National eHealth Authority (NeHA)
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.
- 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
- 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
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Electronic Health Record (EHR) Standards- 2016 for India
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.
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.
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.
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.
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
- Personal Healthcare and Medical Devices Interfacing
- Principles of Data Change
- Hardware, Networking and Connectivity, Software Standards
- Health Records in Mobile Devices
- Data Ownership of Health Records
- Data Privacy and Security
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.)
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Updated on December 2018
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List of e- Health initiatives in Andhra Pradesh
eVaidya – Telemedicine Project Pilot In Urban Health Centers (PPP)
The State has given two Urban Health centers in Vijayawada and Visakhapatnam on pilot to eVaidya, a tele, ePHC concept. 60-70 patients are being catered to at these centres. Various diagnostic tests are also being conducted at these centres with manpower being provided by the PPP Partner. Drugs are also being distributed to the patients. The EMR of the patients are hosted on cloud enabled infrastructure and the access to various MIS reports is made available.
Rashtriya Bal Swasthya Karyakram (RBSK)
Rashtriya Bal Swasthya Karyakram (RBSK) is a new initiative aimed at screening over 27 Crore children from 0 to 18 years for the 4 Ds - Defects at birth, Diseases, Deficiencies and Development Delays including Disabilities. Children diagnosed with illnesses shall receive follow up including surgeries at tertiary level, free of cost under NRHM.
The RBSK program has been enabled through a cloud based, Tablet PC system, providing dashboard based reports for various levels of administrators/doctors at all levels. Role based access management system has been designed, which helps officers at various levels to check reports as per the hierarchy.
MCTS & RCH
Tablet PC based MCTS program launched in the State. Tablet PC based RCH program to be rolled out in the State by November first week, in two pilot clusters.
Mee Arogyam – Primary Health Solution from EMC
Mee Arogyam is a pilot project launched in Visakhapatnam District on 15th August, 2015. The program is designed and being rolled out by EMC, Bangalore. The program envisages “Please include what we line of activity we intend to undertake, like NCD, CD etc”.
As a pre-cursor to the eHealth project, eHMS with SCM project (eHospital Management System with Supply Chain Management) has been conceived and the progress is as below:
- The project is World Bank funded project through the DeitY, GoI (24.97 Cr. For unified state; 14 odd Crores for AP, as per the ratio of division in the State Reorganization Act).
- The DPR was approved by the MoHFW, Government of India, before being forwarded to the DeitY, GoI for Administrative Approval and Fund sanction.
- The project covers 4 Health Facilities for end-end Hospital Management System. One Teaching Hospital, One District Hospital and Two Area Hospitals are part of the pilot phase. (KGH, Narsipatnam, Anakapalli, Tuni)
- CDAC is the Solution provider for the project. The eHMS software customization is completed for the four pilot hospitals.
- Infrastructure commissioning is in various stages of completion. Roll in the next 2-3 months.
- NIC Cloud infrastructure has been leveraged as the back-end infrastructure as directed by the MoHFW, GoI.
- SCM project has been rolled out in the entire state on 9th June, 2015. The health facilities are making optimum utilization of the program, but for a few connectivity issues at few remote places, which the Government is looking into. Around 32 Lakh transactions have already taken place online for disbursement of medicines through the system.
- The eHMS with SCM application from CDAC is HER Standards compliant and since CDAC is partaking in all the Standards/Guidelines preparation with the MoHFW, GoI, and the changes if any from time to time are being incorporated in their software.
- The application has a unique patient identifier called “CR – Central Registration” number. In the State we are also leveraging the high ratio of AADHAAR coverage, which enables in mapping the patients’ and their records through a unique identifier.
- The system is quite interoperable and already integrated with the SRDH of the State and DR.NTR Vaidyaseva (Aarogyasri) Application.
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List of e- Health initiatives in Chhattisgarh
It is an Android Tablet based reporting services for RCH. Moreover it is virtual assistant for ANM which provides reminder services i.e. job charts, work plan, due lists and budget monitoring at their finger tips which will improve the efficiency and effectiveness of service delivery.
