CARE HMIS

The open hospital OS for connected care.

CARE HMIS is an open-source Hospital Information System that connects patient flow, information flow, and revenue flow across outpatient, emergency, inpatient, labs, pharmacy, billing, and reporting workflows.

100+

hospitals

5

deployment states

FHIR R5

standards-first core

MIT

open-source licence

Hospital Information System

HIS depth with open-source ownership.

CARE HMIS is built for hospitals that need more than a digital file. It combines EMR, HMIS, hospital operations, revenue cycle workflows, interoperability, and AI-ready clinical data in one reusable open platform.

HIS layer

Clinical record

Patients, encounters, notes, diagnoses, orders, observations, medications, care plans, and discharge summaries.

HIS layer

Hospital operations

Appointments, queues, beds, wards, departments, staff roles, stock movement, reports, and dashboards.

HIS layer

Revenue cycle

Charge capture, invoices, payments, scheme coverage, claims direction, reconciliation, and accounting integration.

HIS layer

Interoperability layer

FHIR-aligned APIs, terminology bindings, ABDM workflows, device integrations, and plugin-based extensions.

The real problem

Software exists. A connected workflow does not.

The goal is not electronic records. It is a hospital that can coordinate care, measure quality, manage resources, and safely use assistive AI.

Discrete fragments

Registration, labs, medications, discharge, and billing live as separate events instead of one care story.

Disconnected workflows

Orders, results, prescriptions, stock, and dispensing move through silos with no single operational flow.

Digital paper

Forms were digitized without redesigning the work around them, so software becomes one more burden.

Lost revenue

Unbilled services, missed charges, and manual invoicing leave money on the table every day.

Three flows at once

Records become workflows. Workflows become operations.

CARE HMIS treats a hospital as a living system. Every patient event, clinical decision, and financial transaction can move through one connected operating layer.

01

Patient flow

Registration, appointments, OPD, emergency, IPD, ICU, discharge, and follow-up.

02

Information flow

Encounters, orders, results, records, decisions, and longitudinal clinical context.

03

Revenue flow

Charges, invoices, scheme coverage, payments, and reconciliation as care is delivered.

Every encounter

One platform for every care setting.

CARE supports the full patient journey, while keeping clinical documentation consistent across hospitals, clinics, homes, and virtual visits.

Outpatient

Clinical visits linked to the patient record.

Emergency

Priority care and emergency workflows.

Inpatient

Admissions, rounds, orders, notes, and discharge.

Observation

Short-stay monitoring with continuity.

Home health

Mobile documentation and care plans.

Virtual care

Remote consultation with structured records.

Core modules

The workflows a hospital expects, built on one core.

Modules are not isolated applications. They share patients, encounters, orders, observations, roles, reports, and audit trails.

Clinical data capture

Structured forms, symptoms, conditions, orders, medication requests, and observations.

Scheduling

Appointment calendars, public facility pages, doctor availability, and open slots.

Queues

Doctor, department, pharmacy, billing, and custom service queues for high-volume settings.

EMR form builder

Configurable department forms mapped to interoperable clinical resources.

Bed management

Live locations, beds, admission status, hierarchy, and availability.

Administrative hierarchy

Facility, district, state, program, and national structures with data segregation.

RBAC and audit

Granular role-based access control for doctors, nurses, admins, and health workers.

Dynamic reports

Treatment summaries, discharge summaries, dashboards, and custom operational reports.

Workflows in motion

See the hospital OS as real product workflows.

These are not static module names. CARE HMIS supports live workflows across bed management, clinical drawings, and dynamic reporting on the same shared patient and facility data layer.

Bed management

Track beds, locations, admissions, discharge states, and live availability across hospital hierarchies.

Clinical drawings

Capture drawings, body maps, annotations, and visual clinical context directly in the patient record.

Dynamic reports

Generate operational and clinical reports from shared encounters, forms, orders, and care activity.

HIS coverage

One operating layer across hospital departments.

CARE HMIS gives hospitals a shared information system for clinical, administrative, operational, and financial work. Each department can keep its workflow while contributing to one longitudinal record.

Front desk

Registration, demographics, patient search, appointments, queues, and visit creation.

OPD and clinics

Consultations, notes, prescriptions, investigations, follow-up, referrals, and summaries.

Emergency

Rapid registration, triage direction, emergency encounters, orders, observation, and handover.

Inpatient wards

Admissions, bed allocation, rounds, nursing updates, orders, discharge, and transfers.

ICU and critical care

TeleICU extension, vitals/device direction, remote review, video, and escalation workflows.

Laboratory

Lab orders, specimen tracking direction, results, diagnostic reports, and LOINC/UCUM alignment.

Pharmacy

Prescriptions, dispensing, substitutions, stock alerts, procurement, inventory, and audit trails.

Billing and accounts

Service charges, invoices, payments, insurance/scheme support, and reconciliation workflows.

