_updated_at' => (string) ($this->request->getPost('source_updated_at') ?? date('Y-m-d H:i:s')),
             'patient_name' => (string) ($this->request->getPost('patient_name') ?? ''),
+            'mobile' => (string) ($this->request->getPost('mobile') ?? ''),
+            'gender' => (string) ($this->request->getPost('gender') ?? ''),
+            'dob' => (string) ($this->request->getPost('dob') ?? ''),
             'abha_id' => (string) ($this->request->getPost('abha_id') ?? ''),
             'abha_address' => (string) ($this->request->getPost('abha_address') ?? ''),
             'fhir_bundle' => $bundle,
diff --git a/app/Controllers/Ipd_discharge.php b/app/Controllers/Ipd_discharge.php
index f1c0d81..fd2c414 100644
--- a/app/Controllers/Ipd_discharge.php
+++ b/app/Controllers/Ipd_discharge.php
@@ -7765,6 +7765,9 @@ class Ipd_discharge extends BaseController
             'hfr_id' => $hfrId,
             'source_updated_at' => $sourceUpdatedAt,
             'patient_name' => (string) ($gatewayPayload['patient_name'] ?? $patientName),
+            'mobile' => (string) ($patientRow['mphone1'] ?? ''),
+            'gender' => (string) ($patientRow['gender'] ?? $patientRow['xgender'] ?? ''),
+            'dob' => (string) ($patientRow['dob'] ?? ''),
             'abha_id' => (string) ($gatewayPayload['abha_id'] ?? $abhaDigits),
             'abha_address' => (string) ($gatewayPayload['abha_address'] ?? $abhaAddress),
             'fhir_bundle' => (array) ($gatewayPayload['fhir_bundle'] ?? []),
diff --git a/app/Libraries/Abdm/Sync/AbdmGatewayPushClient.php b/app/Libraries/Abdm/Sync/AbdmGatewayPushClient.php
index 503442a..d1bfc5d 100644
--- a/app/Libraries/Abdm/Sync/AbdmGatewayPushClient.php
+++ b/app/Libraries/Abdm/Sync/AbdmGatewayPushClient.php
@@ -20,6 +20,16 @@ class AbdmGatewayPushClient
         'WellnessRecord',
     ];
 
+    /** @var string[] */
+    private array $allowedRecordTypes = [
+        'PrescriptionRecord',
+        'DiagnosticReportRecord',
+        'DischargeSummaryRecord',
+        'OPConsultationRecord',
+        'WellnessRecord',
+        'HealthDocumentRecord',
+    ];
+
     public function __construct(?BaseConnection $db = null)
     {
         $this->db = $db ?? db_connect();
@@ -104,7 +114,7 @@ class AbdmGatewayPushClient
             $mapped['latency_ms'] = (int) round((microtime(true) - $startedAt) * 1000);
             $mapped['gateway_request_id'] = (string) ($response->getHeaderLine('X-Request-Id') ?: ($body['request_id'] ?? ''));
 
