📄 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.
1. Patient Management
Unified patient registry — single source of truth across every department.
- UHID auto-generation
- Full demographics (name, DOB, gender, address)
- Age estimation from year/month
- Phone, email, blood group
- Name, UHID, phone, Aadhaar
- Old/legacy UHID (migrated records)
- Advanced multi-field search
- AJAX live search
- 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.
- Doctor-wise scheduling and calendar
- Walk-in and pre-booked slots
- ABDM Scan & Share QR check-in
- OPD queue with token display
- 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-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.
- Patient admission with bed assignment
- History of Present Illness (HPI)
- Multiple attending doctors
- Bed transfer with history
- Nursing notes by shift
- Bedside item charges (consumables)
- Doctor visit charge recording
- Paper form scanning & digitisation
- Nursing chart printing
- Bed, nursing, procedure charges
- Package-based billing
- Ayushman / insurance package mapping
- TPA, bank & cash payments
- Payment adjustments & deductions
- Cash balance export to Excel
- 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
- 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.
- 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)
- 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.
- OPD, IPD & counter-sale billing
- Patient, IPD and organisation-linked invoices
- Batch, expiry & stock visibility at POS
- Medicine return / credit note
- Group payment & discount
- Batch-level tracking with expiry dates
- Expiry alert reports
- Stock transfer between locations
- Stock reconciliation
- Merge duplicate products
- 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.
- 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
- 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.
| Report | Description | Export |
|---|
| OPD Total Report | Daily / period OPD summary by doctor | Print |
| Diagnosis Report | Lab workload and TAT analysis | Print / PDF |
| Insurance Credit Report | Organisation outstanding dues | Print |
| NABH Audit Report | Compliance audit trail with edit reasons | Print |
| IPD Cash Balance | IPD collection summary by period | Excel / Print |
| Stock Report | Pharmacy inventory by item & category | Print / PDF |
| Expiry Report | Near-expiry and expired medicines | PDF |
| Supplier Ledger | Supplier account statement | Print |
| Bank Audit | Bank reconciliation and statement matching | Print |
| Doctor Payout | Commission and disbursement history | Print |
| Finance Compliance | Collections, deposits, POS settlements | Print |
9. Admin & Settings
Centralised configuration for the entire hospital.
- 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
- Diagnosis print settings per modality
- Letterhead & plain paper independently
- Discharge summary HTML templates
- OPD prescription templates
- Watermark & logo configuration
- 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
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