Administration

Facilities, departments, users, roles, access control, audit logs, reports, and operational analytics.

Hospital operations

The back office is clinical infrastructure.

Labs, pharmacy, stock, billing, and accounting are not downstream admin tasks. They are part of the same clinical timeline.

Lab and diagnostics / LMIS

Clinicians order tests, labs track samples, results attach to the record, and observations use standard codes and units.

Pharmacy and inventory

Prescriptions flow into dispensing, substitutions, stock movement, alerts, procurement, and supply chain workflows.

Billing and accounting

Cash, insurance, government schemes, invoices, payment capture, and reconciliation connect back to care activity.

Standards and architecture

Built for exchange, analytics, and assistive AI.

CARE HMIS is standards-first, API-first, modular, cloud agnostic, mobile-first, and designed to be extended without forking the core.

FHIR R5

clinical resources and APIs

SNOMED CT

clinical terminology

LOINC

labs and observations

UCUM

units of measure

ICD-10

classification support

BYOT

bring your own terminology

Apps and AI

Extend the hospital OS without breaking the core.

CARE Apps add national rails, TeleICU, AI documentation, devices, claims, token display, messaging, and analytics through a plugin layer. AI drafts. Humans decide. CARE records.

ABDM

M1, M2, M3 and identity workflows through plugins.

TeleICU

Camera, vitals, remote review, and critical care extension.

Care Scribe

Multilingual voice fill and assistive documentation.

Token display

Queue and token screens for TVs and public counters.

Labs and devices

Orders, results, PACS, and bedside integrations.

Claims and messaging

HCX, reminders, analytics, and patient communication.

Care Scribe AI documentation concept

Responsible AI

Voice fill, document understanding, record summaries, discharge drafts, and decision support sit on top of structured clinical data with human review.

Implementation model

A serious HIS rollout is product, process, and governance.

CARE HMIS deployments can start with a focused hospital workflow and expand into a complete Hospital Information System. The same open core supports phased adoption, local configuration, partner-led implementation, and long-term release upgrades.

01

Master data

Facilities, departments, rooms, beds, services, staff, user roles, tariffs, and drug catalogues.

02

Workflow mapping

OPD, emergency, IPD, pharmacy, lab, billing, and discharge flows aligned to local practice.

03

Forms and terminology

Configurable EMR forms, FHIR resources, ValueSets, SNOMED CT, LOINC, UCUM, and ICD-10.

04

Integrations

ABDM, devices, lab systems, accounting tools, messaging, analytics, payments, and partner plugins.

05

Security model

Role-based access, audit trails, hosting choices, data ownership, backup, and operational controls.

06

Adoption plan

Training, phased rollout, support desk, reporting cadence, feedback loops, and release upgrades.

Deployment proof

CARE HMIS 3.0 is live across multiple deployments.

CARE HMIS 3.0 is now live across deployments in Kerala, Karnataka, Jharkhand, Assam, and Manipur, supporting 100+ hospitals through a reusable open-core model.

Kerala

live deployment

Karnataka

live deployment

Jharkhand

live deployment

Assam

live deployment

Manipur

live deployment

100+

hospitals

HIS FAQ

What hospitals usually ask before evaluating CARE HMIS.

These answers are written for teams comparing open-source HIS, HMIS, EMR, and hospital management software options.

What is CARE HMIS?

CARE HMIS is an open-source Hospital Information System and Hospital Management Information System built around CARE Core. It connects clinical records, hospital operations, billing, reporting, integrations, and AI-ready workflows on one standards-based platform.

Is CARE HMIS an EMR or a full HIS?

CARE HMIS includes EMR capabilities, but it is broader than an electronic medical record. It supports patient registration, OPD, emergency, inpatient care, labs, pharmacy, inventory, billing, reporting, access control, integrations, and deployment workflows.

Can CARE HMIS be self-hosted?

Yes. CARE is designed for self-hosted, cloud, hybrid, and on-premise deployment models, so hospitals and governments can own their infrastructure and avoid software licence lock-in.

Which hospital departments can CARE HMIS support?

CARE HMIS can support front desk, OPD, emergency, inpatient wards, ICU and TeleICU workflows, laboratory, pharmacy, inventory, billing, administration, analytics, and patient-facing workflows.

How does CARE HMIS support interoperability?

CARE HMIS is standards-first, with FHIR R5-aligned resources, open APIs, terminology support for SNOMED CT, LOINC, UCUM and ICD-10, and plugin-based integrations for national rails, devices, labs, claims, messaging, and analytics.

How is AI used in CARE HMIS?

AI is assistive and human-in-the-loop. CARE HMIS can support voice fill, documentation drafts, document understanding, summaries, and decision-support workflows on top of structured clinical data and audit-aware processes.

Intelligent hospitals need connected workflows first.

CARE HMIS gives hospitals the shared operating layer for clinical work, operations, revenue, analytics, and carefully governed AI.