-            $this->logPush($payload, $mapped, $requestId);
+            $this->logPush($payload, $mapped, $requestId, '/api/v3/records/push', 'abdm.sync.outbox.records_push', 'record');
             return $mapped;
         } catch (\Throwable $e) {
             $result = [
@@ -118,7 +128,105 @@ class AbdmGatewayPushClient
                 'gateway_request_id' => '',
                 'latency_ms' => (int) round((microtime(true) - $startedAt) * 1000),
             ];
-            $this->logPush($payload, $result, $requestId);
+            $this->logPush($payload, $result, $requestId, '/api/v3/records/push', 'abdm.sync.outbox.records_push', 'record');
+            return $result;
+        }
+    }
+
+    /**
+     * @param array<string,mixed> $payload
+     * @return array<string,mixed>
+     */
+    public function pushCareContextLink(array $payload, string $idempotencyKey = ''): array
+    {
+        $requestId = $this->createRequestId();
+        $validation = $this->validateCareContextPayload($payload);
+        if (($validation['valid'] ?? false) !== true) {
+            return [
+                'ok' => false,
+                'status' => 'failed',
+                'http_status' => 400,
+                'request_id' => $requestId,
+                'error' => 'validation_failed',
+                'message' => implode('; ', $validation['errors'] ?? ['Invalid payload']),
+                'retryable' => false,
+            ];
+        }
+
+        $baseUrl = rtrim($this->readSetting('ABDM_BRIDGE_URL', 'EATRIA_BRIDGE_URL'), '/');
+        if ($baseUrl === '') {
+            return [
+                'ok' => false,
+                'status' => 'failed',
+                'http_status' => 500,
+                'request_id' => $requestId,
+                'error' => 'bridge_url_missing',
+                'message' => 'ABDM bridge URL is not configured.',
+                'retryable' => false,
+            ];
+        }
+
+        $token = trim($this->readSetting('EATRIA_BRIDGE_TOKEN', 'ABDM_BRIDGE_TOKEN'));
+        if ($token === '') {
+            return [
+                'ok' => false,
+                'status' => 'failed',
+                'http_status' => 500,
+                'request_id' => $requestId,
+                'error' => 'token_missing',
+                'message' => 'ABDM bridge token is not configured.',
+                'retryable' => false,
+            ];
+        }
+
+        $url = $this->buildGatewayUrl($baseUrl, '/api/v1/abdm/gateway/care-context/link');
+        $headers = [
+            'Authorization' => 'Bearer ' . $token,
+            'Content-Type' => 'application/json',
+            'X-Request-Id' => $requestId,
+        ];
+        if ($idempotencyKey !== '') {
+            $headers['X-Idempotency-Key'] = $idempotencyKey;
+        }
+
+        $startedAt = microtime(true);
+        try {
+            $client = service('curlrequest', [
+                'timeout' => 30,
+                'connect_timeout' => 10,
+                'http_errors' => false,
+            ]);
+
+            $response = $client->post($url, [
+                'headers' => $headers,
+                'json' => $payload,
+            ]);
+
+            $httpStatus = (int) $response->getStatusCode();
+            $body = json_decode((string) $response->getBody(), true);
+            if (! is_array($body)) {
+                $body = ['raw' => (string) $response->getBody()];
+            }
+
+            $mapped = $this->mapCareContextResponse($httpStatus, $body, $requestId);
+            $mapped['latency_ms'] = (int) round((microtime(true) - $startedAt) * 1000);
+            $mapped['gateway_request_id'] = (string) ($response->getHeaderLine('X-Request-Id') ?: ($body['request_id'] ?? ''));
+
+            $this->logPush($payload, $mapped, $requestId, '/api/v1/abdm/gateway/care-context/link', 'abdm.sync.outbox.care_context_link', 'care_context');
+            return $mapped;
+        } catch (\Throwable $e) {
+            $result = [
+                'ok' => false,
+                'status' => 'retry',
+                'http_status' => 0,
+                'request_id' => $requestId,
+                'error' => 'network_error',
+                'message' => $e->getMessage(),
+                'retryable' => true,
+                'gateway_request_id' => '',
+                'latency_ms' => (int) round((microtime(true) - $startedAt) * 1000),
+            ];
+            $this->logPush($payload, $result, $requestId, '/api/v1/abdm/gateway/care-context/link', 'abdm.sync.outbox.care_context_link', 'care_context');
             return $result;
         }
     }
@@ -164,11 +272,91 @@ class AbdmGatewayPushClient
         ];
     }
 
