Home India Central Council of Homoeopathy In exercise of the powers conferred by sub section I of sect...
Date: 2020-11-23 Category: Extra Ordinary State: Union Government Country: India

In exercise of the powers conferred by sub section I of section 33 read with section 24 of the Homoeopathy Central Council Act

Issued by Central Council of Homoeopathy · Not Applicable

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Executive Summary & Key Takeaways

Executive Summary: This document outlines amendments to the Homoeopathic Practitioners Professional Conduct, Etiquette and Code of Ethics Regulations 1982, specifically adding provisions for telemedicine consultations. It permits registered homoeopathic practitioners (RHPs) to conduct telemedicine consultations following established guidelines. The regulations come into force on the date of publication in the Official Gazette, and RHPs have three years to complete a mandatory online course on telemedicine practices. Key Points / Main Content: * **Amendment Overview:** Modifies the 1982 Regulations to include telemedicine guidelines for homoeopathic practitioners. * **Effective Date:** Regulations are effective from the date of publication in the Official Gazette. * **Telemedicine Permissibility:** Registered Homoeopathic Practitioners are permitted to offer consultations via telemedicine, adhering to the Telemedicine Practice Guidelines in Appendix 3. * **Guideline Adherence:** Registered Homoeopathic Practitioners must adhere to Telemedicine Practice Guidelines to enhance health services to the public. * **Online Course Requirement:** All Registered Homoeopathic Practitioners intending to provide online consultations need to complete a mandatory online course within 3 years of its notification. In the interim period, the principles mentioned in these guidelines need to be followed. * **Telemedicine Tools:** RHPs may use various tools for consultations, including telephone, video, chat platforms, mobile apps, and data transmission systems. * **Ethical Standards:** RHPs must maintain professional and ethical standards equivalent to in-person care, acknowledging telemedicine's limitations. * **Patient Identification and Consent:** RHPs need to verify patient identity and obtain consent for telemedicine consultations. * **Prescription Guidelines:** RHPs can prescribe medications via telemedicine, adhering to professional responsibilities and state regulations, but cannot prescribe habit forming drugs or narcotics through telemedicine * **Record Keeping:** RHPs are required to maintain records and documentation of telemedicine consultations. Impact Analysis: * **Registered Homoeopathic Practitioners (RHPs):** * Impact: Expanded service delivery options through telemedicine, new guidelines to follow, and mandatory online course requirement. * Action Required: Complete the mandatory online course on telemedicine within three years, adhere to the new telemedicine guidelines, and update practices accordingly. * **Patients:** * Impact: Increased access to homoeopathic consultations via telemedicine. * Action Required: Understand the process and limitations of telemedicine consultations. * **Central Council of Homoeopathy/Board of Governors:** * Impact: Responsible for developing and providing the mandatory online telemedicine course. * Action Required: Develop and make available the online program for RHPs.

Key Entities Referenced

Homoeopathy Central Council Act, 1973: A law in India governing the regulation and practice of homoeopathic medicine. Homoeopathic Practitioners Professional Conduct, Etiquette and Code of Ethics Regulations 1982: Regulations outlining the professional conduct, etiquette, and ethical standards for homoeopathic practitioners in India. Amended in 2020 by this document. Telemedicine Practice Guidelines: Guidelines that outline the rules and regulations for registered Homoeopathic practitioners to consult patients using telemedicine Drugs and Cosmetics Act, 1940: Indian act regulating the import, manufacture, distribution, and sale of drugs and cosmetics. Clinical Establishments (Registration and Regulation) Act, 2010: An act in India for the registration and regulation of clinical establishments. Information Technology Act, 2000: An Act to provide legal recognition for transactions carried out by means of electronic data interchange and other means of electronic communication, commonly referred to as electronic commerce. Board of Governors in Supersession of Central Council of Homoeopathy: An Indian governmental body responsible for regulating homoeopathy education and practice. Bombay High Court: A High Court in the state of Maharashtra, India. Referred to regarding a 2018 judgement related to telemedicine.
