national health stack · powered by no-greed and no-glory volunteering! india stack overview. bill...
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National Health StackOpen House Discussion
23rd May 2020
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iSPIRT Overview
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30 yr Architects
10 yr Planners
5 yr Doers
• Think Tanks• Universities• Research Labs
• VCs• Policy Makers
• Incumbents• Challengers
iSPIRT Foundation: a non-profit Tech Think-and-Do TankDriving 30-year Orbit Shifts
Powered by no-greed and no-glory volunteering!
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India Stack Overview
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Bill GatesGates Foundation
India is on the cusp of leapfrogging and leading the world in digital Financial inclusion and is becoming the most digitalised economy. 2016
Adam MinterAuthor, Junkyard Planet
China has invested more than $125B in Africa. An Indian innovation, however, could be what African countries really need. India Stack would boost growth as much as Chinese-built infrastructure. .2018
Prof Kenneth RogoffHarvard Economist
The world has much to learn from Aadhar. 2017
Prof Vasant DharNYU Stern, Ed. Big Data
If we want control over data, the Indian model offers a path toward individual data empowerment for the Internet age. 2018
Global Digital Public Goods AllianceIndia with likely co-founders: Norway, Singapore, Japan.
Interested Members: Philippines, Morocco, Rwanda, Kenya, Indonesia, Myanmar, Nigeria, Tanzania, Afghanistan, Bangladesh, Togo,
The world is noticing India Stack!
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India Stack has three layers
Identity LayerGiving every resident a unique id and enabling them to prove “I am who I claim to be”
Payments LayerAllowing anyone to pay anyone else! interoperable, fast and cheap - not just smartphones.
Data EmpowermentTo enable secure sharing of data
➔ Unified Payments Interface➔ Aadhaar Payments Bridge➔ Aadhaar Enabled Payment Service
➔ Aadhaar➔ eKYC➔ eSign
➔ Consent Artefact➔ DigiLocker➔ Account Aggregator
Identity Layer
Payments Layer
Data Layer
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INDIA STACK powers many Use-cases
Direct Benefit Transfer
Jan DhanFinancial inclusion
Lending
Transactions
Wealth Management
Insurance
New Business Services
India Stack Infrastructure
Identity Layer
Payments Layer
Data Layer
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Needs a loan
Sees many
types of loan offers
Accepts best offer
Receives loan
Sells Goods
Repays loan
Agrees to share data
Electronic Data
Consent
Credit marketplace app
Credit market-
place
Paperless contract
Transaction a/c & app
Payment app
Collections app
Aadhaar/eKYC
NBFC Account
Aggregator
API for Loan Offers
eSign Digilocker
UPI
PublicCredit
Registry
E-lien,Eman-dates
BBPS
India Stack is about democratizing
credit for Rajni!Work started in 2013
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Needs a loan
Sees many
types of loan offers
Accepts best offer
Receives loan
Sells Goods
Repays loan
Agrees to share data
Electronic Data
Consent
Credit marketplace app
Credit market-
place
Paperless contract
Transaction a/c & app
Payment app
Collections app
Aadhaar/eKYC
NBFC Account
Aggregator
API for Loan Offers
eSign Digilocker
UPI
PublicCredit
Registry
E-lien,Eman-dates
BBPS
Market Innovators Build the Middle Layer
Digital Public Infrastructure
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2
3
4
5
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Needs a loan
Sees many
types of loan offers
Accepts best offer
Receives loan
Sells Goods
Repays loan
Agrees to share data
Electronic Data
Consent
Credit marketplace app
Credit market-
place
Paperless contract
Transaction a/c & app
Payment app
Collections app
Aadhaar/eKYC
NBFC Account
Aggregator
API for Loan Offers
eSign Digilocker
UPI
PublicCredit
Registry
E-lien,Eman-dates
BBPS
India Stack has led to creation of two new trade-bodies:
Market Innovators Build the Middle Layer
Digital Public Infrastructure
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Shift for Market PlayersNew world where Digital Public Infra is coming in place first
v/s
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National Health Stack Overview
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Our objective is to build a world class universal health system with radically low cost, high access and good quality
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Improve the efficiency and capacity of the care delivery system through a strong digital foundation
Re-align incentives to shift the approach of care delivery from transaction, curative focused to longitudinal, wellness focused
Leverage Ayushman Bharat for experimentation and scale-up
By designing a three-pronged approach
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National Health Stack
ELECTRONIC REGISTRIES
Doctor registryFacility registryProcedure registryDrug registry...
PERSONAL HEALTH RECORDS
E-prescriptionE-discharge summaryDiagnostic e-reports...
ELECTRONIC CLAIMS SWITCH
E-claimsAyushman Bharate-Vouchers...
Plumbing LayerStreamlining flow of patients, health information and money
Gamifier Payers Preventive Care Fiduciary Treatment Care Fiduciary
GOVT & PRIVATEAPPS & PLATFORMSDiverse user experiences & innovative solutions
CONSUMER APPS/PORTALS HEALTH PROVIDER APPS/PLATFORMS
JAM & INDIA STACK
JAM & INDIA STACKCross domain generic building blocks
Private Sector
Other Apps
HIMS/LIMS
Other Platforms
Public Sector
PROTOCOL SERVER PERCEPTRON/ DIAGNOSTIC BOTS MATCHING ENGINE
Augmentation LayerEnhancing capabilities of all actors
Dig
ital P
ublic
In
fra
stru
ctur
eP
riva
te
Inno
vatio
n
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Personal Health Records
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PHR is part of the Data Empowerment & Protection Architecture (DEPA)
Identity LayerGiving every resident a unique id and enabling them to prove “I am who I claim to be”
Payments LayerAllowing anyone to pay anyone else! interoperable, fast and cheap - not just smartphones.