+    /**
+     * @param array<string,mixed> $payload
+     * @return array<string,mixed>
+     */
+    public function validateCareContextPayload(array $payload): array
+    {
+        $errors = [];
+
+        if ((int) ($payload['hospital_id'] ?? 0) <= 0) {
+            $errors[] = 'hospital_id is required';
+        }
+
+        $hfrId = trim((string) ($payload['hfr_id'] ?? ''));
+        if ($hfrId === '') {
+            $errors[] = 'hfr_id is required';
+        }
+
+        $patient = $payload['patient'] ?? null;
+        if (! is_array($patient)) {
+            $errors[] = 'patient object is required';
+        } else {
+            if (trim((string) ($patient['patient_id'] ?? '')) === '') {
+                $errors[] = 'patient.patient_id is required';
+            }
+            if (trim((string) ($patient['name'] ?? '')) === '') {
+                $errors[] = 'patient.name is required';
+            }
+
+            $mobileDigits = preg_replace('/\D/', '', (string) ($patient['mobile'] ?? ''));
+            if (! is_string($mobileDigits) || strlen($mobileDigits) !== 10) {
+                $errors[] = 'patient.mobile must be a 10-digit number';
+            }
+
+            $gender = strtoupper(trim((string) ($patient['gender'] ?? '')));
+            if (! in_array($gender, ['M', 'F', 'O'], true)) {
+                $errors[] = 'patient.gender must be M, F, or O';
+            }
+
+            $yob = (int) ($patient['year_of_birth'] ?? 0);
+            $currentYear = (int) date('Y');
+            if ($yob < 1900 || $yob > $currentYear) {
+                $errors[] = 'patient.year_of_birth must be a valid 4-digit year';
+            }
+        }
+
+        $contexts = $payload['care_contexts'] ?? null;
+        if (! is_array($contexts) || $contexts === []) {
+            $errors[] = 'care_contexts must contain at least one item';
+        } else {
+            foreach ($contexts as $index => $context) {
+                if (! is_array($context)) {
+                    $errors[] = 'care_contexts[' . $index . '] must be an object';
+                    continue;
+                }
+
+                if (trim((string) ($context['reference_number'] ?? '')) === '') {
+                    $errors[] = 'care_contexts[' . $index . '].reference_number is required';
+                }
+                if (trim((string) ($context['display'] ?? '')) === '') {
+                    $errors[] = 'care_contexts[' . $index . '].display is required';
+                }
+
+                $recordType = trim((string) ($context['record_type'] ?? ''));
+                if (! in_array($recordType, $this->allowedRecordTypes, true)) {
+                    $errors[] = 'care_contexts[' . $index . '].record_type is invalid';
+                }
+
+                $visitDate = trim((string) ($context['visit_date'] ?? ''));
+                if ($visitDate === '' || ! preg_match('/^\d{4}-\d{2}-\d{2} \d{2}:\d{2}:\d{2}$/', $visitDate)) {
+                    $errors[] = 'care_contexts[' . $index . '].visit_date must be YYYY-MM-DD HH:MM:SS';
+                }
+            }
+        }
+
+        return [
+            'valid' => empty($errors),
+            'errors' => $errors,
+        ];
+    }
+
     /**
      * @param array<string,mixed> $payload
      * @param array<string,mixed> $result
      */
-    private function logPush(array $payload, array $result, string $requestId): void
+    private function logPush(array $payload, array $result, string $requestId, string $endpoint, string $eventType, string $entityType): void
     {
         if (! $this->db->tableExists('abdm_api_logs')) {
             return;
@@ -185,10 +373,10 @@ class AbdmGatewayPushClient
 
         $this->db->table('abdm_api_logs')->insert([
             'channel' => 'eatria_bridge',
-            'event_type' => 'abdm.sync.outbox.records_push',
-            'endpoint' => '/api/v3/records/push',
+            'event_type' => $eventType,
+            'endpoint' => $endpoint,
             'http_method' => 'POST',
-            'entity_type' => 'record',
+            'entity_type' => $entityType,
             'entity_id' => (string) ($payload['local_record_id'] ?? ''),
             'request_json' => (string) json_encode($maskedPayload + ['request_id' => $requestId], JSON_UNESCAPED_UNICODE | JSON_UNESCAPED_SLASHES),
             'response_code' => (int) ($result['http_status'] ?? 0),
@@ -325,6 +513,77 @@ class AbdmGatewayPushClient
         ];
     }
 
