eSanjeevani – National Telemedicine Service

eSanjeevani is an indigenous, cloud-native telemedicine platform developed by C-DAC Mohali to address critical healthcare accessibility challenges, including the shortage and uneven distribution of healthcare professionals, limited access to specialist care in rural and remote areas, and gaps in continuity of care.

Leveraging secure, scalable, and standards-based digital technologies, eSanjeevani enables seamless virtual consultations between healthcare providers and patients and facilitates coordinated care across different levels of the healthcare system. Designed to strengthen primary healthcare delivery and optimize the utilization of healthcare resources, the platform helps overcome geographical barriers and promotes equitable, affordable, and quality healthcare access for all.

eSanjeevani is available in two operational variants designed to address diverse healthcare delivery requirements:

(a) Doctor-to-Doctor (Assisted Telemedicine) Model: Connects healthcare providers at Health and Wellness Centres with doctors and specialists at higher-level healthcare facilities, enabling access to specialized medical expertise for patients in rural, remote, and underserved areas.

(b) Patient-to-Doctor Model: Enables patients to consult qualified medical practitioners remotely through a secure digital platform, providing convenient access to outpatient healthcare services from their homes.

eSanjeevani is a flagship Digital India initiative that is transforming the delivery of primary healthcare across the country. It has emerged as the world’s largest telemedicine implementation in primary healthcare, enabling large-scale access to quality healthcare through digital technology. 

As of 16 August 2026, eSanjeevani has facilitated over 493 million consultations nationwide. More than 240,629 healthcare providers have been trained and onboarded on the platform, which is operational across more than 1,41,707 spokes supported by over 19,362 hubs. The platform currently hosts more than 892 online OPDs. It has recorded a peak of over 630,315 consultations in a single day and currently facilitates more than 282,000 consultations daily, with the underlying technology augmented to support close to one million consultations per day.

Recognizing its scalability, resilience, and potential for population-scale digital health delivery, eSanjeevani has been offered as a Digital Global Good for adoption beyond India and is featured among the 12 population-scale, state-of-the-art applications in the India Stack. The platform has played an important role in ensuring continuity of healthcare services during public health emergencies and contributes to the achievement of the United Nations Sustainable Development Goals (SDGs), particularly SDG 3 (Good Health and Well-being), SDG 5 (Gender Equality), SDG 9 (Industry, Innovation and Infrastructure), and SDG 10 (Reduced Inequalities). Through its population-scale digital health infrastructure, eSanjeevani supports India's journey towards Universal Health Coverage (UHC).

The main stakeholders/ beneficiaries:

eSanjeevani serves a broad ecosystem of stakeholders and beneficiaries, including:

• Citizens across the country, particularly those residing in rural, remote, and underserved areas who may face geographical, infrastructural, or other barriers to accessing secondary and tertiary healthcare services.
• Doctors and healthcare workers, who use the platform to provide and access telemedicine-enabled healthcare services and specialist consultations.
• Health administrators and policymakers, who leverage the platform to strengthen healthcare delivery, improve access to medical expertise, and support effective planning and management of health services.

eSanjeevani supports a wide range of use cases across the healthcare ecosystem, including:

•  Extending specialized healthcare services to rural, remote, and underserved regions across India.
• Reducing unnecessary in-person visits, thereby supporting infection prevention and continuity of care, particularly during public health emergencies.
• Enabling data-driven decision-making by providing health administrators and policymakers with timely insights to support healthcare planning and resource allocation.
• Enabling digital access to patient health information and records, supporting continuity and coordination of care.
• Extending telemedicine services to specialized and institutional settings, including prisons and other underserved populations.
• Facilitating remote access to medical expertise across different levels of the healthcare system, helping optimize the utilization of available healthcare resources.

• Cloud-native microservices architecture for scalable teleconsultations.
• AI-enabled Clinical Decision Support System (CDSS) to support clinical decision-making.
• Follow-up consultations for continuity of care.
• Real-time sharing of health records for coordinated care.
• ePrescription facility for digital prescription management.
• SMS-based notifications for timely communication.
• Integration with PoCT and RDT devices for digital capture of test results.
• Medical and diagnostic device integration for seamless data capture.
• Comprehensive dashboards for users, administrators, and policymakers.
• Unified multilingual interface for improved accessibility.
• Integration with the Ayushman Bharat Digital Mission (ABDM) for interoperable digital health services.
• Based on Government of India EHR standards and Telemedicine Practice Guidelines.
• SNOMED CT and standardized generic drug nomenclature for clinical terminology and interoperability.
• Adherence to the Guidelines for Indian Government Websites (GIGW) for accessibility and usability.

Awards

eSanjeevani has received recognition across national and international forums for its contribution to digital health, telemedicine, innovation, and e-governance.

• National Awards for e-Governance 2026 – Gold Award: AI-enabled Clinical Decision Support System in eSanjeevani Telemedicine Service, conferred by the Government of India.
• Computer Society of India eGov Awards 2023 – Award of Excellence: Recognized for excellence in e-governance.
• IEEE SA Telehealth Tech Pitch Competition 2023 – Notable Mention: Recognized for its contribution to telehealth technology.
• Global Digital Health Innovation Award 2022: Recognized for innovation in digital health.
• SKOCH Award 2021 – Gold: Awarded in the Health category.
• Digital Technology Sabha Excellence Award 2020: Recognized in the Enterprise Applications category for eSanjeevaniOPD.
• Digital India Awards 2020 – Platinum Award: Awarded in the Innovation in Pandemic category and conferred by the Hon’ble President of India.
• Gems of Digital India 2020 – Jury’s Choice Award: Recognized for excellence in digital governance.

• Cloud-native microservices architecture for scalable teleconsultations.
• AI-enabled Clinical Decision Support System (CDSS) to support clinical decision-making.
• Follow-up consultations for continuity of care.
• Real-time sharing of health records for coordinated care.
• ePrescription facility for digital prescription management.
• SMS-based notifications for timely communication.
• Integration with PoCT and RDT devices for digital capture of test results.
• Medical and diagnostic device integration for seamless data capture.
• Comprehensive dashboards for users, administrators, and policymakers.
• Unified multilingual interface for improved accessibility.
• Integration with the Ayushman Bharat Digital Mission (ABDM) for interoperable digital health services.
• Based on Government of India EHR standards and Telemedicine Practice Guidelines.
• SNOMED CT and standardized generic drug nomenclature for clinical terminology and interoperability.
• Adherence to the Guidelines for Indian Government Websites (GIGW) for accessibility and usability.

The solution is deployable on a cloud-persistent model for database and storage.

Dr. Sanjay Sood

Scientist- G, Digital Health Innovations Department 

C-DAC, A-34, Phase VIII, Industrial Area, Mohali – 160071

eMail: spsood[at]cdac[dot]in

Phone No.: +91-172-6619000