🏥 E-Atria HMS

Hospital Management System — Complete Feature Overview

ABDM Integrated FHIR R4 Compliant NABH Audit Support SNOMED-CT Coded ICD-10 Linked AI Assisted CodeIgniter 4 · PHP 8.3

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📄 About E-Atria HIMS

E-Atria Hospital Information and Management System (HIMS) is a comprehensive, integrated software platform engineered to automate, coordinate, and optimise the full spectrum of hospital operations — clinical, administrative, financial, and operational — within a single unified digital environment.

The system empowers hospitals to manage every patient touchpoint with precision: from first registration and outpatient consultation through laboratory investigations, pharmacy dispensing, inpatient admission, surgical records, discharge summary, and post-discharge health record sharing. Real-time information flows seamlessly across all departments, eliminating data silos and reducing manual errors that compromise patient safety.

E-Atria HIMS is purpose-built for the Indian healthcare ecosystem. It is fully integrated with ABDM (Ayushman Bharat Digital Mission), enabling hospitals to create and verify ABHA Health IDs, generate FHIR-compliant electronic health records, obtain patient consent, and share standardised clinical documents — prescriptions, discharge summaries, diagnostic reports, immunisation records — directly with the national health network. Clinical coding is enforced through SNOMED-CT and ICD-10, ensuring interoperability and data quality across institutions.

Built on modern, scalable web technology (CodeIgniter 4 · PHP 8.3 · MySQL), the platform is designed for reliability in production environments with multi-user concurrent access, role-based security, audit trails for every sensitive change, and AI-assisted clinical documentation to reduce physician workload. Compliance with NABH standards is supported through structured audit logs, verification workflows, and mandatory edit-reason enforcement.

By streamlining hospital workflows, optimising resource utilisation, and connecting every department through a centralised digital platform, E-Atria HIMS significantly improves operational efficiency, patient satisfaction, regulatory compliance, and data-driven decision-making for the modern Indian hospital.

🏥
Clinical Management
💰
Revenue Cycle
💊
Pharmacy & Inventory
🧪
Diagnostics
🔗
ABDM Integration
🤖
AI Assistance
📊
Finance & Audit
🛡️
NABH Compliance

System Screenshots

Real screens from E-Atria HIMS — live hospital environment.

1. Patient Management

Unified patient registry — single source of truth across every department.

👤

Registration

  • UHID auto-generation
  • Full demographics (name, DOB, gender, address)
  • Age estimation from year/month
  • Phone, email, blood group
🔍

Search

  • Name, UHID, phone, Aadhaar
  • Old/legacy UHID (migrated records)
  • Advanced multi-field search
  • AJAX live search
🪪

Identity & Records

  • Aadhaar & insurance card storage
  • ABHA (National Health ID) linking
  • Patient photo capture & upload
  • Document file attachments
  • Family / guardian tracking

2. OPD — Outpatient Department

End-to-end outpatient workflow from appointment to e-prescription and ABDM sharing.

📅

Appointments & Queue

  • Doctor-wise scheduling and calendar
  • Walk-in and pre-booked slots
  • ABDM Scan & Share QR check-in
  • OPD queue with token display
💊

Clinical Documentation

  • Vital signs (BP, pulse, temp, SpO₂, BMI)
  • Chief complaints with structured master
  • ICD-linked diagnosis + SNOMED-CT coding
  • Medicines with dosage, frequency, duration
  • Lab investigation requisition inline
  • Clinical advice with reusable templates
  • Drug allergy / ADR history
  • Previous visit timeline
🤖

AI Clinical Assistance

  • AI-drafted chief complaints
  • AI full-prescription generation
  • Auto-fill sections from patient history
  • AI extraction of lab values from scan images
  • Local and cloud AI model support
🖨️

Templates, Print & Sharing

  • Custom print template builder
  • Letterhead & plain paper independently
  • Prescription group shortcuts
  • Referral letter PDF generation
  • OPD invoice printing
  • FHIR e-Prescription ABDM sharing

3. IPD — Inpatient / Admission Management

Complete hospital admission lifecycle from registration to discharge and FHIR sharing.

🏨

Admission

  • Patient admission with bed assignment
  • History of Present Illness (HPI)
  • Multiple attending doctors
  • Bed transfer with history
🩺

Nursing & Care

  • Nursing notes by shift
  • Bedside item charges (consumables)
  • Doctor visit charge recording
  • Paper form scanning & digitisation
  • Nursing chart printing
💰

IPD Billing

  • Bed, nursing, procedure charges
  • Package-based billing
  • Ayushman / insurance package mapping
  • TPA, bank & cash payments
  • Payment adjustments & deductions
  • Cash balance export to Excel
📋

Discharge Summary

  • Configurable HTML editor
  • Section templates (course, diagnosis, surgery)
  • ICD diagnosis coding on discharge
  • Surgery/procedure documentation
  • Dietary advice templates
  • Letterhead & plain paper PDF
  • FHIR discharge bundle for ABDM
🛏️

Bed Management

  • Dept → Ward → Category → Bed hierarchy
  • Real-time occupancy dashboard
  • Bed maintenance logging
  • Bed type categories (ICU, Private, etc.)