+    /**
+     * @param array<string,mixed> $body
+     * @return array<string,mixed>
+     */
+    private function mapCareContextResponse(int $httpStatus, array $body, string $requestId): array
+    {
+        $message = (string) ($body['message'] ?? $body['error_text'] ?? ('HTTP ' . $httpStatus));
+        $ok = (int) ($body['ok'] ?? 0) === 1;
+
+        if (($httpStatus >= 200 && $httpStatus < 300) && $ok) {
+            return [
+                'ok' => true,
+                'status' => 'done',
+                'http_status' => $httpStatus,
+                'request_id' => $requestId,
+                'gateway_record_id' => null,
+                'gateway_queue_id' => null,
+                'submitted' => 1,
+                'duplicate' => 0,
+                'message' => $message !== '' ? $message : 'Care context linked successfully',
+                'retryable' => false,
+            ];
+        }
+
+        if ($httpStatus >= 500 || $httpStatus === 0) {
+            return [
+                'ok' => false,
+                'status' => 'retry',
+                'http_status' => $httpStatus,
+                'request_id' => $requestId,
+                'error' => 'gateway_unavailable',
+                'message' => $message,
+                'retryable' => true,
+                'gateway_record_id' => null,
+                'gateway_queue_id' => null,
+                'submitted' => 0,
+                'duplicate' => 0,
+            ];
+        }
+
+        if (in_array($httpStatus, [400, 401, 403, 422], true)) {
+            return [
+                'ok' => false,
+                'status' => 'failed',
+                'http_status' => $httpStatus,
+                'request_id' => $requestId,
+                'error' => 'validation_or_auth_error',
+                'message' => $message,
+                'retryable' => false,
+                'gateway_record_id' => null,
+                'gateway_queue_id' => null,
+                'submitted' => 0,
+                'duplicate' => 0,
+            ];
+        }
+
+        return [
+            'ok' => false,
+            'status' => 'failed',
+            'http_status' => $httpStatus,
+            'request_id' => $requestId,
+            'error' => 'unknown_error',
+            'message' => $message,
+            'retryable' => false,
+            'gateway_record_id' => null,
+            'gateway_queue_id' => null,
+            'submitted' => 0,
+            'duplicate' => 0,
+        ];
+    }
+
     private function createRequestId(): string
     {
         $bytes = random_bytes(16);
@@ -394,4 +653,10 @@ class AbdmGatewayPushClient
 
         return str_repeat('*', strlen($left) - 4) . substr($left, -4) . ($right !== '' ? '@' . $right : '');
     }
+
+    private function buildGatewayUrl(string $baseUrl, string $path): string
+    {
+        $url = rtrim($baseUrl, '/') . '/' . ltrim($path, '/');
+        return (string) preg_replace('#/api/api/#', '/api/', $url);
+    }
 }
diff --git a/app/Libraries/Abdm/Sync/AbdmSyncOutboxService.php b/app/Libraries/Abdm/Sync/AbdmSyncOutboxService.php
index 27835d8..39eab1b 100644
--- a/app/Libraries/Abdm/Sync/AbdmSyncOutboxService.php
+++ b/app/Libraries/Abdm/Sync/AbdmSyncOutboxService.php
@@ -94,6 +94,13 @@ class AbdmSyncOutboxService
             return null;
         }
 
+        if (empty($payload['outbound_event'])) {
+            $payload['outbound_event'] = 'care_context_link';
+        }
+        if (empty($payload['retry_schedule_seconds']) || ! is_array($payload['retry_schedule_seconds'])) {
+            $payload['retry_schedule_seconds'] = [10, 30, 60];
+        }
+
         $sourceUpdatedAt = $this->normalizeSourceUpdatedAt((string) ($payload['source_updated_at'] ?? ''));
         $idempotencyKey = $this->buildRecordIdempotencyKey($hfrId, $careContextReference, $sourceUpdatedAt);
 
@@ -170,9 +177,9 @@ class AbdmSyncOutboxService
         ]);
     }
 
-    public function markRetryOrDead(int $id, int $retryCount, string $error): void
+    public function markRetryOrDead(int $id, int $retryCount, string $error, ?array $retryScheduleSeconds = null): void
     {
-        $next = $this->getNextRetryAt($retryCount);
+        $next = $this->getNextRetryAt($retryCount, $retryScheduleSeconds);
         $status = $next === null ? self::STATUS_DEAD : self::STATUS_FAILED;
 
         $this->outboxModel->update($id, [
@@ -260,17 +267,19 @@ class AbdmSyncOutboxService
         return $hfrId . '|' . $careContextReference . '|' . $epoch;
     }
 
