About e Health Record

 

What is e Health Record?

E Health Record is a repository of information regarding the health of a person in computer-processable form that can be stored and transmitted securely, and is accessible by multiple authorized users. It is a digital / electronic form of the health record of a citizen that contains important information of a person on history of disease / health condition, investigation / test reports, treatment given including medication, surgery or other procedures, allergy, hospital(s) visited, etc. that can be accessed by the citizen or any other person / authorized health care service provider authorized by him. Healthcare service providers like doctors, nursing and other paramedical staff, laboratories and pharmacies can see it online from anywhere at any time when they need to, like in an accident or emergency.

 

What are the advantages of having e Health Record?

1. The need for citizens to carry bulky papers containing hard copies of investigations and past treatment will be minimized.

2. The need for repeat investigations will be minimized, resulting in reduction of healthcare costs of citizens.

3. Healthcare service providers will be able to deliver right treatment at the right time.

4. Citizens will be able to seek consultation from a doctor of choice in some other city by sharing with him the eHealth Record– either directly, or through a friend / relative.

 

How does e Health Record get generated?

1. A citizen’s eHealth Record can be generated if there is a unique identity number used for that citizen while he is seeking treatment at the health facilities. However, as of now, no unique identity number of patients is used when they visit hospitals. All hospitals have their own systems of generating a separate Registration Number for any citizen and there is no unique identity number used across hospitals.

2. Integrated Health Management System (iHMS) has provision of capturing a unique Identity Number of the citizen (like Bhamashah Card, Aadhaar Card, etc.) who is provided service through this system. eHealth Record of any individual shall be linked to the individual’s Bhamashah Card to begin with.

3. As of now, there are multiple software solutions being implemented by health sector in Rajasthan like PCTS, Arogya Online, e-Aushadhi, SNCU, IDSP, BSBY, etc. which have their own separate registration numbers and IDs (like PCTS ID, Eligible Couple no., CR no., TID, etc.) and which do not have a unique identity number. Therefore, collating information from all these systems in the form of eHealth Record is a challenge.

4. As of now, Bhamashah Swasthya Bima Yojana is one application that uses a unique identification number – Bhamashah ID – for providing benefits to eligible beneficiaries. In the short run, some information related to patients who have availed of benefit under BSBY using Bhamashah ID will be captured in the form of eHealth Record. In cases where CR no. (Central Registration number) of those hospitals that are using Arogya Online is also linked to Bhamashah ID, information related to laboratory investigations and drugs issued will also be captured in eHealth Record of that individual.

 

5. In the long run, as data related to preventive, curative or rehabilitative services is captured in iHMS by the hospitals and health facilities, this will start getting reflected in eHealth Record of the individual.

 

Data linked to a unique ID like Bhamashah ID will form eHealth Record

 

What information will be contained in eHealth Record?

Your eHealth Record will contain two broad sections:

1. Hospital Records – This will contain your health information related to services provided by health service providers. This information will be fetched into eHealth Record from Hospital Management System

2. Personal Records – This section will include information entered by you – information on activities, allergies, height, weight, body mass index, vital parameters (like BP, respiratory rate, pulse rate, body temperature), blood glucose levels, laboratory tests like hemoglobin, blood urea, serum creatinine, etc. This section will also include scanned copies uploaded by you into your eHealth Record.

 

Adding information / making changes in eHealth Record

1. You will be able to add information into your eHealth Record. The information entered by you into your eHealth Record will be exclusively your responsibility and the EHR deparment can in no way be held responsible for any incorrect information added / changes made by you into your eHealth Record.

2. You will be able to type / input information into your eHealth Record under different categories.

3. You also have the facility of uploading scanned copies / images into your eHealth Record under the ‘Documents’ section.

 

What is required for accessing your eHealth Record?

Having Bhamashah ID and an SSO ID are pre-requisites for a citizen to access My eHealth Record

1. eHealth Record is linked to Bhamashah Card. For accessing your eHealth Record, you need to have (i) Bhamashah ID and (ii) SSO (Single Sign On) ID.

2. In case you already have Bhamashah ID generated and SSO ID created, you may go ahead and access your eHealth Record.

 

 

 

Accessing your eHealth Record

1. Once you have Bhamashah ID and you have created SSO ID using this Bhamashah ID, you can log in with your SSO ID on the web portal sso.rajasthan.gov.in and gain access to eHealth Record.

2. If you are accessing eHealth Record for the first time, you will be prompted to complete the Registration process, which is a one-time activity.

3. You can access your eHealth Record on any compatible desktop / laptop via a web browser using your SSO ID.

 

Accessing eHealth Record of other members of your family

1. At present, access to eHealth Record has been granted to all family members of a Bhamashah Family who share the same Bhamashah ID, implying that a family member can view eHealth Record of all family members. At a later stage, allowing access to eHealth Record of other family members would depend on the policies formulated by the government. E.g., restrictions may be introduced such that head of family may be allowed access to eHealth Record of only minor children of the family (who are less than 18 years of age) and not of all persons in the family.

 

Who all can access your eHealth Record?