- Resident’s data from State Family Register so that ANM need not have to use the keyboard much
- Complete web based Android application
- Sub centre dashboard shows ANM performance at a glance
- Option to transfer data to GOI MCTS/RCH portal through web service application
- Inbuilt alert system to warn and remind the service provider to counsel the beneficiaries to access the required services
- Financial reporting of untied fund and maintenance grant
- Due listing of services for Family Planning, ANC, PNC and Child Immunization
- SMS based alerts to beneficiaries and health providers for due services
- SMS alerts to Mitanins (ASHA) and Beneficiaries for reminding there due services
It is an Android tablet based Application on which IEC Material for training andcapacity building of ANM & Mitanin (ASHA) is available.
- Various scheme based awareness video compiles
- Based on type of counselling videos can be presented
- Awareness to be spread more effectively by audio visual material
- Video based Aids to the beneficiaries for awareness
(Human Resource Management Information System)
HRMIS is basically a tool to manage the HR related tasks which are being performed in the health department. This project captures or contains collective information of Health Department’s employee. This is implemented for contractual as well as regular employees working in the health department. Various facilities in Chhattisgarh’s Districts including CMHO’s are using HRMIS to get their personnel Details.
Ministry of Health And Family Welfare, Government of India, has launched a national initiative on 15th of May, 2015 to promote cleanliness and enhance the quality of public health facilities. The purpose of this initiative is to appreciate and recognise their effort to create a healthy environment. The name of this initiative is “KAYAKALP”.
The aim of Kayakalp is to:
- Promote cleanliness, hygiene and Infection Control Practices in public Health Care Facilities
- To incentivize and recognize such public healthcare facilities that show exemplary performance in adhering to standard protocols of cleanliness and infection control
- To inculcate a culture of ongoing assessment and peer review of performance related to hygiene, cleanliness and sanitation
- To create and share sustainable practices related to improved cleanliness in public health facilities linked to positive health outcomes
The awards would be distributed based on the performance of the facility on the following parameters.
- Hospital /Facility Up keeping
- Sanitation & Hygiene
- Waste Management
- Infection Control
- Support Services
- Hygiene Promotion
Nearest Health Facility
Nearest Health Facility is the e-Health Initiative started with the aim to locate user’s current position and identify the available health facilities nearby and for using GPS (Global Positioning System) co-ordinates.
- GPS based Positioning.
- Providing facility name with approximate distance from current position.
- Provides Navigation to the facility using google map.
E-Drug Indenting System
E-Drug Indenting System is an e-health initiative which works in the area of maintaining online annual demand of drugs by facilities, monthly drug inventory monitoring system and Institution based offline system for institutional delivery, birth & death register and equipment maintenance.
- Demand, Supply and issue of drugs at facility level.
- Monthly stock registers maintenance.
- Drugs consumption details being captured.
The Program targets children of 0-6 years of age group in rural areas and urban slums, in addition to older children up to 18 years of age enrolled in classes 1st to 12th in Government and Government aided schools, screening them for birth defects and various type of nutritional deficiencies, so that any permanent disability can be cured at early stage.
Its aim is to detect and manage the 4Ds prevalent in children, which are as follows:-
- Defects at birth
- Diseases in children
- Deficiency conditions
- Developmental Delays including Disabilities.
DPDMIS: DPDMIS is the abbreviation of Drug Procurement and Distribution Management Information System that will be responsible for procurement of items, medicines, vaccines at the central level thereby streamlining the procurement process for GOI supplies. DPMIS is a centralized monitoring and control of procurement & distribution function.
- Identification of Requested Items
- Forecasting & Procurement Planning
- Tender Processing
- Supply Order Issue & Delivery Schedule
- Inspection / Quality Assurance
- Pass Book Utilization
- Supply monitoring
- Stock Monitoring
- Warehouse Information System
- Bill Payment Processing
- Management Information System
CGMSC-Drug Info (Android App)
CGMSC has come out with an innovative idea of introducing the drug information to its stakeholders, Doctors, Pharmacists and General Public through its state of the art mobile application.
- This mobile app gives minutest of information about drugs & medicines, its associated attributes and the stock availability and replenishment at each of the 9 district warehouses involved in Receipt & Issues. Some of the key parameters of the drug like expiry can easily be known.
- This app will provide stock information along with batch no at warehouse level.
- Count of issued medicine to any particular facility/district of Chhattisgarh.
- Drug which is mostly consumed in particular district.
- This mobile application will serve as a management tool for the top decision makers to take instant decisions about each drug.
