The document proposes a federated architecture for a National Doctors Registry in India to address current issues with duplication of data and lack of a single source of truth. Key points:
- It recommends assigning each doctor a Unique National Provider Identifier (NPI) maintained in a central National Medical Register that can be looked up by stakeholders.
- State medical councils will use the NPI to maintain provider directories with additional details like credentials, employment history, and actively update the central register.
- A minimum set of standardized data elements is identified to uniquely identify each provider in the central register while more detailed information is maintained locally.
- An initial data clean-up and validation process across state and central registers is required
The document outlines a hospital management system project that includes maintaining patient details, prescriptions, tests, and billing. It describes the scope of the project, stakeholders like patients, doctors, and staff. It discusses the feasibility of the system in terms of technical capabilities, scalability, and flexibility. Diagrams show the database, pharmaceutical activities, and remote doctor consultations. The presentation concludes with screenshots of the billing and payment system and thanks the audience.
Mustafa Degerli - 2016 - iHR - Your Health Records - Strategic Business and M...Dr. Mustafa Değerli
The document provides details about the Individual Health Record (iHR), including its motivations, functions, characteristics, market analysis, customer analysis, SWOT analysis, and marketing plan. The iHR is a software service that allows patients to store, view and share their electronic health records on mobile devices, and allows doctors to send records and schedule appointments. It has versions for both patients and doctors/hospitals. The iHR aims to offer patients a private and convenient way to manage their health records, as current government systems are not widely used or trusted. The market in Turkey is large, with over 70 million mobile subscribers and growing internet and technology use.
Mustafa Degerli - 2016 - Answers for MI 502 – Introduction to Medical Informa...Dr. Mustafa Değerli
The document discusses establishing a startup focused on privacy and security in medical informatics. Specifically:
- The startup would provide consulting and support to help organizations manage privacy and security for their medical informatics solutions, or develop integrated systems to address privacy and security concerns.
- Initially, the startup would work with experts to establish standards for privacy and security. It would then promote these standards to authorities and associations.
- Organizations developing medical solutions would then come to the startup for help meeting privacy and security needs, through consulting, support, or integrated systems. Addressing privacy and security would give these organizations a competitive advantage.
ABOUT HORIZON HI-TECH SOFT SYSTEMS
Horizon Hi-Tech Soft Systems is a leading-edge Web Application Development and Digital Marketing Company committed to provide a wide array of reliable, innovative and cost-effective digital services to clients across the globe. As a diverse digital services company, Horizon Hi-Tech Soft Systems offers an entire gamut of services under one roof - ranging from CMS website development, custom web application development Search Engine Optimization and other digital marketing services
This document discusses medical negligence and the standards used to determine if a medical professional was negligent. It provides definitions of negligence and outlines several court cases that have established the principles used in medical negligence cases in India. The key points are:
1) Negligence involves a duty of care, breach of that duty, and damage. For medical professionals, the standard is whether they acted in a way considered acceptable by a responsible body of competent professionals at the time.
2) A doctor is not negligent if they follow an accepted proper practice, even if other opinions disagree. The skills and practices must be judged based on what was considered reasonable at the time, not in hindsight.
3) To find
This document provides guidance for a referral specialist at Mount Vernon Internal Medicine. It discusses daily duties such as submitting insurance referrals and authorization requests. It reviews the referral processes and forms for major insurances like Tricare, CareFirst, UnitedHealthcare, and Aetna. It also discusses following up on referrals and notes, as well as authorizing radiology services. The overall goal is to help patients understand insurance benefits and receive full value from medical services through efficient referral management.
This document proposes an anonymous online patient-researcher matching system called Redwoodland that allows patients to remain anonymous while providing their medical data. It aims to recruit substantial patient data and attract researchers/physicians by maintaining privacy. The system provides a secure portal for patients to manage and share their medical records anonymously. It also allows researchers to search anonymized patient data and confidentially communicate with matched patients. The system uses encryption to anonymize patient identities while giving them control over access and use of their data. It is built on open-source technologies for flexibility and low costs. The goal is to facilitate better matches between patients and researchers by addressing privacy concerns and engaging more patients through an anonymous system.
The document provides information about the Indian Medical Association's Karnataka State Health Scheme (IMA-KSHS), including how to apply for membership. Some key details:
- IMA-KSHS provides financial assistance to IMA-KSB life members and their families for hospitalization costs from major illnesses.
- Membership is open to IMA-KSB life members, their spouses, parents, and children. Admission fees vary based on the member's age.
- The scheme reimburses 75% of hospitalization costs up to ₹2 lakhs per year for covered major diseases like heart disease, cancer, accidents and more.
- To apply,
The document outlines a hospital management system project that includes maintaining patient details, prescriptions, tests, and billing. It describes the scope of the project, stakeholders like patients, doctors, and staff. It discusses the feasibility of the system in terms of technical capabilities, scalability, and flexibility. Diagrams show the database, pharmaceutical activities, and remote doctor consultations. The presentation concludes with screenshots of the billing and payment system and thanks the audience.
Mustafa Degerli - 2016 - iHR - Your Health Records - Strategic Business and M...Dr. Mustafa Değerli
The document provides details about the Individual Health Record (iHR), including its motivations, functions, characteristics, market analysis, customer analysis, SWOT analysis, and marketing plan. The iHR is a software service that allows patients to store, view and share their electronic health records on mobile devices, and allows doctors to send records and schedule appointments. It has versions for both patients and doctors/hospitals. The iHR aims to offer patients a private and convenient way to manage their health records, as current government systems are not widely used or trusted. The market in Turkey is large, with over 70 million mobile subscribers and growing internet and technology use.
Mustafa Degerli - 2016 - Answers for MI 502 – Introduction to Medical Informa...Dr. Mustafa Değerli
The document discusses establishing a startup focused on privacy and security in medical informatics. Specifically:
- The startup would provide consulting and support to help organizations manage privacy and security for their medical informatics solutions, or develop integrated systems to address privacy and security concerns.
- Initially, the startup would work with experts to establish standards for privacy and security. It would then promote these standards to authorities and associations.
- Organizations developing medical solutions would then come to the startup for help meeting privacy and security needs, through consulting, support, or integrated systems. Addressing privacy and security would give these organizations a competitive advantage.
