Documentation Changelog & Traceability¶
Purpose: This document serves as the centralized revision history for the Entheory.AI documentation site. It tracks all changes in a chronological, tabular format for easy consumption.
Complete Change History¶
| Date | Type | Author | Changes |
|---|---|---|---|
| 2026-01-11 | Version | Preetam Balijepalli | v1.57: Final Executive Summary & Accuracy Audit - Integrated high-level strategic Executive Summary for KCDH Report - Added Medication Safety insights (Sonali Deshmukh, MIMS) - Corrected attribution mix-up for Dr. Richa Singh and Dr. Thanga Prabhu - Synchronized all final corrections to the isolated standalone site |
| 2026-01-11 | Version | Preetam Balijepalli | v1.56: Agentic AI Ops Vision - Documented the vision for Agentic AI in hospital operations - Contrasted static legacy systems with autonomous, adaptive Agentic models - Defined the "Intelligent, Adaptive, Human-Centric" operational triad |
| 2026-01-11 | Version | Preetam Balijepalli | v1.55: Attribution to Dr. Richa Singh - Credited Dr. Richa Singh for the "Design Thinking & First Principles" presentation following Dr. Thanga Prabhu's session |
| 2026-01-11 | Version | Preetam Balijepalli | v1.54: Clinician-Centric Design Refinement - Documented the "Workflow is King" principle: Apps must adapt to doctors, not vice-versa - Added specific friction points for digital pens: Burden of extra hardware and fear of breakage under pressure |
| 2026-01-11 | Version | Preetam Balijepalli | v1.53: Design Thinking & First Principles - Integrated the Design Thinking strategy for tailoring products to India - Documented the "Doctors as Co-designers" principle - Mapped adaptation vectors: Language, ADBM, Region, and Cost differentiation - Integrated the official Design Thinking approach slide image |
| 2026-01-11 | Version | Preetam Balijepalli | v1.52: National TB Elimination Program with AI - Documented the AI-driven workflow for Day 1 TB treatment - Integrated the trilingual chatbot model for taboo mitigation and counseling - Added the role of differential lung diagnosis and doc scanners in NSEP - Integrated the official National TB Elimination slide image |
| 2026-01-11 | Version | Preetam Balijepalli | v1.51: Phygital Delivery Model (Anganwadi) - Integrated the Phygital (Physical + Digital) delivery framework - Documented the role of Anganwadi and ASHA workers in community triage - Mapped the rural patient journey from vitals capture to tele-consultation - Added the official Phygital Delivery Model slide image |
| 2026-01-11 | Version | Preetam Balijepalli | v1.50: Crowdsourced Clinical Trust (Lybrate) - Integrated Lybrate as a case example for crowdsourced second opinions - Documented the peer-reviewed trust model and contrast with horizontal platforms - Highlighted Practo's horizontal scale, public status, and profitability |
| 2026-01-11 | Version | Preetam Balijepalli | v1.49: Thyrocare Model Refinement - Refined Thyrocare description to specify the Hub-Spoke model - Documented the overnight air cargo logistics to 4 centralized testing centers |
| 2026-01-11 | Version | Preetam Balijepalli | v1.48: Industry Trends & Investment Tailwinds - Documented 17% CAGR growth for MedTech/Digital Health through 2030 - Integrated infrastructure metrics (2.4M bed deficit, 1:900 doctor ratio) - Documented $30B M&A/PE tailwinds with specific deal examples - Added innovative models (Thyrocare centralized labs, GE Tele-ICU triage) - Integrated 4 new official slide images (Trends, Challenges, Investments, Models) |
| 2026-01-11 | Version | Preetam Balijepalli | v1.47: Strategic Business Thinking & Hospital Realities - Defined Digital Transformation as a Value Creation shift (Financial, Clinical, Reputational) - Integrated the "Hospital Reality Check" (Margins, Burnout, Fragmented IT) - Mapped digital investments to strategic hospital objectives (WHY-based investment) - Added "Business Thinking" and "Hospital Reality" slide images |
| 2026-01-11 | Version | Preetam Balijepalli | v1.46: Specialized Clinical Apps (DailyRounds) - Integrated DailyRounds as the case example for specialized rounds notes - Documented the "post-eSushrut" workflow where mobile apps augment core HMIS |
