ACCESS HEALTH DIGITAL *Standards mentoring partner

Stamp of Confidence
AHD Stamp of Confidence

The AHD Stamp of Confidence is a mark of

accomplishing technical and functional
compliance to the recommended standards laid
out in the National Digital Health
Blueprint(NDHB).
This milestone is recognized with the issuance of
the Stamp of Confidence which certifies the area
and stage of compliance.
Tiered Compliance Stages
Stage 1 Stage 2 Stage 3 Stage 4
Stage 1 Stage 2 Stage 3 Stage 4
• 1A: • Terminology standards: • Terminology standards: • MeitY Standardization
• Terminology Standards • Health Data Dictionary • Health Data Dictionary Testing and Quality
• 1B: Standards Standards Certification (STQC)
• Terminology standards • Audit Trails • Audit Trails
• Health Data Dictionary • Scalability • Scalability
Standards • eObjects (FHIR, Non-FHIR) • eObjects (FHIR, Non-FHIR)
• Audit Trails • Microservices • Microservices
• Scalability 2C: • Data Privacy & Security
• 1C: • Exceptions, Special Cases • 3C:
• Exceptions, Special Cases • Exceptions, Special Cases
Stage 1A
Standards Score 1 Score 2 Score 3 Score 4 Score 5

Terminology Have access to the Identify the Mapping logic and All data elements coded using Demonstrate
standards: required mapping elements script available applicable terminology standards the output in
ICD10, table. Identify the required to real world
SNOMED, application change be mapped
LOINC, impact.
Drug Index
Stage 1B
Standards Score 1 Score 2 Score 3 Score 4 Score 5
Terminology Have access to the Identify the Mapping logic and All data elements coded using Demonstrate
standards: required mapping elements script available applicable terminology standards the output in
ICD10, table. Identify the required to real world
SNOMED, application change be mapped
LOINC, impact.
Drug Index
Health Data Have access to the Identify the Mapping logic and Important data elements , value sets Demonstrate the
Dictionary required mapping elements script available and code directories mapped and output in real
Standards table required to implemented. world
be mapped
Audit Trails Identified the areas Configuratio Implementation of All creation, amendments, access of Demonstrate
requiring audit n-driven field level audit records should be audit logged in a the output in
logging audit logging manner that it is verifiable and real world
logging reliable. Provision of shareable
audit reports.
Scalability Application and Implement Implement API level Demonstrate – Demonstrate
Database level auto-scaling scalability Horizontal scalability, Vertical the output in
scalability available provision scalability, Functional scalability - as real world
including applicable.
use of cloud Demonstrate the auto-scaling
native capability with growing user base in
features test environment
Stage 1C
Standards Score 1 Score 2 Score 3 Score 4 Score 5

Exception N/A N/A N/A N/A N/A

approvals,
Deviations,
Special
Cases:
Stage 2
Standards Score 1 Score 2 Score 3 Score 4 Score 5
eObjects: Incorporating Mapping the Ability to generate e- Encryption & Demonstration of
Provider MDDS in the application/soluti Object Output in their Decryption e-Encounter, e-Prescription , e-
eObjects - OP, Master table on data elements respective systems implementation in e- Discharge Summary, e-Referral
IP. with data Ability to consume e- Object objects , as applicable for OP/IP
Payer eObjects elements defined Object from external workflows.
(as applicable) in MDDS system e-Claim Object for Payer-
FHIR/non-FHIR related scenarios in real world.
format
Microservices: Identifying Implementing Implementing Deploying microservice Demonstration of use of
New modules microservices as infrastructure functional as per industry-based microservices in real world.
and products per the need of microservices microservice as per practice
the system functional need.
Stage 2
Standards Score 1 Score 2 Score 3 Score 4 Score 5
Terminology Have access to the Identify the Mapping logic and All data elements coded using Demonstrate
standards: required mapping elements script available applicable terminology standards the output in
ICD10, table. Identify the required to real world
SNOMED, application change be mapped
LOINC, impact.
Drug Index
Health Data Have access to the Identify the Mapping logic and Important data elements , value sets Demonstrate the
Dictionary required mapping elements script available and code directories mapped and output in real
Standards table required to implemented. world
be mapped
Audit Trails Identified the areas Configuratio Implementation of All creation, amendments, access of Demonstrate
requiring audit n-driven field level audit records should be audit logged in a the output in
logging audit logging manner that it is verifiable and real world
logging reliable. Provision of shareable
audit reports.
Scalability Application and Implement Implement API level Demonstrate – Demonstrate
Database level auto-scaling scalability Horizontal scalability, Vertical the output in
scalability available provision scalability, Functional scalability - as real world
including applicable.
use of cloud Demonstrate the auto-scaling
native capability with growing user base in
features test environment
Stage 2C
Standards Score 1 Score 2 Score 3 Score 4 Score 5