ABOUT HORIZON HI-TECH SOFT SYSTEMS
Horizon Hi-Tech Soft Systems is a leading-edge Web Application Development and Digital Marketing Company committed to provide a wide array of reliable, innovative and cost-effective digital services to clients across the globe. As a diverse digital services company, Horizon Hi-Tech Soft Systems offers an entire gamut of services under one roof - ranging from CMS website development, custom web application development Search Engine Optimization and other digital marketing services
This document discusses medical negligence and the standards used to determine if a medical professional was negligent. It provides definitions of negligence and outlines several court cases that have established the principles used in medical negligence cases in India. The key points are:
1) Negligence involves a duty of care, breach of that duty, and damage. For medical professionals, the standard is whether they acted in a way considered acceptable by a responsible body of competent professionals at the time.
2) A doctor is not negligent if they follow an accepted proper practice, even if other opinions disagree. The skills and practices must be judged based on what was considered reasonable at the time, not in hindsight.
3) To find
This document provides guidance for a referral specialist at Mount Vernon Internal Medicine. It discusses daily duties such as submitting insurance referrals and authorization requests. It reviews the referral processes and forms for major insurances like Tricare, CareFirst, UnitedHealthcare, and Aetna. It also discusses following up on referrals and notes, as well as authorizing radiology services. The overall goal is to help patients understand insurance benefits and receive full value from medical services through efficient referral management.
This document proposes an anonymous online patient-researcher matching system called Redwoodland that allows patients to remain anonymous while providing their medical data. It aims to recruit substantial patient data and attract researchers/physicians by maintaining privacy. The system provides a secure portal for patients to manage and share their medical records anonymously. It also allows researchers to search anonymized patient data and confidentially communicate with matched patients. The system uses encryption to anonymize patient identities while giving them control over access and use of their data. It is built on open-source technologies for flexibility and low costs. The goal is to facilitate better matches between patients and researchers by addressing privacy concerns and engaging more patients through an anonymous system.
The document provides information about the Indian Medical Association's Karnataka State Health Scheme (IMA-KSHS), including how to apply for membership. Some key details:
- IMA-KSHS provides financial assistance to IMA-KSB life members and their families for hospitalization costs from major illnesses.
- Membership is open to IMA-KSB life members, their spouses, parents, and children. Admission fees vary based on the member's age.
- The scheme reimburses 75% of hospitalization costs up to ₹2 lakhs per year for covered major diseases like heart disease, cancer, accidents and more.
- To apply,
Recommendations On Electronic Medical Record Standards In India Dr Neelesh Bhandari
Recommendations of EMR Standards Committee, constituted by an order of Ministry of Health & Family Welfare, Government of India and coordinated by FICCI on its behalf : April 2013
Hospital Management System (HMS) is a ‘best-in-class’ software solution which is designed to make hospitals and healthcare facilities absolutely ‘paperless’ and reduce human intervention in the tasks conducted on a daily basis. It is available in two languages – English and Marathi.
The Hospital is an Institute which provides to people best health services.
That Provides Facility for hospitalization.
The patient is admitted in hospital with the exception that he or she will be in the
hospital for more Than 24 hours.
The Patient is assigned a room /bed.
The Hospital Provide Medical care.
Hospital Management System provides the benefits of enhanced administration & control, superior patient care, strict cost control and improved profitability. HMS is powerful, flexible, and easy to use and is designed and developed to deliver real conceivable benefits to hospitals. More importantly it is backed by reliable and dependable support.
Medical coders analyze medical records to assign numeric or alphanumeric codes to diagnoses, procedures, and medications. Medical billers then use these codes to prepare and submit claims to insurance companies on behalf of healthcare providers. The coding and billing processes help healthcare providers get paid for medical services and generate summaries of patient treatment. Both roles require training to accurately record and track patient data and insurance information.
This document contains information about Lehna Quereau including personal details, education history, course descriptions, academic history, resume, professional development, skills, references, accomplishments, volunteer experience, career goals, and a sample staff schedule. The document provides a comprehensive overview of Lehna Quereau's background, qualifications, and career aspirations in health information management.
The document discusses minimum standards for Ayurvedic clinics, dispensaries, and therapy centers according to the Clinical Establishments Act of 2010 in India. It outlines requirements for space, staffing, equipment, and facilities. Clinics must have a doctor and support staff. Dispensaries require pharmacy services in addition. Therapy centers need more space and equipment for treatments. Record keeping, licensing, and financial transparency are also mandated. Standard templates are provided for registration, examination, medical certificates and more.
This document outlines the basic steps and requirements for setting up a medical billing project between an India-based operations team and a US-based provider. It includes:
1. Necessary infrastructure for the India team such as medical billing software, servers, phones, and internet access.
2. Details on selecting billing software that can track unpaid claims and customized reporting.
3. The process for insurance enrollment including Medicare, Blue Cross, and Blue Shield.
4. Requirements for provider information needed from the US team.
5. Procedures for transmitting patient data from the US to India team through fax and email.
6. Roles for the India and US teams in claim processing, printing,
Northern Kentucky Physical Medicine provides integrated physical rehabilitation, chiropractic care, massage therapy, and pain management services. The practicum student completed their internship at this facility, gaining experience with medical billing, coding, insurance verification, scanning documents, following up on insurance claims and payments, and converting paper records to electronic health records. The student worked on tasks involving multiple technical components of health information, learned valuable skills to apply to their career, and received positive feedback from the staff.
HOSPITAL MANAGEMENT SYSTEM SOFTWARE
There has been a significant change which has occurred in the past year or so. The healthcare industry, and particularly acute care facilities, in the midst of a flurry of merger and acquisition activity, has discovered as a whole they lack the ability to move quickly internally to assimilate new systems and to adapt to the changing environment. Quite inefficient and labor-intensive business processes are still being used.
We have seen a rapid advancement in application of information technology to almost every sector of industries. The explosion of Internet growth fuelled by the so-called killer application - the World Wide Web, further accelerates this advancement.
The Hospital Management System ultimately combine electronic copies of all documents created from admission to discharge with electronic reports, usually clinical testing or billing information, into a single electronic folder. They reduce labor, eliminate lost files and ‘loose sheets,’ improve access to authorized users, increase security and provide documentation for claims more quickly.
This scenario has rendered the almost impossible task of integrating and seamlessly managing patient’s record across hospitals, clinics and between countries or states.
Hospital Management System is a Medical office on-line. It is a custom web site for each physician’s office. Hospital Management System offers a web application that handles every task for a physician’s office. These tasks include billing, appointment scheduling, writing prescriptions, maintaining charts and notes, keeping lab results & X-rays, etc.