-    public function getNextRetryAt(int $retryCount): ?string
+    public function getNextRetryAt(int $retryCount, ?array $retryScheduleSeconds = null): ?string
     {
+        $schedule = $this->normalizeRetrySchedule($retryScheduleSeconds);
+
         if ($retryCount <= 0) {
             return Time::now('Asia/Kolkata')->toDateTimeString();
         }
 
-        if ($retryCount > count($this->retryScheduleSeconds)) {
+        if ($retryCount > count($schedule)) {
             return null;
         }
 
-        $delay = $this->retryScheduleSeconds[$retryCount - 1];
+        $delay = $schedule[$retryCount - 1];
         return date('Y-m-d H:i:s', time() + $delay);
     }
 
@@ -329,4 +338,27 @@ class AbdmSyncOutboxService
         $digits = preg_replace('/\D/', '', $abha);
         return is_string($digits) ? $digits : '';
     }
+
+    /**
+     * @param array<int, mixed>|null $retryScheduleSeconds
+     * @return int[]
+     */
+    private function normalizeRetrySchedule(?array $retryScheduleSeconds): array
+    {
+        $schedule = [];
+        if (is_array($retryScheduleSeconds)) {
+            foreach ($retryScheduleSeconds as $seconds) {
+                $value = (int) $seconds;
+                if ($value > 0) {
+                    $schedule[] = $value;
+                }
+            }
+        }
+
+        if (empty($schedule)) {
+            return $this->retryScheduleSeconds;
+        }
+
+        return array_values($schedule);
+    }
 }
diff --git a/app/Libraries/Abdm/Sync/AbdmSyncWorkerService.php b/app/Libraries/Abdm/Sync/AbdmSyncWorkerService.php
index 91f0e29..cbe3030 100644
--- a/app/Libraries/Abdm/Sync/AbdmSyncWorkerService.php
+++ b/app/Libraries/Abdm/Sync/AbdmSyncWorkerService.php
@@ -81,8 +81,9 @@ class AbdmSyncWorkerService
             }
 
             $retryCount = ((int) ($row['retry_count'] ?? 0)) + 1;
-            $this->outbox->markRetryOrDead($id, $retryCount, (string) ($result['message'] ?? 'Sync failed'));
-            if ($this->outbox->getNextRetryAt($retryCount) === null) {
+            $retrySchedule = $this->resolveRetryScheduleSeconds($payload);
+            $this->outbox->markRetryOrDead($id, $retryCount, (string) ($result['message'] ?? 'Sync failed'), $retrySchedule);
+            if ($this->outbox->getNextRetryAt($retryCount, $retrySchedule) === null) {
                 $summary['dead']++;
             } else {
                 $summary['failed']++;
@@ -103,28 +104,45 @@ class AbdmSyncWorkerService
             return ['ok' => false, 'retryable' => false, 'message' => 'Sync record not found'];
         }
 
-        $fhirBundle = $payload['fhir_bundle'] ?? json_decode((string) ($record['fhir_bundle_json'] ?? '{}'), true);
-        if (! is_array($fhirBundle)) {
-            $fhirBundle = [];
+        $patientProfile = $this->resolvePatientProfile((int) ($record['local_patient_id'] ?? 0), $payload);
+
+        $hospitalId = (int) ($payload['hospital_id'] ?? 0);
+        if ($hospitalId <= 0) {
+            $hospitalId = $this->resolveHospitalIdFromSettings();
         }
 