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रजिस्ट्री स.ं डी.एल.- 33004/99 REGD. No. D. L.-33004/99 सी.जी.-डी.एल.-अ.-26112020-223294 xxxGIDHxxx CG-DL-E-26112020-223294 xxxGIDExxx असाधारण EXTRAORDINARY भाग III—खण् ड 4 PART III—Section 4 प्राजधकार स ेप्रकाजित PUBLISHED BY AUTHORITY स.ं 516] नई दिल्ली, सोमवार, नवम्बर 23, 2020/अग्रहायण 2, 1942 No. 516] NEW DELHI, MONDAY, NOVEMBER 23, 2020/AGRAHAYANA 2, 1942 ubZ fnYyh] 23 uoEcj] 2020 I .—dsUnzh; gkEs ;kis SFkh ifj’kn~ ds vf/kØe.k esa xfBr 'kklh cksMZ] gksE;kis SFkh dsUnzh; ifj’kn~ vf/kfu;e 1973 ¼1973 dk 59½ 24 ds lkFk ifBr /kkjk 33 /kkjk dh mi/kkjk ¼B½ }kjk iznÙk 'kfDr;ksa dk iz;ksx djr s gq,] dsUnzh; ljdkj dh iwokZuqefr ls gksE;ksiSfFkd fpfdRlk O;olk;h ¼o`fRrd vkpj.k] f'k’Vkpkj vkSj uSfrdrk lafgrk½ fofu;e] 1982 es a fuEufyf[kr la'kks/ku djrh gS vFkkZr %& 1 ¼1½ bu fofu;ekas dk laf{kIr uke gksE;ksiSfFkd fpfdRlk O;olk;h ¼o`fRrd vkpj.k] f'k’Vkpkj vkSj uSfrdrk lafgrk½ la'kks/ku fofu;e] 2020 gSA ¼2½ ;s Hkkjr ds jkti= ea s izdk'ku dh rkjh[k dk s izo`Ùk gksxs A 2 gksE;ksiSfFkd fpfdRlk O;olk;h ¼o`fRrd vkpj.k] f'k’Vkpkj vkSj uSfrdrk lafgrk½ fofu;e] 1982 ds fofu;e 29 ds i'pkr~ fuEu fofu;e dks tksM+k tk;sxk vFkkZr %& ^^29v- VsyhesfMflu }kjk ijke'kZ& ¼1½ ifjf'k’B&3 es a fn, x, VsyhesfMflu O;olk;h fn'kkfunZs'kks a d s vuqlkj iathd`r gksE;kis SFkh O;olk;h }kjk Vys hefsMflu ds tfj, ijke'kZ dh vuqefr gksxh A 5681 GI/2020 (1)2 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] ¼2½ Vys hesfMflu fpfdRlk O;olk; ds fn'kkfunZs'kkas dk vuqikyu iaftd`r gksE;ksiSfFkd O;olk;h }kjk tu lk/kkj.k rd LokLF; lsokvks a dks igqpkus grs q fd;k tk,xkA^^ MkW- dqekj foods kuUn] jftLVªkj&lg&lfpo [foKkiu-III@4@ vlk- / 374 /2020] eyw fofu;eksa dk s Hkkjr ds vlk/kkj.k jkti=] Hkkx&III vuHq kkx 4] es a la[;k 7&1@82&ds-gks-i- fnukad 16 ekpZ] 1982 }kjk rFkk rRi'pkr~ la'kks/ku la[;k 7&3@2003&ds-gks-i- ¼ikVZ½ fnukad 12&18 tqykbZ] 2014 ,oa la[;k 7&3@2003&ds-gks-i- ¼ikVZ I½ fnukad 8] twu] 2018 dks izdkf'kr fd; s x,A ¼;fn gksE;ksiSfFkd fpfdRlk O;olk;h ¼o`fRrd vkpj.k] f'k’Vkpkj vkSj ufSrdrk lafgrk½ la'kks/ku fofu;e] 2020 ds fgUnh laLdj.k eas dksbZ folaxfr ikbZ tkrh gS] rks vaxzsth laLdj.k dks vafre ekuk tk;sxkA½ ^LokLF; lsok O;kolkf;;ksa }kjk ,ls h fLFkfr es a tgkW fd njw h ,d egRoiw.kZ dkjd gk]s ogkW chekjh vkSj pksVks a ds funku] bykt vkSj jksdFkke vuqla/kku vkSj ewY;kda u ds fy, oS/k lwpuk ds vknku& iznku vkSj O;fDr;ksa rFkk muds