Features & Modules

Overview

NICE HMS covers every department in a modern Indian healthcare facility. Here is the complete feature list organized by module.

OPD (Outpatient Department)

• Patient registration and token generation (per-doctor, per-day)
• Doctor-wise OPD queue management
• Digital prescription creation with medication selection
• CDSS AI assistance — drug interaction checks, dosage recommendations, diagnosis-based suggestions
• Prescription cloning for follow-up visits
• Prescription delivery: print (PDF) or WhatsApp
• Multi-language printing (22 Indian languages)
• Letter pad header customization (org-level or doctor-level)
• Follow-up date tracking

IPD (Inpatient Department)

• Admission from OPD or direct admission
• Bed assignment and transfer between wards
• Discharge summary with auto-population from IPD chart
• Discharge medication and follow-up instructions
• Bed management dashboard (occupied, available, cleaning, maintenance)
• IPD billing integration (room charges, procedures, consumables)

Pharmacy

• Medicine inventory management (stock in/out, expiry tracking)
• Dispensing against prescriptions (OPD and IPD)
• Purchase order management
• Supplier management
• Stock and expire date management
• Pharmacy billing integration

Laboratory

• Test ordering from OPD/IPD encounters
• Sample collection and tracking
• Result entry (manual or instrument interface)
• Panel and test management
• Report generation and printing
• Reference range configuration
• Lab billing integration
• SNOMED CT terminology support

Radiology

• Imaging order placement
• Report upload and template system
• Radiology billing integration
• Result delivery to referring doctor

Billing & Accounts

• Bill Transaction — Patient billing for OPD, IPD, pharmacy, lab, radiology
• Advance Transaction — Advance payment tracking and adjustment against bills
• Contra Transaction — Fund transfers between accounts
• Accounts Master — Chart of accounts management
• Cash Access — Cash-in/cash-out management
• Item Management — Service items, medicines, consumables with pricing
• GST-compliant invoice generation
• Multi-tax support (CST, SGST, IGST)

ABDM Compliance

• M1 — Health ID: Create ABHA (Health ID) via Aadhar OTP, link existing ABHA to patient records, ABHA profile view
• M2 — HIP (Health Information Provider): HIP-initiated linking, care context management, health record sharing with patient consent
• M3 — HIU (Health Information User): Pull patient records from other providers, consent-based data access
• All 12 ABDM gateway APIs integrated
• NHA-certified across all three milestones

NHCX / PMJAY Insurance

Under development — coming very soon. (Remove this notice when going to production.)

• Insurance plan discovery and eligibility verification
• Pre-authorization submission and tracking
• Claim submission and status tracking
• Discharge workflow with payer integration
• Biometric authentication support (NHCX token store)
• FHIR R4-compliant payloads

Admin & RBAC

• 12+ user roles: Admin, Director, Doctor, Nurse, Receptionist, Accountant, Pharmacist, Lab Technician, HR, Insurance Lead, Marketing Lead, Marketing Executive, Visitor
• Granular permissions per module (view, create, edit, delete, print)
• User management (add, deactivate, change role)
• Organization settings (paper size, letter pad headers, patient ID format, AI features toggle)
• WhatsApp credentials configuration
• DLT (SMS) and Fast2SMS configuration

Reports & MIS

• Financial reports (day book, ledger, trial balance, P&L)
• Patient statistics (OPD count, IPD census, department-wise)
• Pharmacy reports (stock, dispensing, purchase)
• Lab reports (test count, revenue)
• Doctor-wise revenue and patient count
• Custom date range filtering on all reports

Reseller Panel

• White-label domain support
• Pricing management (set per-reseller pricing)
• Test and panel distribution to reseller organizations
• Reseller organization management
• AI token pricing

WhatsApp Integration

• Prescription delivery via WhatsApp
• Encounter alerts to patients
• OPD registration confirmation
• Requires WhatsApp Business API credentials configured in Admin

AI & CDSS

• Clinical Decision Support System (CDSS) modules: Diabetes, Hypertension, Lipids, Lifestyle
• Drug interaction checking
• AI-assisted discharge summary (configurable)
• AI text tokens for custom AI features

Other Features

• QR code printing on patient IDs and reports
• PWA support — works on mobile devices like a native app
• Firebase push notifications
• MCP & AI integration — coming very soon (Claude Code, AI agents, and more)

FAQ

Q: What features does NICE HMS have? A: NICE HMS includes OPD, IPD, Pharmacy, Lab, Radiology, Billing, Accounts, ABDM compliance (M1/M2/M3), NHCX/PMJAY insurance, Admin/RBAC, Reports/MIS, WhatsApp integration, CDSS AI, and a reseller panel.

Q: Does NICE HMS support ABDM? A: Yes — M1 (Health ID), M2 (HIP health record sharing), and M3 (HIU patient data pull). Fully certified by the National Health Authority.

Q: Can NICE HMS handle insurance claims? A: Yes, through NHCX (National Health Claims Exchange) integration. Supports PMJAY and private insurance pre-auth, claim submission, and discharge workflows.