The following article
from The Print , lists 4 PILLARS upon which our National Health Authority { NHA
} , is in the process of constructing :
Pradhan Mantri Jan Arogya Yojana
I am happy that this “
Construct “ incorporates my past (
e-mailed ) suggestions on this
subject
To provide context, I
reproduce below, my past suggestions
=======================================================
News Report :
{ ABANTIKA
GHOSH / 23 July, 2020 / 6:27
pm IST / The Print }
=========================================================
Pillar 1: Health ID
Every
individual will be assigned a unique health ID with the option of linking it with Aadhaar if they so desire. It
will be similar to the registration number that many big hospital chains assign
to a patient when they come for their first consultation. This ID will be applicable across states, hospitals, pathological laboratories,
pharmacies, etc.
“It is completely voluntary; only an individual who wants to have the ID can do so, but
when such an ID is created, all health data generated
will automatically be stored in the government
community cloud to ensure its safety.
“It will be
a little bit like the digilocker where all your documents can be stored in
electronic format, only in this case it is health records. We could not use Aadhaar because the
regulations clearly say that it cannot be used as an identifier for government
programmes,” the official explained.
The only situation where linking of Aadhaar will be mandatory is
when the person wants to avail benefits under any cash transfer schemes.
=========================================================
Pillar 2: Digidoctor
The platform
will assign a unique identifier to every doctor. This will be different from the registration number that has
been assigned by the state medical council where one practices. A digital signature will be assigned to them for writing
prescriptions.
In India,
digital signatures usually come for a fee. However, neither the user nor the doctor will need to pay a fee for this
service. There are also plans to integrate the
registration process of doctors, which are different
in different states, into this same ecosystem to make the process simpler and
also to avoid unnecessary duplication of procedures.
At a later
date, when the first phase of the mission has been rolled out, the NDHM will
also have components of telemedicine
and e-pharmacy.
=========================================================
Pillar 3: Health Facility Identifier
Like doctors
and patients, every health facility, down to a primary
health centre, will be assigned a unique electronic identifier. This would have a two-fold function — it will ensure that all
health facilities are unerringly mapped, and will also be the identifier that
the facility can use for all its clearances and audits.
“Right now,
opening a hospital in India is a complicated process with clearances and
registrations required from several different agencies with very diverse
requirements. We are looking at bringing all of that under one umbrella
eventually,” the official explained.
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Pillar 4: Personal Health Records
These health
records will essentially come to hold a person’s
entire medical history, from birth to immunisation details, surgeries, laboratory tests etc. This will be linked to the individual’s health ID.
“There is a
reason we are calling it personal health records and not electronic health
records. Because the most important feature is that the ownership of the data is with the individual,”
the official said.
“There is
something called a consent
manager.
Even if a doctor wants to see some reports, the
person will get a message asking if access can be given to the doctor and for
what length of time.
That is the
big difference. Without the consent of the
holder, even the government cannot access his/her data.”
========================================================
MY PAST SUGGESTIONS :
Health Data Vault [ 16 June 2019 ]
Extract :
“ All the Health Data of all 50 crore
beneficiaries to be stored on a Central Server for BIG DATA analysis , in order
to “ Predict “ WHO might become
susceptible to WHICH ailment and WHEN “
========================================================
Modicare : A Game Changer [ 01 Feb 2018 ]
Extract :
Medicalchain, on
the other hand, uses blockchain
technology to store and share health records securely, allowing for
easy and safe transfer of information between providers and patients.
=========================================================
Digital Delivery of Drugs [ 11 Oct 2015 ]
Extract :
WHO ( which doctor ) , prescribed WHAT drug ( drug name ) made by WHO (
name of drug manufacturer ) , to WHOM (patient name ) , and WHY ( disease
diagnosis ) , and WHEN (
date ) and sold by WHICH ( drug store )
=========================================================
Healthcare : The Unfolding Story [ 19 June 2018 ]
Extract :
Using such massive data base, can BIG DATA / Artificial Intelligence / Machine
Learning ,
figure out what " Customized healthcare / Medical
treatment / Supplementary diet "
should be " prescribed " for each human on this earth ?
