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Compliance · 7 min read

ABDM and ABHA for Pediatric Clinics: What You Need to Know

Short answer: ABDM (Ayushman Bharat Digital Mission) is India's national framework for linking health records to a 14-digit ABHA number. A pediatric clinic takes part by registering the facility in the Health Facility Registry (HFR), registering doctors in the Healthcare Professionals Registry (HPR), and using ABDM-compliant software to create or scan ABHA numbers and share records with consent. Children can get an ABHA created through a parent or guardian. Participation is voluntary for private clinics but increasingly expected.

ABDM comes up in every conversation about clinic software, usually with more confusion than clarity. Here is what the pieces are, what a small pediatric practice actually has to do, and what to ask your software vendor.

Parent portal screen showing a child's visit history and records
Whether through ABDM or a clinic portal, the goal is the same: records that follow the child, not the paper file.

In this guide

  • The four building blocks
  • What a pediatric clinic actually does
  • Pediatric wrinkles
  • Frequently asked questions

The four building blocks

TermWhat it isWho needs it
ABHA number14-digit health ID for a person, with an optional ABHA address (like name@abdm)Patients, including children via guardians
HFRHealth Facility Registry: your clinic's verified listingThe clinic
HPRHealthcare Professionals Registry: verified doctor profilesEach doctor
HIP / HIUHealth Information Provider (shares records) and User (requests records)Your software, on your behalf

What a pediatric clinic actually does

  1. Register doctors on HPR using their medical council registration.
  2. Register the clinic on HFR with address and establishment details.
  3. Use software that can link records to ABHA. The software handles the technical integration; you don't build anything.
  4. At registration, capture or create the child's ABHA with the parent's consent, usually via the parent's Aadhaar-linked mobile OTP.

Pediatric wrinkles

Children's records are where ABDM is most useful and most awkward. A child's vaccination history and growth measurements are exactly the data that gets lost when a family moves city. But infants don't have phones, consent runs through a parent, and many families never create an ABHA for a child at all. In practice, a clinic still needs its own complete record and a simple way for parents to see it, with ABHA linking as a layer on top.

Under India's DPDP Act, a child is anyone under 18 and processing their data requires verifiable parental consent, so the consent flow matters (see our DPDP Act guide).

Ask your vendor: Is the software ABDM-certified or on the roadmap? Which milestones (ABHA creation, record sharing, consent) are live? Can records be exported if ABDM requirements change?

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Frequently asked questions

Is ABDM mandatory for private pediatric clinics?

ABDM participation is voluntary for private clinics, though some state schemes, insurers and government programmes increasingly expect HFR registration and ABHA-linked records.

Can a child have an ABHA number?

Yes. A parent or guardian can create an ABHA number for a child and manage consent on the child's behalf.

What is the difference between HFR and HPR?

HFR is the registry of health facilities such as clinics and hospitals; HPR is the registry of individual healthcare professionals such as doctors and nurses.

Does my clinic need special software for ABDM?

Yes. Linking and sharing records against ABHA numbers happens through ABDM-integrated software; the clinic itself only registers on HFR and HPR and uses that software.

See the full FAQ →

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