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EHR Standards Knowledge

Indian Electronic Health Records (EHR) Standards – Part 5: Terminology and coding systems for meaningful clinical data

Terminology for meaningful health data

On part 4 of our Indian EHR standards series, we shed light on how the implementation of standardized information model would foster interoperability of data. Considering the diversity in health record systems, it would turn out to be tedious to attain semantic interoperability if there were no uniting terminology or coding systems standards in place. The absence of them would make the data captured ambiguous and open ended. Besides, it would also become difficult to automate processes and ensure that the data that is captured and stored is perpetually analyzable. That is one of the major reasons why terminology and coding standards are inevitable to attain meaningful clinical data.

In light of the above, any modern health record system should meet the following standards:

IHTSDO – SNOMED CT

The SNOMED CT or the SNOMED Clinical Terminology is the primary terminology library that India has adopted as part of it’s EHR standards. All electronic health records systems are expected to implement the SNOMED CT as their internal coding system to make the clinical data computable and interoperable. This clinical terminology includes all classes of clinically relevant terminologies including nursing, dental, drugs and substance related information. SNOMED CT should be used not just for transmitting clinical information to other health record systems but also for internal data capture, information storage and analysis as well.

Regenstrief Institute: Logical Observation Identifiers Names and Codes or LOINC

This code for Test Measurement and Observation, includes codes related to standardization of laboratory and imaging tests. They help in machine communication between diagnostic equipments and Clinical information systems, both for orders and results.

As pe the Indian EHR standards, at the point of data gathering SNOMED CT is recommended and the terms are transformed into respective LOINC for communication with diagnostic equipment. This enables effective internal data analysis as well us seamless communication with external systems.

WHO Classification Codes

World Health Organization(WHO) family of International classifications are used in statistical analysis and reporting of populations and public health analysis. They help analyze overall health trends in large populations such as a country and ethnicity. These codes are hierarchical in nature are not suitable for live data analysis in relation to real world situations.

These includes classification codes as follows:

  • ICD 10 – International Classification of Diseases and other derivative classifications
  • ICD 9 PCS – List of procedure codes
  • ICF – International Classification of Functioning, Disability and Health
  • ICHI – International Classification of Health Interventions
  • ICD-O – International Classification of Diseases for Oncology

In practical use, it is recommended that the data should always be gathered using SNOMED CT for finer granularity and flexibility in analysis. Later the data can be converted to the appropriate coding system appropriate mappings.

In summary, health records system are to use SNOMED CT for terminology and WHO family of codes for classification reports. The classification-based reports for regulatory purposes are to use WHO FIC codes as dictated by research bodies, intelligence or any health regulatory body.

So it is important to ensure that the EHR system that you are evaluating incorporates these coding systems for making the data semantically rich and computable. The person centric EHR platform form Healthelife – EHR.Network – supports all coding systems as per EHR standards. It also provides a built in terminology server for use by application while gathering clinical data.

To know more about EHR.Network, please contact us.

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AyushEHR

How personalizing their experience can improve the quality of care and create guest loyalty at your Ayurveda resort.

Personalize experience for guests and improve loyalty

Ayurveda Resorts are fast emerging as the new and improved treatment for modern ailments. By offering comfort and pleasure that allow the guests to take a break from their daily grind and the troubles that come with it – the relaxing ambience along with the specialized Ayurveda treatments – provides the necessary, much needed respite. Preventive nature of treatments provided by resorts also help avoid visits to hospitals, by taking the necessary precautions early. The promotion schemes for AYUSH implemented in 2014 by the government of India has also boosted the development and popularization of Ayurveda treatment.

By personalizing the services provided and experience for the guests, the resorts have the following benefits:

  • Treatment solutions to lifestyle based ailments: Studies have shown that rejuvenating oneself is necessary from time to time and a personalized experience with exclusive Ayurveda treatment plans and food preparations made specifically for the guest can help them make this experience special. This contributes greatly in improving the quality of care provided and also ensures that it is effective and appreciated by the guest
  • Improved variety of care: By knowing what each guest would prefer, resorts can prepare in advance with all that is necessary to provide the guest a variety of care even before the guest checks-in into the resort
  • Exclusive diet and lifestyle patterns: If necessary attention is paid to every patient’s preferences such as his/her favorite bedsheets colour, amount of salt in food or allergies, the guests would be surprised at your ability to pay attention to slightest detail
  • Exclusive exercise plans: Each body is different and when different exercise regime is provided to the guest, personal attention can paid to avoid injuries and make their stay even pleasurable
  • Viable plans for sustenance of the given treatment: One of the major downfalls of Ayurveda resorts is often considered to be the short term benefits of the programs. They are perceived to not provide sufficient post treatment guest management. Having given a plan to the guest for continuing, the benefit reaped during the stay can be sustained for a longer duration thus earning the goodwill of the guest
  • Excellent follow up and health record management: During the follow-up session with the guest, instead of expecting the guest to narrate the treatments undergone or going through your own resort file, having an online tool to manage their health record would help the physician in prescribing sessions that would genuinely benefit the guest.