| 2026-01-11 | Version | Preetam Balijepalli | v1.45: CDAC & NRCES Standards SDK - Documented the CDAC Medical Informatics SDK Suite (HL7, DICOM, SNOMED CT) - Integrated NRCES as the custodian for EHR standards and developer resources - Added ABDM FHIR R4 usage sample contexts for Java and .Net - Added the official CDAC SDK Suite slide image |
| 2026-01-11 | Version | Preetam Balijepalli | v1.44: Smart OT & TeleICU Architecture - Documented the "Smart OT" model with real-time ESR and IoT sensors - Integrated the scalable "TeleICU" hub-and-spoke model and AI decision support - Documented the role of LIMS and AI-driven Radiology (PACS/RIS) - Added the official TeleICU slide image |
| 2026-01-11 | Version | Preetam Balijepalli | v1.43: Home Healthcare & Real-Time Skills - Integrated the Home-Centric Care model (Palliative, Elderly, Mental Health) - Documented MIoT-enabled "Connected Ambulances" for field clinical delivery - Added the "Just-in-Time Skills" framework for rapid workforce upskilling |
| 2026-01-11 | Version | Preetam Balijepalli | v1.42: OHDSI Standards & CRO Bioinformatics - Documented the transition from OMOP to the global OHDSI standard - Integrated the 4-phase CRO trial lifecycle and Bioinformatics acceleration - Added context for the OHDSI India Chapter and its role in policy research |
| 2026-01-11 | Version | Preetam Balijepalli | v1.41: Data Entry Case Examples (Augnito, DocsPro) - Integrated Augnito as the case study for Voice Recognition - Integrated DocsPro (Digital Pen) as the case study for Handwriting Recognition - Grounded the data entry roadmap in real-world vendor capabilities |
| 2026-01-11 | Version | Preetam Balijepalli | v1.40: Clinical Data Entry & Agentic AI - Documented the evolution from typing to Voice, Handwriting, and Agentic AI bots - Listed digitizable clinical documents (A&E, ICU, OT Anaesthesia, Certificates) - Added the "Data Entry modes" slide image |
| 2026-01-11 | Version | Preetam Balijepalli | v1.39: Global Context & Medical Tourism - Integrated critiques of Western systems (US insurance, UK access bottlenecks) - Documented monopoly risks inherent in corporate M&A consolidation - Added India's competitive advantage in Medical Tourism (Quality vs. Cost) |
| 2026-01-11 | Version | Preetam Balijepalli | v1.38: Corporate Dynamics & Telemedicine Shift - Integrated 12-14% growth metrics and ARPOB/ARPP drivers - Documented the post-COVID behavioral shift toward remote telemedicine culture - Added the "Hospitality in Hospitals" and revenue-engine (Robotic/AI) context |
| 2026-01-11 | Version | Preetam Balijepalli | v1.37: Healthcare Sector Duality Metrics - Integrated specific metrics for Govt vs Private sectors (PHC counts, hospital numbers) - Documented the USD 8 Billion NHM spend and 95% private out-of-pocket burden - Added the "Indian Healthcare Delivery System" duality slide image |
| 2026-01-11 | Version | Preetam Balijepalli | v1.36: NHCX Efficiency & Sector Duality - Documented the NHCX "30-Second Approval" efficiency goal - Contrasted the Government (NHS-model) and Corporate (Tertiary) sectors - Finalized the ABHA-DigiLocker-ABDM Triangulation narrative |
| 2026-01-11 | Version | Preetam Balijepalli | v1.35: ABHA-DigiLocker Triangulation Architecture - Documented the "Triangulation" model: Identity (ABHA), Verification (DigiLocker), and Discovery (ABDM) - Clarified the separation of stagnant credentials (DigiLocker) from dynamic clinical records |
| 2026-01-11 | Version | Preetam Balijepalli | v1.34: NHA Digital Pillars & Arogya Mandir Vision - Integrated "Arogyam Paramam Dhanam" mission tagline - Documented the 6 Service Pillars of Ayushman Arogya Mandirs - Reinforced the 5 core NHA digital pillars: ABHA, HFR, HPR, UHI, and NHCX |
| 2026-01-11 | Version | Preetam Balijepalli | v1.33: Make in India & Ayushman Arogya Mandirs - Integrated "Make in India" self-reliance philosophy in health-tech - Documented the rebranding and scale of 4-lakh Ayushman Arogya Mandirs - Added focus on Geriatrics as a national priority in primary care - Clarified the insurance-led financial sustainability model for digital insights |
| 2026-01-11 | Version | Preetam Balijepalli | v1.32: Acute Care & Sepsis Prediction Case Study - Integrated Dr. Prabhu's Emergency Medicine specialist background - Documented the "Coherent" ICU automation and Sepsis prediction case study - Added St. John's Health Innovation Foundation incubator context |
