Hospital Information System

One system from the registration desk to the discharge summary.

CareOS runs OPD, IPD, emergency, operation theatre, laboratory, radiology, pharmacy, blood bank, billing and insurance on a single patient record — so a vital charted at the bedside reaches the discharge summary, the claim and the audit trail without anyone retyping it.

ABDM-ready · NABH · HL7 FHIR R4 · HIPAA · DPDP Act

Command Centre Ward Board
Bed occupancy
78/104
ICU 6 free
OPD queue
42
Avg wait 19m
Lab TAT
36min
Within SLA
Claims pending
17
3 > 30 days
09:14Critical value — K+ 6.4 · Bed ICU-07
09:11Pre-auth query — TPA, UHID 20461
09:08OT-2 ready — lap chole, 09:30
09:03Discharge summary signed — W3-12
SAMPLE DATA — ILLUSTRATIVE ONLY

The problem

Most hospitals don’t lack software. They have too much of it.

A registration package here, a lab system there, pharmacy on a desktop application, claims in a spreadsheet, and a discharge summary typed from scratch because nothing talks to anything. The cost isn’t licence fees — it’s the duplicate data entry, the lost claims, the reconciliation at month end, and the clinician who can’t see yesterday’s result.

Registration desk Standalone LIS PACS silo Pharmacy .exe Tally Claims in Excel Paper ward chart WhatsApp for reports
The test was done at 4pm. The result reached the consultant at 9am the next morning, on paper, after the round had finished. The gap CareOS is built to close

Capabilities

Thirteen modules, one patient record, one audit trail.

Every module writes to the same encounter. Turn on what you need today; the rest stay dark until you switch them on.

M01

Patient & Front Office

  • Lifetime UHID with duplicate merge
  • ABHA creation and linking (ABDM)
  • Appointments, token queue, display boards
  • SMS / WhatsApp reminders, no-show tracking
  • Corporate, referral and MLC registration
M02

OPD & Clinical Records

  • Vitals → consultation → orders workflow
  • ICD-10 / ICD-11 coded diagnosis
  • e-Prescription with interaction & allergy alerts
  • Specialty templates: ANC, paeds growth, dental chart
  • Certificates, referrals, follow-up scheduling
M03

IPD & Nursing

  • ADT with live bed and ward occupancy map
  • eMAR — medication administration record
  • Vitals, intake/output, nursing notes, handover
  • Doctor rounds and progress notes
  • Discharge summary, clearance, DAMA / LAMA
M04

Emergency & Critical Care

  • Triage levels with red / yellow / green zoning
  • Ambulance dispatch and pre-arrival alerts
  • Trauma and medico-legal register
  • ICU charting — ventilator, infusions, scores
  • Early deterioration warning
M05

Operation Theatre

  • OT scheduling across rooms and surgeons
  • WHO surgical safety checklist
  • Anaesthesia record and intra-op notes
  • Implant and consumable barcode tracking
  • OT utilisation and turnaround analytics
M06

Laboratory (LIS)

  • Barcode sample tracking, accessioning
  • Analyser interfacing over HL7 / ASTM
  • Two-level validation, critical value alerts
  • Quality control and reagent stock
  • Home collection and phlebotomist app
M07

Radiology & PACS

  • DICOM modality worklist and viewer
  • Structured reporting with templates
  • Voice dictation and radiologist queue
  • Film, CD and study-link issue
  • Report turnaround tracking
M08

Blood Bank

  • Donor registry and camp management
  • Component separation and shelf life
  • Cross-matching, issue and return
  • Transfusion reaction log
  • Statutory registers
M09

Pharmacy & Supply Chain

  • Batch, expiry and FEFO dispensing
  • Ward indents, returns, narcotics register
  • Indent → PO → GRN → invoice
  • Central stores, sub-stores, stock audit
  • CSSD, linen, biomedical assets and AMC
M10

Billing & Revenue Cycle

  • Multi-tariff engine, packages, concessions
  • Live IPD accrual, advances, credit limits
  • TPA pre-auth, claim, query, denial management
  • PM-JAY, CGHS, ESIC and state schemes
  • GST e-invoice, UPI, cards, doctor payouts
M11

Telemedicine & Portals

  • Video consultation with waiting room
  • Digitally signed e-prescription
  • Patient app — reports, bills, family profiles
  • Doctor app — schedule, reporting, approvals
  • Remote monitoring and chronic care programmes
M12

Back Office & Quality

  • Duty roster, attendance, payroll, credentialing
  • AR / AP, cost centres, Tally and ERP sync
  • MRD, file tracking, retention, ICD coding
  • NABH / JCI indicators and audit checklists
  • Incident reporting and infection surveillance
M13

Analytics & Clinical AI

  • Occupancy, ALOS, revenue per bed, TAT boards
  • Ambient scribe — consultation to structured note
  • Discharge summary drafted from the chart
  • Coding suggestions and denial prediction
  • No-show and demand forecasting

Standards & compliance

Built against the registries and codes your auditors already use.