Data EmpowermentTo enable secure sharing of data
➔ Unified Payments Interface➔ Aadhaar Payments Bridge➔ Aadhaar Enabled Payment Service
➔ Aadhaar➔ eKYC➔ eSign
➔ Consent Artefact➔ DigiLocker➔ Account Aggregator
Identity Layer
Payments Layer
Data Layer
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1 2 3India is making digital infrastructure as public goods.
Indians are becoming data-rich.
Indians are Going Digital
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WHAT THE DATA IS USED FOR
Data is used to
sell things to the userData to be used to
empower the user
WHO CONTROLS THE DATA
Put the users in the centre!
We Need To Invert The Status Quo
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Classification of Data
LONGITUDINAL PERSONAL HEALTH RECORD
PUBLIC HEALTH/ EPIDEMIOLOGY
MEDICAL RESEARCH/ BOT TRAINING RESOURCES
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MeitY Consent Artefact - National StandardCompliant with the ORGANS Principles: Open, Revocable, Granular, Auditable, Notice, Secure
<consentcollector> CC </consentcollector><dataconsumer> DC </dataconsumer><dataproducer> DP </dataproducer>
<user type=”UID”> 123412341ABC </user>
<datatype type=”transactional”> <attribute-list> … </attribute-list> <duration> 6 months </duration> <datalife> 10 days </datalife> <frequency> YEARLY </frequency> <revocable> YES </revocable> <access> VIEW| STORE| QUERY </access></datatype>
<datatype type=”profile”> </datatype> <loggingInfo> … </loggingInfo>
<purpose code=””> LOAN </purpose>
<signature> #@%%#@$$##$@ </signature>
Identifier Section
Data Section
Logging Section
Signature Section
Purpose of Data Access
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Tech Institution Law
Data Empowerment & Protection Architecture (DEPA)
Who can use my data and
Why?
How can I be sure my data is not misused?
What can I do if my data is being
misused?
Tools for restoring agency to the user
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The Account Aggregator by RBI/SEBI/PFRDA/IRDA will facilitate consented sharing of financial information in real-time
Bank
Mutual Fund House
Insurance Provider
Tax / GST Platform
Flow-Based Credit
Personal Finance Management
Wealth Management
Robo Advisors
Financial Information Providers Financial Information Users
(NBFC AccountAggregator)
Request for Data
Consent to Share
Encrypted Data Flow
Registry
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Story of Health Data Today
User
Lab Report
Prescription
DischargeSummary
Physical Folder that user carries with himself
Clinic
Lab
Hospital
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Historic Data accessible through Standardised Discovery Protocol
User
E- Lab ReportID = PM-JAY ID
E- PrescriptionID = Mobile+Demo
E - DischargeSummaryID = Aadhaar
Lab
Health Locker
Longitudinal Health
Records
Hospital
Clinic
saurabh@healthlocker
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Lab
Federated Health Data Storage
User
Health LockerRepository
Repository providers store provider data. Locker may store duplicates.
(Same design as DigiLocker)
Hospital
Repository
Repository
Sta
ndar
dize
d A
PIs
Repositories must be highly “available”
Clinic
Incentives enable an ecosystem of repository providers to emerge
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Lab
Sharing of Health Data with Consent
User
Health LockerRepository
Hospital
Repository
Repository
Treating Doctor
Doctor App
Sta
ndar
dize
d A
PIs
Sta
ndar
dize
d A
PIs
MeitY Electronic Consent
Clinic
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Hospital
Lab
Health Apps
Hospital
Health Lockers
Doctor / Specialist
Insurance Provider
Personal Health Apps
Health Information Providers Health Information Users
Consent & Healthcare Data Flows based on India’s Data Empowerment & Protection Architecture (DEPA)
Request for Data
Consent to Share
Encrypted Data Flow
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Minimal, one-time change required in existing systems29
Schema-level standardisation
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Features of Personal Health Record Framework
Federated Architecture(Real-time aggregation of health records from
different sources)
Privacy Protection(Use of Electronic Consent
and Consent Managers)
Schema-level Standardisation
(Minimal change to data formats of existing health
records)
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PHR Demo
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Lab 1
Lab 2
Gateway
CM 1
LIMS 1
Control flows (account discovery, account linking, consent)
Health Information Providers (HIPs)
Clinic 1
Aggr
egat
or
Soft
war
e
Hosp 1
Hosp 2
HIMS 1
Hosp 3
API
Brid
ge 1
API
Brid
ge 2
Lab 3
CM 2
Consent Managers (CMs)
Hosp 4
Hosp 5
HIMS 2
API Bridge 3
HealthTech App
API Bridge 4
Clinic 1Aggregator Softw
are
Hosp 4
Lab 5
Data flow
Health Information Users (HIUs)
Lab 3LIMS 2
CM Registry
Bridge Registry
User
Consent & Healthcare Data Flows Architecture
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Open APIs - Personal Health Records
https://projecteka.github.io/content/documentation.html
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PHR Pilot
If you’re interested in participating in the pilot as a:
● Health Information Provider● API Bridge● Health Information User● Consent Manager
please drop us an email at [email protected]
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Next Open House Discussion
Clarifications on PHR, Design of Doctor Registry
● 11:30 AM to 12:30 PM, 30th May 2020● Please Register Here: https://bit.ly/NHS-OHD (Technical Session)
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Thank You