-        $gatewayPayload = [
+        $recordType = $this->mapHiTypeToRecordType((string) ($record['hi_type'] ?? ''));
+        $careContextPayload = [
+            'hospital_id' => $hospitalId,
             'hfr_id' => (string) ($record['hfr_id'] ?? ''),
-            'hi_type' => (string) ($record['hi_type'] ?? ''),
-            'record_type' => (string) ($record['hi_type'] ?? ''),
-            'abha_id' => $this->normalizeAbhaDigits((string) ($payload['abha_id'] ?? '')),
-            'abha_address' => trim((string) ($payload['abha_address'] ?? '')),
-            'patient_name' => trim((string) ($payload['patient_name'] ?? '')),
-            'local_patient_id' => (string) ($record['local_patient_id'] ?? ''),
-            'care_context_reference' => (string) ($record['care_context_reference'] ?? ''),
-            'care_context_display' => (string) ($record['care_context_display'] ?? ''),
-            'visit_date' => (string) ($record['visit_date'] ?? ''),
-            'department' => (string) ($record['department'] ?? ''),
-            'doctor_name' => (string) ($record['doctor_name'] ?? ''),
-            'fhir_bundle' => $fhirBundle,
+            'patient' => [
+                'patient_id' => $patientProfile['patient_id'],
+                'name' => $patientProfile['name'],
+                'mobile' => $patientProfile['mobile'],
+                'gender' => $patientProfile['gender'],
+                'year_of_birth' => $patientProfile['year_of_birth'],
+            ],
+            'care_contexts' => [[
+                'reference_number' => (string) ($record['care_context_reference'] ?? ''),
+                'display' => (string) ($record['care_context_display'] ?? $recordType),
+                'record_type' => $recordType,
+                'visit_date' => $this->normalizeVisitDateTime((string) ($record['visit_date'] ?? '')),
+                'doctor_name' => (string) ($record['doctor_name'] ?? ''),
+                'department' => (string) ($record['department'] ?? ''),
+            ]],
         ];
 
-        $result = $this->gatewayClient->pushRecord($gatewayPayload, $idempotencyKey);
+        $abhaAddress = trim((string) ($patientProfile['abha_address'] ?? ''));
+        if ($abhaAddress !== '') {
+            $careContextPayload['patient']['abha_address'] = $abhaAddress;
+        }
+
+        $abhaNumber = trim((string) ($patientProfile['abha_number'] ?? ''));
+        if ($abhaNumber !== '') {
+            $careContextPayload['patient']['abha_number'] = $abhaNumber;
+        }
+
+        $result = $this->gatewayClient->pushCareContextLink($careContextPayload, $idempotencyKey);
 