Tools like AyushEHR help resorts execute an excellent personalized care plan. By implementing Ayush EHR in your resort:

  • There is an efficient way to improve transparency in Ayurveda treatment procedures
  • Being a cloud based software, it help with post treatment follow ups with any physician
  • Using electronic health records (EHR) brings much needed credibility to the treatment and decreases reliance on conveying information by word of mouth
  • Standards based EHR solution for delivery, documentation and validation of AYUSH services are provided
  • Health information is inter-operable, individual-centric and records all treatment details adding more scope to the Ayurveda treatment methods

These qualities make it an essential Electronic Health Management Tool for any Ayurveda Resort. The benefits are many and undeniable. It would promote customer loyalty and help to eliminate the many misconceptions associated with Ayurveda.

The improvement in health care management is immediately apparent to the guest as it helps provide a treatment plan that is more customized to their exclusive needs based on the records available in the EHR software. With all of these benefits it is a must have for an Ayurveda resort in today’s day and age.

To get a demo of AyushEHR, reach out to us here or email us at team@healthelife.in

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News & Events

Ministry of AYUSH, Government of India invites applications for Excellence awards in Information Technology(IT) in AYUSH sector

For the first time, the AYUSH ministry has announced Awards for Excellence in Information Technology(IT) in AYUSH Sector. This is clearly an indication that the ministry recognizes the urgent need for technology adoption in the traditional healthcare practices. It further vindicates our business proposition for AyushEHR, the standards based software solution for Ayurveda, Yoga and Naturopthy wellness practices.

Even though the government has laid a lot of stress on promoting traditional wellness practices in the National Health Policy 2017, the progress has been slow owing to the paucity of validated evidence due to the weak documentation, lack of technology adoption and standardization in these practices. Adoption of technology to help in clinical documentation and subsequent evidence creation is proposed to bring transparency and improved adoption in AYUSH.  Tools such as AyushEHR software for Ayurveda, Yoga and Naturopathy and standards based EHR.Network platform show increased awareness among technology startups and their willingness to support the AYUSH ministry initiatives in this direction.

The proposed awards are designed to recognize and promote excellence in implementation of IT initiatives and seeks to recognize the projects demonstrating use of path breaking IT or innovative use of an existing IT for enhancement in efficiency, effectiveness of process, cost, quality, service delivery or a combination of these.

The purpose of the award is to:-

  • Recognize achievements in the area of Information Technology
  • Disseminate knowledge on effective methods of designing and implementing sustainable IT initiatives
  • Encourage incremental innovations in successful IT solutions
  • Promote and exchange experiences in solving problems, mitigating risks, resolving issues and planning for success through IT initiatives
  • IT as a Game Changer

The award is open to all stake holders in the sector. Institutions and/or individuals from the following categories, who have
implemented notable IT based applications, can apply for the awards

  • Institutions under Ministry of AYUSH
  • Colleges, Universities and Research Institution
  • Hospitals, Clinics and Nursing Homes
  • Wellness centers practicing AYUSH treatment
  • IT Institution
  • AYUSH Practitioner
  • AYUSH Businesses and entrepreneur

We see this as a great opportunity to showcase our past 2 years work in building AyushEHR and intend to pitch our solutions for the award. The last date for the submission of applications is on the 11th September 2018.

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AyushEHR Healthelife news News & Events

AyushEHR enters the finals of 2018 Elevate100 – Idea to POC initiative from the Government of Karnataka

Healthelife has done it once again, this time with AyushEHR. For the 2018 Elevate100, we pitched in with our flagship software solution for Wellness Tourism Service Providers and have been selected for the finals this year also.

Last year we had pitched our EHR.Network, person centric EHR platform, and ended up being one of the runner ups.

