This presentation was presented online by Dr.Vinothini as a part of PG Seminar Presentation and the full video presentation can be found in official YouTube channel of IAPSM eConnect Link for the video: https://www.youtube.com/watch?v=eqR1J9jjCgs

1. Ayushman Bharat Digital Mission
Dr.J.VINOTHINI
Junior Resident
Community Medicine
Banaras Hindu University
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2. National health stack
(NITI Aayog)
2017
2018
2019
2020
National Health Policy
National Digital Health
Blueprint
National Digital Health Mission
Evolution of ABDM
2021
ABDM
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3. Nation-wide Roll-out
Expansion- States
and Services
Roll-out in Union
Territories
PHASE
03
PHASE
02
PHASE
01
ABDM-Phased Implementation
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4. VISION
 
To create a national digital health ecosystem that
supports universal health coverage in an efficient,
accessible, inclusive, affordable, timely and safe
manner, that provides a wide-range of data,
information and infrastructure services, duly
leveraging open, interoperable, standards based
digital systems, and ensures the security,
confidentiality and privacy of health-related
personal information

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1 To establish state-of-the-art digital health systems, to manage the core
digital health data, & infrastructure required for its seamless exchange
To establish registries to create single source of truth in respect
of clinical establishments, healthcare professionals, health
workers, drugs & pharmacies
To enforce adoption of open standards by all national
digital health stakeholders
To create a system of personal health records, based on international
standards, easily accessible to individuals and healthcare professionals
and services providers, based on individual’s informed consent
To promote development of enterprise-class health application systems
with a focus on achieving the Sustainable Development Goals for health
OBJECTIVES OF NDHM

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6 To adopt the best principles of cooperative federalism while working with
the States and Union Territories for the realization of the vision
To ensure that the healthcare institutions and professionals in the private
sector participate actively with public health authorities in the building of
the NDHM, through a combination of prescription and promotion
To ensure national portability in the provision of health services
To promote the use of clinical decision support (CDS)
systems by health professionals and practitioners
To promote a better management of the health sector leveraging
health data analytics and medical research

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11 To provide for enhancing the efficiency and effectiveness of
governance at all levels
To support effective steps being taken for ensuring quality of healthcare
To strengthen existing health information systems, by ensuring their
conformity with the defined standards and integration with the
proposed NDHM

8. Think big, start small, scale fast
Enable seamless portability
Performance and accountability
Wellness-centric and wellness-driven
Educate & empower individuals
NDHM systems to be inclusive
Ensure security and privacy
NDHM
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Health Domain Principles

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Universal Health Coverage
Citizen-centric Services
Quality of Care
Accountability for Performance
Efficiency and Effectiveness in delivery of services
Creation of holistic and comprehensive health eco-system
Health and Well-being for all
S
C
O
P
E
O
F
A
B
D
M
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10. PROVIDERS
ALLIED
PRIVATE
ENTITIES
HEALTHCARE
PROFESSIONALS
NON-PROFIT
ORGANISATIONS
ADMINISTRATORS
POLICY
MAKERS
Hospitals, Clinics
Labs, Pharmacies, Wellness centres
Insurers
Health-tech companies
Doctors (Modern medicine, AYUSH)
Other practitioners
Development partners/NGOs
Associations
Regulators
Program managers
State Governments
Central Governments
ABDM ECOSYSTEM
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11. Technology
Applications
Applications
Applications
Data
Infrastructure
Technology
Data
Infrastructure
Technology
Data
Infrastructure
Federated Architecture of NDHB
Ecosystem at
LOCAL LEVEL
Ecosystem at
STATE LEVEL
Ecosystem at
NATIONAL LEVEL
CITIZEN ACCESS Health Locker
Health Portal
My Health App
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12. My health App
Access & Delivery
Health locker
India Health Portal Value-added services
Application Building
Blocks
National programs
Medical Education Apps
Health & Wellness Apps
Emergency care Apps
Technology Building Blocks
GIS tools
Anonymizer
Consent Manager
Health Analytics
Health Info. Exchange
Data Hubs
Electronic Health Records
Health Professional Directories
Infrastructure
Secure Health Networks
Health Clouds
Security & Privacy operations center
National
Health
Standards
Health lockers
Call centers
Electronic Medical Records
Metadata/data dictionaries
NCD registries
Facilities Directory
Telemedicine
HIS
Insurance
RCH
Health research
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13. ABDM Sandbox
ABDM Sandbox is a framework that will allow technologies or products
to be tested in the contained environment in compliance with NDHM
standards and judge the consumer and market reactions to the same
This will provide an opportunity to identify, understand, adapt, and respond to these
disruptive new products and services in a timely and appropriate fashion
Users of an NS can test the product’s viability without the need for a larger and more expensive
roll-out. If any concerns arise, during the sandbox period, appropriate modifications can be
made before the product is launched in the broader market
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14. Personal
Health
Records Electronic
Medical
Records
Healthcare
Professionals
Registry
Health
Facility
Registry
Health ID
ABDM COMPONENTS
 Identification
 e-Card format
 Unique case ID
 QR code
 Data linked with consent manager
 Master data
 Digi Doctor Platform
 Single repository
(public & private)
 Detailed information
on services provided
and facilities available
 e-Health record
 Longitudinal Health Record
 Anytime access through mobile Apps
 Authenticating with consent
 Ability to control access
 Digital view of patients’ medical & treatment
history from a single health facility
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15. Provide a platform for
interoperability of health care
data through a unique identifier
for the provider and patient
across the health system
Providing the technology
platform for collection of
core health data from the
providers and patients
Improving the quality of health data
collection, storage and dissemination for
purposes of research and policy decisions
Publish national indicators
for health, to measure quality
of care and progress against
policy initiatives and SDG
Goals
Capacity building on
health informatics,
safety and security

