Our Health Minister , Dr HarshVarhanji would be happy if we don’t fall
ill
He has been telling us :
Ø Early to bed and early to rise
Ø Eat only healthy food / No junk food with lots
of spices-salt-sugar – fried food
Ø Exercise regularly / Take regular walks in
park / Do yoga – meditation
Ø Do not
smoke – chew tobacco – drink Sharaab
( instead drink Ayurvedic Kadha )
Ø Have dinner 3 hours before going to sleep ( -
at least in this respect, practice Jainism )
Above are general / universal guidance for entire
society
Despite observing as much of these as possible, people
do get sick with diseases, from time to time .
And, every day, 1663
children ( under age 5 ), die due to malnutrition !
Apart from a doctor / hospital trying to “ Cure “ them
by administering tests / medicines, can they be advised SPECIFIC PREVENTIVE things they should do to avoid / prevent ,
future illnesses ?
Kind of a CUSTOMIZED PREVENTIVE ADVICE ?
Currently this is being done ( though on a very limited
scale ) by very few Family Doctors , who have been continuously treating a
family-member for say, 20 years and remember life-time
Medical History of that person
But even a family doctor , - a human – cannot vividly remember / recall, life-time Medical Histories of
hundreds of his patients - histories spread over decades / histories comprising :
Ø Each
illness ( at what age and for how long and how
severe )
Ø Each
pathological test / symptoms / measurements of
body functions
Ø Each
medicine prescribed – taken ( brand and generic
, with active ingredients )
Ø Each
surgical procedure
Ø Each
reaction / outcome
Forget about the doctor. Even the patients themselves do not
preserve their following records :
Ø X-ray
plates / CDs / Reports of Radiologists
Ø ECG
charts / CT – PET Scans
Ø Records
of Blood Pressure / Oxygen levels / Pulse rates
Ø Drug
prescriptions given by doctors / hospitals
Ø “Drugs
sold “ bills , handwritten by chemists
Ø Operating
/ Surgical procedures carried out ( may be in different towns / countries )
Ø Long
sessions with Psycho-therapists / Physio-therapists
Ø History
/ records of doctor-prescribed Diets , over many years
This is a partial list
But , if such records were maintained / preserve
immaculately and uploaded regularly on some online Central Server, such a comprehensive MEDICAL
HISTORY , could be enormously helpful to a doctor / hospital that a sick
person visits for consultation / treatment
Of course , that person would need to grant that doctor
/ hospital, an EXPLICIT
( - and limited for a given time period )
permission to online ACCESS his Medical History , wherever that doctor /
hospital is located
Some online websites ( listed below ),have come up to
allow you to upload your past medical records / documents and enable you to
grant such “ Specific /
limited “ permissions
=========================================================
NOW THE GOOD NEWS .
In his Independence Day address to the nation, PM Shri
Modiji announced the launch of :
National Digital
Health Mission
Here is that announcement :
Extract
:
Ø “ From
today, the national digital health mission will begin.
It will revolutionise Indian healthcare
sector.
Every Indian will be issued a health ID
that will act like a healthcare account,
storing details of
# All
the tests done,
# Existing
diseases,
# Diagnoses,
# Medicines
prescribed, ”
said
Modi in his Independence speech from Red Fort.
Ø It will
also ease processes such as ,
# Booking
appointments,
# Making
payments, or
# Getting
registrations done at hospitals, he said.
Technology will be used to resolve various problems
in the health care sector
Ø The
programme is a part of the government’s National Digital Health Blueprint
aimed at using
technology to improve health care delivery.
The objectives of the mission are to,
# Establish
a core digital health database,
# Create
a system of electronic health records based on international
standards, and
# Establish
data ownership pathways ,
so that a patient is the owner his / her
health records, among others “
Ø “A
nationwide health ID will ensure three things – continuity,
connectivity, and portability of treatment.
If a patient goes to a different doctor or
someone else fills in for their doctor, all the
medical records will be available to them
ensuring continuity of their treatment.
When
a patient has to go to a secondary or tertiary centre, all the basic
information
will already be there in the record.
This is particularly helpful in the
emergency department where knowing the blood
group or what a person is allergic to can save
a lot of time.
It will also save cost of repeat tests.
The third is portability, which will
enable me to have my entire healthcare record
when
I move from one city to the other without carrying several files,”
said, K Srinath Reddy,( ksrinath.reddy@phfi.org
),
-
president of the Public
Health Foundation of India.
=================================
IN MY FOLLOWING E MAILS TO THE CABINET MINISTERS , I
HAD RECOMMENDED AS FOLLOWS :
Digital Delivery of
Drugs [ 11 Oct 2015 ]
Extract :
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 )
=================================
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.
=================================
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 ?
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
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
=================================
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
?
=================================
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
=================================
Will “ Ayushman
Bharat “ listen ? [ 14 Nov 2018 ]
Extract :
When that happens , expect the AI to do the following :
# Offer Customized healthcare / Medical treatment / Supplementary diet
# Offer Customized healthcare / Medical treatment / Supplementary diet
# Guide
your family doctor to prescribe the best-suited medicine for each member of
Your family
# Recommend some “ preventive “ medicines before a disease
manifests itself !
=================================
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 “
=================================
No need to be
secretive ! ……………………………………………………………………………[ 14 Nov 2019 ]
=================================
Corona Patient
Case Histories : a Fragmented Database ………………………..[ 30 March 2020 ]
=================================
Tele-Medicine /
Tele-Health : a COVID gift ? ………………………………………….. [ 20 May
2020 ]
=================================
Priorities for AI
[ Artificial Intelligence ] portal ……………………………………………. [ 31 May 2020 ]
=================================
The Changing Face of Healthcare
System …………………………………………………….[ 01 Aug 2020 ]
=================================
Dear Dr
HarshVardhanji,
Over the past few years, a number of websites, listed
below, ( for storing Medical Records / Consultations ) have come up, which might
need to morph and become “ Mirror Images “ of the Government Portal . I
urge you to reach-out to them and persuade them to form with your Ministry, a
PUBLIC – PRIVATE partnership
With regards,
Hemen Parekh / hcp@RecruitGuru.com / 18
Aug 2020
These are :
=================================
Vendors for Electronic Medical Records ( EMR ) in India
=================================
And this is the “ Personal Health Record Holder of Govt of India “ :
=================================
Related Readings :