This edition started with more than 650 startups applying from across Karnataka. A panel of eminent experts screened all the applicants and selected top 500 for the multi-city pitch that happened between the 6th to the 10th of August in many cities across the state.  From the startups who pitched, top 250 have been selected for the final pitch scheduled for the 30th at Bangalore.

With the learnings from last year and the maturity that we have gained over the last 2 years, we intend to do all that it takes to get to the top 100 winners this year. With the progress that we have made so far, we feel that we are now in a position to make best use of the financial grant and mentoring support that the Elevate100 winners would be entitled to.

Health tourism in general and wellness tourism in particular are in a steep growth trajectory and is projected to continue growing above 15%. In the wellness sector, traditional healthcare practices such as Ayurveda, Yoga and Naturopathy have an increasing role to play. AyushEHR, with it’s focus on enabling technology adoption in these practices, will have a major social impact. AyushEHR is designed to improve transparency, efficiency and professionalism in Ayurveda, Yoga and Naturopathy practices, which will provide them with a solid technology platform to take advantage of the emerging business opportunities in wellness tourism.

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Geriatric Care Network Healthelife news News & Events

Healthelife GCN wins Best Potential & Best Improvement awards in 2018 Samsung Global Startup Acceleration Program

Healthelife Team with the awards won in GSAP 2018

Geriatric Care Network(GCN), the social venture from Healthelife has won two awards in the 2018 Samsung Global Startup Acceleration Program(GSAP) which concluded on Friday, 10th August 2018.

42 Samsung employees had flown in from South Korea for the 5 day program hosted by IIIT, Bangalore. These employees had volunteered to mentor selected startups and help them refine their idea in an intense 5 day workshop. The 19 startups in the camp were selected from across India and included a side spectrum of ideas and business domains.

The Healthcare group in GSAP 2018

The Samsung mentoring team included experts from business, domain, technology, marketing and design. The 5 day contact program was preceded by a 2 month remote interaction between the startups and the designated mentors, which enabled the mentors to understand the startups and their pains points. This enabled the GSAP team to invite other mentors locally to supplement their efforts. The event included presentations, discussions, booth pitching, stage presentations and team mentoring sessions to help the startups overcome some of their pain points.

For GCN, the program enabled us to refine our idea, smoothen the rough edges of our offering and make a 5 minute pitch that can be understood by everybody. From a basic idea, we emerged as a ready to implement business offering. We could get a lot of positive feedbacks and also managed to catch the attention of many of those who were part of the program.

In the end GCN ended up winning the Best Potential and Best Improvement awards and walk away as one of the best business ideas in the event. The entire GCN team is all charged up to push forward and make the idea a reality that can make a serious and noticeable social impact.

We thank the Samsung GSAP team and IIITB Innovation Centre for making such a wonderful program a reality.

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Healthelife news News & Events

AyushEHR gets torn down and ripped apart at the 30th June 2018 TearDown event at IIM, Bangalore.

TearDown presentation
Himanshu Khanna Founder & CEO of Sparklin tearing Healthelife website down

AysuhEHR had a harrowing day on 30th June at the TearDown event held by NSRCEL@IIM Bangalore. Having been selected as one of the 3 products for presentation in the June 2018 edition of the event, we had a distinguished industry panel and an audience of around 150 entrepreneurs & startup founders ripping it apart to help us refine some of the rough edges.

The distinguished panel included successful people from design & UX, product hunting product management and sales & marketing and the audience has a varied mix of young, experienced and established business founders.

Dileep made a short 10 min presentation on AyushEHR and our business plan to get the session going. The presentation ended with us listing out top 3 challenges requiring advice and support. Post the presentation, the panel members took turns to give a honest review of different aspects of the product and business and their suggestions for improving our offering. Once the floor was opened up, many in the audience also gave very valuable feedbacks and suggestions on aspects such as improving usability, pricing strategy and our go to market strategy.

Based on our experience, we feel that TearDown events (teardown.in) provide an excellent opportunity for startups to get their ideas evaluated by a varied and independent group of professionals at no cost. We thank the NRCEL team and all the volunteers for making this happen and also for having selected us for the event. We consider this as a further validation and acceptance of our idea and vision for the future of healthcare in India.