In addition to providing access to the office staff and the physician, Hospital Management System also offers controlled access to others. Patients, pharmacists, drug company representatives, and other people could access Hospital Management System to perform various tasks that would otherwise have to be performed by the physician’s office. MD Offices that subscribe to Hospital Management System would benefit from increased productivity.
Medical coding is the process of transforming transcribed data into set of numerical codes using a system of numbers to represent various medical problems, (diagnoses), and treatments (procedures
The document discusses the development of a blood management information system to assist in managing blood donor records and distributing blood supplies based on hospital demands. It aims to provide quick access to donor records, enable monitoring of donation activities, and generate timely reports to facilitate planning and decision making. The system was designed to address challenges with the previous paper-based system, such as delays in accessing records, data errors, and lack of security and confidentiality of medical information. It analyzes requirements for the new electronic system and compares other blood donor management systems to identify successes and limitations.
The document outlines the scope, assumptions, and design of a hospital management system using object-oriented analysis. The system will handle patient registration, appointments, billing, payments, staff management, resource allocation, and include a comprehensive database. Sequence diagrams and activity diagrams are presented to illustrate the flow and interactions between system components for key processes like pharmaceutical management, billing, and payments. Contracts are defined for various system functions like entering a payment, storing payment details, sending payment to a bank, and creating reports. The project is estimated to take one year to complete and will be developed modularly using an event-driven design approach.
The document presents a smart blood bank system based on IoT. The proposed system uses sensors connected to an Arduino board and ESP8266 WiFi module to continuously monitor blood stock levels. When the stock falls below a threshold, it automatically sends request messages to nearby blood banks and registered blood donors. The system aims to address issues with the current manual blood management system like a lack of centralized database and alerts. It provides real-time blood availability information to users through a website. The prototype covers a minimal area but future implementations could scale up using load cells and RFID tags for improved monitoring of large blood stocks and key parameters.
The impact of eHealth on Healthcare Professionals and Organisations: Health Information Management Systems in Modern Health Care. Shemer J. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)
A medical license serves as official authorization for a physician to practice within a designated jurisdiction. Issued by government agencies, such as state medical boards, this credential is granted once specific criteria are met, including graduation from an accredited medical school, completion of a specialty residency program, passing a licensing exam, and meeting ethical standards. Renewal involves fulfilling continuing education requirements and paying fees at regular intervals.
The document summarizes the India Medical Council Act of 1956, which established the Medical Council of India to oversee the medical profession. The MCI consists of members from state governments and medical universities who serve 5-year terms. It maintains the Indian Medical Register and sets standards for medical education and postgraduate training. The MCI recognizes medical qualifications from India and abroad, investigates medical institutions, and can discipline or remove practitioners from the register for professional misconduct. State medical councils also register doctors and have disciplinary powers at the local level.
Medical Office Assistance - Ashton College Ashton College
This document provides information on how to become a health care assistant in British Columbia. It describes the role of a health care assistant as primarily supporting individuals with complex care needs under nurse or doctor supervision. It then outlines the different pathways and requirements to become a registered health care assistant depending on a person's educational background, including completing a recognized program, having a nursing degree, or being an internationally educated health care professional. The registration process involves applying to the BC Care Aide & Community Health Worker Registry and may require additional assessments, training, or English proficiency tests for some applicants.
Computerized Clinical Decisions are supported by My Health Records..pdfssuserbed838
My Health Records is a secured digital space that contains all the health information. It can be accessed anytime and patients were given full control to add or remove data
Recommendations On Electronic Medical Record Standards In India Dr Neelesh Bhandari
Recommendations of EMR Standards Committee, constituted by an order of Ministry of Health & Family Welfare, Government of India and coordinated by FICCI on its behalf : April 2013
Hospital Management System (HMS) is a ‘best-in-class’ software solution which is designed to make hospitals and healthcare facilities absolutely ‘paperless’ and reduce human intervention in the tasks conducted on a daily basis. It is available in two languages – English and Marathi.
The Hospital is an Institute which provides to people best health services.
That Provides Facility for hospitalization.
The patient is admitted in hospital with the exception that he or she will be in the
hospital for more Than 24 hours.
The Patient is assigned a room /bed.
The Hospital Provide Medical care.
Hospital Management System provides the benefits of enhanced administration & control, superior patient care, strict cost control and improved profitability. HMS is powerful, flexible, and easy to use and is designed and developed to deliver real conceivable benefits to hospitals. More importantly it is backed by reliable and dependable support.
Medical coders analyze medical records to assign numeric or alphanumeric codes to diagnoses, procedures, and medications. Medical billers then use these codes to prepare and submit claims to insurance companies on behalf of healthcare providers. The coding and billing processes help healthcare providers get paid for medical services and generate summaries of patient treatment. Both roles require training to accurately record and track patient data and insurance information.
This document contains information about Lehna Quereau including personal details, education history, course descriptions, academic history, resume, professional development, skills, references, accomplishments, volunteer experience, career goals, and a sample staff schedule. The document provides a comprehensive overview of Lehna Quereau's background, qualifications, and career aspirations in health information management.
The document discusses minimum standards for Ayurvedic clinics, dispensaries, and therapy centers according to the Clinical Establishments Act of 2010 in India. It outlines requirements for space, staffing, equipment, and facilities. Clinics must have a doctor and support staff. Dispensaries require pharmacy services in addition. Therapy centers need more space and equipment for treatments. Record keeping, licensing, and financial transparency are also mandated. Standard templates are provided for registration, examination, medical certificates and more.
This document outlines the basic steps and requirements for setting up a medical billing project between an India-based operations team and a US-based provider. It includes:
1. Necessary infrastructure for the India team such as medical billing software, servers, phones, and internet access.
2. Details on selecting billing software that can track unpaid claims and customized reporting.
3. The process for insurance enrollment including Medicare, Blue Cross, and Blue Shield.
4. Requirements for provider information needed from the US team.
5. Procedures for transmitting patient data from the US to India team through fax and email.
6. Roles for the India and US teams in claim processing, printing,
Northern Kentucky Physical Medicine provides integrated physical rehabilitation, chiropractic care, massage therapy, and pain management services. The practicum student completed their internship at this facility, gaining experience with medical billing, coding, insurance verification, scanning documents, following up on insurance claims and payments, and converting paper records to electronic health records. The student worked on tasks involving multiple technical components of health information, learned valuable skills to apply to their career, and received positive feedback from the staff.
HOSPITAL MANAGEMENT SYSTEM SOFTWARE
There has been a significant change which has occurred in the past year or so. The healthcare industry, and particularly acute care facilities, in the midst of a flurry of merger and acquisition activity, has discovered as a whole they lack the ability to move quickly internally to assimilate new systems and to adapt to the changing environment. Quite inefficient and labor-intensive business processes are still being used.
