‘Think Big, Start Small, Scale Fast’ approach allows for accelerated and continuous learnings-based implementation. NDHM will be rolled out in phases and four primary systems shall be launched in the first phase.
It is important to standardize the process of identification of an individual across healthcare providers. This is the only way to ensure that the created medical records are issued to the correct individual or accessed by Health Information User through appropriate consent. In order to issue the UHID, the system must collect certain basic details including demographic and location, family/relationship, and contact details. Ability to update contact information easily is the key. The Health ID will be used for the purposes of uniquely identifying persons, authenticating them, and threading their health records (only with the informed consent of the patient) across multiple systems and stakeholders.
A single, updated repository of all doctors enrolled in nation with all the relevant details of the doctors such as name, qualifications, name of the institutions of qualifications, specializations, registration number with State medical councils, years of experience, etc. would be an essential building block of the digital health infrastructure of the country. The directory must be designed to be kept up-to-date as doctors gain skills via fellowships and map them to the facilities they are associated with.
The Health Facility Registry is a single repository of all the health facilities in the country. The registry should be centrally maintained, store and facilitate exchange of standardized data of both public and private health facilities in the country. The registry must allow health facilities to access their profile and update it periodically with specialties and services they offer, as well as provide a secure common platform to the facilities to maintain all essential information. Facilities should be able to e-sign documents such as patient records, apply for empanelment, have easier claims processing, as well as improve access to all healthcare ecosystem elements.
A PHR is an electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be drawn from multiple sources while being managed, shared, and controlled by the individual. The most salient feature of the PHR, and the one that distinguishes it from the EMR and EHR, is that the information it contains is under the control of the individual. The functions that are supported by a Personal Health Record-System (PHR) are those that enable an individual to manage information about his or her healthcare. The principal users of these functions are expected to be individuals referenced as account holders; the patient or subject of care and healthcare providers will have access to certain functions to view, update or make corrections to their Personal Health Record.
Electronic medical record (EMR) web app An EMR is best understood as a digital version of a patient's chart. It contains the patient's medical and treatment history from a SINGLE health facility. EMRs allows clinicians to:
The general approach is to create a web application which operates on a set of standards like the data construct, interoperability standards and standard medical terminologies. The EMR envisages to be the comprehensive view of the patients Health Information at a given facility.