EHR standards India homeopathy

EHR Standards in India and Homeopathy: SNOMED CT, FHIR,ICD-11 and the Gaps Homeopaths Should Know

India’s EHR Standards, notified by the Ministry of Health and Family Welfare in 2013 and revised in December 2016, name SNOMED CT as the primary clinical terminology and LOINC for tests. ABDM exchanges records using HL7 FHIR R4. For homeopathy, diagnoses are coded with WHO ICD-10/11. As far as we could find, remedies, potencies, rubrics and modalities have no national coding standard.

What Are the EHR Standards for India?

The Ministry of Health and Family Welfare (MoHFW) first notified Electronic Health Record (EHR) Standards in September 2013 and released a revised version in December 2016. The aim is uniform, interoperable capture, storage, transmission and use of health information across software systems.

The Ministry describes an EHR as the collection of medical records generated during clinical encounters. For a homeopath, that means every case record, follow-up note and prescription.

The Standards That Matter to a Homeopathy Clinic

StandardWhat it doesStatus in India
SNOMED CTClinical terminology for symptoms, findings, diagnoses and proceduresPrimary terminology in the 2016 standards; India joined SNOMED International in 2014, and C-DAC Pune is the national release centre
LOINCCodes for lab tests and observationsNamed in the 2016 standards for tests and measurements
ICD-10 / ICD-11Disease classificationAdopted for homeopathy morbidity reporting on the NAMASTE portal
HL7 FHIR R4Format for exchanging records between systemsUsed by ABDM, with Indian profiles published by the National Resource Centre for EHR Standards (NRCeS)

A 2016 Ministry circular described the standards as recommendatory and stated an intent to move to mandatory compliance in phases. Check the current position before treating any of them as a legal requirement.

How ABDM Packages a Consultation

ABDM’s FHIR Implementation Guide defines standard record types. Two map directly onto a homeopathic consultation:

  • OPConsultRecord: The outpatient consultation note, covering examination findings, procedures, medication and advice.
  • PrescriptionRecord: The prescription itself.

Others include WellnessRecord for vitals and general wellness, and HealthDocumentRecord for scanned or uploaded documents. If your software is ABDM integrated, a homeopathic visit would typically travel as these records.

How Homeopathy Is Coded Today

The Ministry of Ayush’s NAMASTE portal (National AYUSH Morbidity and Standardized Terminologies Electronic) provides standard terminologies and morbidity codes for Ayurveda, Siddha and Unani. For homeopathy, and for Yoga and Naturopathy, it adopts WHO’s ICD-10/11 codes for reporting morbidity.

WHO’s ICD-11 Traditional Medicine Module 2, released in February 2025, covers Ayurveda, Siddha and Unani. Homeopathy is not part of it.

In practice, a homeopath’s diagnosis is coded the same way as any other diagnosis: with an ICD code.

The Gaps Homeopaths Should Know About

This section is our reading of the standards above, not an official position. As far as we could find, none of the EHR Standards, the ABDM FHIR profiles or NAMASTE define codes for:

  1. Remedies and potencies. There is no national code list for homoeopathic medicines. The Homoeopathic Pharmacopoeia of India, which the Drugs and Cosmetics Act, 1940 uses as the standard for homoeopathic drugs, is the natural reference for names.
  2. Rubrics. Repertory language from Kent, Boenninghausen or Boger has no standard digital codes.
  3. The complete symptom. Modalities, concomitants and sensations usually end up as free text.
  4. The patient’s own words. Verbatim recording, as the Organon recommends, has no dedicated structured field in these models.
  5. Response to the remedy. Follow-up assessment, such as aggravation, amelioration or no change, has no standard field.

These gaps matter. A record that reduces “burning pain, better from warmth” to a single coded diagnosis loses the detail a homeopath prescribes on. See our guide to why homeopathic case-taking is hard to document.

What to Do in Your Clinic Now

Code the diagnosis where it is meaningful. Use ICD-10/11, as NAMASTE does for homeopathy reporting.

Write remedies consistently. Use Pharmacopoeia names with potency, dose, quantity and vehicle. The Central Council of Homoeopathy’s sample telemedicine prescription format lists the medicine with its potency and quantity, the vehicle, and directions for the dispenser and patient.

Keep both layers. Store the patient’s exact words next to any structured summary.

Keep your data portable. Your records should export in an open format such as FHIR, CSV or PDF.

Five Questions to Ask Your EHR Vendor

  1. Which coding systems do you use for diagnoses, and can I see the ICD code on each record?
  2. Can you export a patient’s full record in FHIR or another open format?
  3. Are you a registered ABDM integrator, and which record types do you support?
  4. How do you store remedy names and potencies: as free text or from a controlled list?
  5. Where is the free-text case record kept, and is it included in exports?

Frequently Asked Questions

Are EHR standards mandatory for private homeopathy clinics?

A 2016 Ministry circular called the standards recommendatory and said the Ministry intended to make compliance mandatory in phases. Confirm the current status before relying on either position.

Is homeopathy included in ICD-11 TM2?

No. The Ministry of Ayush has told Parliament that Module 2 is dedicated to Ayurveda, Siddha and Unani.

How are homeopathy diagnoses coded in India?

The NAMASTE portal adopts WHO ICD-10/11 codes for homeopathy morbidity reporting.

Is there a standard code list for homeopathic remedies?

Not in the EHR Standards, the ABDM FHIR profiles or NAMASTE, as far as we could find. The Homoeopathic Pharmacopoeia of India is the legal standard for homoeopathic drugs.

What is FHIR?

HL7 FHIR is an international format for exchanging health records. ABDM uses FHIR R4, with India-specific profiles published by NRCeS.

Sources

  1. EHR Standards for India — NRCeS
  2. Electronic Health Record Standards for India — Vikaspedia (MoHFW)
  3. Clinical Terminology and Coding Standards — NRCeS
  4. MoHFW Circular on EHR Standards Workshops (2016) — NRCeS
  5. FHIR Implementation Guide for ABDM: Profiles — NRCeS
  6. NAMASTE Portal — Vikaspedia
  7. Rajya Sabha Reply on ICD-11 TM2 (March 2025) — Ministry of Ayush
  8. Drugs and Cosmetics Act, 1940: Second Schedule — AdvocateKhoj
  9. Telemedicine Practice Guidelines (2020) — Central Council of Homoeopathy
Share

See It On Your Cases

Bring a case you already know. We will record it live and hand you the finished record.