We have seen a rapid advancement in application of information technology to almost every sector of industries. The explosion of Internet growth fuelled by the so-called killer application - the World Wide Web, further accelerates this advancement.
The Hospital Management System ultimately combine electronic copies of all documents created from admission to discharge with electronic reports, usually clinical testing or billing information, into a single electronic folder. They reduce labor, eliminate lost files and ‘loose sheets,’ improve access to authorized users, increase security and provide documentation for claims more quickly.
This scenario has rendered the almost impossible task of integrating and seamlessly managing patient’s record across hospitals, clinics and between countries or states.
Hospital Management System is a Medical office on-line. It is a custom web site for each physician’s office. Hospital Management System offers a web application that handles every task for a physician’s office. These tasks include billing, appointment scheduling, writing prescriptions, maintaining charts and notes, keeping lab results & X-rays, etc.
In addition to providing access to the office staff and the physician, Hospital Management System also offers controlled access to others. Patients, pharmacists, drug company representatives, and other people could access Hospital Management System to perform various tasks that would otherwise have to be performed by the physician’s office. MD Offices that subscribe to Hospital Management System would benefit from increased productivity.
Medical coding is the process of transforming transcribed data into set of numerical codes using a system of numbers to represent various medical problems, (diagnoses), and treatments (procedures
The document discusses the development of a blood management information system to assist in managing blood donor records and distributing blood supplies based on hospital demands. It aims to provide quick access to donor records, enable monitoring of donation activities, and generate timely reports to facilitate planning and decision making. The system was designed to address challenges with the previous paper-based system, such as delays in accessing records, data errors, and lack of security and confidentiality of medical information. It analyzes requirements for the new electronic system and compares other blood donor management systems to identify successes and limitations.
The document outlines the scope, assumptions, and design of a hospital management system using object-oriented analysis. The system will handle patient registration, appointments, billing, payments, staff management, resource allocation, and include a comprehensive database. Sequence diagrams and activity diagrams are presented to illustrate the flow and interactions between system components for key processes like pharmaceutical management, billing, and payments. Contracts are defined for various system functions like entering a payment, storing payment details, sending payment to a bank, and creating reports. The project is estimated to take one year to complete and will be developed modularly using an event-driven design approach.
The document presents a smart blood bank system based on IoT. The proposed system uses sensors connected to an Arduino board and ESP8266 WiFi module to continuously monitor blood stock levels. When the stock falls below a threshold, it automatically sends request messages to nearby blood banks and registered blood donors. The system aims to address issues with the current manual blood management system like a lack of centralized database and alerts. It provides real-time blood availability information to users through a website. The prototype covers a minimal area but future implementations could scale up using load cells and RFID tags for improved monitoring of large blood stocks and key parameters.
The impact of eHealth on Healthcare Professionals and Organisations: Health Information Management Systems in Modern Health Care. Shemer J. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)
A medical license serves as official authorization for a physician to practice within a designated jurisdiction. Issued by government agencies, such as state medical boards, this credential is granted once specific criteria are met, including graduation from an accredited medical school, completion of a specialty residency program, passing a licensing exam, and meeting ethical standards. Renewal involves fulfilling continuing education requirements and paying fees at regular intervals.
The document summarizes the India Medical Council Act of 1956, which established the Medical Council of India to oversee the medical profession. The MCI consists of members from state governments and medical universities who serve 5-year terms. It maintains the Indian Medical Register and sets standards for medical education and postgraduate training. The MCI recognizes medical qualifications from India and abroad, investigates medical institutions, and can discipline or remove practitioners from the register for professional misconduct. State medical councils also register doctors and have disciplinary powers at the local level.
Medical Office Assistance - Ashton College Ashton College
This document provides information on how to become a health care assistant in British Columbia. It describes the role of a health care assistant as primarily supporting individuals with complex care needs under nurse or doctor supervision. It then outlines the different pathways and requirements to become a registered health care assistant depending on a person's educational background, including completing a recognized program, having a nursing degree, or being an internationally educated health care professional. The registration process involves applying to the BC Care Aide & Community Health Worker Registry and may require additional assessments, training, or English proficiency tests for some applicants.
Computerized Clinical Decisions are supported by My Health Records..pdfssuserbed838
My Health Records is a secured digital space that contains all the health information. It can be accessed anytime and patients were given full control to add or remove data
Avoiding Common Mistakes during Physician CredentialingAmelia Winslets
iPatientCare is one of the leading EHR vendors in the market & offers comprehensive Healthcare Technology Solutions designed to meet the needs of practices of all sizes. Our subject experts are always available to answer all your queries about the physician credentialing process to help you not make any mistakes.
https://ipatientcare.com/blog/avoiding-common-mistakes-during-physician-credentialing/
The National Priorities Partnership (NPP) is a group of 50 major national organizations focused on creating a safe, affordable, reliable, and equitable healthcare system in the United States. The NPP aims to achieve this vision through coordinated and collaborative action to ensure patients receive comprehensive and well-coordinated care across all healthcare settings.
To become a speciality doctor, you must get admitted to an MD/MS programme. Both the Master of Medicine (M.D.) and the Master of Surgery (M.S. A three-year PG degree is pursued by students after they complete the MBBS programme.
MD MS Admission 2023 in India
Depending on their ability and interests, MBBS graduates commonly pursue either an MD (Doctor of Medicine) or MS (Master of Surgery).
The study for doctors who practice surgery is called MS, and the study for doctors who practice medicine is called MD (Physician).
A surgeon can carry out a doctor's duties, however a doctor is only allowed to practise medicine in their area of expertise. MD and MS are both highly appreciated in the market. It is up to doctors' desire to select their fulfilling professions.
MD/MS Course Duration
Admission to the 3-year post-graduate MD/MS course is solely contingent upon merit.
General physicians decide to specialise in their area of interest in order to advance their careers. Choices between MD and MS are frequently made since they both pay well. Having a master's degree in medicine not only earns you a nice salary, but it also shows you care about the community.
MD/MS Course Specialities.
Candidates for MD or MS will have knowledge in a certain field. The most popular courses in INDIA are shown below:
• Anesthesia
• Generally Speaking
• Leprology, Venereology, and Dermatology
• Paediatric
• Psychiatry
• Radiology
• respiratory medicine, pulmonary medicine, and TB & Chest
• General Surgery ENT
• Pregnancy and gynaecology (OBG )
• Ophthalmology
• Orthopedics
• Anatomy
• Physiology
• Biochemistry
• Pharmacology
• Pathology
• Microbiology
• Community Health
• Criminal Medicine
Every aspirant's aim is to be a part of a prestigious organisation and have a fulfilling job.