| 2026-01-11 | Version | Preetam Balijepalli | v1.31: Industry Standards & Community Health - Integrated OHDSI's role in pharma data standardization - Documented the "Community-First" care delivery philosophy - Added "Continuous Skilling" as a key startup opportunity pathway |
| 2026-01-11 | Version | Preetam Balijepalli | v1.30: Startup Roadmap & Apollo CMIO Credentials - Integrated Dr. Thanga Prabhu's former title: CMIO, Apollo Hospitals - Documented the "Innovation Pathways" and "Digital Health Startup Landscape" roadmap |
| 2026-01-11 | Version | Preetam Balijepalli | v1.29: National Capability & Excellence Metrics - Integrated the "Bahubali" metaphor for national technical capability - Documented the "DNA of Excellence" and India's long-term education investment |
| 2026-01-11 | Version | Preetam Balijepalli | v1.28: Dr. Thanga Prabhu Insights Integration - Integrated "Trust Deficit" rationale and government leadership context - Documented "Preventive-First" strategic shift for national population health - Framed ABDM as the country's "Biggest Startup Opportunity" for innovators |
| 2026-01-11 | Version | Preetam Balijepalli | v1.27: Thanga Prabhu Session & National Awareness Campaign - Integrated session context as the inauguration of a national ABDM awareness campaign at KCDH, IIT Bombay - Documented the collaborative roadmap between academic hubs and national mission teams |
| 2026-01-11 | Version | Preetam Balijepalli | v1.26: Federated Architecture & Node Resilience - Documented the ABDM Federated Architecture model for localized failure isolation - Integrated "Resilience Through Decentralization" section into the KCDH blog - Refined architectural documentation for Federated Node Resilience and Sovereign Alignment |
| 2026-01-11 | Version | Preetam Balijepalli | v1.25: International Sovereignty & Standards - Documented the status of international portability as ongoing sovereign-level discussions - Added "Sovereign Gateway Alignment" to architectural docs for cross-border readiness |
| 2026-01-11 | Version | Preetam Balijepalli | v1.24: Anonymized Population Health Data - Integrated NHA strategy for making aggregated, anonymized data available for research - Documented "Privacy-Preserving Research Exports" in architectural documentation |
| 2026-01-11 | Version | Preetam Balijepalli | v1.23: Retention & Consent Governance - Integrated NHA Health Data Retention Policy mandate - Documented Private Sector "Court Stay" friction and lobby impacts - Added DPDP Act "Right to Withdraw Consent" and its medico-legal implications - Updated Architectural docs with retention guardrails and consent revocation logic |
| 2026-01-11 | Version | Preetam Balijepalli | v1.22: PHR Storage & Transactional Model - Documented DigiLocker's 1GB storage bottleneck for clinical-grade data - Defined the "Google Pay" Discovery & Transaction model for modern PHR apps - Updated Architectural docs with ephemeral record handling and transactional orchestration |
| 2026-01-11 | Version | Preetam Balijepalli | v1.21: Lightweight EMR Strategies - Documented NHA's collaboration with lightweight platforms (eSushrut, eKa Care) for small-medium facilities - Added facility-specific interoperability paths for micro-EMR and Tier-1 integrations - Integrated "Pragmatic Digital Adoption" section into the KCDH blog |
| 2026-01-11 | Version | Preetam Balijepalli | v1.20: Care Contexts & ABHA Uniqueness - Integrated the 7 Available Care Contexts for granular record linking - Documented the "Unique ABHA Constraint" (multiple ABHAs are not possible) - Clarified NHA's "Blind-to-Transit" privacy architecture and hospital data responsibility |
| 2026-01-11 | Version | Preetam Balijepalli | v1.19: NHA Governance & Big Tech Friction - Documented NHA's "Zero-Visibility" (Blind-to-Transit) digital architecture - Clarified Hospital Fiduciary Responsibility for clinical data presence and accuracy - Analyzed "The Big Tech Paradox" (Apple's lack of ABDM compliance due to HL7 standards friction) |