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Healthelife news News & Events

Geriatric Care Network(GCN) – The Social Enterprise from HealtheLife selected for the 2018 Samsung Global Startup Acceleration Program(GSAP)

Geriatric care Network from Healthelife

The pioneer in cloud-based standards compliant Electronic Health Records(EHR) platform in India, HealtheLife has added another feather to its hat. We are happy to share that our social enterprise venture Geriatric Care Network(GCN) has been officially selected as one of the 20 startups to participate in the 2018 Samsung Global Accelerator Program.

The program is aimed at helping early stage startups and fresh business ideas successfully navigate the initial years for growth and expansion. It is based on the realization that several startups fail within the first five years of establishment due to lack of sustainable business models or availability of technology. With an intention to foster an ecosystem for growth for such potential startups, the accelerator program involves mentoring the startups on crucial aspects of business, setup bootcamp for up-skilling, offer a platform for the startups to pitch their ideas and business, fetch global incubation support and attend conferences.

An initiative from the Corporate Social Responsibility Program from Samsung Electronics, this program is simultaneously conducted across many countries including Indonesia, India, Nepal, South Africa and Malaysia. GCN from HealtheLife is one of the business ideas that will be part of the Indian leg of this prestigious program this year(2018).

The idea that bagged this deserving recognition

At HealtheLife, we realize that, our fundamental belief in creating a sustainable social impact and value through our work & ideas has been key to our selection for the program.

With the advances in modern health care, the percentage of Elderly in societies across the world including India, are growing, and ensuring proper care for them is emerging as an area that needs immediate attention and focus. The current health care systems for the elderly are primarily focused on the critical and chronic care paradigm, with very little serious attempt at long term wellness & preventive solutions. GCN focuses on bridging this gap using Ayurveda made available through a localized and distributed network of professionals.

By combining the powers of Ayurveda and the potential of modern-day technology, GCN provides better preventive and wellness focused health care solutions economically at distributed locations. With this, we would make health care more accessible, available and affordable for the elderly.

We foresee exciting days in the program, where we hope to be mentored by experienced professionals from across the globe and gain the exposure needed to achieve our envisioned goals. Stay with us as we keep giving you constant updates on our experience at the accelerator program.

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Knowledge Mental Health

National Mental Healthcare Act 2017 – Part 1: Heralding a paradigm shift In the way we treat our mentally sick

National Mental Healthcare Act 2017

The much needed reform in mental health care diagnosis and treatment arrived a year back when the National Mental Healthcare Act 2017 was passed, by the Indian parliament, for better health care deliverance and treatment of individuals with mental illness. The bill revolutionizes health care for mentally sick and approaches their concerns and problems at grassroots levels. One of the major reasons for the passing of the bill was to ensure people with mental illness lead normal lives without getting subjected to discrimination or harassment.

Mental Illness As Defined By The Bill

To facilitate better health care, the bill first identifies the definition of mental illness. According to the bill, it is a disorder in individuals, wherein they are unable to think, perceive moods, orientations or have poor memory which ultimately influences their judgment, response, behavior, or ability to perceive reality. The bill also encompasses mental disabilities brought in due to abuse of alcohol or drugs.

While it attempts to define what mental illness is, the bill also specifically mentions what it isn’t an attempt to set any standards for defining health. As per the bill, mental sickness does not include mental retardation, which is characterized by an incomplete or arrested development of the mind.

What Does the Healthcare Bill Ensure?

The bill identifies several factors associated with the treatment of people with mental sickness and addresses each of them in detail. According to the Bill –

  • Every individual has the basic right to mental health care from clinics or centers funded by the government
  • It ensures free mental health care treatment for the homeless and those who live below the poverty line. The reassuring part is that the bill does not require a BPL card for their treatment and mental health care
  • The bill reassures that any person suffering from mental sickness has the right to confidentiality with respect to his or her mental illness or its treatment. No photograph or other personal information about the patient can be not released to media houses without acquiring a proper consent of the individual
  • The bill identifies several factors of discrimination such as gender, religion, sexual orientation, culture, race, class, disability, political beliefs and more and gives individuals the right to dignity
  • It also gives the right to the patient to initiate an advance directive regarding instructions to be followed by the care providers in case he/she loses the capability to make decisions. It also allows a person to nominate representative(s) to act on his/her behalf in such situations
  • Patients will not be required to undergo electro-convulsive treatment without the use of anesthesia or muscle relaxants. Further, minors will not be subject to such treatment at all
  • Patients will not be in any form or manner chained
  • Such individuals will be in solitary confinement only if deemed necessary for the safety of self or others

Additionally, the bill facilitates the establishment of a Central Mental Health Authority followed by a state-run State Mental Health Authorities. These authorities mandate all mental health institutions and mental health practitioners including nurses, psychiatrists and others to be registered with them and also have the final say in any providing care.

