NEXUSNOVA|v1.0|ONLINE
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FHIR R4, HL7v2, ABDM M1-M3 and HIS write-back with 99.9% SLA, India residency, encryption and audit trails. No rip-and-replace — parallel run, zero downtime.
> _interoperability
HL7 ADT A01/A03/A08 → FHIR Encounter/Location/Schedule/Task/DocumentReference/Claim + Coverage/ClaimResponse. ABDM M1 ABHA creation, M2 HIP/HIU, M3 consent — FHIR write-back to HIS. Adapters: E-Hospital, Medstar, Practo Insta, Altis, custom HIS.
> M1-M3 mapped in discovery — not blanket claimed. FHIR R4 + HL7v2 · India residency · RBAC
> _infrastructure
VPC or on-prem, TLS in transit + AES-256 at rest, RBAC + audit trails per ADT/discharge/claim, daily backups + retention, monthly ops reports (occupancy, ALOS, TATs). Hospital owns patient data — no sale.
SLA
99.9%
Data
India / On-prem
Encryption
TLS + AES-256
Deploy
Parallel run
Both meet 99.9% SLA. Choice is data-control vs ops simplicity — decided in discovery.
| Option | Data Residency | SLA | Best For | Note |
|---|---|---|---|---|
| Cloud VPC (India) | India (Supabase) | 99.9% | 100–300 beds | Fastest rollout |
| On-Prem / VPC | Hospital DC | 99.9% | Chains, teaching | Adapter on-prem |
| Hybrid | India + cache on-prem | 99.9% | 500+ beds | FHIR sync both |
> M1 = ABHA creation, M2 = HIP/HIU link & share, M3 = consent manager. All mapped per hospital — not blanket.
NABH/NABL, ABDM M1-M3, IT Act practices mapped in discovery. Audit trails per ADT/discharge/claim. No blanket compliance badge before audit.
Constrained triage — no diagnosis. Urgent/complex → instant SMS/alert queue + transcript to clinical/ED. Human handoff required.
HIS stays source of truth. Mirrored FHIR + approved write-back. HIS downtime = 0m. Rollback <1h.