=========================================================
Will “ Ayushman Bharat “ listen ? [ 14 Nov 2018 ]
Extract :
When that happens , expect the AI to
do the following :
# Guide your family doctor to prescribe the best-suited
medicine for each member of
Your
# Recommend some “ preventive “ medicines before a disease manifests itself !
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Tele-Medicine
/ Tele-Health : a COVID gift ? …………………………………………..[
20 May 2020 ]
=========================================================
Corona
Patient Case Histories : a Fragmented Database ………………………..[ 30 March 2020 ]
=========================================================
No
need to be secretive ! ……………………………………………………………………………..[
14 Nov 2019 ]
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Ayushman
Bharat : Think Big ………………………………………………………………………[
23 Sept 2018 ]
Extract :
Consider this :
· Doctor takes the
readings of the patient using these internet connected devices
· Devices transmit these
data to the smart phones of both , the doctor and the patient
· These phones
transmit these data to the Central Health Care Server of Ayushman
Bharat and update the LIFE TIME MEDICAL HISTORY of that person
· This history can be
accessed only by the “ Authorised “ health centres / hospitals /
nursing homes , which are official partners of
the Ayushman Bharat scheme
Imagine all the Medical Devices (
including ECG / EEG / PET Scan , located in private
clinics / health centers / hospitals / nursing
homes / Path labs / Diagnostic centers etc
), transmitting to a Central Server ,
· medical diagnosis
· treatment
· administered drugs
· surgical
procedures
for all 50 crore
citizens covered by this scheme
And imagine such
petabytes of health data being subjected to BIG DATA analysis using
AI !
Ayushman Bharat has the potential to usher this
Health-care Revolution
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AI
for Healthcare ……………………………………………………………………………………….[ 17 June 2018 ]
Extract :
QUESTION :
How to go about collecting / compiling into a CENTRAL DATABASE
, health records of
millions of sick Indians , using Electronic Health
Record Standards ?
ANSWER :
Here is what I blogged in Jan 2018. I urge
the Task
Force on Healthcare to consider :
2024 ! – V 2.0
of Orwellian 1984 ?
https://myblogepage.blogspot.com/2017/07/2024-v-20-of-orwellian-1984.html
There are 7,000 million people on the earth
It is possible that , at any given time , some 7 million of these are lying in ICU , connected with :
* Electroencephalogram ( Brain Monitor )
* Electrocardiogram ( Heart Monitor )
* Pulse Rate Meter
* Oxygen Level Meter
* Glucose Level Meter........etc
It is possible that , at any given time , some 7 million of these are lying in ICU , connected with :
* Electroencephalogram ( Brain Monitor )
* Electrocardiogram ( Heart Monitor )
* Pulse Rate Meter
* Oxygen Level Meter
* Glucose Level Meter........etc
As soon as these instruments get embedded with Internet of Things ( IoT ), a central server could collect all of these " measurements / readings " on 24*7 basis , for all 7 million persons
Then it will combine these readings with following data about each of those 7 million persons :
* Country / Region / City / Language
* Race / Religion / Gender / Age
* Height / Weight / Colour / Biometrics
* Blood Group / DNA / Past Medical History.....etc
It will also record , who died / when !
Using such massive data base, can BIG DATA / Artificial Intelligence / Machine Learning , figure out what " Customized healthcare / Medical treatment / Supplementary diet " should be " prescribed " for each human on this earth ?
Shall we support such " Invasion of Individual Privacy " , in the larger interest / benefit of entire mankind ?
I think , we should
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Priorities
for AI [ Artificial Intelligence ] portal ……………………………………………. [ 31 May 2020 ]
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Congratulations,
Dr HarshVardhanji,
For working tirelessly to change the face of our
Healthcare System
With regards,
Hemen Parekh / hcp@recruitGuru.com / 02
Aug 2020