Warehouse Information System (WIS):
(Offline/Online Client installed in each warehouse)
- Receipts from suppliers based on supply orders
- Returns of items to suppliers based on qc.
- Issuance of batches for quality testing.
- Issuance of items by the district warehouses to the associated institutions of the district.
- Inter warehouse transfer of items between district warehouses.
- Facility issues. Qc issues, special issues, special receipts
- Stock report, stock reconciliation
- Consumption by items, consumption by year
- Executed/un executed supply order summary
- Supplier receipts , return to suppliers, return from facility, return from qa
- Shortages ,damages reports
- Qc test report
- Special issues/special receipts
- Expiry list
Health Infrastructure Management Information System
HIMIS is a web based Application in which sanctioned work information is captured along with its budget, sanctioned amount, grant, facility and location along with letter of administrative approval.
There is one advanced features of android based app physical work progress of building from onsite location has been started, at present engineers are using this app from the location of ongoing health facility.
Reports such as Work Acceptance ,Work Order & Agreement details ,Budget information, payment history ,payment related reports ,contractor master , work progress reports, work progress photographs on Google map ,Graphical reports etc are key functionality of the application.
Work Physical Progress App: It is an Android based Offline/Online Mobile App for Capturing Infrastructure Work Progress along with photographs and location of the building .Before Installation of Work Progress App users (Engineers) must have register their android based mobile detail such as SIM No and IMEI no HIMIS Web Application Software
Sachet: It is a System developed for reporting infectious disease by mobile phone as well on web portal. By using this system any of the Allopathic, Ayurvedic, Homeopathic, Government or private doctors can send information about the patients infected by epidemic in their area. Thus, helping to take quick actions against the epidemic affected area.
CMS (Compliant Monitoring System): It is an Android tablet based application.
- SMS will be sent to the individual against whom the complaint has been lodged.
- Tracking of when the complaint was raised.
- Tracking of who forwarded it to whom
- Tracking of what action has been taken.
- Tracking of why the complaint has been denied.
- SMS will be sent to the caller for solving of his/her complaint.
- At the backend side the pending status is being maintained.
- Various reports have been developed to show the timing and pending status.
Nursing Home Act: Any Private Hospital / Maternity Home / Nursing Home, Clinic And Physiotherapy Unit , Medical Laboratory or Diagnostic Services either new or established can Register for license under nursing home act. Document and details given by clinical establishment are verified and processed by concern district by using District login.
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List of e- Health initiatives in Uttar Pradesh
DVDMS (LMIS) Drugs & Vaccine Distribution Management system : Drug Procurement & Inventory Control System (DPICS) is live and working in all Districts Hospitals across UP, will be scaled up to PHC level. UP will migrate to DVDMS, which provides end to end supply chain management
Uttar Pradesh HMIS: This system is developed to capture all data requirements of different programs going on in the state.
- One stop data entry portal for the GoI HMIS data requirement and GoUP internal data requirement
- Minimize the manual and duplication in data capture
- Data visualization for review and planning: HMIS bulletin, dashboards & dynamic reports
- Decision required on Hardware & hosting to be funded by UPHSSP
Human Resource Management System – HRMS: In this system UP will migrate to Manav Sampada (Himachal Pradesh NIC developed software) to cover all three key aspects of HRMS. The software will be implemented across all verticals of Health department including permanent and contractual staffs.
Hospital Information System – Gorakhpur: This system is developed to make the process of hospitalisation easier for patients.
On arrival on health facility patient will fill the available patient’s form.
Then patient give the form to data operator and operator will register the patient with UID number and will mention the UID on the form.
Patient will produce the form (containing UID) to doctor for further prescription.
A). Doctor may refer patient.
B). Doctor may write the prescription
C). Doctor may advice for medical tests(Lab/X-ray/etc).
Patient will collect the report from lab/x-ray/etc. (or/and) collect the medicines from pharmacy.
All the above information (From step 3 to 4) will be mentioned in to patient form or into additional Report.
Patient will display the form to the data operator and then data operator will enter the details in to different modules of HIS
ASHA Mobile Application: This application is used by 257 ASHAs in 2 blocks of Kaushambi district to help the ASHAs to do systematic and specific counselling of the pregnant women, postpartum mothers and their families on pregnancy, postpartum & Immunization module.This application provides overall supports the ASHAs to do case management, counsel and referrals.