Duties of the Authorities

Once registered, it is the duty of the authoritative bodies to take care of the following responsibilities:

  • Register, maintain and supervise all health care institutions
  • Develop and maintain quality standards and norms for the operations of such institutions
  • Maintain a record of all mental health practitioners and professionals
  • Train mental health practitioners and law enforcers on the bill and its provisions
  • Be an advising body to the government on mental health cases

Further, the bill decriminalizes suicide, wherein individuals will not be charged under the Indian Penal Code for suicide. Instead, the government takes charge on providing better health care, treatment and facilitating a safe and stress-free environment for patients.

The incredible attention to detail given to the shortcomings faced by patients by the bill arrives as a welcome change. With this introduction, it is indeed a paradigm shift in the way we see and treat our patients suffering from mental sickness.

Healthelife has started working towards building capability in our EHR.Network platform to help care providers document and care for mental health patients in line with this initiative from the government. Please contact us to know more.

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Ayurveda & EHR Knowledge

Ayurveda and modern healthcare – Part 2: Role in the current health care ecosystem

Ayurveda and modern healthcare – Role in the current health care ecosystem

The heritage – traditional – way of treating ailments and diseases have been prevalent and practiced for over thousands of years in India. We come from a land where ideas about plastic surgeries were discussed and documented long before people across frontiers actually started thinking about such possibilities. Ayurveda is as much of a science as modern medicine and has been continuously evolving over centuries.

However, in the recent past, Ayurveda has been gradually replaced with other alternate forms of healthcare from the west. Despite being a holistic approach to wellness and treatment, cost effective and more holistic, Ayurveda has indeed lost a bit of its ground among the masses.

The reasons for this are aplenty. One of the major reasons has been the inability of Ayurveda and its practitioners to keep up with evolving technologies. While allopathy adapted continuously to technological advancements in terms of equipments, medications and care protocols, Ayurveda remained rooted to it’s traditional ways of treatment and approaches. There has been hardly any restructuring of the infrastructure with respect to technology or use of contemporary technologies to regain lost ground.

Ayurveda practitioners still largely depend upon the century old books and documentation for their practice as attempts at re validating these in the modern context has been minimal. The exploration into creating newer medicines and protocols and evolving the traditional ones to a modern world has not been well organized and widely practiced. Such efforts remain largely hindered, for lack of technology adoption and standardization in Ayurveda.

Ayurinfomatics or the use of information and data in Ayurveda still remains to be a huge hurdle for practitioners as they either don’t believe such practices could be indeed put into action or they don’t have adequate skills and resources to implement their tech-based visions into their Ayurveda clinics.

The Wake Up Call for Ayurveda

However, a more favorable and conducive environment is emerging in the country for Ayurveda and other traditional sciences. This is the ideal opportunity for Ayurveda to resurrect itself into the holistic wellness solution it was meant to be from the beginning. Today’s lifestyle dictate the need for a cost-effective, efficient and wellness focused treatment agendas and techniques. Besides, Ayurveda is both promotive and preventive, further making it the right health care solution for today. Contrary to the side effects of many allopathic medications, Ayurvedic treatments are complementary in nature and holistic in approach.

If we have to be honest, this is the time of aggressive marketing, where drugs and medicines from manufacturers are favored by medical practitioners and the credibility of them are being consistently overlooked. This is exactly what Ayurveda – with its herb-based medications and practices – helps us guard against.

The Challenges

For Ayurveda to become increasingly prominent among people today, it really has to step up its tech infrastructure. Most clinics and treatment centers still use registers for recording of patient details and paper-based prescriptions or medications. There are still no proper ways to track progress and the method of diagnosis is still old school. Ayurveda practitioners need to resolve a few basic challenges together by integrating modern technology into their work and leverage it’s capabilities. They should

  • Use computers in clinics, wellness centers and hospitals
  • Move to electronic health record systems(EHR)
  • Share records of patient information and health details for transparency
  • User data science to process and analyze data for better wellness deliverance and diagnosis

Implementing electronic health records(EHR) systems is one of the best ways to become on par with the competition because the records pave way for personalized health care treatments, more precise diagnosis of ailments, better tracking of patient information, remote retrieval of the information and more. By sharing EHR with your patients, you improve transparency and build long term trust and loyalty.

