Digital Health Transformation
Health Management Information System (HMIS)
The Health Management Information System (HMIS) in Tamil Nadu is a key digital platform designed to enhance the collection, analysis, and reporting of healthcare data. It brings together information from various public health programs, hospital systems, and patient care services to support better decision-making and improve overall service delivery. Tamil Nadu has been a pioneer in implementing HMIS, enabling real-time data capture across government healthcare facilities.
HMIS Renamed as e-Nalam
As per G.O (Ms) 60 Health and Family Welfare (EAP II-2) Department dated 24.02.2026, Government have renamed the HMIS 3.0 application as e-Nalam. Today, the system is operational in all Primary Health Centres (PHCs), Sub-District Hospitals (SDHs), District Headquarters Hospitals (DHQHs), and Medical College Hospitals (MCHs) across the state. This pioneering effort in digital health showcases Tamil Nadu’s commitment to leveraging technology for advancing healthcare.Objectives
Data Collection & Management
Efficient collection, storage and management of patient records, clinical information and health outcomes in digitized format.Decision Making
Real-time access to healthcare data enables administrators and clinicians to make informed decisions.Patient Care
Integration of patient history, treatment plans and diagnostic reports improves continuity and quality of care.Resource Planning
Tracks infrastructure, human resources, inventory and logistics across healthcare institutions.Monitoring & Evaluation
Provides insights into disease trends, programme performance and healthcare outcomes.Statewide Coverage
PHCs
Primary Health Centres
SDHs
Sub-District Hospitals
DHQHs
District Headquarters Hospitals
MCHs
Medical College Hospitals
Integrated Healthcare Workflow
HMIS connects Registration, Consultation, Laboratory, Pharmacy, Admission, Treatment and Discharge through a single digital ecosystem.

Key Features of HMIS
Patient Registration & Records
Facilitates registration of patients, stores medical history and tracks interactions with healthcare facilities.Clinical Information System
Stores diagnostic data, prescriptions, treatment records and laboratory reports.Inventory & Logistics
Tracks medicines, equipment, infrastructure and procurement requirements.Human Resource Management
Monitors staffing levels, workforce distribution and staff performance.Reporting & Analytics
Provides dashboards, reports and healthcare performance metrics.Management Information System (MIS)
MIS is a periodic report which is a consolidated abstract without the line lists.
Number of OP and IP, surgery, AN/PN and Delivery Reports, LAB Services, Staff details and PHC performance are entered and monitored through MIS reporting.
OP & IP Reports
Patient Statistics
Surgery Reports
Procedure Monitoring
AN/PN Reports
Maternal Health Tracking
Laboratory Services
Diagnostic Monitoring
Staff Details
Human Resource Reporting
PHC Performance
Facility Monitoring