leqnk;ks a ds LokLF; dks c<kok nssu s ds lexz fgr esa LokLF; lqj{kk iznkrkvkas dh f'k{kk tkjh j[ku s gsrq lwpuk vkSj lalwpu izkS/kksfxfd;kas dk bLres ky djds lHkh LokLF; lqj{kk lsokvks a dh iznk;xhA^ ^nwjlapkj vkSj fMftVYk lalwpu izkS|kfsxfd;ks a ds ek/;e ls fpfdRlk n[s kHkky] iznkrk vkSj ejht f'k{kk] LokLF; lwpuk lsokvks a vkSj Lo&lqj{kk lfgr LokLF; vkSj LokLF; lac/a kh lsokvks a dh iznk;xh vkSj lqfo/kkdj.kA^ ^dksbZ iathd`r gkEs ;kis SFkh fpfdRlk O;olk;h ¼vkj ,p ih½ ,d ,ls k O;fDr gS] tksfd jkT; gksE;kis SFkh vFkok dsUnzh; gksE;kis SFkh iaftdk es a gksE;ksiSFkh dsUnzh; ifj’kn~ vf/kfu;e]1973 ¼gks-d-si- vf/kfu;e] 1973½ es a ukekafdr gksA ¼Øe la-&76] Hkkjr dk jkti= vlk/kkj.k ¼Hkkx&II, [k.M&I½] fnukWd 28 fnlacj] 1973½ gksE;kis SFkh pwWfd ,d lexz vkS’k/k iz.kkyh gS] tksfd tulk/kkj.k dks LokLF; lEkL;kvks a es a ykHk iznku djrh gSA Vys hesfMflu }kjk gksE;kis SFkh dh miyC/krk c<k+u s es a lgk;rk fey ldrh gSa tgkW LokLF; lsok;sa igqpkuh dfBu gSA Vys hesfMflu mu ekeyks a es a fo'k’s k :Ik ls egRoiw.kZ Hkwfedk fuHkk ldrk gS tgkWa jksxh dk s 'kkfjfjd :Ik ls vkj- ,p-ih- ¼;k vU; fpfdRlk O;olk;h½ dks fn[kku s dh dksbZ vko';drk ugh gS tSls fu;fer] lkekU; tkWp] vFkok fujarj fuxjkuh grs qA gkEs ;kis SFkh Vys hesfMflu@ Vsyh ijke'kZ }kjk izkFkfed LokLF; lsok cgs r c<k,xkA Hkkjrh; fMftVy LokLF; uhfr LokLF; n{krk rFkk iz.kkyh ifj.kkekas esa lq/kkj grs q fMftVy lk/kuksa ds iz;ksx dh odkyr djrh gS] rFkk Vys hesfMflu lsokvksa ds mi;ksx ij fo'k’skdj LokLF; rFkk dY;k.k dsUnzkas es a tehuh Lrj ij egRoiw.kZ /;ku dsfUnzr djrk gS] tgkW e/;e&Lrj LokLF; lsok iznku drkZ@ LokLF;dehZ jksxh dks le; ij rFkk gj laHko n[s kHkky iznku djus ds fy, izkS|kfsxdh eap }kjk jksxh dk s fpfdRld rd tksM + ldrk gS A bl uhfr ds ckotwn vHkh rd gksE;kis SFkh O;olk;h ds fy, ohfM;ks] njw Hkk’k rFkk baVjusV vk/kfjr eapkas ¼oscpSV] ,si bR;kfn½ ls Vys hesfMflu lkH;kl grs q dksbZ fo/kku vFkok fn'kkfunZs'k ugha gSA Li’V fn'kkfunZ'kkas ds vHkko es a gksE;kis SFkh i)fr ds iathd`r fpfdRlk is'kos jkas esa ,d vLi’Vrk iSnk dj nh gS tks Vys hesfMflu lkH;kl grs q lansg c<k jg s gSA ekuuh; mPpU;k;ky; cEcbZ dh 2018 ds fu.k;Z ls Vys hesfMflu ds LFkku rFkk oS/kkfud fLFkfr ds lanHkZ es a mi;qDr <kWpk miyC/k u gksu s ds dkj.k la'k; dh fLFkfr iSnk dj nh gSA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 3 Hkkjr es a gksE;ksiSFkh fpfdRlk O;olk; eq[;r% lacaf/kr jkT; vf/kfu;ekas ls lkFk&lkFk gksE;ksiSFkh