NEXUSNOVA|v1.0|ONLINE
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<22s response · +40% OPD capture · ED -40%
68% after-hours gap closed · ABHA + FHIR write-back · ED queue + OPD sync
68% after-hours enquiries unanswered caps OPD. Triage is manual, ABHA inconsistent. HospitalOS puts a 24/7 triage agent on web/WhatsApp/phone → ABHA/FHIR write-back, ED queue, and OPD slot sync — constrained AI with instant handoff.
> _cost: 68% after-hours missed · ED wait 38m · ABHA gaps · no slot → triage sync
> _hospital_invariants
Constrained AI + real-time queues. No diagnosis — just department, urgency, slot, and handoff.
01 · 24/7 triage agent (web/WhatsApp/phone)
Trained on departments + rosters. <22s response, source-tagged CRM. After-hours gap closed.
> Conversational → FHIR Task
02 · ABHA / FHIR write-back
ABHA creation + FHIR Encounter write-back to HIS. No double-entry.
> ABDM M1-M3 + FHIR Patient/Encounter
03 · ED queue + OPD slot sync
ED walk-in → triage queue; OPD slots sync to roster. ED wait -40%, ICU 38m→4m.
> FHIR Schedule / Slot
04 · Constrained handoff (safety)
Urgent/complex → instant SMS/alert queue + full transcript to clinical/ED. Safety by design.
> FHIR Communication + Task handoff
Triage is top of funnel — it must land in ADT and lab without re-typing.
Approved triage creates/updates Encounter in HIS via FHIR — OPD/ED admit in one tap.
ED cases trigger LIS/PACS via FHIR; lab recall + PACS alerts fire with clinical handoff.
OPD prescription → pharmacy queue synced; adherence +34% via WhatsApp HANDOFF.
> Constrained AI · instant handoff · audit trails · India residency
Tech: FHIR Patient (ABHA), Encounter, Schedule/Slot, Communication · ABDM M1-M3 · FHIR R4 · WhatsApp Business + Voice · Constrained LLM + handoff queue · Safety: human handoff required · RBAC + audit trails · India residency · NABH/ABDM mapped in discovery
Hospital — Emergency & Critical Care
ED walk-in surge and ICU allocation delays; lab/radiology handoffs manual.
ED wait -40%, ICU allocation 38m→4m, lab trigger compliance 94%.
Hospital — OPD
High-volume OPD with 68% after-hours enquiries unanswered and ABHA gaps.
Response <22s, OPD capture +38%, no-show -31%.
No diagnosis. Constrained triage maps symptoms → department + urgency → slot + human handoff. Urgent/complex auto-escalates to clinical/ED via SMS/alert queue with transcript.
Yes — ABHA creation (M1) + HIP/HIU (M2/M3) and FHIR Patient/Encounter write-back to HIS. Adapter configured in discovery 1–2w.
Parallel run with no downtime. Discovery 1–2w, phased 3–6w, SOP handover and 99.9% SLA.