The ABHA card is managed under the Ayushman Bharat Digital Mission (ABDM), which is a digital healthcare initiative of the National Health Authority (NHA). Under this mission, having this health card, the citizens of India are provided with numerous benefits, such as hassle-free raccess to medical treatments and healthcare facilities, easy sign-up options for personal health record applications (like ABDM ABHA app), and trustable identity.
ABHA Number is a 14-digit identification number and can be generated using an Aadhaar card or your mobile number. It allows users to share their health records digitally with hospitals, clinics, insurance providers, and others.
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You can use it to save your medical records and share them with the concerned medical records whenever required. The ABHA health locker secured your medical data and let you access it anywhere anytime.
For demographic details updates (Name, Address, DoB, Gender, Mobile Number, Email) as well as Biometrics (Finger Prints, Iris & Photograph) in Aadhaar you will have to visit Permanent Enrolment Center.
PM-JAY provides cashless cover of up to INR 5,00,000 to each eligible family per annum for listed secondary and tertiary care conditions. The cover under the scheme includes all expenses incurred on the components like medical examination, treatment, and consultation.
No, they are not the same. ABHA Health ID Card is used to secure all medical records in a digital locker, but the Ayushman Bharat card covers healthcare service costs of people with less than 10000 family income. ABHA Health ID card is for everyone but the Ayushman Bharat card is for underprivileged or poverty-stricken people.
ABHA card allows the organization and maintenance of personal health records (PHR) to ensure better health tracking and monitoring of progress. It enables seamless sharing through a consent pin to simplify consultation-related communication between patients and medical professionals. It has enhanced security and encryption mechanisms along with easy opt-in and opt-out features
ABDM aims at creating an integrated digital health infrastructure in the country by encouraging everyone to create their ABHA health ID card in order to organize and maintain their medical history in a systematic way for better health tracking and progress monitoring.
The ABHA Card allows cashless treatment instead of entirely free treatment. People can access many healthcare services without paying upfront at approved hospitals. However, coverage depends on Ayushman Bharat's terms and conditions.
In the context of the evolution of a digital ecosystem, building blocks are reusableframeworks or artefacts that most stakeholder groups need to rely upon for designing,developing and delivering their services. Building blocks constitute the core of NDHB. The Blueprint identifies the minimum viable set of building blocks required for the NDHE to evolveand describes their capabilities at a high-level. It is for the NDHM, as a specialist organization,to work towards the design, development and establishment of these building blocks.Conformance to both the NDHB Principles as well as to the NDHB Standards and Regulationsis critical for an efficient design and development of the building blocks.
The Blueprint has identified 35 building blocks. A few of the critical capabilities and theschematic of the NDHE that will be addressed by appropriate combinations of differentbuilding blocks are briefly explained below:Ā Identification: Unique identification of persons, facilities, diseases and devices is a keyrequirement as well as a challenge in the NDHE. The Blueprint handles this requirementthrough 2 building blocks, viz. Unique Health Identifier (UHID) and the Health Locker.Working in tandem, these two blocks will facilitate the creation and maintenance of bothElectronic Health Records and Personal Health Records.
The task of developing of these building blocks is allocated under a federated model withthree levels of roles delineated between centre, state and health facilities. Except for theminimum data set needed at the centre and state, the data shall primarily reside at healthfacility level.
The Application Layer of the Blueprint is merely a placeholder in so far as it identifies thethematic areas for development and deployment of applications but refrains from listingthem exhaustively. Such an approach has been adopted not only because of the largenumber and variety of applications that exist, but also because applications must evolveprogressively in an innovative manner that cannot be defined upfront. It is, however,necessary here to highlight the importance of leveraging some applications in the healthsector that have already evolved and matured over the last few years. Taking these legacyapplications on board the NDHE requires that each application is rigorously assessed withrespect to its conformance to the pre-defined standards using a set of criteria like thosedefined by the Digital Service Standard notified by Ministry of Electronics and InformationTechnology.The design of NDHB enables and promotes the development of a host of innovativeapplications and apps by start-ups and entrepreneurs to provide value-added services to thecitizens and other stakeholders.