16. Single, Secure Health ID to all
Personal Health Records
App Store
Specialized services for
remote areas/
disadvantaged groups
NDHM Call Centre
Digital Child Health
e-Prescription service
Online Appointments
Digital referrals & consultations
Digital Services provided by NDHM
National ‘Opt-out’ (for privacy)
CITIZEN / PATIENT
SERVICES

17. Summary care record
Open platform to access
emergency services
Technology for practitioner
Digital referrals, case transfers
Hospital Digitalisation
Digital Pharmacy and
supply chain
Clinical decision support
Digital Services provided by NDHM
Digital Diagnostics
SERVICES BY/FOR HEALTHCARE WORKERS

18. Expected
Outcome
Privacy of data & consent-
based access of EHRs
Support national portability
Diagnostic test only
ONCE
Integrated Health
Services at a single point
Easy access to e-Health Records
Unified Communication Centre
Continuum of Care across
primary, secondary and
tertiary care
Enable evidence-based
interventions
Support data-driven
decision-making and policy
analysis
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19. Benefits to all Stakeholders
Access to Healthcare
Choice of providers
Online Appointments
Control over data
Transparency and Trust
Technology for practitioner
National Discoverability
Fast ramp up of practice
Increased collaboration
Access to longitudinal patient data
Digital Pharmacy
Easy Discoverability
Increased footfalls
Faster inventory turnover
Digital Diagnostics
Easy Discoverability
Increased footfalls
Ease of reporting results
Can target niche, hard
to reach customers
Easier access to data
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20. Stakeholders’
Suggestions
NDHM should take into consideration requirements where patients are not allowed to
access their medical records, some records which a doctor keeps with themselves such as
related to Mental Illness since it is mentioned in the Mental Health Act as well
Applications should be developed keeping ease of usage by healthcare professionals in
mind, as they are not well versed with the use of application or electronic devices
There should be a provision of cloud storage and applications for
facilities not having access to these and wanting to adopt NDHM systems
Prerequisites (software, hardware, any other requirements) should be provided, as
it would require everyone to be prepared for roll out of NDHM in a smooth way
Security and privacy of the data residing on the cloud platform should be taken care of, as
privacy of a patient is a major concern and there can be legal issues associated with it
As patient follow up is necessary, records that are captured at Health and Wellness
Center or in a District Hospital, should be synced and made available when the
patient is referred to any tertiary care hospital or vice versa

21. NDHM- A Gamechanger
 Complete Digital Health Eco-system with Health-ID,
DigiDoctor, Health Facility Registry, Personal Health
Records, e-Pharmacies and Telemedicine
 Ability to securely Store and Access medical records
(prescriptions, diagnostic reports, discharge summaries)
 Pilots rolled in Six Union Territories (Andaman &
Nicobar, Chandigarh, Dadra & Nagar, Daman & Diu,
Lakshadweep, Ladakh, Puducherry)
 Enrolling in the NDHM is voluntary; data can only be
shared after approval from individuals
 DigiDoctor will allow doctors from across the country to
register on the platform; this helps in providing
telemedicine services

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23. REFERRENCES
https://academiccommons.columbia.edu
/doi/10.7916/d8-2y7j-y263/download
https://ndhm.gov.in/documents/ndhm_str
ategy_overview#:~:text=To%20create%20a
%20national%20digital,standards%2D%20
based%20digital%20systems%2C%20and
https://pmjay.gov.in/sites/default/f
iles/2021-06/Consultation-Paper-
on-Health-Facility-Registry.pdf
https://www.bldeujournalhs.in/article.asp?iss
n=2468838X;year=2019;volume=4;issue=1;sp
age=1;epage=6;aulast=Sarbadhikari
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