         $this->recordModel->update($syncRecordId, [
             'sync_status' => (bool) ($result['ok'] ?? false) ? 'done' : ((bool) ($result['retryable'] ?? false) ? 'failed' : 'dead'),
@@ -243,4 +261,186 @@ class AbdmSyncWorkerService
         $digits = preg_replace('/\D/', '', $abha);
         return is_string($digits) ? $digits : '';
     }
+
+    /**
+     * @param array<string,mixed> $payload
+     * @return int[]|null
+     */
+    private function resolveRetryScheduleSeconds(array $payload): ?array
+    {
+        $raw = $payload['retry_schedule_seconds'] ?? null;
+        if (! is_array($raw)) {
+            return null;
+        }
+
+        $schedule = [];
+        foreach ($raw as $seconds) {
+            $value = (int) $seconds;
+            if ($value > 0) {
+                $schedule[] = $value;
+            }
+        }
+
+        return $schedule !== [] ? array_values($schedule) : null;
+    }
+
+    /**
+     * @param array<string,mixed> $payload
+     * @return array<string,mixed>
+     */
+    private function resolvePatientProfile(int $localPatientId, array $payload): array
+    {
+        $row = [];
+        if ($localPatientId > 0 && $this->db->tableExists('patient_master')) {
+            $row = $this->db->table('patient_master')->where('id', $localPatientId)->get(1)->getRowArray() ?? [];
+        }
+
+        $name = trim((string) ($payload['patient_name'] ?? ''));
+        if ($name === '') {
+            $name = trim(trim((string) ($row['p_fname'] ?? '')) . ' ' . trim((string) ($row['p_lname'] ?? '')));
+        }
+        if ($name === '') {
+            $name = 'PATIENT-' . $localPatientId;
+        }
+
+        $mobile = trim((string) ($payload['mobile'] ?? $payload['patient_mobile'] ?? ''));
+        if ($mobile === '') {
+            foreach (['mphone1', 'mobile', 'phone', 'p_mobile'] as $field) {
+                $candidate = trim((string) ($row[$field] ?? ''));
+                if ($candidate !== '') {
+                    $mobile = $candidate;
+                    break;
+                }
+            }
+        }
+        $mobileDigits = preg_replace('/\D/', '', $mobile);
+        $mobile = is_string($mobileDigits) ? $mobileDigits : '';
+        if (strlen($mobile) > 10) {
+            $mobile = substr($mobile, -10);
+        }
+
+        $genderRaw = trim((string) ($payload['gender'] ?? $payload['patient_gender'] ?? ''));
+        if ($genderRaw === '') {
+            $genderRaw = trim((string) ($row['gender'] ?? $row['xgender'] ?? ''));
+        }
+
+        $dobRaw = trim((string) ($payload['dob'] ?? $payload['patient_dob'] ?? ''));
+        if ($dobRaw === '') {
+            foreach (['dob', 'p_dob', 'birth_date', 'date_of_birth'] as $field) {
+                $candidate = trim((string) ($row[$field] ?? ''));
+                if ($candidate !== '') {
+                    $dobRaw = $candidate;
+                    break;
+                }
+            }
+        }
+
+        $abhaAddress = trim((string) ($payload['abha_address'] ?? ''));
+        if ($abhaAddress === '') {
+            $abhaAddress = trim((string) ($row['abha_address'] ?? ''));
+        }
+
+        $abhaDigits = $this->normalizeAbhaDigits((string) ($payload['abha_id'] ?? ''));
+        if ($abhaDigits === '') {
+            foreach (['abha_id', 'abha_no', 'abha_number', 'abha'] as $field) {
+                $candidate = $this->normalizeAbhaDigits((string) ($row[$field] ?? ''));
+                if ($candidate !== '') {
+                    $abhaDigits = $candidate;
+                    break;
+                }
+            }
+        }
+
+        return [
+            'patient_id' => (string) ($localPatientId > 0 ? $localPatientId : ($payload['local_patient_id'] ?? '')),
+            'name' => $name,
+            'mobile' => $mobile,
+            'gender' => $this->normalizeBridgeGenderCode($genderRaw),
+            'year_of_birth' => $this->extractBirthYear($dobRaw),
+            'abha_address' => $abhaAddress,
+            'abha_number' => $abhaDigits,
+        ];
+    }
+
+    private function normalizeBridgeGenderCode(string $gender): string
+    {
+        $value = strtoupper(trim($gender));
+        if ($value === 'M' || $value === 'MALE' || $value === '1') {
+            return 'M';
+        }
+        if ($value === 'F' || $value === 'FEMALE' || $value === '2') {
+            return 'F';
+        }
+        if ($value === 'O' || $value === 'OTHER' || $value === 'OTHERS' || $value === '3') {
+            return 'O';
+        }
+
+        return 'O';
+    }
+
+    private function extractBirthYear(string $dob): int
+    {
+        $dob = trim($dob);
+        if ($dob !== '') {
+            $ts = strtotime($dob);
+            if ($ts !== false) {
+                return (int) date('Y', $ts);
+            }
+        }
+
+        return (int) date('Y');
+    }
+
+    private function mapHiTypeToRecordType(string $hiType): string
+    {
+        $type = trim($hiType);
+        return match ($type) {
+            'PrescriptionRecord' => 'PrescriptionRecord',
+            'DiagnosticReportRecord' => 'DiagnosticReportRecord',
+            'DischargeSummaryRecord' => 'DischargeSummaryRecord',
+            'OPConsultRecord' => 'OPConsultationRecord',
+            'OPConsultationRecord' => 'OPConsultationRecord',
+            'WellnessRecord' => 'WellnessRecord',
+            'HealthDocumentRecord' => 'HealthDocumentRecord',
+            default => 'HealthDocumentRecord',
+        };
+    }
+
+    private function normalizeVisitDateTime(string $visitDate): string
+    {
+        $visitDate = trim($visitDate);
+        if ($visitDate === '') {
+            return date('Y-m-d H:i:s');
+        }
+
+        $ts = strtotime($visitDate);
+        if ($ts === false) {
+            return date('Y-m-d H:i:s');
+        }
+
+        return date('Y-m-d H:i:s', $ts);
+    }
+
+    private function resolveHospitalIdFromSettings(): int
+    {
+        if (! $this->db->tableExists('hospital_setting')) {
+            return 0;
+        }
+
+        foreach (['ABDM_BRIDGE_HOSPITAL_ID', 'EATRIA_BRIDGE_HOSPITAL_ID', 'HOSPITAL_ID'] as $settingName) {
+            $row = $this->db->table('hospital_setting')
+                ->select('s_value')
+                ->where('s_name', $settingName)
+                ->orderBy('id', 'DESC')
+                ->get(1)
+                ->getRowArray();
+
+            $value = (int) trim((string) ($row['s_value'] ?? '0'));
+            if ($value > 0) {
+                return $value;
+            }
+        }
+
+        return 0;
+    }
 }
diff --git a/deploy.sh b/deploy.sh
index 25b3108..f47d0f9 100644
--- a/deploy.sh
+++ b/deploy.sh
@@ -22,7 +22,7 @@ echo "=== Pushing to GitHub ==="
 git push origin main
 
