Open healthcare infrastructure and personalised, doctor-in-the-loop care for the next billion patients.
Building the rails for accessible, multilingual, interoperable digital health - starting with rural and underserved India.
Nirvya Labs builds healthcare technology for the patients and clinicians the existing health-tech stack was never designed for - multilingual, low-connectivity, low-literacy, cost-constrained settings, starting in rural India and extending to underserved communities elsewhere.
Our work is organised in three layers:
| Layer | What it is | Open / Paid |
|---|---|---|
| Krama Core | Open, FHIR-native, ABDM-native healthcare interoperability foundation - the developer platform others build on | Open source |
| Nirvya Health | Personalised, workflow-adaptive HMS + patient-facing care apps built on Krama Core; keeps doctors in the loop | Product |
| Voice & Language AI | Ambient voice-to-text and conversational models adapted to Indian languages, dialects and accents | Proprietary models |
The interoperability layer is open so anyone can build on it without lock-in. What we operate and support - deployment, integration, compliance evidence, offline sync, SLAs, field implementation - is how we sustain the work. Our dialect-adaptive voice models and the real-world clinical-speech data behind them are our own.
Krama (क्रम) - order, sequence, a step-by-step progression. Healthcare data should flow in a clean, interoperable sequence from encounter to record to referral to follow-up. Krama Core is the foundation that makes that flow standard rather than bespoke.
- Open standards, no lock-in. FHIR R4 and ABDM-native by default. The interoperability layer stays open.
- Doctor in the loop. AI drafts; clinicians review and approve. We do not ship autonomous clinical decisions.
- The metric is the closed care loop. We measure cost per safely completed care loop - registration → encounter → referral → treatment → follow-up - not consultations delivered.
- Community control where it matters. Deployments in and with underserved communities are built on local governance and benefit-sharing, never extraction.
- Privacy and security by design. Data minimisation, consent-artifact-driven access, encryption, audit logging.
- krama-core - the open FHIR/ABDM interoperability platform (https://github.com/NirvyaLabs/krama-core))
- nirvya-health - HMS and patient-facing applications
- voice-scribe - open-weight ambient voice-to-text reference pipeline
Early-stage and active. Krama Core is in foundational development against the ABDM sandbox. We are working toward first clinical pilots in India.
- General: admin@nirvyalabs.com
- Partnerships / pilots: Nirvya Health
- Website:(https://www.nirvyalabs.com/)