4. Diagnosis — Laboratory & Imaging

All diagnostic modalities with NABH-compliant verification, DICOM viewing, and AI assistance.

🧪
Pathology
🔬
Biopsy
🩻
X-Ray
🔊
Ultrasound
🧲
MRI
💡
CT Scan
❤️
Echo
🧪

Lab Core

  • Lab request from OPD, IPD, or walk-in
  • Sample collection tracking
  • Test parameter entry with normal-range validation
  • Combined multi-test compiled PDF reports
  • Lab number and TAT tracking
  • NABH-compliant verification workflow
  • Edit audit trail (reason required)
🖼️

Imaging & AI

  • Image & scan file upload per report
  • DICOM image viewer
  • AI-assisted DICOM diagnosis suggestions
  • Image gallery per patient
  • AI extraction of lab values from photos
  • Professional letterhead & plain paper PDF

5. Pharmacy / Medical Store

Complete inventory management from procurement to dispensing and returns.

💊

Dispensing

  • OPD, IPD & counter-sale billing
  • Patient, IPD and organisation-linked invoices
  • Batch, expiry & stock visibility at POS
  • Medicine return / credit note
  • Group payment & discount
📦

Inventory

  • Batch-level tracking with expiry dates
  • Expiry alert reports
  • Stock transfer between locations
  • Stock reconciliation
  • Merge duplicate products
🛒

Purchasing

  • Purchase order creation & tracking
  • Supplier invoice management
  • Goods receipt & stock update
  • Purchase return to supplier
  • Supplier payment ledger
  • Challan / delivery note

6. Billing & Finance

Integrated revenue cycle — from charge capture to bank reconciliation and doctor payouts.

🧾

Billing

  • OPD, IPD, procedure & diagnostics invoicing
  • Organisation / insurance case billing
  • Contingent billing
  • Discount application (% or fixed)
  • Invoice cancellation / void
  • Payment request & refund workflow
  • NHCX digital insurance claim
🏦

Finance

  • Cash book — daily collections by department
  • Bank deposit tracking
  • Bank statement reconciliation
  • POS settlement management
  • Cash scroll / bundle submission
  • Doctor commission & payout management
  • Vendor management & purchase orders
  • Finance compliance & audit reports

7. ABDM — Ayushman Bharat Digital Mission

Fully integrated with India's national digital health ecosystem.

🪪 ABHA — Health ID

ABHA Creation (Aadhaar OTP) ABHA Creation (Mobile OTP) ABHA Verification Profile Fetch ABHA Card Display Facility QR Code

🔗 Care Context & Linking

Patient Discovery Care Context Creation Scan & Share (QR) HIP Linking Token SMS Notification

📤 Health Record Sharing

e-Prescription (OPD) Discharge Summary (IPD) Diagnostic Report Immunisation Record Wellness Record Health Document Invoice / Billing

⚖️ Consent Management

Consent Request Initiation Webhook Notifications Consent Status Tracking HIU Data Fetch Consent Reconciliation

⚙️ FHIR & Coding

FHIR R4 Bundle Generation SNOMED-CT Coding Panel ICD-10 Diagnosis Coding FHIR Preview Before Share Coding Review & Verification

📡 Monitoring & Operations

Gateway Health Check Bridge Log Viewer Task Board Background Sync Queue Dead-Letter Replay NHCX Insurance Claims

8. Reports

Ready-to-use clinical and administrative reports available across departments.

ReportDescriptionExport
OPD Total ReportDaily / period OPD summary by doctorPrint
Diagnosis ReportLab workload and TAT analysisPrint / PDF
Insurance Credit ReportOrganisation outstanding duesPrint
NABH Audit ReportCompliance audit trail with edit reasonsPrint
IPD Cash BalanceIPD collection summary by periodExcel / Print
Stock ReportPharmacy inventory by item & categoryPrint / PDF
Expiry ReportNear-expiry and expired medicinesPDF
Supplier LedgerSupplier account statementPrint
Bank AuditBank reconciliation and statement matchingPrint
Doctor PayoutCommission and disbursement historyPrint
Finance ComplianceCollections, deposits, POS settlementsPrint

9. Admin & Settings

Centralised configuration for the entire hospital.

