ABDM Milestone 3 (M3) Integration Guide

Session Summary

Achieving Milestone 3 (M3) compliance is the final phase of integration with the national Ayushman Bharat Digital Mission (ABDM) blueprint. Milestone 3 dictates that clinical summaries, diagnostic reports, and discharge parameters must be securely pushed to the patient's personal health locker (PHR apps) using HL7/FHIR compliance formats.

This discussion summarized the core technical and programmatic constraints. Our speakers focused on data translation layers, generating standard JSON-LD structures for electronic health records, and configuring consent managers to dynamically query patient permissions prior to record uploads.

Key Takeaways

• FHIR translation layers: Setting up database converters that format plain prescription/lab records into standard HL7/FHIR profiles required by ABDM gateways.
• Consenting models: Configuring the system to handle asynchronous data sharing requests initiated by external doctors via PHR lockers.
• Audit Logging: Establishing immutable system trails monitoring when government gateways fetch records, in line with NHA audit guidelines.
• Gateway SLAs: Managing connection dropouts and caching unsent packets when public health gateways suffer connectivity lags.

Session Speaker