Modi’s push for digitisation of citizen well being data: What does it imply


Aditi Tandon

Tribune News Service

New Delhi, August 15

Prime Minister Narendra Modi’s Digital Health Mission push includes an bold

authorities plan to digitise well being data of all Indians by 2022.

The mission construction will move from a plan drafted final yr by the National Institute for Transforming India which gives for the creation of a nationwide digital well being framework usable by the Centre and the states throughout authorities and personal sectors, a framework resting on two pillars — nationwide well being registry and private well being data of residents.

Titled “National Health Stack: Strategy and Approach”, the paper’s goal is articulated by VK Paul, member (Health), NITI Aayog, says: “The National Health Stack (NHS) represents a holistic platform that supports a multitude of health verticals and their disparate branches, and is capable of integrating future IT solutions for a sector poised for rapid, disruptive changes and unforeseen twists. It is now conceivable to aim for digital health records for all citizens by the year 2022.”

The Aayog says the rapid use of NHS is to supply monetary safety of Rs 5 lakh yearly to 10.74 crore poor households beneath the Prime Minister’s Jan Aarogya Yojna, including that it could steadily transcend the NHPS to allow healthcare provision and information sharing digitally.

The mission proposes National Health Electronic Registries “to create a single source of health information and manage master health data of the nation” and private well being data to permit “consent-based flow of citizens’ health records to stakeholders who require this data to deliver value-added services to the user”.

Another pillar of the NHS is Personal Health Records (PHR) of well being customers to be saved, as defined on Saturday by the Prime Minister, who stated the digital well being card or residents would include all health-related data and would scale back bodily interface with the assistance from digital applied sciences.

“Personal Health Record refers to the integrated view of all data related to an individual across various health providers, comprising his medical history, medication and allergies, immunization status, laboratory test results, radiology images, vital signs, personal statistics such as age and weight, demographics and billing information, and multiple health applications. Because health data is sensitive, the design and implementation must ensure the right level of privacy and security for health data, thus, the PHR is maintained in a secure and private environment, with the individual determining rights of access,” says the paper which is the idea for the Digital Health Mission.

Personal information privateness is proposed to be ensured by well being information fiduciaries (trustees) that may facilitate consent-driven interplay between entities producing well being information and people desirous to devour information for higher service supply.

The doc reads: “The NHS design is geared to generate vast amounts of data resulting in some of the largest health databases with secured aggregated data that will put India at the forefront of medical research in the world.”

About the paper, VK Paul says: “Various layers of the NHS will seamlessly link to support national health electronic registries, a coverage and claims platform, a federated personal health records framework, a national health analytics platform and other horizontal components. The stack will embrace health management systems of public health programs and socio-demographic data systems. The population-level base of such an IT system would be individual health record logged through the health and wellness centres in rural areas and corresponding primary health care in urban areas.”

Under the NHS, NITI Aayog proposes distinctive digital well being IDs for everybody who registers and likewise digital registries of healthcare suppliers (hospitals, clinics, labs), beneficiaries, docs, insurers and ASHAs.

The paper additionally reads: “All registries will have open Application Programming Interfaces for publishing and consent-based access by authorised entities.”

Niti Ayog’s session paper on National Health Stack on privateness

“Data privacy is important and will be a critical part of the design of the Stack. All data access must be through API calls to ensure centralized management of security controls. Direct access will be prohibited for internal modules. Sensitive health data about individuals will be encrypted at rest. Tools to enable breach investigations will be present.”

Proposed to be saved

Personal well being data of customers — their medical historical past, remedy and allergic reactions, immunisation standing, laboratory take a look at outcomes, radiology photos, important indicators, private statistics similar to age and weight, demographics and billing data.

Benefits cited for individuals

  • Improved affordability of well being companies by justified pricing, instantaneous adjudication and on-time fee of claims
  • Increased entry and availability of service suppliers by “faster adjudication of claims feature” for service suppliers

Benefits cited for presidency

  • Potentially place India on the forefront of medical analysis globally because the design is geared to generate huge quantities of knowledge leading to among the largest well being databases with secured anonymised aggregated information
  • Adopt data-driven policymaking by real-time analytics
  • Reduce the price of healthcare by improved fraud detection



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