The Value of Digital Identity for the Indian Healthcare - IT Assignment Help

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Title The Value of Digital Identity for the Indian Healthcare
Introduction
In widespread thoughts, digital identity enables a party to share (digitally) trusted information about themselves to other parties which proved to be genuine when the system validates it
The identity has various forms such as a Birth certificate, Driving License, the passport, and that has multiple attributes mapped with it, Such as Mobile number, name, Address, Geography Location, biometric impression assigned to it .so it is challenging to Capture. Moreover, Authenticate and Authorize those identities attributes for various Government services, which can benefit Individual daily processes. At Present CITATION Uma20 \l 2057 (Bashir, 2020)the 1.1 billion people in the World without any official identity to address those concern, hence the united nation CITATION UN18 \l 2057 (UN, 2018) also recommends the government to achieve 16.9 billion legal identities for all including birth registration under sustainable development goal program by the year 2030, As per statistics CITATION UID18 \l 2057 (UIDAI, 2018) almost 1.2 billion people in India enrolled under the aadhar card platform
Literature reviewThe Electronic Patient Record (EPR) CITATION Jul20 \l 2057 (Juliet Rumball-Smith, 2020) is another high-profile digitalization initiative for any country around the Globe that requires the safe and consistent identification of individuals to deliver them with personal access to their treatment-related documents. It is envisioned that the eID will be linked with the Electronic Patient Record in the future.
Matching to CITATION Ran14 \l 2057 (Korgaonkar, 2014) In the healthcare system, patients repetitively visit health providers, throughout their life span, right from government center, community center or private health center in rural setups, or a Doctor. In their adjoining area, Health histories get produced with every medical institution during treatment timeframe, in-patient, or emergency visits. However, the mass of health documents is either lost or remain within the detention of healthcare providers and eventually get destroyed. There could also be insignificant to no health records maintained by a private medical practitioner, at clinic setups, and by rural healthcare systems. A typical Indian patient with varying literacy and awareness level generally does not retain his/her clinical documents Because of these reasons, the health record of an Indian citizen is not available for more informed and integrated. The present care provider is oblivious of the patient's health condition and past medical history, his/her allergies, for more informed care planning today. Also, appropriate clinical data is not available for research and regard to assistant in clinical assessment assistance. Analysis of disease trends and statistical evaluation of clinical nature also suffers. Because of these rationales, CITATION Aro16 \l 2057 (Arora), 2016). the Ministry of Health and Family Welfare Director, India released Electronic Health Record (EHR) standards in 2016 for India to enable integrated health care delivery for Indian citizens
As per CITATION Luh20 \l 2057 (Luh, 2020), Electronic health Record holds the most revealing personal information of life and the data that enables the cybercriminal to open finance account. Access medical prescription or file false insurance claims that is why electronic health record becomes more valuable to criminal than any other personally identifiable information and breaches are increasing the size and frequency. Hence there is a need to enhance security higher than ever to keep the patient information safe and prevent fraud without disrupting user experience to the legitimate patient; Digital Identity is the option that can streamline the communication process. It is a way to make sure the patient who say they are?Barriers in Adaptation EHR
EHR platform is beneficial and essential for improving Public healthcare service, however, Highly variable infrastructure constraints such as electricity, mobile technologies, technology adoption add an extra layer of complexities in terms of adapting EHR systems, As per the research conducted by CITATION dornan-pinyopornpanish-2019-utilisation-of-electronic-health-records-for-public-health-in-asia:-a-review-of-success-factors-and-potential-challenges \l 2057 (Dornan, et al., 2019) , The majority of Asian countries failed to adopt EHR due to lack of efficient and skilled manpower, financial Investment, rigid technical infrastructure and non-adaptation of a common platform in physician
AIMSThe initiative to develop EHR Platform for India is to achieve the ultimate level of health and well-being across all ages of people, through increasing access, lowering the cost of health care service delivery, The national health policy of India CITATION Ehe19 \l 2057 (E-health Section, 2019) also puts substantial emphasis on leveraging digital technologies for enhancing efficiency and effectiveness of health care delivery in all aspects of health care service
The Indian EHR initiative is still in the Infancy stage and yet not fully developed .hence this research paper recognizing the deficiencies around the health system, rigorously assess the weakness in existing silos system which facilitates to develop comprehensive health care ecosystem supported by the digital identification platform
Electronic Health records Benefits Graphical Explanation CITATION dornan-pinyopornpanish-2019-utilisation-of-electronic-health-records-for-public-health-in-asia:-a-review-of-success-factors-and-potential-challenges \l 2057 (Dornan, et al., 2019)
Following are the Benefits of EHR platform
1 Bring Comfort to End-user
Once Aadhar card CITATION hea19 \l 2057 (healthit.gov, 2019)which proves the national identity of a person, linked with EHR platform the patient can validate the same Identity into EHR platform thus it will diminish the human error and deliver precise proof of patients personal identification from wherever they access the system using mobile or web
2 Optimize cost and Improve the service Delivery
EHR platform CITATION Mar15 \l 2057 (Alvandi, 2015)significantly reduce the communication gaps between patient and various health care service which help Doctors to understand the patient historical record and make a rapid decision on treatment according to a patient ailments ultimately it saves the iterative cost of generating medical reports
3 Digital Health record Privacy
When talking CITATION effy-tobias-2018-cite-this-as \l 2057 (Effy, et al., 2018) about Health care, privacy is the biggest concern for the Individual and that need to preserve it ethically and every Person reserve the rights to protect their identity so that No one can verify identity Unless and Until they authenticate identity with digital Identity Number with service providers
4 Data Security with Fraud prevention
The electronic health record CITATION simborg-2008-healthcare-fraud:-whose-problem-is-it-anyway? \l 2057 (Simborg, 2008)should be securely logged or Managed the By the Government, also, they should have authorities to manage it, only Individual who holds it has Digital rights to explore the His information, no one else allowed to share, modify the details without any prior consent of Individual, so it Minimized fraud in the health Insurance, which direct to Financial Growth to government and Private Institution
5 Data Analytics and Medical Research
In the absence of a common platform, it is unfeasible to attempt the creation of permanent medical records because the record is spread across the various sources; also, it becomes meaningless too as it is difficult to track the history of the patient's, EHR standards CITATION khalique-khan-2019-a-framework-for-public-health-monitoring,-analytics-and-research \l 2057 (Khalique, et al., 2019) help to store, retrieval, Capture, and exchange of those record for analytics and medical research purpose. which later aid the government to design the policy for the upcoming year
ScopeManaging EHR on a digital identities platform, not an overnight process, but it is a sophisticated multi-stage activity. It has consequences into many and different areas such as security, law enforcement, privacy, identity theft
The research will focus on managing health record and health services of the Indian continent using
Aadhar card Platform
The Project only explore the Indian Health care service, which can be streamlined using the Aadhar card Identification Platform
The Primary data extract from the National Ministry of health and family warfare website,data.gov.in and other various websites
The Motive to Build an e-health platform which can broadly available through the web, Mobile and SMS as well as accessible, verifiable, authorizable, authenticatable from anywhere in the World
Collaborate and integrate the various facility such as e-prescription, e-insurance,e-health record, e-doctor and bring them to a common platform
ObjectiveThe constructive and innovative centralized solution which drives revenue removes friction and fight against fraud around Indian Health care service, by referring the implementation Estonia E-health platform
Adopting the Blockchain technology platform to build a Decentralized framework in which people who are part of the system sustain confidentiality, availability, and integrity by generating their consensus
Assessing the patient condition from the historical record and execute the treatment within minimal timeframe .as well as develop the tactics to get the statistics of specific diseased related patient
Asses strength and weakness of Indian e-health service, and propose the Digital Identification platform on based of [Aadhar Card] which can effortlessly access the service as well as preserve privacy, security, and manageability of individual
Validate the proposed platform afterwards its implementation, and assess the methodology effectiveness which will drive through any further modification in the process to achieve improved algorithm
Methodology