Why Reputable Institutions?
Beside academic excellence, specialised doctors are supposed to have a few other noble attributes.
Reputable institutions place equal emphasis on managerial talents as they do on key specialisations, including: listening skills, interactive skills, observing skills, adaptable skills, administrative skills, and many more.
Reputable organisations frequently worry about their reputation and standards. Their sense of obligation to a modern society will be reflected in the calibre of the doctors they generate.
The NEET scores are used to determine eligibility for admission to a conventional institution.
Need For NEET
Any establishment must continually address its flaws and deficiencies in order to succeed in this cutthroat environment. For this reason, effective firms employ root-cause analysis to address the primary issue for long-term gain.
In comparison to its contemporaries, the medical field is more complex because it involves dealing with people's lives. Any standard concession is unacceptable to doctors. Understanding the idea is necessary in order to solve any problems.
Compared to high school exams, the NEET is more competitive. The concepts will be the basis for
The document discusses several topics related to medical records and rights. It begins by discussing the rights of unborn children to exist without discrimination based on gender. It notes that while women have reproductive rights, those rights transfer to the unborn child once conceived.
It then provides details on medical records, including their components, uses, labeling, numbering systems, and functions of the medical records department. It outlines the process for completing records, releasing information for legal cases, and preparing records for court.
Guidelines are provided on retention periods for different types of medical records. The roles and responsibilities of the medical records committee and officer are defined. Quality indicators for evaluating the medical records department are listed. Brief definitions of related topics like
Duties of a certified medical assistantNancy Higgins
Medical assistants play a vital role in physician offices by performing administrative and clinical tasks to allow healthcare providers more time with patients. [1] Their duties include greeting patients, taking vitals, administering injections, preparing samples for testing, and assisting during procedures. [2] While no formal education is required, certification is earned by completing an accredited training program and passing a national exam. [3] Employment of medical assistants is projected to grow 31% over the next decade as more practices and facilities open.
The document discusses e-hospital systems in India under the Digital India initiative. Key points include:
- Digital India aims to improve online infrastructure and internet connectivity to provide electronic government services. This includes connecting rural areas.
- E-hospital systems allow hospitals to manage operations digitally, including online appointments, electronic records, billing and more.
- India's Online Registration System (ORS) portal allows citizens to book appointments at government hospitals across states using Aadhaar identification.
The document provides an overview of changes to the PDRMA Health Program plan for 2012, including administrative, eligibility, and benefit changes. Key changes include a new medical PPO network through Aetna Signature Administrators, expanded dependent eligibility for military veterans and civil union spouses, and modifications to benefits including skilled nursing facility coverage and pre-certification requirements. Participants are advised to check the new PPO network for providers, submit updated forms during open enrollment, and familiarize themselves with the 2012 plan document.
A Step-by-Step Guide for Patient Access Representatives.pdfCareervira
Patient Access Representatives, an essential component of the healthcare system, are key to delivering seamless and effective patient experiences. The duties, training, and abilities of the Patient Access Representative will be covered in detail in this guide.
Medical transcription, pharmacy technician, medical coding and medical assistance are some of the fastest growing allied healthcare professions. What stands out about these occupations is the fact that they hold immense amount of potential, but require only minimal training. All of these occupations can be secured with postsecondary vocational training available at career schools.
Medical support management specialists aspiring to relocate to the Maple leaf country should act fast and avail Aspirants Citizenship and Immigration Canada Services to 0311 Managers in Health Care. The FSW process is a fast forward routine and as per current reports majority of the people who had submitted their applications in start and mid of may have either received visa.
The document discusses India's policy journey towards establishing a national digital health ecosystem. Key events include the release of the National Health Policy in 2015, launch of the Ayushman Bharat program in 2018, and announcement of the National Digital Health Mission in 2020. Standards for electronic health records, metadata, and data dictionaries were drafted between 2008-2019 to enable interoperability. The National Digital Health Blueprint proposed an ecosystem approach with various building blocks like applications, standards, and an institutional framework. The financial lever of the government can support universal healthcare goals through a proposed health claims platform using e-governance and data analytics.
The document outlines an agenda for a startup bootcamp on the Social Entrepreneur Accelerator program. The agenda includes sessions on policy, market and technical status updates on India's National Digital Health Blueprint and IndEA architecture. There will be demonstrations of technical approaches using open source code, as well as discussions on implementing e-objects and microservices architecture. The bootcamp aims to introduce participants to digital health standards and accelerate adoption of the National Digital Health Blueprint.
The document discusses Access Health Digital's Social Entrepreneurship Accelerator (SEA) program and key objectives. The SEA program aims to accelerate adoption of India's National Digital Health Blueprint (NDHB) standards and drive a federated technology model across stakeholders. It will provide mentorship and technical support for implementing minimum viable products based on NDHB standards. The SEA program also aims to help position compliant products for relevant opportunities and provide early adopters with a "stamp of confidence". Access Health Digital intends to facilitate the SEA community in these areas to help transition the healthcare industry to a standardized, secure model.
This document provides an overview of object-oriented programming concepts. It begins by defining a programming language and different levels of abstraction in languages. It then defines object-oriented programming as relying on classes and objects, with classes acting as blueprints for objects. The basic building blocks of OOP - objects, classes, attributes, and methods - are introduced. Each concept is then defined in more detail, including objects, classes, inheritance, encapsulation, abstraction, and polymorphism. The document concludes by outlining some advantages of using an object-oriented programming approach.
Microservices architecture is an approach to developing a single application as a suite of small services that communicate with each other using lightweight mechanisms like REST APIs. Each service runs in its own process and communicates through APIs, allowing independent scaling of services. This contrasts with monolithic architecture where all application components are deployed together in one process. Microservices provide benefits like independent scalability, fault isolation, and faster development cycles compared to monolithic applications. Common technologies used in microservices include API gateways, service discovery, configuration management, distributed logging, and messaging.
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The document discusses different types of loops in Java including while, do-while, and for loops. It provides the syntax for each loop and examples of how to use them. It also covers break and continue statements that can be used within loops. Finally, it briefly discusses methods in Java by defining what they are and providing the basic syntax for defining a method.