Compliance is a property of the data model, not a report generated at the end of the quarter. Every clinical and financial record carries its coding, consent and audit trail from the moment it is created.

ABDM / ABHA

HIP and HFR registration, ABHA linking, consent-based record sharing to the national health stack.

HL7 v2 & FHIR R4

Resource-level API for Patient, Encounter, Observation, Medication and Claim. Analysers over HL7 / ASTM.

ICD-10 / ICD-11 · SNOMED

Coded diagnosis and procedures at the point of entry, so claims and statutory returns need no back-coding.

DICOM

Modality worklist, study storage, web viewer and shareable study links.

NABH & JCI

Indicator tracking, checklists, incident reporting and infection surveillance mapped to chapter requirements.

DPDP Act · HIPAA · GDPR

Consent records, purpose limitation, encryption at rest and in transit, data residency controls.

Audit & access

Role-based access, break-glass with logging, immutable audit trail on every clinical and financial record.

GST & e-invoice

IRN generation, HSN/SAC on service masters, TDS, and statutory register exports.

Who it’s for

The same core, configured for four very different buildings.

A three-doctor polyclinic and a 700-bed tertiary centre need the same patient record and very different everything else. Modules, roles and tariffs are configuration, not a separate product.

1–10 doctors

Clinics & polyclinics

OPD, prescription, billing and teleconsultation on day one. Runs on a single machine or fully hosted.

OPDe-RxTeleUPI
50–300 beds

Nursing homes & mid-size

The full OPD–IPD–pharmacy–lab loop with PM-JAY and TPA claims, built to keep working when the link drops.

IPDPharmacyPM-JAYOffline
300–1000+ beds

Multi-specialty & chains

Multi-branch with central masters, PACS, ICU device capture, OT scheduling, NABH reporting and revenue-cycle depth.

Multi-branchPACSICUNABH
International

Global deployments

FHIR-first interoperability, ICD-11, multi-currency and multi-language, with regional compliance packs.

FHIRICD-11Multi-currencyi18n

Implementation

Go live in stages, because a hospital cannot stop.

Hospital software fails when everything is switched on at once. CareOS is sequenced so each stage is useful on its own and the department is trained before the next one starts. The order below is the real dependency order.

STAGE 1

Registration, appointments and billing

UHID, front desk, queue, cash counter and day-close. The hospital’s revenue starts flowing through the system before any clinical change is asked of anyone.

Weeks 1–4
STAGE 2

OPD records and e-prescription

Consultants move onto structured notes and orders. Prescriptions become data, which is what makes pharmacy and lab worth switching on next.

Weeks 5–8
STAGE 3

Pharmacy and laboratory

Stock, batch and expiry go live alongside sample tracking and analyser interfacing. Orders raised in Stage 2 now land directly in both departments.

Weeks 9–14
STAGE 4

IPD, nursing and discharge

Bed management, eMAR, nursing charting and the discharge summary. The heaviest change-management stage, and the one that needs Stages 1–3 already trusted.

Weeks 15–22
STAGE 5

Insurance, schemes and revenue cycle

Pre-auth, claims, PM-JAY and denial management — built on clinical data the earlier stages are now producing cleanly.

Weeks 23–28
STAGE 6

OT, emergency, radiology, blood bank

The specialised departments, each with its own register and statutory requirements, plus PACS and device integration.

Weeks 29–40
STAGE 7

Analytics, AI and interoperability

Management dashboards, ambient documentation, ABDM exchange and the open API — all of which need the preceding stages generating real data first.

Ongoing

Platform

Engineered for a building that never closes.

Python & PostgreSQL

Django and Django REST Framework on PostgreSQL, with Celery for background work. A stack you can hire for in any city, and audit line by line.

On-premise or cloud

The same build runs in your server room or in a managed region. Containerised, with docker compose for a single site and Kubernetes for a chain.

Works when the link drops

Registration, billing and pharmacy keep operating on the local node and reconcile when connectivity returns — designed for real Indian hospital networks.

Multi-tenant by design

One deployment serves many branches with shared masters, per-branch tariffs and strict data isolation between tenants.

Open API

Every module exposes REST and FHIR endpoints with webhook events, so your accounting, CRM or research pipeline is never locked out.

Your data stays yours

Full schema documentation, scheduled exports in open formats, and no charge to leave. Vendor lock-in is a clinical risk, not a business model.

Get started

See CareOS running your hospital’s workflow.

A 45-minute walkthrough on your own departments, tariffs and forms — registration through discharge, with your claim formats loaded.