Guidelines

HARDWARE
  • The IT hardware used should meet (and preferably be better than) the optimal requirements specified by the software (to be) used. 
  • The medical and IT hardware used must meet the relevant applicable specifications from BIS, NEMA, IEEE, ISO, CE, RoHS, EnergyStar, apart from Medical and IT standards for the equipment. 
  • A backup or data preservation mechanism should be put in place. Data capacity should be planned to meet the storage requirement as per the mandated rules / laws. 
  • System redundancy at various levels (disk, power, network, etc.) should be planned to meet the organizational system availability requirement. 
  • Network and data security should be planned, implemented, and periodically audited. Please see section on Security and Privacy for the various requirements and functions that need to be supported and implemented. 
  • Hardware should be checked periodically for correctness and completeness of operation expected from them. An appropriate maintenance cycle should be planned and rigorously followed. 
  • Planned and expected Capacity and Quality requirement of the organization should be met by the hardware used. Periodic updates and upgrades should be carried out to meet these requirements. 
NETWORKING AND CONNECTIVITY
  • Should be able to harness any telecommunications-related connectivity like the Internet, LAN, WAN, WAP, CDMA, GSM or even Cloud Computing that will permit the various EMRs of an individual to be integrated into a single lifelong electronic health record 
  • As far as is practical and affordable, the connectivity medium chosen should be reliable and fast enough to sustain a secure data exchange for the period expected for transaction of records and data. The speed of the connectivity medium should be chosen from among available options so as to provide an acceptable user experience and not cause software/system fault due to delays/noise/failure. 
  • Should be able to ensure that data exchange is performed in a secure manner to ensure data validity and non-repudiability 
  • The data exchange must further ensure that data integrity is maintained at all times 
SOFTWARE STANDARDS
 
The software for capturing, storing, retrieving, viewing, and analyzing healthcare records should:
  • Conform to the specified standards 
  • Satisfy specified requirements 
  • Be Interoperable, especially in terms of syntax and semantics of the information being exchanged 
  • Should be able to ensure user authentication and authorization 
  • Should be able to support privacy, secrecy and audit trail 
  • Possess advanced search, merge, and demerge functionality to ensure that duplicates are robustly resolved 
  • Should be able to support conception-to-current/most recent medical records of a person (as relevant to scope of application) 
  • Should be able to support digital archiving and retrieval of medical records after the death of a person for the total duration as specified by Government of India from time to time 
  • Should be able to construct a medical/clinical summary based on available records from the very first visit to current/most recent 
  • Preferably be able to support rapid data capture-storage-retrieval-display of data 
HEALTH RECORD IN MOBILE DEVICES
As people become more mobile and travel becomes more accessible, patients will increasingly expect the healthcare record system to provide essential health information over mobile devices, which will give their treating clinician basic information like, medical condition, drug/allergy information etc. Demographics, insurance info, medications, allergy and alerts, and vital signs are some of the records that are recommended to be provided in at least read-only manner and to the extent relevant for emergency care and quick reference. It is also possible that certain clinical (BP, temperature, glucose count) and lifestyle (steps walked, distance run, sleep duration and quality) related information will additionally be provided by the patient thereby providing vital clues and information on the overall wellbeing of patient.
 
In the specific regard of design and usability of such applications, “Framework for Mobile Governance 2012” of DeitY, Ministry of Communication & Information Technology, Government of India shall be applicable.

  • PUBLISHED DATE : Jun 03, 2015
  • PUBLISHED BY : NHP CC DC
  • CREATED / VALIDATED BY : NHP Admin
  • LAST UPDATED ON : Jan 10, 2017

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