Government of India has also realized the importance of modern technology and information systems in health care and has come up with Electronic Health Records Standards for India. These standards analyze the diverse aspects of implementing technology and lay out regulations to be followed for uniformity and interoperability. This provides a great opportunity for Ayurveda practitioners to change their conventional working and operating model to adapt to emerging technologies for business and better treatments.

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EHR Standards Knowledge

Indian Electronic Health Records(EHR) Standards – Part 3: Security and Privacy guidelines in designing a Cloud EHR

EHR standards for security and privacy of health data

Discussions about privacy and security of personal data has been holding centre stage recently in light of the many high profile data theft and misuse of personal data that involves some of the most prominent technology companies in the world. With technology taking centre stage in almost all areas of human endeavour, countries across the world are racing against time to bring out regulations to safeguard personal data. The European GDPR is a case in point.

This is even more important in the case of intensely personal and private data such as EHR. EHR systems requires safeguards to ensure that the data is available when needed and that the information is not used, disclosed, accessed, altered, or deleted inappropriately while being stored or retrieved or transmitted. Given the pace at which technology adoption is evolving in healthcare, the only acceptable strategy for an enduring solution is to follow some basic design guidelines while designing EHR systems.

From the beginning the Indian EHR standards has made it point to treat data security and privacy as integral to the core of the standards. It attempts to do this through the following strategies:

  • Establish the person as the owner of their health data
  • Provide guidelines on the design of technology systems that manage EHR data to ensure that the data is inherently secure
  • Include administrative and physical access standards to protect the data falling into the hands of unauthorized users within an organisation

Ownership of EHR

By giving the person ownership of their EHR, the standard renders providers and any other agency holding EHR as only custodians of the data and thus limit the rights on the data. This reduces the chances of such agencies wilfully using anybody’s personal health data for purposes other than to provide care to the person.

The providers are also required to maintain the data in an interoperable format and make it available to the person in a pre-defined electronic form for use in future care situations.

Building security into the design of EHR systems

The standards include a wide range of recommendations to follow while designing EHR systems so that they remain inherently secure over a wide use case situations. At a generic level these include all the common security strategies employed by modern technology solutions including user authentication, authorization, access privileges, access control, automatic log-off, data encryption and transit data integrity. As these involve implementation specific strategies which are discussed in detail in many easily available articles, we will not be explaining them further in this post.

Apart from the above common domain agnostic guidelines, the Indian EHR standards include some guidelines which are very specific to the Healthcare domain. These are discussed in more detail below:

Segregation of personal and EHR data

The EHR standards recommends a complete segregation of the Demographic and EHR data in any EHR system. A person’s privacy in breached when a compromised EHR is identifiable as belonging to them. Any system where these data are managed separately and brought together as required in a usage context remains inherently secure. For such systems to be compromised, multiple services (a minimum of 3 including EHR, Demographics and Integration service) have to be compromised, making it difficult for an attacker.

Versioning of EHR data

Given the critical nature of health data, the standards mandate that health data should never deleted or destroyed completely. It further requires the systems to ensure that the older version of any data that has been modified are always available for review. The recommended strategy to address the above requirements is to version all EHR data. Any modifications to the data should create a newer version of the data, while all the previous versions are still maintained and available as required. Deletion of any data should create an new version with empty data set which co-exists with the previous versions. This ensures that the integrity of data is maintained and verifiable at all times.

Audit log

The Indian EHR standards require systems to maintain a detailed audit trail of all activities that happen. Such audit information should record date, time, record identification, user identification and the particulars of the action, whenever any electronic health information is created, modified, deleted or accessed(view & print). These should in turn be available to be electronically displayed or printed for user/administrative review. Further EHR information shared between organisations should contains sufficient identity information such that the receiver can make access control decisions and produce detailed and accurate security audit trails.

As you can see from the above privacy and security of health data is one of the cornerstones of the Indian EHR standards and provides a high level of guarantee to the end user regarding cloud based EHR solutions that are aligned to standards. Cloud based solutions now provide a very attractive option owing to their ease of access, lower cost and continuous improvement. Thanks to the Indian EHR standards, you now have a firm set of guidelines to ensure that the systems that you select are designed with security for your customers’ data.

Healthelife’s EHR.Network repository and AyushEHR are designed in line with the EHR standards and will continue to evolve with them. To know more about how we can help you get the best cloud EHR solution for your organisation, please contact us.