| 2026-01-11 | Version | Preetam Balijepalli | v1.18: ABDM Standards & HI Types - Integrated the 7-8 Core Health Information (HI) Types defined by NRCeS - Documented the mandatory HL7 FHIR R4 standard for national data exchange - Added the Bihar IPD linkage success case study - Updated Architectural docs with NRC standards alignment and resource modeling |
| 2026-01-11 | Version | Preetam Balijepalli | v1.17: Patient Agency & Private Sector Friction - Integrated the "Patient-Centric Link Model" (PHR/ABHA link mechanism for OPD/IPD history) - Added "Population Health & Aggregation" (federated data for research and public health trends) - Documented "International Portability" (FHIR-based cross-border data continuity) - Analyzed "Private Sector Friction" (DMHO licensing, regulatory mandates, and implementation hurdles) |
| 2026-01-11 | Version | Preetam Balijepalli | v1.16: Implementation Gaps & Governance - Documented the "Certification vs. Impact" gap (M1/M2/M3 vs structured data) - Added "Financial & Resource Support" section for small hospital digital maturity - Integrated "NHA Auditing & Governance" insights on monitoring clinical-grade data quality |
| 2026-01-11 | Version | Preetam Balijepalli | v1.15: HIE & ABDM Implementation Gaps - Documented the "Standards Paradox" (HL7 v3 vs v2.7 versioning conflicts) - Expanded "Scan & Share" with operational reality (routing friction, sync lag) - Added Clinical Document Architecture (CDA) vs OPD success insights - Integrated insights on federated data ownership and international benchmarking (Malafi, DHA) |
| 2026-01-11 | Version | Preetam Balijepalli | v1.14: National Digital Health Stats & Connectivity - Integrated granular e-Sanjeevani stats (provider network, hubs/spokes) - Added "India's Internet Journey" section with TRAI & ASER 2023 metrics - Documented smartphone penetration and data consumption trends |
| 2026-01-11 | Version | Preetam Balijepalli | v1.13: CoWIN & Digital Health Dominance - Added CoWIN success case (vaccinating more in 1 day than entire nations combined) - Highlights India's digital orchestration capabilities at unprecedented scale |
| 2026-01-11 | Version | Preetam Balijepalli | v1.12: NHA Economic Impact & Telemedicine Scale - Added E-Sanjeevani success metrics (44Cr consultations, 4L daily velocity) - Documented economic impact for rural poor (18 hours saved, 1-day wage protection) - Integrated inclusivity data (57% women, 12% senior citizens) |
| 2026-01-11 | Version | Preetam Balijepalli | v1.11: Epigenomics & Personalized Medicine Integration - Expanded genomics section to include the Epigenome and Personalized Medicine - Documented the genome/epigenome dual-dependency for tailored treatments - Integrated molecular signature and regulatory shift insights |
| 2026-01-11 | Version | Preetam Balijepalli | v1.10: scRNA-seq Methodology & Molecular Abundance - Detailed scRNA-seq barcoding and poly-A sequencing workflows - Documented the "Abundance of Differences" principle for molecular drivers of disease - Integrated insights on cell-specific characterization in noisy biological data |
| 2026-01-11 | Version | Preetam Balijepalli | v1.9: Fatty Liver Disease (MAFLD) Integration - Added Metabolic Associated Fatty Liver Disease (MAFLD) case study - Documented India-specific prevalence (1 in 3) and diagnostic gaps - Integrated insights on AI-driven single-drop blood diagnostics |
| 2026-01-11 | Version | Preetam Balijepalli | v1.8: Single-Cell RNA Seq & Pathogen Detection - Added Single-Cell RNA Sequencing (scRNA-seq) insights to KCDH blog - Integrated Viral Pathogen detection (HPV 16, 18, 54) from human RNA data - Documented cellular resolution mapping of normal vs. cancerous tissue |
| 2026-01-11 | Version | Preetam Balijepalli | v1.7: Genomics & DNA Blueprint Integration - Added "Decoding the Blueprint" section to KCDH blog - Integrated DNA ATCG visual and molecular research insights - Documented DNA/RNA level changes in human disease research |
| 2026-01-11 | Version | Preetam Balijepalli | v1.6: Model Efficiency & Knowledge Architecture - Integrated technical insights on 4B vs. 1T parameter models - Documented Knowledge-Augmented Generation (KAG) strategy - Updated AI & ML Overview with efficiency benchmarks |
