NABH 6th edition · effective 1 January 2025

NABH 6th-edition records, without the register shelf.

The 6th edition put digital health at the centre — EMR, ABDM, antimicrobial stewardship, cybersecurity. OneCity supplies the structured records and quality indicators an assessor expects.

639 Objective Elements
105 core OEs
1 Jan 2025 effective
NABH 6th edition

The 6th edition went digital. Your records have to keep up.

NABH released the 6th edition of its hospital accreditation standards, effective for all new applications from 1 January 2025. The edition trimmed Objective Elements from 651 to 639 while raising Core OEs to 105, and put explicit weight on digital health: electronic medical records, ABDM integration, antimicrobial stewardship, and hospital cybersecurity. Hospitals with 5th-edition accreditation move to the 6th at their next assessment.

The practical shift: an assessor now expects to see structured digital records, not a shelf of registers. A hospital that maintains EMR and links to ABDM scores materially higher. That is where the software either helps you or holds you back.

Effective 1 Jan 2025 639 OEs · 105 core Digital health emphasis AMR stewardship
Assessor checklist → module

What the 6th edition looks for, and where OneCity puts it.

Accreditation is granted to the hospital by NABH. OneCity supplies the records, formats and indicator tracking the assessment expects.

6th-edition focusWhat the assessor checksOneCity module
Electronic Medical RecordsStructured, retrievable clinical recordClinical Records & EMR
ABDM integrationABHA linkage, consent-gated sharingABDM Gateway (HIP/HIU, FHIR R4)
Quality indicatorsSSI rate, VAP, CLABSI, wait timesQuality & KPI dashboard
Antimicrobial stewardshipAMS program, restricted-antibiotic logPharmacy + AMS tracker
Consent & patient identifiersPurpose-bound consent, unique IDConsent & Privacy Ledger
Discharge summary formatNABH-format discharge documentDischarge module (NABH template)
CybersecurityAccess control, audit trail, breach logRole matrix + audit ledger (DPDP 2023)
Straight answers

Questions administrators ask.

When did NABH 6th edition come into effect?

The 6th edition of NABH hospital accreditation standards is effective for all new accreditation applications from 1 January 2025. Hospitals accredited under the 5th edition transition at their next assessment.

Is EMR mandatory under NABH 6th edition?

The 6th edition strongly emphasises electronic medical records and ABDM integration. While a hospital is not barred for paper in every element, digital records score materially higher, and the edition increased digital-documentation expectations. OneCity provides structured EMR and ABDM linkage out of the box.

How many Objective Elements are in the 6th edition?

The 6th edition has 639 Objective Elements, reduced from 651 in the 5th edition, with Core OEs raised to 105. It adds focus areas including antimicrobial stewardship, sustainability and cybersecurity.

Does OneCity make my hospital NABH accredited?

No. Accreditation is granted by NABH after assessment. OneCity supplies the digital records, NABH-format documents and quality-indicator tracking the assessors expect, which shortens preparation and raises the digital-health score.

Walk into your assessment with the digital file ready.

We'll map your hospital against the 6th-edition focus areas on a live demo — EMR, ABDM, AMS, discharge format.