Under just released draft policy for collecting personal
health data, Government wants to collect / compile following data for all
1370 million Indian Citizen
Highlights
of draft policy :
Ø The ownership of data will be with the
individual
Ø Any “ Personal Data “ can be collected ONLY on consent from individuals and they will be allowed to revoke their consent or restrict any sharing of Personal Data
Ø Govt has proposed a set of “ Minimum
Standards “ for Data Privacy
Protection, to be followed
across the board, in compliance with applicable laws and regulations
Ø Data collected across the Digital Health Ecosystem, will be stored at 3 levels :
#
The Central Level
#
The State or UT level
#
The Health Facility level
Ø At each level, only that much data will
be stored as is essential for functionality
Ø If Data is shared for clinical research or analysis, it will have to be anonymized
=========================================================
Context
:
Draft Health Data Management Policy
National Digital Health Blueprint
=========================================================
Do I foresee any problems in this
initiative ?
Govt unveils data policy for digital health
mission / 17 Aug 2020 ,
will cover :
[ A ] Sensitive
Personal Information
[ B ] Personal
Health Records
[ C ] Health
Locker
As far as data planned to be compiled under “ Sensitive Personal Information “ , this news report mentions following :
Srl No
|
Data Field
proposed
|
What I have proposed
in my earlier blogs ( listed below )
|
This will face strong resistance from public
|
Seems irrelevant – how does this help ?
|
1
|
Sex life
|
|
✔
|
|
2
|
Sexual
Orientation
|
|
✔
|
|
3
|
Caste
|
✔
|
|
|
4
|
Religious
Affiliation
|
✔
|
|
|
5
|
Political
Affiliation
|
|
|
✔
|
6
|
Genetic Data
|
✔
|
|
|
7
|
Biometric Data
|
✔
|
|
|
8
|
Bank Account
|
|
✔
|
|
9
|
Credit-Debit
Card
|
|
|
✔
|
10
|
Other Payment
Instruments
|
|
|
✔
|
11
|
Physical Health
Data
|
✔
|
|
|
12
|
Physiological
Health Data
|
✔
|
|
|
13
|
Mental Health
Data
|
✔
|
|
|
14
|
Medical Records
and History
|
✔
|
|
|
15
|
Transgender
Status
|
|
|
✔
|
16
|
Intersex Status
|
|
|
✔
|
17
|
Data relating to
various Health Conditions and Treatments , such as Medical and Health Records
|
✔
|
|
|
Does
National Health Authority have satisfactory answers for public resistance ?
In short , NO !
As far as the rollout is concerned, following “clarifications “ ( not
very convincing ) , are provided by Shri Praveen Gedam
( Additional CEO – NHA / addlceo@nha.gov.in ) in :
Extract :
Ø
First Module
Every
person enrolling will get a Health ID and all the data of that person will be
linked to
that ID, so that longitudinal medical history of the person is available at one
place
Ø
Second Module
“ DigiDoctor “ which is a
database of doctors
Ø
Third Module
“ Healthcare Facility
Registry “ with a database of facilities, including hospitals,
clinics
and labs. This will range from tertiary hospitals to primary health centres and
sub-centres
Ø Additional burden for Medical
Professionals to enter data into system
“ We are
incorporating many special features in the module which will allow them to
scan a report or enter hand-written
prescriptions or even those using universally
accepted
medical nomenclature “
Ø Process
of Enrollment
“ …
will be voluntary not just for individual but even for doctors and hospitals.
Respective authorities have the right to take the decision whether to join or
not “
======================================================
What do you propose to get the majority
(except, may be the very rich ) to sign up ? :
Ø To
begin with , from the CONSENT FORM ( I suppose there will be one ONLINE ,
listing all the Data Fields proposed ), drop the following fields :
1 –
2 – 5 – 8 - 9 – 10 – 15 – 16
It
just cannot be in the nature of,
“
I agree to the Terms and Conditions of NHA Policy for Collecting Personal
Health Data “ ( YES – NO ) ,
-
the kind you find on umpteen websites / mobile apps ( which users sign without
reading, since the write-up is too long and too convoluted , specifically
drafted to confuse the user or to keep him ignorant ! )
Ø Provide POWERFUL / IRRESISTIBLE incentives for citizen
to give consent
These
could be :
# FREE delivery of different types of
Health-care Services ( from Govt owned / administered establishments ), and /
or FREE Health Insurance Cover ( Govt paying the insurance premium ) for
availing certain services from PRIVATE hospitals / Nursing Homes / Labs etc
# Enabling the REGISTERED USERS to earn money
( may be Rs 10,000 pm ? ) by granting explicit permission to NHA to “ Sell “
his Personal Health Data to any ONLINE BUYER, but strictly in AGGREGATED /
ANONYMIZED format ( without revealing any of his contact details or other
personal identifiers )
This
can be implemented by , broadly following the CONCEPTUAL FRAME-WORK ,outlined
in my following earlier blog / email :
Digital
Dividend from Demographic Data [ 4 D ] ……………………..( 14 Feb 2019 )
=====================================================================================
My
past E Mail on this subject :
Preventing
( illness ) is better than Curing …………………………………………..[
17 Aug 2020 ]
( Find here,
links to my earlier 12 E Mails on this subject , since 2018 )
====================================================================================
Dear Dr
HarshVardhanji,
No other country in the entire World , has attempted to
create a National Health EcoSystem , which is so designed that Artificial
Intelligence , using massive health records of a BILLION persons, can actually PREVENT
illnesses !
Congratulations for attempting this
But the entire exercise will become a STILL-BORN CHILD
, unless we manage to get a billion Indian Citizen to give their CONSENT to
join the scheme
And that CONSENT will not come unless my
above-mentioned INCENTIVES are integrated into the Scheme
With regards,
Hemen Parekh / hcp@recruitGuru.com / 03
Sept 2020