dsUnzh; ifj’kn~ vf/kfu;e] 1973] gkEs ;kis SfFkd fpfdRlk O;olk;h ¼o`fRrd vkpj.k] f'k’Vkpkj vkSj uSfrdrk lafgrk½ fofu;e] 1982] vkS’k/k vkSj lkSan;Z izlk/ku vf/kfu;e] 1940 rFkk fu;e 1945 rFkk fDyfudy LFkkiuk ¼iathdj.k rFkk fofu;e½ vf/kfu;e] 2010 }kjk fu;a=.k gksrh gSA lwpuk rduhd] lwpuk izkS|kfsxd vf/kfu;e] 2000 rFkk lwpuk izkS|kfsxdh ¼mfpr lqj{kk izFkkvksa vkSj izfØ;k rFkk laosnu'khy O;fDrxr vakdMsa ;k lwpuk½ fu;e] 2011 }kjk fu;af=r gksrh gSA dkuwu es a varj vkSj fu;ekas esa vfuf'prrk fpfdRldksa vkSj muds ejht nksuks a ds fy, tksf[ke gS A ;g le; dh ekax gS fd oS/kkfud rFkk fu;eksa dh vfuf'Pkrrk ds bl vra j dk s de fd;k tk,A ;s fn'kkfunZs'k is'ksoj ekunaMksa ds :Ik es a vkxs dne c<ku s es a lgk;d gksaxs] ftUg s vkj-,p-ih- }kjk ikyu fd;k tkuk vko';d gksxk rkfd VsyhesfMflu ds vH;kl dks fofu;fer fd;k tk ldsA  bu fn'kkfunsZ'kksa dk mn~ns'; gksE;kis SFkh O;kolkf;;kas dks VsyhefsMflu midj.kksa dk mi;ksx djus es a l{ke cuku s ds fy, gSA ;g izf'k{k.k iznku djus ds lkFk vkus okys o’kkZs es a le;&le; ij v|ru fd;k tk,xkA Vys hesfMflu fodflr gksrk jgsxk rFkk LokLF; lsok O;olkf;;ksa rFkk ejhtks }kjk O;kid :Ik ls viuk;k tkrk jgsxk A  ;s fn'kkfunZs'k Vys hesfMflu ds ckjs es a iathd`r gksE;kis SfFkd O;olkf;;ks a dks O;kogkfjd lykg nasxs] rkfd mUg s VsyhesfMflu ds mi;kxs dks viu s lkekU; vH;kl ds lkFk&lkFk vkinkvks vkSj egkekjh ds :Ik esa n[s kus ds fy, izkRs lkfgr fd;k tk lds tks LokLF; lsok iznku dju s ds fy, vf}rh; pqukSfr;kWa izLrqr djrh gSA  VfsyesfMflu dk vH;kl lkekftd laidZ ls cpdj MkWDVjks a vkSj jksfx;k s ds fy, tkfs[ke dks de djus oky s laØked jksxkas ds lapj.k dks jksd ldrk gSA ;g fn'kkfunZs'k fpfdRld vkSj jksxh ds laca/k ds nkf;Ro vkSj ykijokgh] ewY;kda u] izca/ku vkSj mipkj] lalwfpr lgefr] ns[kHkky dh fujra jrk] vkikrdkyhu lsokvksa ds fy, jQs sjyksa] fpfdRlh; fjdkMZ] jksxh ds fjdkMZ dh xkis uh;rk vkSj lqj{kk vkSj lwpuk ds vknku iznku] o.kZu vkSj izfriwfrZ] LokLF; f'k{kk vkSj ijke'kZ djus ds ekun.M vkSj izksVkdky miyc/k djk;saxs A  Vys hesfMflu u dsoy egkekjh ;k loZO;kih egkekjh dh fo'k’s k ifjfLFkfr esa lekftd njw h dk s izksRlkfgr djsxk cfYd fpfdRldks a ls ijke'kZ djds mUgsa i.w kZ can ¼daiyhV ykWdMkmu½ ds nkSjku fpark njw djsxkA  Vys hesfMflu u dsoy jksxh dks lqj{kk vfirq fpfdRld ,o a LokLF; lsodksa dks Hkh lqj{kk iznku djrk gS fo'k’s k dj fLFkfr;kas esa tgkW laØked laØe.k dh ifjfLFkfr gksA Vys hesfMflu nkSjk fcuk deZpkfj;kas dks ,ls s egkekjh ds