The Hospital Automation System is a key component of the Shared Health Record initiative, implemented by the Management Information System (MIS) under the HIS and e-Health operational plan of the Directorate General of Health Services (DGHS) of the Ministry of Health and Family Welfare. This system involves the use of information technology or digital methods in all hospital activities and coordinating them to ensure the delivery of quality services at the appropriate time with minimal cost. The journey of this initiative in Bangladesh began in the fiscal year 2011-12 with the automation of the National Institute of Kidney Diseases and Urology, the Government Employees Hospital, and the Mohammadpur Fertility Center. Subsequently, in the fiscal year 2012-13, the National Institute of Cardiovascular Diseases (NICVD), the National Institute of Traumatology and Orthopedic Rehabilitation (NITOR), and the Bangladesh Secretariat Clinic were included under this automation program. Currently, 67 hospitals in the country are under this initiative, with ongoing efforts to implement this automation in an additional 50 hospitals. Gradually, this initiative will be expanded to all health institutions in the country.

The Hospital Automation System is prepared by integrating three software systems: Open Medical Record System (OpenMRS), Open ELIS (OpenELIS), and Odoo, with the central human resource management. This system is capable of exchanging health information and is connected with the Shared Health Record system. International standards such as FHIR, ICD, SNOMED CT, LOINC, ICHI, and DICOM have been followed in this implementation.