Figure 1 Existing Estonia E-Health Platform Drawn manually by Understanding Website
Estonia e-health system established in the 2008 and soon after two years later e-prescription service introduced in the Year 2010, CITATION ees10 \l 2057 (e-estonia, 2008.2010) .they are first implemented such complex projects as no other country will imagine to think about such Project in that era; hence it makes sense to adopt the mature Model of one service and try to execute it on Country like India; however, the Both Country have different culture, technology, political background, economy but at least India as a country adapt what is best relevant and suitable to them in terms of technological aspects
E-health Service Operations
All the Major Service developed by Estonia run on Digital identity Card which will represent the Person unique identification in the digital space; Person can access the e-health and e-prescription service on the base of ID and exchange the data with blockchain technology, while x-road service provides the Interoperability between health and Banks, insurance

Figure 2 India Digital Identification Platform with missing collaboration with various service
India launched a digital identification platform [Aadhar Card] on 28 January 2009 CITATION UID09 \l 2057 (UIDAI, 2009) intending to issue a Unique Identification number to eliminate duplicate and fake documentation. After 7 Year Later ministry of Electronics and IT launched Dig locker Service CITATION Dig17 \l 2057 (Digilocker, 2017)intending to pair the Physical Documents based on Aadhar card identity, The rest of Service and Institution such as a hospital. Ambulance, medical lab, pharmacy are not allied with Common Platform while the Service like Digi Dhan which helps to transfer money digitally with support of various bank are not matching with Aadhar card Identification platform, as per diagram somehow derive the conclusion that each service work independently apart from Aadhar card and Digi locker, in some way the Interoperability between various service is missing which is the create the biggest hurdle to achieve the Digital health care Platform So in the scenario Estonia blockchain model establishes the Interoperability with various service by sustaining security, privacy, concerns of individual
What is the Blockchain algorithm?
 

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