e-health-intiatives

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জাতীয় স্বাস্থ্য পোর্টাল

নির্ভরযোগ্য স্বাস্থ্য সংক্রান্ত তথ্য পাওয়ার প্রবেশপথ

www.nhp.gov.in

এন এইচ পি ভয়েস ওয়েব (টোল ফ্রি): 1800-180-1104

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NeHA was proposed to be set up in 2015 as a promotional, regulatory and standards-setting organization in Health Sector with the following vision, goal, and objectives:

Vision: Attainment of high quality of health services for all Indians through the cost-effective and secure use of information and communication technologies in health and health-related fields.

Goal : To ensure development and promotion of eHealth ecosystem in India for enabling, the organization, management and provision of effective people-centred health services to all in an efficient, cost-effective and transparent manner.

Objectives

  • To formulate “National eHealth Policy and Strategy” for coordinated eHealth adoption in the country
  • To oversee orderly evolution of eHealth initiatives (state and nationwide) and to guide adoption of eHealth at various levels and in different geographical and health system areas
  • To promote setting up of state health records repositories and health information exchanges (HIEs) to facilitate interoperability
  • To formulate and manage all health informatics standards for India
  • To lay down data management, privacy and security policies, guidelines and health records of patients in accordance with statutory provisions
  • To enforce the laws and regulations relating to the privacy, confidentiality, and security of the patient's health information and records
  • To coordinate efforts across departments and ministries, and liaise with other related policy/regulatory groups to ensure consistency and coherence
  • To help enable ecosystem that involves stakeholders to improve care delivery and health outcomes
  • To map continuous evolution of the eHealth landscape and take on new functions as needed

Functions envisaged

  1.  Policy and Promotion
  • To work out vision, strategy and adoption time plans, with timeframes, priorities, and road-map in respect of eHealth adoption by all stakeholders, both public and private providers, large scale hospitals and stand-alone clinics
  •  To formulate policies for eHealth adoption that are best suited to Indian context and enable accelerated health outcomes in terms of access, affordability, quality and reduction in disease mortality and morbidity
  •  To engage with stakeholders through various means so that eHealth plans ae adopted and other policy, regulatory and legal provisions are implemented by both the public and private stakeholders
  •  To provide thought leadership, in the areas of eHealth
  •  To effectively promote adoption of eHealth in the country, NeHA would have the mandate to set up an agency to provide oversight, handholding, capacity building, etc. 

         2. Standards Development, release, and maintenance

  •  NeHA will oversee and actively work with all relevant stakeholders including SDOs for formulation and adoption of health informatics standards
  •  NeHA will act as a focal agency for participation or engagement with global SDOs in eHealth such as IHTSDO. It will undertake all activities leading to adoption and release of suitable standards and Indian profiles

         3. Legal Aspects including Regulation

  •  NeHA will act as an enforcement agency with suitable mandate and powers
  •  NeHA will be responsible for enforcement of standards and ensuring security, confidentiality, and privacy of patient’s health information and records

         4. Setting up Electronic Health Exchanges for interoperability

  • NeHA will prepare technical and policy documents relating to architecture, standards, policies, and guidelines for eHealth record repositories and HIEs
  • NeHA may also initiate Proof of Concept (PoCs), in close consultation with government - centre and states, industry, implementers and users
  • NeHA would lay down operational guidelines and protocols, policies for sharing and exchange of data, audit guidelines and the like; these shall be guided by experience in operation and use of PoC, global best practices and consultations with stakeholders (MoHFW, State governments and other public and private providers, academia, R&D labs, and others)

         5. Capacity Building

  •  NeHA would co-work with academic institutions to spread awareness on Health Informatics and eHealth to health care delivery professionals. NeHA would provide inputs, in terms of areas of need / requirement of different courses according to the background of the learners, to academic institutions

         6. Certification Framework

  •    NeHA will collaborate and work with STQC, Department of Electronics and IT (DeitY) in creating a certification model for certification of HER products, STQC is envisaged to function as the certification body

         7. Other Functions

  • Incidental to the discharge of it’s functions or as assigned to NeHA by the government or parliament or as the situation warrants

 

 

Electronic Health Record (EHR) Standards- 2016 for India

Introduction

The Ministry of Health and Family Welfare, Government of India had introduced a uniform standard- based system for creation and maintenance of Electronic Health Records (EHRs) by the health care providers with the notification of EHR Standards for India in 2013 with an intent to bring standardisation and homogeneity, inter-operability in capture, storage, transmission & use of healthcare information across various Health IT systems.

An Electronic Health Record (EHR) is a collection of various medical records that get generated during any clinical encounter or events. The purpose of collecting medical records is to provide evidence based care, increasingly accurate and faster diagnosis that translates into better treatment at lower costs of care, avoid repeating unnecessary investigations.