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Design patterns are general reusable solutions to common problems in software design. The Gang of Four patterns are 23 classic design patterns divided into creational, structural, and behavioral categories. Design principles provide guidelines for building software, such as using registries as a single source of truth, adopting a mobile-first design strategy, and ensuring privacy and security by design. Well-defined registries should be self-maintainable, have non-repudiable data, extensible schemas, and support open APIs. A cloud-first strategy employs patterns like external configuration, cache-aside, and federated identity. A minimalistic approach focuses on auto-scaling, decoupled microservices, and separating reads from writes.
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Adhd Medication Shortage Uk - trinexpharmacy.comreignlana06
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
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Doctors Registry of India
Contents
Overview................................................................................................. Error! Bookmark not defined.
Problem Statement ............................................................................... Error! Bookmark not defined.
Current Issues........................................................................................ Error! Bookmark not defined.
Recommended Solution....................................................................... Error! Bookmark not defined.
Architectural Approach for Doctor’s Registry...................................................................................6
Annexure-I: Recommended MDDS based data elements for National Doctor’s Registry....8
Annexure-2: Technical details of Federated Architecture for Doctor’s Registry...................10
4. P a g e 4 | 13
Overview
With a proactive concern for patient safety and quality of care, The Indian Medical Council Act 1956
prohibits a person other than a medical practitioner enrolled on a State Medical Register or the Indian
Medical Register (IMR) to practice in India. Every New Medical Graduate must Register with the
respective State Medical Council Register and is then allocated a registration number. With that
Registration Number, the Doctor can Practice anywhere in India.
As it works Currently, apart from MCI’s National level Indian Medical Register (IMR), different state
councils have their own medical Registers. The MCI then compiles data received from state medical
councils.
Problem Statement
Healthcare being a State Subject, a degree of latency creeps into the system. However, when a
Doctor migrates to any other part of India, he/she often overlook to update the State Register and also
similarly about recent Qualifications, Degrees, Certifications, etc.
This makes for high chances of duplication of data of Registered Doctors between the various
registers. This makes the compilation and de-duplication exceedingly difficult because of the
administrative dependencies which are beyond the MCI’s control.
There are also then, several unqualified or fake Doctors working in the country without proper
qualifications and/or registration with IMR or State Registers. MCI has no way of tracing, tracking, and
weeding out such practitioners from a wide variety of genuine Doctors working in the Country.
On the other hand, the patient also has no way of differentiating between genuine and fake doctors.
With the adoption of Universal Healthcare as a Policy in 2017, increasingly healthcare services are
going to be paid for by Insurance or state programs. From a Health Insurance perspective, it becomes
exceedingly difficult to establish the veracity of the Claim. The liability lies on the payer whereas there
is no authentic single source of truth.
Similarly, in the event of medico-legal cases, it is hard to trace back from the prescription to build a
legal case. A wide variety of degrees appear on Doctors’ Prescription pads. MCI lacks a master list of
accepted Qualifications including Indian and International Degrees/Diplomas/Certificates. Hence there
is no way of finding out if these Degrees are genuine, equivalent international qualifications,
derecognized, or even completely fake!
Current Issues
There are many use cases where the sanctity and harmonization of the Registers come into question.
These are some of the practical detractors to the authenticity of data on the Medical registers.
Doctor has Migrated/Died or left the practice:
• Migrated Doctor may Re-Register in the other State Register at the time of Renewal.
Though a procedure exists about taking a No-Objection-Certificate from the previous
State Register; but it is not very strictly followed. There is a possibility of Doctor
getting counted in both Registers.
• When a Doctor dies, the Register is usually not updated with a Death Certificate.
• When a Doctor has Left the country, the Register is usually not updated because
usually it is not known if the migration is temporary or long-term or permanent.
• When the Doctor has left Practice due to any reason e.g. Administrative job, Higher
Education, Change of Sector, etc.
Name Change or Mismatch:
• The Register is usually not updated when Doctor Changes Name E.g. Marriage,
Religious reasons, etc. This results in a Name mismatch between IMR Register and
the changed Government IDs.
5. P a g e 5 | 13
• The Register is usually not updated when Doctor Name Spellings is changed e.g.
Family, Social or Numerology reasons, etc. This results in a Name mismatch
between IMR Register and the changed Government IDs.
• Name Mismatch between Degree, Internship Certificate, and Registration. Only
possible to check at the time of first Registration, later it is very difficult to harmonize.
• Demographics Mismatch between Degree, Internship Certificate and Registration.
Only possible to check at the time of first Registration, later it is very difficult to
harmonize.
Degrees and Specialisations
• When a Doctor attains a Specialized/ Super Specialized Degree or Certificate, it is
usually not updated in the Register because there is no real mandate to do so.
• Equation of Foreign Degrees with Indian Medical Degrees e.g. MD from US
equivalent to MBBS or MD or DM? DNB equated to MD or DM? Exceedingly difficult
for MCI to decide if the Registration should be granted or not.
• Equation of Degrees in India e.g. Ph.D. Clinical Pathology without MBBS, or MD
Pathology? MCI usually does not grant Registration for such cases. Though they
may be equated Internationally. Will the documents signed by such professionals be
recognized e.g. Genetic Testing Reports.
Government/Administrative Issues:
• University Mismatch – e.g. Individual Universities in Maharashtra no longer gives
Medical Degrees. Nasik University has taken over that function and gives Degrees
across all Medical Colleges in Maharashtra. Only possible to check at the time of first
Registration, later it is exceedingly difficult to harmonize.
• If the Doctor has lost the Graduate Medical Degree. It is hard to justify the details
mentioned in the IMR Register. The only way is to ask for a Duplicate Degree from
the University, which is also a very long process and is usually not pursued.
• Medical Graduates of States having special status were given Provisional
Registration to Practice pending the legal decision on the State – e.g. J&K,
Arunachal, Sikkim, Pondicherry, Goa. Later there is no way of revalidating the data
before regularizing the Registration. So the old Registrations continue to languish.
• How do you split the Medical Graduates between States that were split or newly
carved out – e.g. Goa, Uttarakhand, Chhattisgarh, Jharkhand, Telangana. Later there
is no way of revalidating the data before regularizing the Registration for the New
State. So the old Registrations continue to languish.
• Medical College recognized by the State but not by MCI Govt of India. State
Register gives the Registration, but MCI does not recognize it.
• Medical College derecognized by MCI Govt of India. State Register gives the
Registration, but MCI does not recognize it.
• Provisional Registration is granted in cases of Emergency e.g. Disasters and
Epidemics. This should be withdrawn after the Emergency. However, no clear
process has been defined for this purpose.