Sangini Supportive Supervision: This application is used by 79 ASHA Sanginis across Kaushambi district and BKT block of Lucknow districts. This helps the Sangini identify specific areas to support each ASHA. Additionally handholds the Sangini to support ASHAs during home visits and meeting resistant families. This application provides overall supports to improve the quality of interaction & engagement
Mobile Kunji – academy: It is designed to facilitate conversationbetween government and public and use audio visual multi media materials for better understanding to the masses.
- State-of-the-art, simple to use, audio-visual job aid
- Designed to facilitate conversation
- Deck of cards delivers key health messages and helps guide communication
- Audio delivered via mobile phone – by ‘Dr Anita’
- The FLWs can access a total of 60 minutes of service in one month
- Calls can be made from BSNL handset and SIM provided by UP Govt.
- The service can be accessed through a unique toll short code on each card
M-Sehat: This is a mobile based solution to be extendable by design so that features can be added and modified as required to cater to the dynamic needs of stakeholders.
- Counselling using IVRS selection
- On-demand audio/video training
- Alerts/reminders based on beneficiary lifecycles
- Scheduling and planning
- 5. FLW performance monitoring and management
- Tracking beneficiary health and nourishment outcomes
RMNCH dashboard is indicators from all data sources found in a single viewing forum .It have ability to drill-up and down among management levels: state, district, and block. Data would be pre-analyzed for decision-making.Simple navigation between levels and sections.
RBSK - Resource Planning System for Ghaziabad District: RBSK health checkup records maintained year-on-year, with historical records of every child available for future RBSK checkups. DMHFW officials can generate customized reports as needed using role-based access control (RBAC).
- Preliminary data fed into the system before the health checkup; including details of the students (with their parents’ phone numbers), details of the target schools/AWC, and details of the health checkup team. When the Internet is available, offline data syncs with the main database of the online system.
- Health checkup teams are mapped to village, block and schools/AWC to be covered by RBSK, and checkup schedule is drawn accordingly.
- Mobile text message alerts sent to schools/AWC and parents of each child to inform of the RBSK checkup schedule. They ensure presence of students on the checkup day. If the RBSK checkup team does not arrive at the scheduled time, the school/AWC informs the DMHFW using a phone helpline.
- Health checkup findings documented and records updated in offline mode by the checkup team. When the Internet is available, offline data syncs with the main database of the online system.
- Comprehensive Master Report of RBSK checkups conducted in all the schools/AWC is created by the software, and sent to DMHFW. Also, SMS alerts sent to students’ parents with findings of the health checkup and suggestion to consult a government hospital doctor if needed.
- RBSK health checkup records maintained year-on-year, with historical records of every child available for future RBSK checkups. DMHFW officials can generate customized reports as needed using role-based access control (RBAC).
Pyaribitiya – PC & PNDT Website: Pre-Conception and Pre-Natal Diagnostic Techniques (Sex Selection Prohibited) Act, 1994 is an federal legislation enacted by the Parliament of India to stop female foeticides and arrest the declining sex ratio in India. The act banned prenatal sex determination. The main purpose of enacting the act is to ban the use of sex selection techniques before or after conception and prevent the misuse of prenatal diagnostic technique for sex selective abortion.
Hosla Sajheedari: Hausala Sajheedaari is an initiative to engage private sector health care providers in family planning service provisioning under government schemes where in private hospitals/ nursing homes/institutions/individuals can get accredited/empanelled with the government and provide Family Planning services under standard reimbursement package from the government.
NDLM (National digital Literacy Mission) – DISHA: The Digital Saksharta Abhiyan (DISHA) or National Digital Literacy Mission (NDLM) Scheme has been formulated to impart IT training to 52.5 lakh persons, including Anganwadi and ASHA workers and authorised ration dealers in all the States/UTs across the country so that the non-IT literate citizens are trained to become IT literate so as to enable them to actively and effectively participate in the democratic and developmental process and also enhance their livelihood.
NHM Uttar Pradesh Helpline CRM: With this help line number (1800-180-1900) you can lodge a complaint, know the status of complaint.
Features of Helpline:
- If you have a query or wish to lodge a complaint by phone, call our "Toll Free Number" given above.
- If you wish to check your complaint status, click on "Check Your Complaint Status".
- Department officer's can login with their ID and Password by clicking on "Department Officers Login".
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