UPSC Prelims Practice Questions — Update on ABDM

Q1. Under the Ayushman Bharat Digital Mission (ABDM), the ABHA number is best described as which one of the following?

  • A. A unique identifier that lets a citizen link and access their own digital health records on a consent basis
  • B. A verification ID issued only to healthcare professionals enrolled on the Healthcare Professionals Registry
  • C. A facility licence code assigned to hospitals and clinics enrolled on the Health Facility Registry
  • D. A health-insurance policy number issued to beneficiaries under Ayushman Bharat PM-JAY

Q2. As on 20 July 2026, and setting aside ABHA health accounts, which one of the following ABDM registries had recorded the largest number of registered entries?

  • A. Healthcare Professionals Registry (HPR)
  • B. Health Facility Registry (HFR)
  • C. Drug Registry
  • D. National Health Claims Exchange (NHCX) registry

Q3. With reference to the building blocks of the Ayushman Bharat Digital Mission, consider the following: 1. ABHA — a unique health account/ID for citizens. 2. HFR — a registry of verified healthcare facilities such as hospitals and clinics. 3. HPR — a registry of verified drugs and pharmaceutical products. 4. HIE-CM — a framework enabling consent-based exchange of health information. Which of the above is/are NOT correctly identified?

  1. ABHA — a unique health account/ID for citizens.
  2. HFR — a registry of verified healthcare facilities such as hospitals and clinics.
  3. HPR — a registry of verified drugs and pharmaceutical products.
  4. HIE-CM — a framework enabling consent-based exchange of health information.
  • A. 1 and 3 only
  • B. 3 only
  • C. 2 and 4 only
  • D. 3 and 4 only

Q4. As on 20 July 2026, approximately how many health facilities had been registered on the Health Facility Registry (HFR) maintained under ABDM?

  • A. 5.36 lakh
  • B. 10.09 lakh
  • C. 94.87 crore
  • D. 23.21 crore

Q5. The countrywide implementation of the Ayushman Bharat Digital Mission was formally approved by which authority, and on what financial basis?

  • A. The Union Cabinet, with an outlay of Rs. 1,600 crore for five years
  • B. The NITI Aayog, with an outlay of Rs. 1,600 crore for five years
  • C. The Governing Board of the National Health Authority, under the National Health Policy 2017
  • D. Parliament, through the Ayushman Bharat Digital Mission Act, 2021

Q6. With reference to the launch and approval of ABDM, consider the following: 1. It was launched nationwide by the Prime Minister on 27 September 2021. 2. Its precursor, the National Digital Health Mission, was piloted in six Union Territories from 15 August 2020. 3. The Union Cabinet sanctioned Rs. 1,600 crore for the mission over five years. 4. It is anchored in the National Health Authority under the Ministry of Electronics and Information Technology. Which of the above is/are correctly identified?

  1. It was launched nationwide by the Prime Minister on 27 September 2021.
  2. Its precursor, the National Digital Health Mission, was piloted in six Union Territories from 15 August 2020.
  3. The Union Cabinet sanctioned Rs. 1,600 crore for the mission over five years.
  4. It is anchored in the National Health Authority under the Ministry of Electronics and Information Technology.
  • A. 1, 2 and 3 only
  • B. 1 and 4 only
  • C. 2, 3 and 4 only
  • D. 1, 2, 3 and 4

Q7. The National Digital Health Blueprint (NDHB), which laid out the architecture later adopted by ABDM, was released how many years before ABDM's nationwide launch?

  • A. 2 years
  • B. 1 year
  • C. 4 years
  • D. 6 years

Q8. The National Health Stack (2018), a strategic framework that preceded and informed ABDM, was released by which one of the following?

  • A. NITI Aayog
  • B. Ministry of Health and Family Welfare
  • C. National Health Authority
  • D. Ministry of Electronics and Information Technology

Q9. In which year did the cumulative number of ABHA accounts first cross the 50-crore mark?

  • A. 2023
  • B. 2022
  • C. 2024
  • D. 2025

Q10. With reference to the growth of ABHA accounts, consider the following: 1. ABHA accounts grew from 14.7 crore in 2021 to over 84.5 crore by 2025. 2. ABDM crossed the 90-crore ABHA milestone in 2026. 3. Every ABHA account created is permanently and irrevocably linked to at least one health record. 4. As on 20 July 2026, more than 94 crore ABHA accounts had been created. Which of the above is/are correctly identified?

  1. ABHA accounts grew from 14.7 crore in 2021 to over 84.5 crore by 2025.
  2. ABDM crossed the 90-crore ABHA milestone in 2026.
  3. Every ABHA account created is permanently and irrevocably linked to at least one health record.
  4. As on 20 July 2026, more than 94 crore ABHA accounts had been created.
  • A. 1, 2 and 4 only
  • B. 1, 2 and 3 only
  • C. 2, 3 and 4 only
  • D. 1 and 3 only

Q11. Under ABDM, the Health Information Exchange and Consent Manager (HIE-CM) is best described as which one of the following?

  • A. A framework that enables sharing of a patient's health records only after the patient's informed consent
  • B. A central government database that permanently stores all citizens' health records in one location
  • C. A system that automatically shares every patient's records with all empanelled hospitals
  • D. A gateway that all hospitals must compulsorily use for every insurance claim

Q12. At the time ABDM crossed 100 crore health records linked with ABHA, which State had linked the largest number of health records?

  • A. Uttar Pradesh
  • B. Andhra Pradesh
  • C. Bihar
  • D. Rajasthan