Foreign Degrees and Passports:
• Foreign Passport but studied from Medical College in India. State Register gives the
Registration though the foreign national will not practice in India e.g. Nepal, Bhutan,
Sri Lanka, ASEAN, Africa, West Asian countries.
• Indian Citizen but studied from Foreign Medical College e.g. Russia, China. MCI
Register gives the Registration after an examination. Though many of these Indian
nationals migrate out and do not practice in India.
6. P a g e 6 | 13
Recommended Solution
As per newspaper reports1, In 2017 the Medical Council of India had directed all states to provide a
unique permanent registration number (UPRN) to every Doctor Registered in their jurisdiction.
MCI had envisaged a digital platform. The MCI initiated the process of implementing e-governance
through digital mission mode project (DMMP); one of the ambitious modules under DMMP project is
the implementation of new IMR through unique permanent registration number generation for each
Registered Doctor in India, the MCI said in a letter sent to the Indian Medical Association (IMA).
On implementation of the system, the existing registration numbers of the Doctors shall be migrated
to a standard system of UPRN. Doctors shall also apply online for additional qualification registration
in IMR like Postgraduate, super-specialty etc. After commissioning, Doctors can use the system to
make online applications for services like issue of certificates etc.
The initiative will put an end to the duplication of Doctors Registered by various state medical councils
as well as the Indian Medical Register under the MCI and provide a clear picture of how many
Doctors are practicing in India. A UPRN number is to be generated for the over one million Doctors
recorded in the IMR.
We will get to know about the actual number of Doctors and the list of medical specialists practicing in
the country. We will have all the details about a Doctor, ranging from addresses to personal details,
and Specializations. Currently, we seek information about Doctors from the state medical council.
Once all the Doctors are given a separate code or UPRN, it will become amazingly easy to trace them
in a case of medical emergency, epidemics, disasters, negligence, or second opinions for their
expertise.
However, from 2019 the MCI role has now been taken over by the National Medical Commission
[NMC]. The handover of charge by MCI BoG to the NMC is awaited.
Para 31 of The NMC act of 2019, mandates it to ensure electronic synchronization of National and
State register in such a manner that any change in one register is automatically reflected in the other
register 2
Fortunately, this can easily be accomplished by leveraging the MDDS recognized in the National
Digital Health Blueprint, 2019. This would make it possible for the IMR to evolve into a single-source-
of-truth and be looked up appropriate stakeholders.
Recent events like the COVID 19 Pandemic have brought the vital role that Telemedicine and similar
technologies can play sharply into focus. Para 32 of the NMC act also conceives a role for a limited
number of Community Health Providers to work under the supervision of a medical practitioner.
These emerging trends make the authenticity of the medical register critical to healthcare delivery in a
safe, accessible and equitable way.
Architectural Approach for Doctor’s Registry
1. Federated Architecture for Doctor’s Registry
As per NMC Act, the Ethics and Medical Registration Board shall maintain a central National
Medical Register (aka National Doctor’s Registry) containing the set of minimum data
elements for identification and credentialing of a licensed medical practitioner (aka provider)
practicing anywhere across the country. To enable this a federated architecture design is
recommended for the National Doctors Registry that it can be kept updated at all times and
will not have a single point of failure.
1
All practicing Doctors to have unique digital identification, 02 Oct 2017, Livemint
2
NMC Notified: http://egazette.nic.in/WriteReadData/2019/210357.pdf
7. P a g e 7 | 13
The National Medical Register will be responsible for allocating a Unique National Provider
Identifier (NPI) to every new provider that gets registered through a state medical council or
directly through the central medical register by performing de-duplication and validation of a
new provider record. This unique identifier will remain unique for the lifetime of a provider.
Every state medical council will then use this Unique Provider Identifier to maintain and
regularly update the state register (aka as Provider Directory at the state level) for the
providers registered within that state with not only the registration details but also with
additional information about their credentials, employment, training, qualifications, CMEs
attended and active status etc. There will be an electronic mechanism to update the central
register with the data from the state level provider directories for new provider registration as
well as for any information update through the state register. Lookup the details in
ANNEXURE – 2.
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ANNEXURES
Annexure-I: Recommended MDDS based data elements for National Doctor’s Registry
MDDS
element
ID
Element Label Format Siz
e
Value set
05.005.00
01
Unique Individual Health Care
Provider ID
Varchar 18 To be generated by the
National Doctor’s Registry
G01.01 Unique Identification(UID) Provider’s Aadhar
Number
05.002.00
02
Alternate Unique Identification
Number
Varchar 18
(ma
x
size
)
Any alternate Govt
Identifier
05.002.00
01
Alternate Unique Identification
Type
Integer 2 Alternate Govt Identifier
Type (PAN card, Voter
ID,Passport Number etc.)
05.005.00
09
Care Provider Name Provider Name
05.005.00
03
Medical Council Registration
Number
Integer 3 State Medical Council
Registration Number
05.005.00
04
Care Provider Address House
Number./DoorNumber/Ho
use
Identifier/Flat Number
l Building Number./Plot
Number
building Name/ Building
Identifier
Block Name/Number or
any other qualifier
l Street Number
/Name/Mohalla/
Sector Number/any other
qualifier
Area Number/Area
Name/Suburb/Sub
district in case of
Village/any other
qualifier
Integer
State - 2
District - 3
Sub-District - 5
Village - 6
Town - 6
9. P a g e 9 | 13
05.005.00
05
Care Provider Address Type Char 1
G01.09-
00-01
Face Image Record Header Provider Photograph
Image data
G01.09-
00-02
Face Image Record Data Provider Photograph
Image data
05.005.00
07
Care Provider Mobile Number
05.005.00
08
Care Provider Email
Address/URL
05.005.00
12
Health Service Provider Type Integer 2
G01.03 Gender Identification Code Char 1 Gender Code of Care
Provider
05.004.00
54
Employment Status Integer 2
05.004.00
51
Selection Organization Facility
ID
Integer 10 Facility ID of the
organization who
employed the provider
G02.02-01 Date of Joining Date of Joining
G00.01 Date of Status Change Date (dd/
mm/yyyy)
10 Date of change in
employment status
Registration Status
Digital certificate Digital certificate /public
key of the provider
G00.01 Professional Registration Start
Date
Date (dd/
mm/yyyy)
10
G00.01 Professional Registration End
Date
Date (dd/
mm/yyyy)
10
05.004.00
12
Medical
Degrees/Certificates/Accreditati
ons
Integer 2 To be maintained at state
provider databases
05.004.00
12
Health
conferences/seminars/trainings
attended
Integer 2 To be maintained at state
provider databases
05.008.00
01
Healthcare Facility ID Integer 10 The facility where the
provider is employed or
practicing.
