Platform/Health Exchange

Translate care into records a health system can use

A standards-led exchange layer for record generation, consent boundaries and country-specific national adapters—starting with India’s ABDM.

FHIR-oriented record generation

Krama Core provides an open Python foundation for producing structured health-record bundles from clinical context. Current interfaces and support are documented in the repository.

  • FHIR-oriented document-bundle foundation
  • Patient, practitioner and clinical context kept together
  • Inspectable implementation rather than opaque payloads
  • Apache 2.0 licensed Krama Core

ABDM integration

The India adapter is designed around ABDM’s identity, care-context linking and consented exchange responsibilities.

  • Identity and ABHA-aware registration context
  • Care-context and record-linking workflows
  • Consent-aware exchange architecture
  • Sandbox-first implementation discipline

Consent and security

Consent, facility boundaries and auditability are treated as part of the exchange route—not as a disclaimer added after the workflow.

  • Consent state remains visible in the workflow
  • Audit events attach to record movement
  • Facility boundaries shape data access
  • Security controls documented by implementation stage

Multi-country by design

The shared core separates clinical and patient workflows from the rules of a national exchange. India is the active product focus; Australia and the United States are architecture contexts, not launch commitments.

  • Country adapter layer — swap the exchange, keep the product
  • India · ABDM — active product focus
  • Australia · My Health Record — system context
  • United States · interoperable networks — system context

Start with one care journey.

Define what a pilot should prove in your facility or health system.