Exception N/A N/A N/A N/A N/A

approvals,
Deviations,
Special
Cases:
Stage 3
Standards Score 1 Score 2 Score 3 Score 4 Score 5
eObjects: Incorporating Mapping the Ability to generate e- Encryption & Demonstration of
Provider MDDS in the application/solutio Object Output in their Decryption e-Encounter, e-Prescription , e-
eObjects - OP, IP Master table n data elements respective systems implementation in e- Discharge Summary, e-Referral
Payer eObjects with data Ability to consume e- Object objects , as applicable for OP/IP
(as applicable) elements defined Object from external workflows.
FHIR/non-FHIR in MDDS system e-Claim Object for Payer-related
format scenarios in real world.
Microservices: Identifying Implementing Implementing Deploying microservice Demonstration of use of
New modules microservices as infrastructure functional microservice as per industry-based microservices in real world.
and products per the need of the microservices as per functional need. practice
system
Terminology Have access to Identify the Mapping logic and All data elements Demonstrate the output in
standards: the required elements script available coded using real world
ICD10, mapping table. required to be applicable
SNOMED, Identify the mapped terminology
LOINC, application standards
Drug Index change impact.
Health Data Have access to the Identify the Mapping logic and Important data Demonstrate the output in real
Dictionary required mapping elements required script available elements , value sets world
Standards table to be mapped and code directories
mapped and
implemented.
Stage 3
Standards Score 1 Score 2 Score 3 Score 4 Score 5
Audit Trails Identified the areas Configuration- Implementation All creation, amendments, access of records Demonstrate
requiring audit driven audit of field level should be audit logged in a manner that it is the output in
logging logging audit logging verifiable and reliable. Provision of real world
shareable audit reports.
Scalability Application and Implement auto- Implement API Demonstrate – Horizontal scalability, Demonstrate
Database level scaling provision level scalability Vertical scalability, Functional scalability - as the output in
scalability available including use of applicable. Demonstrate the auto-scaling real world
cloud native capability with growing user base in test
features environment
Registries: Interface points Provision of Integrate with Connect to Doctor Registry: Demonstrate in
Doctor, identified placeholders for the registry API Demonstrate connection to Digi doctor/any the real world
Facility, the identifiers in for retrieval and Doctor registry.
Beneficiary, the application updating of data Connect to Facility Registry:
Document and database and Demonstrate connection to Healthcare
integrated with Facility Registry / National Health Facility
the workflow. Registry.
Connect to Beneficiary Registry:
Demonstrate connection to Health ID or any
beneficiary ID.
Connect to Document registry: Demonstrate
connection to Digi Locker/ any document
registry.
Stage 3
Standards Score 1 Score 2 Score 3 Score 4 Score 5
Data Privacy Implement token- Encryption of data Implementation Implement and demonstrate datacenter Demonstrate in
and Security based authentication in transit and data of all data security, security at application, database, real world
and authorization at rest security features network, interfaces, and perimeter-level.
including Digital Implementation of Consent management,
certificates, use anonymization, and de-anonymization of
of cryptography data.
keys, sensitive
data masking.
Stage 3C
Standards Score 1 Score 2 Score 3 Score 4 Score 5

Exception N/A N/A N/A N/A N/A

approvals,
Deviations,
Special Cases:
Stage 4
Standards Score 1 Score 2 Score 3 Score 4 Score 5
MeitY STQC Receive clearance certificate Quality assessment and Verification, SQTC certification Renewal and
Certification: from the HTC at NDHM verification correction, and maintenance
As per MeitY shall reach out to validation
open STQC/empaneled vendor for
standards certification/audit of the
solution/ product.
Recommended Standards and links

Drug Index: http://www.openbodhik.in/search?q=Drug+Index

SNOMED: https://www.nrces.in/standards/snomed-ct
MDDS: http://www.openbodhik.in/2020/06/mdds-for-health-standards-published-in.html
ICD 10: https://www.who.int/standards/classifications/classification-of-diseases
Provider eObjects: http://www.openbodhik.in/search?q=provider+eObjects
Payer eObjects http://www.openbodhik.in/search?q=Payer+eObjects
Audit Trails: https://ndhm.gov.in/home/ndhb
Microservices http://www.openbodhik.in/search?q=microservices
Scalability: https://ndhm.gov.in/home/ndhb
Registries: http://www.openbodhik.in/search?q=facility+registry
http://www.openbodhik.in/search?q=doctor+registry
https://sandbox.ndhm.gov.in/docs/healthid
Data Privacy and Security: https://sandbox.ndhm.gov.in/docs/cm_gateway
https://ndhm.gov.in/documents/HealthDataManagementPolicy
MeitY STQC Certification https://ndhm.gov.in/documents/sandbox_guidelines