le; esa] ok;jl@laØe.k ds laidZ ea s vk;s fcuk Hkh fd;k tk ldrk gS A  Vys hesfMflu fpfdRlk O;olk;h rd Rofjr igqWp djkrh gS tks fd O;fDrxr :Ik es a miyC/k u Hkh gk s ldrh gS A  Vys hesfMflu u dsoy fo'k’s k egkekjh ;k loZO;kih egkekjh dh ifjfLFkfr esa lekftd njw h dk s izkRs lkfgr djsxk] cfYd fpfdRldksa ls ijke'kZ djds mUgs a iw.kZ can ¼daiyhV ykWdMkmu½ ds nkSjku fpark njw djsxkA  Vys hesfMflu ls fjdkMZ ,o a nLrkostks dh ns[kHkky dh vko';drk vf/kd gksrh gSA fyf[kr nLrkost] fpfdRldkas ds lkFk&lkFk jksxh dks oS/kkfud lqj{kk dk s c<k nsxhA  Vys hesfMflu dk iz;ksx ;fn izHkkoh :Ik ls fd;k tk,] rks ek/;fed LokLF; lsok iz.kkyh ij Hkkj de djrk gSA  Vys hesfMflUk fujra j fuxjkuh ij fu;fer :Vhu psdvi ds fy, mi;ksxh gS vkSj le; ij QkWyksvi es a vra jky dk s de djrk gSA4 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] ;g /;ku nsus ;ksX; gS fd fdlh vU; izkS|kfsxdh dh rjg] VsyhesfMflu lsokvksa ds fy, bLrseky dh tku s okyh izkS|kfsxdh ds [krjs] dfe;k vkSj lhek, gSa] ftUgs a le;&le; ij leqfpr izf'k{k.k] ekudkas izksVksdkWy vkSj fn'kkfunsZ'kksa ds izoRkZZu }kjk de fd;k tk ldrk gSaA bu ekudks dk iz;ksx vU; jk’Vªh; uSnkfud ekudk]s izkVs ksdkWy] fufr;k s rFkk izfØ;kvksa ds lkFk la;kts u ds :i es a fd;k tkuk pkfg,A fo'o LokLF; laxBu] VsyhesfMflu dk s fuEufyf[kr :Ik ls ifjHkkf’kr djrk gS%& ^^tgkWa njw h ,d egRoiw.kZ dkjd gS] ,ls h fLFkfr es a chekjh vkSj pksVks a ds funku] bykt vkSj jksdFkke] vuqla/kku vkSj ewY;kda u ds fy, oS/k lwpuk ds vknku&iznku gsrq vkSj O;fDr;kas rFkk muds leqnk;ks a ds LokLF; dks c<+kok nsus ds fy, lexz fgr esa LokLF; lqj{kk iznkrkvkas dh f'k{kk tkjh j[ku s gsrq lwpuk vkSj lalwpu izkS|kfsxfd;ksa dk bLres ky djds lHkh LokLF; lqj{kk O;olk;fonksa }kjk LokLF; lqj{kk lsokvks a dh iznk;xhA^^ ,u bZ ts ,e dsVsfyLV] VsyhLokLF; dks fuEufyf[kr :Ik es a ifjHkkf’kr djrk gS %& ^^njw lapkj vkSj fMthVy lalwpu izkS|kfsxfd;ks a ds ek/;e ls fpfdRlk ns[kHkky] iznkrk vkSj ejht f'k{kk] LokLF; lwpuk lsokvksa vkSj Lo lqj{kk lfgr LokLF; vkSj LokLF; laca/kh lsokvksa a dh iznk;xh vkSj lqfo/kkdj.k** lkekU;r;k Vys hefsMflu dk bLres ky] fdlh iathd`r gkEs ;ksiSFkh fpfdRlk O;olk;h }kjk iznku dh xbZ uSnkfud lsok dks iznf'kZr djrk gS] tcfd VsyhLokLF;] Vys hesfMflu lfgr LokLF; vkSj LokLF; lac/a kh lsokvks a ds fy, izk|s ksfxdh ds bLrseky dk ,d O;kid vFkZ okyk 'kCn gSA bl nLrkots ds mÌs'; ds fy,] fdlh ^iathd`r gkEs ;kis SFkh fpfdRlk O;olk;h* dks ,d ,ls s O;fDRk ds :Ik