🗂️

Master Data

  • Doctor master (specialisation, fees, schedule)
  • User management & role-based access
  • Hospital profile & logo
  • Bank & payment source master
  • Insurance master
  • Referral doctor master
  • Bed / Ward / Department master
🖨️

Templates

  • Diagnosis print settings per modality
  • Letterhead & plain paper independently
  • Discharge summary HTML templates
  • OPD prescription templates
  • Watermark & logo configuration
🖥️

System Operations ✨

  • Server overview (host, OS, uptime)
  • Live CPU / RAM / Disk gauges
  • Services & RAID status
  • Update HMS — git pull (60s timeout)
  • Web server & PHP-FPM restart
  • Server reboot & shutdown
  • Update history with error details
  • AJAX auto-refresh (no page reload)

10. Technology Stack

Backend
CodeIgniter 4
PHP 8.3
Database
MySQL / MariaDB
ACID compliant
Frontend
NiceAdmin
Bootstrap 5
PDF Engine
mPDF
Hindi font support
AI Engine
OpenAI-Compatible
Local & cloud
Health Standard
FHIR R4
HL7 compliant
Imaging
DICOM Viewer
Integrated
Health Identity
ABHA / ABDM
National Gateway
Clinical Coding
SNOMED-CT
+ ICD-10
Insurance Claim
NHCX
Digital claim exchange

10. Complete Module Reference

All HMS modules at a glance — from core clinical workflows to platform and integration services.

ModuleKey Capabilities
RegistrationPatient UHID creation, ABDM Aadhaar/ABHA-linked registration, demographic capture
OPD / Queue ManagementDoctor-wise appointment queue, OPD token display for reception TV, ABDM OPD queue, Rx & prescription workflows
IPD BillingCash, TPA (Star Health, SBI etc.), Govt. scheme (ECHS, ESI, Ayushman) billing with package billing
IPD Nursing WorkspaceDigital EMR for vitals, treatment notes, bed procedures (ECG, doctor visits) auto-linked to IPD billing
IPD DischargeDischarge summary generation with automatic FHIR record creation for ABDM sharing
Service / Charge MasterCRUD operations for all service charges; TPA-specific rates per insurance company with codes (e.g. ECHS RI039)
Bed ManagementSelf-configurable wards, buildings, floors; real-time live bed status updated by nursing department
Pharmacy (IP & OP)Inpatient & outpatient pharmacy billing; package and TPA billing support
Hospital Stock / InventoryIndent-based issue system, stock tracking, purchase orders, near-expiry alerts, stock value dashboard
LIS — Lab Information SystemLab test management, automated reporting, reference range validation, ABDM integration for sharing
RIS — Radiology InformationRadiology workflow management, AI-assisted image diagnosis, DICOM viewer
ABDM IntegrationABHA creation/verify, care context linking, consent management, FHIR record sharing, Scan & Share QR
ABDM DashboardTask board, ABHA patient requests, ABDM OPD queue integration, bridge logs, sync monitoring
AI FeaturesRadiology image diagnosis assist, medicine information, clinical documentation AI drafting throughout HMS
MIS ReportsTotal Payment, OPD Total, Billing Operations, Finance Dashboard, NABH Audit, Diagnosis, Insurance Reports, Document Issue
Account ReceivableCash and bank payment tracking linked to accounts department
Finance ModuleBank reconciliation, POS settlements, cash scrolls, doctor payouts, vendor management
RBAC — Access ControlRole-based permissions: Doctor, Nurse, Pharmacist, Radiology Tech, Registrar, Billing Specialist, Auditor
Digital OnboardingOnline patient registration, Aadhaar/ABDM identity verification, consent management, document uploads
Patient PortalVia ABDM PHR apps (Paytm, Star Health etc.) — patients access records and book OPD online
Appointment BookingOPD booking via QR code on OPD paper, HFR ID QR, hospital website, or ABDM PHR app
Templates LibraryPathology, Radiology (X-Ray, CT, MRI, Ultrasound, ECHO), OPD print, IPD discharge, diagnosis templates
Doctor's WorkspaceOPD appointment list, Rx groups, medicine & investigation masters, clinical templates, immunization, document issue
Operation TheatreOT scheduling, resource allocation, surgical documentation
Emergency & DaycareEmergency department workflows and daycare patient management integrated with HMS billing
Web / Cross-platformBrowser-based — runs on any device (Android, iPad, Windows, Linux) without a separate native app

11. Compliance & Standards

NABH
National Accreditation Board for Hospitals — audit trail & edit-reason enforcement
ABDM
Ayushman Bharat Digital Mission — certified national gateway integration
FHIR R4
HL7 FHIR R4 — every health record exchanged in standard format
SNOMED-CT
Structured clinical terminology for complaints, diagnosis & procedures
ICD-10
International Classification of Diseases — diagnosis & discharge coding
NHCX
National Health Claim Exchange — digital insurance claim submission
Aadhaar
Identity-verified ABHA creation via Aadhaar OTP authentication