DEV/TEST SANDBOX ENVIRONMENT: Operating strictly with synthetic ABDM identities. No real hospital appointments, money, or patient records are processed.

Fellowship Strategy & Architecture Dossier

IIC Fellowship Project 3 Portfolio

Comprehensive policy analysis, product specifications, and go-to-market rollout plan for NHA.

PRD: Unified Health Interface (UHI) Core Services

Product Requirements Document | Author: IIC Fellow Candidate | Partner: National Health Authority

Ver 1.0 (2026)

1. Executive Summary & Problem Statement

Public and tertiary healthcare institutions in India (such as AIIMS New Delhi and Safdarjung Hospital) experience crushing outpatient department (OPD) congestion, with citizens waiting between 3 to 6 hours physically just to obtain an initial registration slip. Simultaneously, teleconsultation services remain siloed inside proprietary platforms (e.g. standalone eSanjeevani, Apollo, Practo) preventing citizens from discovering doctors across networks through their app of choice.

OpenUHI solves this by operationalizing the Unified Health Interface (UHI)—India's open Digital Public Infrastructure (DPI) protocol for digital health services. Analogous to UPI in payments and ONDC in commerce, UHI unbundles End User Applications (EUAs) from Health Service Provider Applications (HSPAs).

2. Core Use Cases Modeled

  • Flagship Use Case 1: Universal OPD Queue Buster (Scan and Share): Allows citizens to pre-book OPD consultation slots across public hospitals from any EUA, obtaining a cryptographically signed QR token with estimated wait times and counter routing.
  • Flagship Use Case 2: Decentralized Teleconsultation: Cross-platform discovery of teleconsult specialists with dynamic WebRTC/Jitsi video meeting generation embedded in the /on_confirm payload, paired with ABHA-linked FHIR e-prescriptions.

3. User Personas & Journeys

Citizen / Patient (Rahul Verma, 34)

Seeks cardiology review at AIIMS Delhi. Opens Ayushman Direct EUA → discovers OPD slot → links ABHA identity (M1) → receives digital QR token T-43 with counter 3A routing → arrives at hospital counter and checks in instantly.

OPD Counter Staff / Hospital Admin

Monitors live queue dashboard on Provider HSPA → calls running tokens sequentially → scans arriving patient QR code → marks status CHECKED_IN → eliminates physical paper token queues.

4. Key Success Metrics (KPIs)

-70% OPD Wait Time
< 300ms Gateway Latency
> 99.5% Gateway Uptime
0% Platform Lock-in

OpenUHI — Unified Health Interface Reference Suite

Conforming to the National Health Authority (NHA) Ayushman Bharat Digital Mission (ABDM) specifications.