G00.08 VND Char 5 Defines Version number
of the data record to be
used for tracing the
history of changes.
G00.01 DOUD Date (dd/
mm/yyyy)
1
10 Date of the last Update for
ownership authority
record
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Annexure-2: Technical details of Federated Architecture for Doctor’s Registry
Proposed Doctor’s Registry Federated Architecture
2. Identify Minimum required data elements for Centrally maintained Doctor Registry
and associated directories maintained at State level
A central or nationally maintained Doctor’s registry that can be self-sustainable and easy to
maintain should not have a long list of data elements or attributes. It should consist of only a
set of minimum required data elements that help to identify the provider uniquely and can be
kept updated at all times. The recommended data elements should follow Metadata and
Data standards for India (MDDS) which is a standard notified by the Ministry of health and
family welfare (MohFW) and is maintained by Ministry of Electronics and Information
Technology (MeITY).
The provider’s credentials, certifications, medical conferences attended and employment
details, active/inactive status can be maintained if required in state medical council
directories or smaller associated provider directories maintained by a state, until the provider
requests for a transfer to another state.
The recommended minimum viable data elements are listed in the Annexure. The central
provider registry should also facilitate updation of a provider’s active/inactive status in case
of migration to other country or death via submitting a death certificate for a provider or by
11. P a g e 11 | 13
triggering a verification process using a rule engine by setting up a defined time/period for
the trigger from date of registration and updation activity.
3. Clean and harmonize state and central medical register data
The first step will be to assign the MDDS based data element template to all the states and
central medical council or NMC to clean and validate information about active providers. This
activity may involve the utilization of technologies like ML or AI along with some manual
interventions. Only once the provider information for existing registered providers residing in
state medical registers is updated and cleaned, it can be pushed to central registry for
validation and generation of a Unique Registration Number as mentioned above.
4. Federated (distributed) queries to fetch data from respective data holders
An orchestration mechanism will be set up to distribute any query made for a provider data
through provider portal or any state medical council-owned application, to all the data nodes
(including central registry and state-level provider databases). The orchestration engine will
be used to route the query to central Doctor’s Registry or any state-level provider databases
and aggregate the query responses received from doctor’s registry and all provider
databases to the provide complete-provider data as response to the query.
The aggregated response of the query thus will provide the detailed information of provider
collated from the central doctor’s registry and all other provider databases where provider
data is maintained across the state medical councils. The federated query orchestration
mechanism will ensure the deduplication of provider data and maintain the uniqueness of
Doctor’s records across all data nodes in federated architecture.
5. Convert the clean, verified data using a technology partner like NIC into a registry.
The next step towards digitalizing the National Provider Registry after receiving clean and
validated data from the respective state medical council is to load the cleaned provider data
into the National Doctor’s Registry. The Doctor’s registry shall maintain mapping index of the
source ID of each provider database where provider data is maintained. The orchestration
engine shall use this indexed database to distribute the queries across the doctor registry
and various provider databases.
The loading process of provider data into the doctor’s registry shall ensure the uniqueness
and deduplication of provider data by using validation/data deduplication engine (use of
Index Matching services deployed with the doctor’s registry). A National unique provider
Identifier shall be generated for each provider populated in the doctor’s registry. The
algorithm to generate the unique provider identifier should be decided by the authority
implementing the design of doctor’s registry. The Entity Resolution and Analysis Service
maintained at Central Doctor Registry shall validate and deduplicate the data entry of a
provider in Doctor’s Registry and hence the provider data in central doctor’s registry will
always be unique for each provider.
6. Central Portal for all Provider registrations and Standard Operating Procedures for
keeping it updated
12. P a g e 12 | 13
Develop a provider portal with standard operating procedures on addition and updation of
provider data (covering use-cases e.g. provider enrollment, exit, credentialing, certifications,
conferences attended, employment details and payment verifications through DBT).
• Portal for enrolling new providers into National Doctor’s Registry and updating details
about doctor’s credentials, certifications, conferences attended, exist, employment
details, and provider payments, into state-level provider directories.
• The provider will be able to self-use this portal to update his/her details through the
provider portal. The provider shall need to authenticate himself using Aadhaar Auth
API or using any other government-issued digital identifier (Voter ID,PAN Number
etc.) or OTP on the registered mobile number/two-factor authentication before
accessing the portal.
• The data updation in state-level provider databases and central Doctor’s registry
shall be electronically synced up by using updation openAPIs/webservices. Thus
data updated by provider in provider database shall be reflected in the central
doctor’s registry as well.
7. Maintenance of Doctor’s Registry and State Level provider databases
For maintenance of Provider data in state-level provider databases and sync up of provider
data across state-level provider databases and central Doctor’s Registry, an orchestrator will
be set up to distribute the APIs between the registry and various federated provider
databases. The different state medical councils shall be open to using any applications of
their choice to maintain the provider’s data into provider database maintained by the state
medical council and the openAPIs/web services will be used to update the data from
provider database into central doctor’s registry. The central doctor’s registry will be minimum
data and data attributes will be as per defined in Annexure1. Whereas the data elements in
local and state databases will be a subset of Annexure 1.
8. Interoperability of Doctor’s Registry and State Level provider databases with other
public and private applications (Provider and Payer applications)
The Doctor Registry will be accessible to provider and payor applications by use of an
Interoperability layer and provider details can be verified from the central Doctor’s registry by
use of National Provider Identifier based data lookup openAPIs. All these openAPIs will be
deployed and mediated through the interoperability layer. The provider data will be retrieved
by data query based openAPIs/webservices from central Doctor’s Registry and the federated
provider databases and orchestrator will coordinate the retrieval of provider data from
provider databases using distributed queries.
The central Doctor’s Registry will also connect to several external applications e.g. NHA
Health Claims (HCP) platform for verification of provider in claims databases, provider
credentialing in payor databases, Automated payment verifications through DBT process or
IDSP Disease Surveillance platform.
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The Doctor’s Registry will also connect with the UIDAI database for Aadhaar based
authentication using Aadhaar Auth API/eKYC API and NPI linkages with other government
identifier databases (e.g. PAN database, Voter ID database etc.) for provider authentication
using alternate government IDs.
OpenAPIs will be published so that provider credentialing data could be accessed or
updated through mobile apps. this would be useful in telemedicine apps or apps developed
for medical colleges.