India’s Digital Health ID And You

The newly launched Ayushman Bharat Digital Mission will involve a unique health ID for every citizen. How will it help you get treatment at hospitals across the country, and how can you register?

Prime Minister Narendra Modi launched the Ayushman Bharat Digital Mission (ABDM), saying it has the “potential of bringing a revolutionary change in India’s healthcare facilities”. The flagship digital initiative involves the creation of not just a unique health ID for ever

What is the unique health ID, and how does one get it?

If a person wants to be part of the ABDM, she must create a health ID, which is a randomly generated 14-digit number. The ID will be broadly used for three purposes: unique identification, authentication, and threading of the beneficiary’s health records, only with their informed consent, across multiple systems and stakeholders.

One can get a health ID by self-registration on the portal or by downloading the ABMD Health Records app on one’s mobile. Additionally, one can also request the creation of a health ID at a participating health facility, which may include government or private hospitals, community health centres, and wellness centres of the government across India.

he beneficiary will also have to set up a Personal Health Records (PHR) address for consent management, and for future sharing of health records. It is a simple self-declared username, which the beneficiary is required to sign into a Health Information Exchange and Consent Manager (HIE-CM). Each health ID will require linkage to a consent manager to enable sharing of health records data.

An HIE-CM is an application that enables sharing and linking of personal health records for a user. At present, one can use the health ID to sign up on the HIE-CM; the National Health Authority (NHA), however, says multiple consent managers are likely to be available for patients to choose from in the near future.

urrently, ABDM supports health ID creation via mobile or Aadhaar. The official website states that ABDM will soon roll out features that will support health ID creation with a PAN card or a driving licence. For health ID creation through mobile or Aadhaar, the beneficiary will be asked to share details on name, year of birth, gender, address, mobile number/Aadhaar.

Is Aadhaar mandatory?

No, it is voluntary. One can use one’s mobile number for registration, without Aadhaar.

Can I use my Aadhaar number if it is not linked to my mobile number?

If the beneficiary chooses the option of using her Aadhaar number, an OTP will be sent to the mobile number linked to the Aadhaar. However, if she has not linked it to her mobile, the beneficiary has to visit the nearest facility and opt for biometric authentication using Aadhaar number. After successful authentication, she will get her health ID at the participating facility.

Are personal health records secure?

The NHA says ABDM does not store any of the beneficiary health records. The records are stored with healthcare information providers as per their “retention policies”, and are “shared” over the ABDM network “with encryption mechanisms” only after the beneficiary express consent.

Can I delete my health ID and exit the platform?

Yes, the NHA says ABDM, supports such a feature. Two options are available: a user can permanently delete or temporarily deactivate her health ID.

On deletion, the unique health ID will be permanently deleted, along with all demographic details. The beneficiary will not be able to retrieve any information tagged to that health ID in the future, and will never be able to access ABDM applications or any health records over the ABDM network with the deleted ID.

On deactivation, the beneficiary will lose access to all ABDM applications only for the period of deactivation. Until she reactivates her health ID, she will not be able to share the ID at any health facility or share health records over the ABDM network.

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