| 2026-01-11 | Version | Preetam Balijepalli | v1.5: AI Diagnostic Accuracy Integration - Integrated Mammography Triage workflow visuals (Mermaid) - Added Poisoning Survival Triage case study visuals - Added Pan-Cancer Multimodal AI architecture diagrams - Consolidated AI diagnostic use cases into KCDH Blog |
| 2026-01-07 | Version | Preetam Balijepalli | v1.4: UI Progress & Hardening - Added UI Achievement & Progress metrics - Documented 25-30% Hardening/Integration buffer - Optimized navigation (removed sidebars) for MVP Scope |
| 2026-01-07 | Version | Preetam Balijepalli | v1.3: Visual Roadmap Refinement - Refactored Visual Gaps to Domain-Based mapping - Added UI Maturity statuses and deferred estimates |
| 2026-01-06 | Version | Preetam Balijepalli | v1.2: Model Scope Update - Added OCR/Scribe Model Training & Inference to MVP scope |
| 2026-01-06 | Commit | Preetam Balijepalli | Refactor MVP Scope: Modularized documentation, added Estimates/Roadmap, and Centralized Changelog |
| 2025-12-16 | Version | Preetam Balijepalli | v1.0.5: MVP Scope Reduction - Deferred Modules: The following modules were moved from MVP to Phase 2 to reduce risk: - Nurse Station & Vitals Automation - OT & Surgery Management - Pharmacy Inventory - Blood Bank - Diet & Nutrition - Removed Billing: Billing integration explicitly marked out-of-scope for MVP - Updated Index: Removed deferred modules from the P0 Use Case Summary table |
| 2025-12-12 | Version | Preetam Balijepalli | v1.1: Implicit Requirements & Gap Analysis - Consolidated Implicit Requirements: Merged separate "Gap Analysis" document into 03-Implicit-Use-Cases.md - Structured Requirements: Converted implicit requirements into a tabular format with unique IDs (IMP-UI-xxx, IMP-SEC-xxx) - Traceability: Linked all implicit requirements to master Developer Use Cases - Gap Filling: Identified missing UI states (Empty states, Loading, Error handling) and Security headers |
| 2025-12-12 | Version | Preetam Balijepalli | v1.1: Core Documentation Framework - Established MkDocs site structure - Added core navigation and theming - Implemented cross-linking system |
| 2025-12-12 | Commit | Preetam Balijepalli | docs: add Requirements Traceability Matrix and MVP Use Case Summary |
| 2025-12-09 | Commit | Preetam Balijepalli | docs: Add Cloud Infrastructure use cases (29-Cloud-Infrastructure.md) |
| 2025-12-09 | Commit | Preetam Balijepalli | docs: Update messaging technology to Kafka/NATS/RabbitMQ |
| 2025-12-09 | Commit | Preetam Balijepalli | docs: Expand NFR and Pipelines-and-Ingestion documentation |
| 2025-12-09 | Commit | Preetam Balijepalli | docs: Add cross-links for Security-Privacy and DevOps-SRE |
| 2025-12-09 | Commit | Preetam Balijepalli | docs: Expand Security-Privacy and DevOps-SRE documentation |
| 2025-12-09 | Commit | Preetam Balijepalli | docs: Add Mermaid diagrams for visual documentation |
| 2025-12-09 | Commit | Preetam Balijepalli | docs: Expand Clinical Workflow Overview and User Journeys |
| 2025-12-09 | Commit | Preetam Balijepalli | docs: Expand GTM, Ops, AI/ML documentation with cross-links |
| 2025-12-09 | Commit | Preetam Balijepalli | docs: Connect UI Implementation Status to Implementation Overview |
| 2025-12-09 | Commit | Preetam Balijepalli | Add OT Surgery, Blood Bank, Telemedicine, Diet Nutrition use cases (32 new UCs) |
| 2025-12-09 | Commit | Preetam Balijepalli | Add Appointments, Pharmacy, Bed Management use cases (24 new UCs) |
| 2025-12-09 | Commit | Preetam Balijepalli | Add Notifications + Document Generation use cases, update counts |
| 2025-12-09 | Commit | Preetam Balijepalli | Add Medical Ontologies documentation and Notifications use cases |
| 2025-12-05 | Version | Preetam Balijepalli | v1.0: Initial MVP Definition - Core Scope Defined: Established the "Longitudinal Patient Record" as the primary MVP goal - In-Scope Modules: Defined core clinical modules (Timeline, Labs, Imaging, Notes) - Developer Use Cases: Created detailed technical specifications (UC-xxx) for all P0 features - Architecture: Defined High-Level Architecture, Data Pipeline, and Security/Privacy standards (ABDM, DPDP) - Navigation: Established MkDocs structure (Product Specs, Architecture, Implementation) |
| 2025-12-05 | Commit | Preetam Balijepalli | Remove venv from git |
| 2025-12-05 | Commit | Preetam Balijepalli | Initial commit |
| 2025-12-05 | Commit | Preetam Balijepalli | Initial commit |