esa ifjHkkf’kr fd;k x;k gS tks gkEs ;kis SFkh dsUnzh; ifj’kn~ vf/kfu;e&1973 ds vra xZr jkT; esfMdy jftLVj ;k gksE;ksiSFkh dsUnzh; iaftdk es a ukekafdr gSA Vys hesfMflu ds O;kid izfreku ds vanj] ;s fn'kkfunZs'k] gksE;ksiSFkh dsUnzh; ifj’kn~ vf/kfu;e ds varxZr izdkf'kr fd, tk,axs vkSj ;s dsoy fo'k’sk vf/kdkj izkIr igqWap ds fy, gh gSA ;s fn'kkfunZs'k] LokLF; lqj{kk lsokvkas esa o`f} djus vkSj lHkh rd igqWap ds fy, Vys hefsMflu dk s izHkkoh <ax ls lgkjk nsus esa iathd`r gksE;kis SFkh fpfdRlk O;olkf;;kas dks leFkZ cuku s ds fy, lgk;rk vkSj lk/ku ds :Ik es a dke esa ykus gsrq cuk, x, gSaA  ;s fn'kkfunsZ'k] gksE;ksiSFkh dsUnzh; ifj’kn~ vf/kfu;e 1973 ds vra xZr vkj-,p-ih- grs q gSa A  bu fn'kkfunZs'kksa es]a VsyhesfMflu ds tfj, ejhtksa ls ijke'kZ dju s ds fy, vkj-,p-ih- ds ekinaM vkSj ekud 'kkfey fd, x, gSaA  Vys hesfMflu es]a ejhtkas ds lkFk lalwpu ds ,ls s lHkh ek/;e 'kkfey gSa] tks ok.kh] vkWfM;ks] ewy ikB vkSj fMthVy vkda Mks a ds vknku&iznku lfgr lwpuk izkS|kfsxdh eapkas dk s lgkjk nsr s gSaA ;s fn'kkfunsZ'k] fof'k’V :Ik ls Li’Vr% fuEufyf[kr dk s fooftZr djr s gS%&  gkMZo;s j ;k lk¶Vos;j] volajpuk fuek.kZ vkSj vuqj{k.k ds fofunZs'kuA  'kkfey vkadMk izca/ku iz.kkfy;ka % ekud vkSj varj&izpkyuh;rkA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 5  Vys hesfMflu ds vU; igyw tSls fd vuqla/kku vkSj ewY;kadu rFkk LokLF; lwj{kk dfeZ;ksa dh fujra j f'k{kk A  buess a Hkkjr ds {ks=kf/kdkj ls ckgj ijke'kZ dk dksbZ mica/k ugha gSaA 1-3-1 dksbZ iathd`r gksE;ksiSFkh fpfdRlk O;olk;h] Hkkjr ds fdlh Hkkx ls ejhtkas dks VsyhefsMflu ijke'kZ nsus dk gdnkj gSA 1-3-2 Vys hesfMflu dk bLres ky dju s okys vkj-,p-ih- mUgha O;kolkf;d vkSj uSfrd ekinaMks a vkSj ekudksa dks cuk, j[ksaxs tk s Vys hesfMflu dh ewyHkrw lhekvksa ds vanj iajijkxr O;fDrxr n[s kHkky ij ykxw gSaA 1-3-3 ,ls s lHkh vkj-,p-ih-] tk s Vys hesfMflu es a izSfDVl djuk pkgsaxs] dks bu fn'kkfunZs'kksa vkSj Vys hesfMflu izSfDVl dh izfØ;k vkSj lhekvkas ls voxr djku s es a leFkZ cukus ds fy,%  ,d vkWuykbu dk;ZØe dsUnzh; gkEs ;kis SFkh ifj’kn~ ds vf/kØe.k esa 'kklh ckMs Z }kjk rS;kj fd;k tk,xk vkSj miyC/k djk;k tk,xkA  vkWuykbu ijke'kZ iznku dju s ds bPNqd lHkh iathd`r gksE;ksiSFkh fpfdRlk O;olkf;;kas dks] bldh vf/klwpuk ds rhu o’kZ ds vanj vfuok;Z vkWuykbZu ikB~;Øe iwjk djuk vko';d gSA  vra fje vof/k eas bu fn'kkfunZs'kksa es a mfYyf[kr fl}karkas dk ikyu djuk vko';d gSaA  blds i'pkr] Vys hefsMflu dh izSfDVl