1. Only those persons who you have allowed access to your eHealth Record will be able to view your eHealth Record – these could be service providers (like doctor, nurse, pharmacist, etc.) or a relative or friend.

 

Can you access someone else’s eHealth Record?

1. You can access someone else’s eHealth Record only if that person has shared the same with you and only for the time period for which access has been authorized by him.

2. At present, access to eHealth Record has been granted to all family members of a Bhamashah Family who share the same Bhamashah ID. At a later stage, allowing access to eHealth Record of other family members would depend on the policies formulated by the government. E.g., restrictions could be introduced such that head of family may be allowed access to eHealth Record of only minor children of the family (who are less than 18 years of age) and not of all persons of the family.

 

Sharing eHealth Record with someone else

1. You will have control over allowing access to your eHealth Record with somebody – with a service provider (doctor / nurse, etc) or with a friend / relative.

2. You can share your entire eHealth Record with somebody or share a part of it.

3. You have the option of marking some information as confidential and may restrict access to your confidential information, if you so choose.

4. You can share your eHealth Record with somebody for a restricted time duration (say one day, two days, one week, one month) or grant access to it permanently.

5. On choosing to share your eHealth Record with somebody, you will be required to enter the details of the person with whom you are sharing your record (like mobile no., email ID, address, etc.) and you will receive an OTP ( One Time Password) for confirmation that you are sharing your eHealth Record with Somebody.

6. A message with Validation Code will be sent on the mobile no. of the person with whom you have shared your eHealth Record, and the same will be sent by email as well.

7. The person with whom you have shared your eHealth Record can access and view it by entering the Validation Code.

8. If you have given access to your eHealth Record for a limited duration of time, the person will not be able to view it once the period ends.

 

Benefit of sharing eHealth Record with your doctor

1. In case you have shared your eHealth Record with your doctor, she / he will be able to view it as his end and you will not be required to carry hard copies of the same with you.

2. If the doctor is on travel or at a distant location, by sharing your eHealth Record you will not be required to travel to him in person and she can view your health details and prescribe you the treatment, possibly through e-prescription

 

Benefit to doctors in Private Hospitals for accessing eHealth Record of a person

1. All government health facilities will be covered in Integrated Health Management System in a systematic manner and information related to preventive, promotive, curative and rehabilitative services will be available in the system. This information gets added to the eHealth Record repository. This cumulative sequence of services provided will be displayed into eHealth Record.

2. The cumulative / longitudinal records related to clinical examination, laboratory / radiological investigations, treatment, etc will be available in eHealth Record which will help the doctors in taking timely decision for timely patient care, and avoiding needless investigations / referrals.

3. eHealth Record will be a handy tool for patient care if the doctor is on travel – afterviewing eHealth Record, the doctor will be able to advise treatment to the patient.

4. eHealth Record will become an effective tool for patient care once Telemedicine System as a part of iHMS is implemented.

 

What information can be seen by someone who has access to your eHealth Record?

1. A person, whether a service provider (like doctor, nurse, pharmacist, etc.) or a relative or friend with whom you have shared your eHealth Record will be able to see only that information that you have authorized the person to see, and only for the time for which you have allowed access.

2. If you have allowed access only to investigations, the person will be able to view only investigations. If you have not allowed access to information that has been marked ‘confidential’ by you, the person will not be able to view this information.

3. If you have allowed access to your eHealth Record for only one day or for one week, the person will be able to view your eHealth Record only for a day or a week. If you have allowed indefinite access to your eHealth Record, the person will be able to view your eHealth Record indefinitely.

 

Can the person, with whom you have shared your eHealth Record, make changes in your eHealth Record?

1. The person, with whom you have shared your eHealth Record can only view your eHealth Record and cannot make changes in it.

 

With who all have you shared your eHealth Record?

1. The history of sharing information will be made available as Notifications in your eHealth Record application at a later stage.

 

Notifications regarding eHealth Record

1. You will receive notifications at the following points:

i. Once the Hospital Visit Record is sent / updated into your eHealth Record.

ii. On every occasion when you have updated your eHealth Record.

iii. On every occasion when you have shared your eHealth Record with somebody.

iv. On receiving response to your query from the person with whom you have shared your eHealth Record.

v. In case there is any update on policy related to eHealth Record.

 

Providing feedback or reporting an issue with eHealth Record

1. In case you have some feedback or want to report an issue with your eHealth Record, you can provide feedback by going on the IHMS portal.

 

Information regarding privacy issues related to eHealth Record

1. The department takes all required precautions to protect your personal and health related information it holds from misuse and loss, and from unauthorized access or modification.

2. Your personal information like include your name, gender, age / date of birth, and addresswill be used and disclosed to hospitals using Integrated Health Management System.

3. You can securely access youreHealth Recordfrom anywhere, whether in India or outside India.

4. Similarly, the person(s) with whom you have shared your eHealth Record can securely access youreHealth Recordfrom anywhere for the time period that you have authorized their access to your record.

 

Use of eHealth Record for research purposes

1. Without revealing identity of a person, health data in eHealth Record of citizens could be made available to research institutions for research purposes.

2. Without revealing identity of a person, health data in eHealth Record of citizens could also be used by government for designing interventions for public health programmes.