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The NDHB is the architectural document for the implementation of the NHS. Its vision is “"to create a national, digital health ecosystem that supports universal health coverage in an efficient, accessible, inclusive, affordable, timely and safe manner, through provision of a wide range of data, information, and infrastructure services, duly leveraging open, interoperable, standards-based digital systems, and ensuring the security, confidentiality and privacy of health-related personal information”."

The key features of the blueprint include a federated architecture, a set of architectural principles, a five-layered system of architectural building blocks, a unique health ID (UHID), privacy and consent management, national portability, electronic health records, applicable standards and regulations, health analytics and, above all, multiple access channels like call centres. Digital Health India portal, and the MyHealth app. A total of 23 such building blocks have been identified in the blueprint for .the NHS to become a viable reality.

NDHB recognises the need to establish a specialised organisation, called the National Digital Health Mission (NDHM) that can drive the implementation of the blueprint, and promote and facilitate the evolution of a national digital health ecosystem.

Currently, apart from Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana, there are many secondary and tertiary care schemes running in the states such as Swasthya Sathi in West Bengal, Aarogyasri in Telangana, Chief Minister’'s Comprehensive Health Insurance Scheme in Tamil Nadu. Mahatma Jyotiba Phule Jan Arogya Yojana in Maharashtra, etc.

West Bengal has opted out of Ayushman Bharat, and Telangana and Odisha have never been a part of the scheme.

Also, there is an urgent need for integration of the two arms of Ayushman Bharat; health and wellness centres which constitute the primary care arm, and PMJAY, which is the secondary and tertiary care arm under which the target is to provide 10.74 crore families with an annual health cover of Rs 5 lakh each. Without integration, the goal of continuum of care cannot be met and that would mean PMJAY might end up becoming a perpetual drain on resources.

Hence, the need for a common digital language for the operationalisation and inter-operability of various health schemes, which the NHS seeks to provide.

One of the biggest concerns following the high-profile rollout of Ayushman Bharat has been regarding data security and privacy of patients. The concerns were aggravated after an Assam minister and a senior official of the National Health Authority posted patient details on Twitter.

More than a year after the Justice Srikrishna Committee prepared a draft data privacy law, there has been little meaningful movement on it. Critics have argued that in the backdrop of the Supreme Court’s privacy judgment, the data privacy law should ideally have preceded the implementation of Ayushman Bharat.

Which of the following is included in the blueprint of NHS?

A) Digital Health India portal, and the MyHealth app

B) A unique health ID (UHID), privacy and consent management, national portability, electronic health records, applicable standards and regulations, health analytics and, above all, multiple access channels like call centres.

C) A total of 23 building blocks

D) All of the above