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NDHM & What it means to be Integration Ready

5 minutes read

The healthcare industry in India has been steadily growing at a Compound Annual Growth Rate of around 22% since 2016 and is expected to reach USD 372 billion in 2022. 

NITI Aayog released a report titled ‘Investment Opportunities in India’s Healthcare Sector’ published by PIB which states that “The Indian Healthcare market is expected to reach $190 Bn by 2020; $372 Bn by 2022 at a CAGR of 39% The digital healthcare market in India was valued at INR 116.61 Bn in 2018, and is estimated to reach INR 485.43 Bn by 2024, expanding at a compound annual growth rate (CAGR) of ~27.41% during the 2019-2024 period.” 

The expansion of private hospitals to Tier-2 and Tier-3 cities is looking like an attractive investment opportunity in the hospital segment. With respect to the pharmaceutical industry, India is likely to boost domestic manufacturing, supported by recent Government schemes under the Aatmanirbhar Bharat initiative.

Wellness tourism, under the medical value travel diaspora, has given an impetus to the rise of alternative medicine and treatment prospects. Technology, by way of innovations in Artificial Intelligence (AI), wearable technologies, and the Internet of Things, also offer multiple avenues. 

The Indian healthcare system is fast-moving towards a wellness-driven model of care delivery from an otherwise historically siloed and episodic intervention approach. This streamlining of the healthcare system creates a wealth of new opportunities for healthcare enterprises and institutions. The hospital industry in India accounts for nearly 60% of the overall health ecosystem’s revenues. The addition of new frameworks for Health ID, PHR, telemedicine, and OPD insurance will create macro-level demand beyond local in-patient catchment zones.

Traditional modes of healthcare delivery are being phased out in favor of new and disruptive models. The COVID-19 pandemic and its subsequent waves have changed consumer demand and given a big push for the need for a digital healthcare ecosystem. 

Source: Mantra Labs Whitepaper, March 2021

The National Health Stack (NHS), a digital platform with the aim to create universal health records for all Indian citizens by 2022, aims to bring both central and state health verticals under the same umbrella. 

The action plan to fulfill the creation of the NHS is laid out in the National Digital Health

Blueprint (NDHB), which also outlines the vision for Universal Health Coverage, that’s been in the pipeline for India’s underprivileged. This is where the National Digital Health Mission (NDHM) comes into the picture, as the entity responsible for the successful implementation of the aforementioned Blueprint and subsequent Health Stack. 

The blueprint recommends two building blocks namely, Personal Health Identifier (PHI), and Health Master Directories & Registries, for handling the requirements of a unique identity (much akin to Aadhar) of persons, facilities, diseases, and devices. These building blocks that India is creating for its 1.4 billion citizens are said to be equipped with an interoperability option to seamlessly access digital records.

With rapid rates of digitalization and increasing demands from connected consumers, an integrated ecosystem will allow healthcare providers to deliver value-based care and outcomes in a real-world scenario. The NDHE can potentially create over US$200 billion in economic value for the health sector, over the next 10 years, according to BCG analysis. 

The National Digital Health Blueprint (NDHB) underlines key principles which include domain perspectives namely, Universal Health Coverage, Security & Privacy, Education & Empowerment, and Inclusiveness of citizens; and the technology perspective namely, Building Blocks, Interoperability, a set of Registries as single sources of truth, Open Standards and Open APIs.

Source: Mantra Labs Whitepaper, March 2021 

How integration-ready are we? 

Most hospitals in India continue to use paper-based medical records and verbal procedures to communicate among doctors and nurses for a patient’s treatment. This causes serious implications such as lack of transparency, lack of accountability, error-prone treatment, non-integrated patient health records, difficulty to understand the past medical history, poor collaboration within a team of doctors, a higher threat to infection, and a lack of progress towards adopting AI/ML-based technologies. As the consumer is being ushered into the ‘age of experiences‘, the onus is on digital healthcare enterprises to make them more relevant, emotional, and personalized.

Source: Mantra Labs Whitepaper, March 2021

An integration engine is not only an interface engine but also a healthcare integration platform that supports the day-to-day operations of a care delivery organization. From interfaces to workflow to operational decisions, integration engines assist in modernizing the healthcare system.

Source: Mantra Labs Whitepaper, March 2021 

By preparing for integration readiness, healthcare providers can access new patient demand pools from Tier-2 and Tier-3 cities, identify insights about the health consumer’s lifecycle needs, and leverage new technologies to draw in more value from these interactions than ever before.

As a result, hospitals will be able to drive improved margins from reduced administrative costs and gain higher utilization through increased demand. 

Healthcare experiences future will include insights harnessed from data and human expertise to bring sensory value to each interaction, in other words, the integration of IX or Intelligent Experiences.

Read our detailed Digital Health whitepaper to get more insights into NDHM and what it means to be integration-ready. 

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Lake, Lakehouse, or Warehouse? Picking the Perfect Data Playground

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In 1997, the world watched in awe as IBM’s Deep Blue, a machine designed to play chess, defeated world champion Garry Kasparov. This moment wasn’t just a milestone for technology; it was a profound demonstration of data’s potential. Deep Blue analyzed millions of structured moves to anticipate outcomes. But imagine if it had access to unstructured data—Kasparov’s interviews, emotions, and instinctive reactions. Would the game have unfolded differently?

This historic clash mirrors today’s challenge in data architectures: leveraging structured, unstructured, and hybrid data systems to stay ahead. Let’s explore the nuances between Data Warehouses, Data Lakes, and Data Lakehouses—and uncover how they empower organizations to make game-changing decisions.