With the passage of time, the EHR standards 2013 were revised in line with the contemporary developments, in consultation with the stakeholders at large; and EHR Standards 2016 has been notified for adoption in IT systems by health care institutions/ providers across the country.

With the advent of the envisaged system of EHRs of citizens in an inter-operable manner pan-nation, online availability and accessibility would be ensured. This would facilitate continuity of care, better health outcome and better decision support system and is expected to help in reducing expenditure on avoidable repetitive and similar diagnostic tests.

Strategic Highlights

EHR Standards 2016 document consists of key EHR standards with respect to Indian healthcare system. For every aspect of data/information that is part of any healthcare record system has been addressed with a short guideline regarding implementation specific to the item-in-context included.

Various nonrelated recommendations from previous edition have been removed to better streamline the set of standards selected and achieve harmony among them.

A detailed recommendation on the interoperability and standards, clinical informatics standards, data ownership, privacy and security aspects, and the various coding systems are also provided.

The set of standards given in earlier edition has been updated with their latest versions as the country moves towards a better implementation.

Certain sections of the document have been removed to provide increased readability and consistency throughout while avoiding duplication, ambiguity and contradictions.

Scope

The document ‘EHR Standards 2016’ provides a set of recommendations relevant to adoption of electronic health informatics standards in EHR/EMR and other similar clinical information systems.

The scope is limited to identifying the standards, their intended purposes in such systems, followed by a short guideline-for-implementation approach. It is understood that with adoption of these standards properly, the data capture, storage, view, presentation, and transmission will be standardized to levels that will achieve interoperability of both meaning and data contained in the records.

This document does not cater to wider implementation scenarios such as of administrative, legal or regulatory nature. This document also does not cater to aspects of creation and operation of local, regional or national infrastructures, indexes, or repositories as they are dealt with by appropriate regulative/administrative bodies.

Vision

To provide a set of international and proven standards with focus towards achieving syntactic and semantic interoperability of health records. The idea is that any person in India can go to any health service provider/practitioner, any diagnostic center or any pharmacy and yet be able to access and have fully integrated and always available health records in an electronic format for efficient 21st century healthcare delivery and these will need to undergo periodic review and update as necessary.

Goals

The goals of standards in electronic health record systems are:

  • Promote interoperability and where necessary be specific about certain content exchange and vocabulary standards to establish a path forward toward semantic interoperability
  • Support the evolution and timely maintenance of adopted standards.
  • Promote technical innovation using adopted standards.
  • Encourage participation and adoption by all vendors and stakeholders.
  • Keep implementation costs as low as reasonably possible
  • Consider best practices, experiences, policies and frameworks
  • To the extent possible, adopt standards that are modular and not interdependent.

Standards- (for detailed information - click here )

  • Identification and Demographic Information of Patient
  • Architecture Requirements and Functional Specifications
  • Logical Information Reference Model and Structural Composition
  • Medical Terminology and Coding Standards
  • Data Standards for Image, Multimedia, Waveform, Document
  • Data Exchange Standards
  • Other Standards Relevant to Health Care Systems
  • Discharge /Treatment Summary Format
  • E-Prescription
  • Personal Healthcare and Medical Devices Interfacing
  • Principles of Data Change
  • Guidelines
    • Hardware, Networking and Connectivity, Software Standards
    • Health Records in Mobile Devices
  • Data Ownership of Health Records
  • Data Privacy and Security

Interoperability standards

The primary aim of interoperability standards is to ensure syntactic (standardisation of the communication between a software client and a server)) and semantic (the ability of services and systems to exchange data in a meaningful/useful way)) interoperability of data amongst systems at all times.

EHR Standards Helpdesk

MoHFW has established a Centre of Excellence named as National Resource Centre for EHR Standards (NRCeS) at C-DAC, Pune to accelerate and promote adoption of EHR standards in India; and made SNOMED CT free-for-use in the country.

(SNOMED CT (Systematized Nomenclature of Medicine -- Clinical Terms) is a standardized, multilingual vocabulary of clinical terminology that is used by physicians and other health care providers for the electronic exchange of clinical health information.)

Know more about

Electronic Health Record (EHR) Standards 2016 for India

Electronic Health Record (EHR) Standards - 2013

National Resource Centre for EHR

SNOMAD CT

 Draft Digital Information Security in Health Care Act.(DISHA)

Integrated Health Information Platform (IHIP)

References-

https://mohfw.gov.in/sites/default/files/17739294021483341357_1.pdf

http://pib.nic.in/newsite/PrintRelease.aspx?relid=175383

Updated on December 2018