 echo "=== Deploying to server ==="
-REMOTE_CMDS="cd $PROJECT && git config core.fileMode false && git pull origin main && php spark migrate --namespace App && echo DEPLOY_OK"
+REMOTE_CMDS="cd $PROJECT && git config core.fileMode false && git pull origin main && php spark migrate --namespace App && bash scripts/install_hms_cron.sh $PROJECT && echo DEPLOY_OK"
 
 if command -v plink &>/dev/null; then
     plink -ssh -batch -pw "$HMS_SSH_PASS" $SERVER "$REMOTE_CMDS"
diff --git a/scripts/install_hms_cron.sh b/scripts/install_hms_cron.sh
new file mode 100644
index 0000000..d326d7c
--- /dev/null
+++ b/scripts/install_hms_cron.sh
@@ -0,0 +1,43 @@
+#!/usr/bin/env bash
+
+set -euo pipefail
+
+PROJECT_DIR="${1:-/var/www/html/hms_etria}"
+PHP_BIN="${PHP_BIN:-php}"
+LOG_DIR="${PROJECT_DIR}/writable/logs/cron"
+
+BLOCK_START="# BEGIN HMS_CI4_AUTOGENERATED_CRON"
+BLOCK_END="# END HMS_CI4_AUTOGENERATED_CRON"
+
+if [ ! -d "$PROJECT_DIR" ]; then
+  echo "ERROR: Project directory not found: $PROJECT_DIR"
+  exit 1
+fi
+
+mkdir -p "$LOG_DIR"
+
+TMP_CRON="$(mktemp)"
+trap 'rm -f "$TMP_CRON"' EXIT
+
+# Keep existing non-HMS cron entries, replace only this managed block.
+crontab -l 2>/dev/null | awk -v start="$BLOCK_START" -v end="$BLOCK_END" '
+  $0 == start {in_block=1; next}
+  $0 == end {in_block=0; next}
+  !in_block {print}
+' > "$TMP_CRON"
+
+cat >> "$TMP_CRON" <<EOF
+$BLOCK_START
+* * * * * cd $PROJECT_DIR && $PHP_BIN spark abdm:push-sync --limit=20 --worker=cron-abdm-m2 >> $LOG_DIR/abdm_push_sync.log 2>&1
+* * * * * cd $PROJECT_DIR && $PHP_BIN spark bridge:sync --limit 10 >> $LOG_DIR/bridge_sync.log 2>&1
+* * * * * cd $PROJECT_DIR && $PHP_BIN spark snomed:process-coding >> $LOG_DIR/snomed_process.log 2>&1
+*/2 * * * * cd $PROJECT_DIR && $PHP_BIN spark abdm:hiu-poll --limit=30 >> $LOG_DIR/abdm_hiu_poll.log 2>&1
+*/5 * * * * cd $PROJECT_DIR && $PHP_BIN spark abdm:hiu-retry --limit=20 >> $LOG_DIR/abdm_hiu_retry.log 2>&1
+$BLOCK_END
+EOF
+
+crontab "$TMP_CRON"
+
+echo "Installed HMS cron jobs for project: $PROJECT_DIR"
+echo "Managed block markers: $BLOCK_START ... $BLOCK_END"
+crontab -l | sed -n '/^# BEGIN HMS_CI4_AUTOGENERATED_CRON$/,/^# END HMS_CI4_AUTOGENERATED_CRON$/p'