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1. It lays out the ‘building blocks’ for the implementation of the National Health
Stack (NHS), which aims to deploy Artificial Intelligence (AI) in leveraging health
records.
2. Keeping true to the government’s larger agenda, of ‘data as a public good’, the
blueprint proposes the linking of multiple databases to generate greater and
granular data that can be leveraged by the public as well as private sector –
including insurance companies, hospitals, apps and researchers.
3. The blueprint proposes a National Digital Health Mission “as a purely government
organisation with complete functional autonomy adopting some features of some
of the existing National Information Utilities like UIDAI and GSTN.”
Objectives:
3. Promoting the adoption of open standards by all the actors in the National
Digital Health Ecosystem.
3. Rich resource of health data that can be used for Research & development purposes
using Big Data analytics, artificial intelligence etc.
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8. Important for development of the fields of the future – precision medicine, gene-
based therapies etc
Concerns:
1. This National Blueprint illustrates yet another example of the Centre moving
forward with a major digitisation program involving the data of millions of
citizens without a data protection law in place.
2. Data security is a prerequisite for any data movement. Currently, data privacy in
health is a gray area.
3. Data researchers and activists have expressed concerns about the development of
this policy, which proposes a health data set-up on a foundation of India Stack –
a bouquet of privately-owned proprietary software applications.
Scope of NDHM:
1. The NDHB described in the previous chapters indicates, at different places, the
contours of the Scope of work to be done if a digital health eco-system is to be
established in the country.
2. It is necessary to identify, collate and analyze all these work items to know the
precise scope of NDHM. The following requirements culled from the previous
chapters help us define the Scope more precisely:
1. Health and Well-being for ALL;
4. Citizen-centric Services;
5. Quality of Care;
9. The Action Plan must be designed to ensure that the scope as above is well-
served.
Expected Outcomes:
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Introduction:
National Health Authority (NHA), which is the implementing agency for the Pradhan
Mantri Jan Arogya Yojana, has also been working on creating a digital health
ecosystem, complete with a personal health ID for every Indian, identifiers for doctors
and health facilities and personal health records.
1. The mission envisages an integrated platform for the healthcare in the country. The
platform will serve as the focal point of a complete digital health ecosystem.
2. It will contain:
1. personal health ID for every Indian
3. registry of doctors
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1. It is essential that clear outcomes are laid down for a major initiative like the NDHM,
so that all the stakeholders can work towards achieving a common set of goals.
2. The outcomes listed here are again culled from the previous chapters and collated
for a holistic view. The various artefacts and deliverables of NDHM should be
designed and developed in such a manner as to enable us to move in the direction
of the outcomes.
3. All citizens should be able to access their Electronic Health Records in a convenient
manner, preferably within 5 clicks.
4. Citizens need to undergo any diagnostic test ONCE ONLY, during the course of an
episode, despite taking treatment from different health service providers.
5. Citizens should get Integrated Health Services at a single point, though multiple
agencies/ departments/ services providers are involved;
6. NDHM shall assure Continuum of Care to the citizens, across primary, secondary
and tertiary care and across public and private service providers;
9. Privacy of personal and health data, and consent-based access of EHRs will be the
inviolable norm that shall be complied by all systems and stakeholders;
11. NDHM will enable evidence-based interventions in the area of public health;
12. Above all, the analytical capabilities of NDHM will support data-driven decision-
making and policy analysis.
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