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1Heath: The Visit Writes the History

A medical scribe and shared record for India's small clinics. The doctor talks; 1Heath writes a checked note and prescription in the doctor's language; the doctor slides to sign; the record follows the patient.

Key Points
  • Indian doctors usually treat patients without their history. Our estimate: about 6,400 hospital deaths and 1.6 lakh severe harms a year in India come from medication errors caused by an incomplete history (method and ranges).
  • 1Heath listens to the consultation, drafts the record with an India-hosted language model, and checks every line with a rules engine before the doctor signs.
  • On simulated tests, no invented allergy, refused medicine or wrong dose reached a note without being flagged.
  • It is not ready for real patients yet; the sections below say exactly what is missing.

Read It Section by Section

Each card is a short summary. Open it for the full detail, sources and figures.

01 · Problem

Doctors Treat Patients Without Their History

Two-minute visits, paper slips, care split across clinics and systems of medicine, and no shared record.

Read the problem →
02 · Burden

How Much Harm It Causes

Deaths and severe harm from history-related medication errors, estimated with formulas, ranges and sources.

See the estimate →
03 · Impact

What Changes When the History Is There

Harm avoided per 1,000 doctors, at scale and nationally, and how the system changes.

See the impact →
04 · Solution

The Visit Writes the History

How 1Heath answers each root cause, the alternatives we compared, and why this design.

Read the solution →
05 · Product design

Four Apps, One Record

Design principles, what each app shows, what never crosses between them, and a clickable prototype.

See the design →
06 · Systems of medicine

Allopathy, Ayurveda, Homeopathy, One Record

About half of Indians use a traditional system. How 1Heath records it fairly and safely.

Read more →
07 · Models and data

How the AI Works and How Far to Trust It

Which models, what test data, what we measured, and what synthetic tests cannot tell us.

Read more →
08 · Architecture

High-Level and Low-Level Design

Components, the path of one consultation, the data model, the verification rules and the stack.

Read the design →
09 · Security and privacy

How Patient Data Is Protected

Who sees what, encryption, consent-based sharing, patient rights, threats and the laws that apply.

Read more →
10 · Go to market

Doctors First, Then Patients

Who adopts first, where we meet them, the funnel in numbers, and what the pilot must prove.

Read more →
11 · Business model

Revenue, with Every Formula

Two cases at 1,000 doctors, unit economics, levers, a five-year path, and the firewall between money and medicine.

See the numbers →
12 · Roadmap

From Scribe to Health Research Company

Prevention features to come, and research on consented data that is never sold.

See the roadmap →

Background: Health in India and the World

The research behind 1Heath, sourced and readable on its own.

Official Portals and Useful Links

Government systems 1Heath builds on, and where to read the rules. Each link was opened on 5 November 2026.

PortalWhat it is
ABDMAyushman Bharat Digital Mission: health IDs, registries and consent-based record exchange
ABHACreate or find your 14-digit Ayushman Bharat Health Account
National Healthcare Providers RegistryRegistries of verified healthcare professionals (HPR) and health facilities (HFR)
ABDM SandboxWhere software like 1Heath is tested and certified for ABDM integration
ABDM Insights dashboardLive counts: 98.9 crore ABHA accounts, 127.5 crore linked records, 6.09 lakh verified facilities and 13.98 lakh verified professionals on 5 November 2026[1]
NRCeSNational Resource Centre for EHR Standards: FHIR profiles and SNOMED CT for India
CDSCOIndia's drug and medical-device regulator, including software as a medical device
Jan AushadhiGovernment generic medicine stores and price list

What the Doctor Sees

Review before signing2 lines need you
Tab. Dolo 650
PARACETAMOL 650 mg
1-0-1 · after food · 3 days · Total 6 tablets
ఉదయం 1, రాత్రి 1 · భోజనం తర్వాత · 3 రోజులు
Said: "Dolo six-fifty morning evening food tharvatha"
Verified
Tab. Pan
PANTOPRAZOLE · strength not said
1-0-0 · before food · 5 days
Said: "Pan, one before breakfast, five days"
Pan 20Pan 40
Confirm Strength
Cap. Mox 500
AMOXYCILLIN 500 mg
Recorded allergy: penicillin. Amoxycillin is a penicillin.
Said: "Mox five hundred, three times a day"
Cannot Sign
Figure 1. An example review screen. Brand as said, generic in capitals, dosing grid, food timing, duration, total quantity, an instruction in the patient's language, and the doctor's own words. The system never fills in a strength, dose or duration that was not said.

Where It Stands

PartWhat it doesStatus
Doctor appListens, drafts, verifies, slide to sign, prescription PDFWorking Demo
Drug catalogueModern medicines, Ayurvedic formulations, homeopathic remedies, banned combinationsDemo Data
Desk appRegistration, ABHA link, consent, vitals, paymentDesigned
Pharmacy appReceives the signed prescription, dispenses exactly what was signedDesigned
Patient and family appVisit summary, reminders, family record, emergency cardDesigned

The doctor decides. 1Heath records and checks; it does not diagnose, and nothing is signed by the software.

Terms Used on These Pages

ABHA
Ayushman Bharat Health Account: India's 14-digit health ID for each person.
ABDM
Ayushman Bharat Digital Mission: the government's system for health IDs, registries and consent-based record sharing.
AYUSH
Ayurveda, Yoga and Naturopathy, Unani, Siddha, Sowa-Rigpa and Homoeopathy.
OPD
Outpatient department: patients seen and sent home the same day.
Scribe
Software (or a person) that writes the clinical note from the conversation.
Verifier
1Heath's rules engine that checks each drafted line against the words spoken and the drug catalogue.
Anupana
In Ayurveda, the vehicle a medicine is taken with, such as warm water, honey or milk.
Potency
In homeopathy, the dilution of a remedy, such as 30C, 200 or 1M.
Look-alike names
Brand names that sound or look similar but are different drugs, a known cause of prescribing errors.
HLD and LLD
High-level design (the components) and low-level design (the data model and rules inside them).
FHIR
A global standard format for exchanging health records, used by ABDM.
DPDP Act
India's Digital Personal Data Protection Act, 2023.

How You Can Help

I am looking for general physicians, paediatricians and gynaecologists willing to try the demo; native Telugu and Hindi speakers to review patient instructions; and pharmacists who can explain how clinic dispensaries really work. Get in touch →

Sources

  1. National Health Authority. ABDM Insights public dashboard, figures last updated 5 November 2026, 8:33 PM. dashboard.abdm.gov.in