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EMR vs EHR: What's the Difference?

February 1, 2026 9 min read

EMR and EHR are often used interchangeably in India, but they're not the same. Understanding the difference helps you choose the right system for your hospital and prepare for ABDM compliance.

Quick Definition

EMR - Electronic Medical Record

Digital version of paper charts in a single organization. Contains patient's medical history, diagnoses, treatments from that specific hospital/clinic.

EHR - Electronic Health Record

Designed to be shared across organizations. A longitudinal health record that follows the patient across different providers.

Key Differences

AspectEMREHR
ScopeSingle organizationMultiple organizations
SharingLimited (within hospital)Interoperable (across providers)
Patient AccessUsually noYes (patient portal)
PortabilityNot portableFollows patient
StandardsProprietaryHL7, FHIR standardized
ABDM IntegrationMay need upgradesBuilt for it

Simple Analogy

EMR is like a file in one doctor's cabinet. Good for that clinic's use.

EHR is like a health passport that goes everywhere with the patient.

Why It Matters in India

With ABDM (Ayushman Bharat Digital Mission), India is moving towards interconnected health records. The future is EHR-like:

  • ABHA ID links records across hospitals
  • Patient consent-based record sharing
  • National Health Records accessible via PHR apps
  • Labs, hospitals, pharmacies all connected

EMR Features (What Most Indian HMS Have)

  • Patient demographics
  • Visit history within the hospital
  • Diagnoses and treatments
  • Prescriptions and medications
  • Lab results (from that hospital's lab)
  • Discharge summaries

EHR Features (The Future)

  • All EMR features +
  • Records from all providers visited
  • Vaccinations from government portals
  • Insurance and claims history
  • Patient-entered health data
  • Integration via ABDM/ABHA

Which Should You Choose?

Choose EMR If:

  • Single clinic/hospital only
  • No multi-location expansion planned
  • Minimal external integrations needed
  • Budget is primary concern

Choose EHR-Ready Software If:

  • Planning for ABDM compliance
  • Multi-location hospital chain
  • Want to offer patient portal
  • Need to share records with referring doctors
  • Future-proofing your investment

Adrine's Approach

Adrine EMR is built EHR-ready:

  • ✅ Complete EMR for daily operations
  • ✅ ABDM/ABHA integration for record portability
  • ✅ Patient portal for record access
  • ✅ FHIR-ready APIs for interoperability
  • ✅ Multi-location support

Get Future-Ready EMR

Adrine gives you EMR simplicity with EHR capabilities. See it in action.

Get Free Demo