The value of the Blueprint can be realized mainly in terms of the impact the digital healthservices can have for various stakeholder groups. The Blueprint provides an illustrative, butby no means an exhaustive list of digital health services, to indicate the nature of qualitativedifference their implementation can make. Needless to say that the portfolio of theseservices must be validated and updated through a series of consultations with differentstakeholder groups.
National Health Informatics Standards form the cornerstones of the NDHB. Ideally, the healthsector must align with international standards in a large number of areas. However, theBlueprint has adopted a pragmatic approach and recommended only a minimum viable set ofstandards, to make it easier for the ecosystem players to adopt them. FHIR Release 4 (in ahighly condensed form), SNOMED CT and LOINC are among the standards recommended.
A Blueprint is only as good as its implementation. An appropriate implementation frameworkis suggested in Chapter 4. The establishment of a new entity, the National Digital HealthMission (NDHM), is recommended as a purely government organization with completefunctional autonomy while adopting some features of existing National Information Utilitieslike UIDAI and GSTN. The role and functions of NDHM and an appropriate organizationalstructure have also been recommended. A high-level Action Plan for the implementation ofNDHB has been shared in Chapter 5.
The Ministry of Health and Family Welfare (MoHFW) has prioritized the utilization of digitalhealth to ensure effective service delivery and citizen empowerment so as to bring significantimprovements in public health delivery.
To improve efficiency in health delivery, extend healthcare to rural areas and provide betterquality services at low cost, certain eHealth initiatives using ICT (Information and CommunicationTechnologies) were undertaken by MoHFW across the country with th following objectives:To ensure availability of services on wider scaleTo address the human resource gap by efficient & optimum utilization of the existingmanpower in the health sectorTo provide healthcare services in remote & inaccessible areas through telemedicineTo improve patient safety by access to medical records which also help in reducinghealthcare costsTo monitor geographically dispersed tasks for meaningful field level interactionsthrough effective use of MISTo help in evidence-based planning and decision makingTo improve efficiency of imparting training for capacity buildingĀ
Some of the key ongoing initiatives in digital health being implemented by MoHFW include :Reproductive Child Healthcare (RCH), Integrated Disease Surveillance Program (IDSP),Integrated Health Information System (IHIP), eHospital, e-Shushrut, Electronic VaccineIntelligence Network (eVIN), Central Government Health Scheme (CGHS), Integrated HealthInformation Platform (IHIP), National Health Portal (NHP), National Identification Number(NIN), Online Registration System (ORS), Mera Aspatal (Patient Feedback System), HealthManagement Information System (HMIS), and National Medical College Network (NMCN).These initiatives are operational at a substantially mature level and are already generatingenormous amount of data in the health sector. Since health is a state subject, states are supportedunder National Health Mission (NHM) for services like Telemedicine, Tele-Radiology, Tele-Oncology, Tele-Ophthalmology and Hospital Information System (HIS).
Through Ayushman Bharat, the Government of India has taken steps to lay the foundation ofa 21st century health system. It is expected that the provision of services through public andprivate sector under Ayushman Bharat will generate enormous amounts of health data,mostly in the digital space. To ensure that cutting-edge digital technologies are leveraged, itis crucial to focus on creating an appropriate architecture and data structures which are bothpan-India. With the current system of fragmented data capture by multiple stakeholderswithout any standardization, there is a serious risk of compartmentalization of digital healthassets.
The aforesaid challenge also presents us with an opportunity to build a state-of-the-artNational Digital Health Eco-system (NDHE) that can enable us to leapfrog many of the trapsthat bedevil health information systems even in developed economies.
The Ministry of Health & Family Welfare constituted a Committee chaired byShri J. Satyanarayana, the then Chairman, Unique Identification Authority of India (UIDAI) tocreate an implementation framework for the proposed National Health Stack. Thecomposition of the committee is shown in Annexure I. 152ee80cbc
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