Deep Blue’s triumph was rooted in its ability to process structured data—moves on the chessboard, sequences of play, and pre-defined rules. Similarly, in the business world, structured data forms the backbone of decision-making. Customer transaction histories, financial ledgers, and inventory records are the “chess moves” of enterprises, neatly organized into rows and columns, ready for analysis. But as businesses grew, so did their need for a system that could not only store this structured data but also transform it into actionable insights efficiently. This need birthed the data warehouse.

Why was Data Warehouse the Best Move on the Board?

Data warehouses act as the strategic command centers for enterprises. By employing a schema-on-write approach, they ensure data is cleaned, validated, and formatted before storage. This guarantees high accuracy and consistency, making them indispensable for industries like finance and healthcare. For instance, global banks rely on data warehouses to calculate real-time risk assessments or detect fraud—a necessity when billions of transactions are processed daily, tools like Amazon Redshift, Snowflake Data Warehouse, and Azure Data Warehouse are vital. Similarly, hospitals use them to streamline patient care by integrating records, billing, and treatment plans into unified dashboards.

The impact is evident: according to a report by Global Market Insights, the global data warehouse market is projected to reach $30.4 billion by 2025, driven by the growing demand for business intelligence and real-time analytics. Yet, much like Deep Blue’s limitations in analyzing Kasparov’s emotional state, data warehouses face challenges when encountering data that doesn’t fit neatly into predefined schemas.

The question remains—what happens when businesses need to explore data outside these structured confines? The next evolution takes us to the flexible and expansive realm of data lakes, designed to embrace unstructured chaos.

The True Depth of Data Lakes 

While structured data lays the foundation for traditional analytics, the modern business environment is far more complex, organizations today recognize the untapped potential in unstructured and semi-structured data. Social media conversations, customer reviews, IoT sensor feeds, audio recordings, and video content—these are the modern equivalents of Kasparov’s instinctive reactions and emotional expressions. They hold valuable insights but exist in forms that defy the rigid schemas of data warehouses.

Data lake is the system designed to embrace this chaos. Unlike warehouses, which demand structure upfront, data lakes operate on a schema-on-read approach, storing raw data in its native format until it’s needed for analysis. This flexibility makes data lakes ideal for capturing unstructured and semi-structured information. For example, Netflix uses data lakes to ingest billions of daily streaming logs, combining semi-structured metadata with unstructured viewing behaviors to deliver hyper-personalized recommendations. Similarly, Tesla stores vast amounts of raw sensor data from its autonomous vehicles in data lakes to train machine learning models.

However, this openness comes with challenges. Without proper governance, data lakes risk devolving into “data swamps,” where valuable insights are buried under poorly cataloged, duplicated, or irrelevant information. Forrester analysts estimate that 60%-73% of enterprise data goes unused for analytics, highlighting the governance gap in traditional lake implementations.

Is the Data Lakehouse the Best of Both Worlds?

This gap gave rise to the data lakehouse, a hybrid approach that marries the flexibility of data lakes with the structure and governance of warehouses. The lakehouse supports both structured and unstructured data, enabling real-time querying for business intelligence (BI) while also accommodating AI/ML workloads. Tools like Databricks Lakehouse and Snowflake Lakehouse integrate features like ACID transactions and unified metadata layers, ensuring data remains clean, compliant, and accessible.

Retailers, for instance, use lakehouses to analyze customer behavior in real time while simultaneously training AI models for predictive recommendations. Streaming services like Disney+ integrate structured subscriber data with unstructured viewing habits, enhancing personalization and engagement. In manufacturing, lakehouses process vast IoT sensor data alongside operational records, predicting maintenance needs and reducing downtime. According to a report by Databricks, organizations implementing lakehouse architectures have achieved up to 40% cost reductions and accelerated insights, proving their value as a future-ready data solution.

As businesses navigate this evolving data ecosystem, the choice between these architectures depends on their unique needs. Below is a comparison table highlighting the key attributes of data warehouses, data lakes, and data lakehouses:

FeatureData WarehouseData LakeData Lakehouse
Data TypeStructuredStructured, Semi-Structured, UnstructuredBoth
Schema ApproachSchema-on-WriteSchema-on-ReadBoth
Query PerformanceOptimized for BISlower; requires specialized toolsHigh performance for both BI and AI
AccessibilityEasy for analysts with SQL toolsRequires technical expertiseAccessible to both analysts and data scientists
Cost EfficiencyHighLowModerate
ScalabilityLimitedHighHigh
GovernanceStrongWeakStrong
Use CasesBI, ComplianceAI/ML, Data ExplorationReal-Time Analytics, Unified Workloads
Best Fit ForFinance, HealthcareMedia, IoT, ResearchRetail, E-commerce, Multi-Industry
Conclusion

The interplay between data warehouses, data lakes, and data lakehouses is a tale of adaptation and convergence. Just as IBM’s Deep Blue showcased the power of structured data but left questions about unstructured insights, businesses today must decide how to harness the vast potential of their data. From tools like Azure Data Lake, Amazon Redshift, and Snowflake Data Warehouse to advanced platforms like Databricks Lakehouse, the possibilities are limitless.

Ultimately, the path forward depends on an organization’s specific goals—whether optimizing BI, exploring AI/ML, or achieving unified analytics. The synergy of data engineering, data analytics, and database activity monitoring ensures that insights are not just generated but are actionable. To accelerate AI transformation journeys for evolving organizations, leveraging cutting-edge platforms like Snowflake combined with deep expertise is crucial.

At Mantra Labs, we specialize in crafting tailored data science and engineering solutions that empower businesses to achieve their analytics goals. Our experience with platforms like Snowflake and our deep domain expertise makes us the ideal partner for driving data-driven innovation and unlocking the next wave of growth for your enterprise.

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