djus ls igys ;Fkk fofu/kkZfjr bl ikB~;Øe es a Hkkx ysuk vkSj mles a vgZrk izkIRk djuk vfuok;Z gksXkkA vkj-,p-ih-] izks|ksfxdh vk/kkfjr ejht ijke'kZ djus ds fy, mi;qDr fdlh Vys hesfMflu lk/ku vFkkZr njw Hkk’k] ohfM;k]s ySu] oSu] baVjusV] ekcs kby ;k ySaMykbu Qkus ks a ij tqM+sa midj.kksa] pSV eapks a tSls OgkV~l,i] Qslcqd] eslsta j vkfn ;k Vys hefsMflu ds fy, ekcs kby ,Ik ;k baVjusV vk/kkfjr fMftVy eapks ;k Ldkbi@bZ&esy@QSDl vkfn tSlh vkadM+k lEizs’k.k iz.kfy;kas dk bLrseky dj ldrs gSaA bLres ky fd, x, lalwpu ds lk/ku pkgs dksbZ Hkh gks]a Vys hefsMflu izSfDVl ds izeq[k fl}kar ogh jgr s gSaA 1-4-2- Z] pkgs o s vkj-,p-ih- ls ejht@ns[kHkkydrkZ ds chp gks ;k vkj-,p-ih- ls vkj-,p-ih- ds chp] ds vuqlkj Vys hesfMflu vuqiz;ksxksa dks pkj ewy izdkjks a es a oxhZd`r fd;k tk ldrk gSA  fofM;k s ¼Vys hefsMflu lqfo/kk] ,Il] pSV IysVQkeksZ] Ldkbi@Qsl VkbZe vkfn ij fofM;k½s  vkWfM;ks ¼Qkus ] ohvksvkbZih] ,Il vkfn½  ewyikB vk/kkfjr o Vys hesfMflu pSV vk/kkfjr vuqiz;kxs ¼fo'k’skKrk izkIr Vys hesfMflu LekVZQkus ,Il] ocs lkbV] vU; baVjusV vk/kkfjr iz.kkfy;k a vkfn½ o Tkujy eslsftax@ewyikB@pSV IysVQkeZ ¼OgkV~l,i] xwxy] gSaxvkmV] Qslcqd eSlsta j vkfn½ o vlgdkfyd ¼bZ&esy@QSDl vkfn½6 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] funku] esfMds'ku vkSj LokLF; f'k{kk LVds gksYMjks a ds chp] rLohjksa] iz;ksx'kkyk fjiksVZsa rFkk ijke'kZ ds fy, lqlaxr lwpuk ds vkSj@;k fofdj.kh; tkap&iM+rkyks a lfgr ejhtks a vknku&iznku ds fy, dh f'kdk;rksa vkSj vuqiwjd vkadM+kas ds lkjka'k dk ohfM;ks@vkWfM;ks@VsDLV lEizs’k.k@,ls s vkda M+s fdlh fuf'pr le; ij fHkUu&fHkUu ikfVZ;ks a dks vxzsf’kr fd, tk ldrs gSa vkSj blds Ik'pkr~ lqfo/kk@vko';drk ds vuqlkj izkIr fd, tk ldrs gSaA xSj&vkikrdkfyd ijke'kZ ds fy, %& funku@bykt@LokLF; f'k{kk@ ijke'kZ ds mlh ds lkFk Z fy, fdlh vkj-,p-ih- ds lkFk Ekjht] viuh chekjh ds funku vkjS bykt ejht] mlh vkj-,p-ih] ftlus fiNys O;fDrxr ds fy, ;k LokLF; f'k{kk vkSj ijke'kZ ds ijke'kZ eas bykt fizLØkbc fd;k Fkk] ds lkFk] py fy, fdlh vkj-,p-ih- ds lkFk ijke'kZ dj jg s vius bZykt ij vuqorZu ijke'kZ ds fy,] bl ldrk gSaA lsok dk mi;kxs dj ldrs gSaA  ;fn oSDfYid n[s kHkky ekStwn ugha gS rks le; ls ns[kHkky miyC/k djkus ds fy, Vys h&ijke'kZ dsoy ,d ek= rjhdk gks ldrk gSA ,ls h fLFkfr;kas es vkj-,p-iht-] vkius loksZÙke fu.kZ; ds vuqlkj ijke'kZ miyC/k djk ldrs gSaA rFkkfi] vkikrdkfyd ns[kHkky ds fy, VsyhesfMflu lsokvks a ls cpk tkuk pkfg,] tc oSdfYid O;fDrxr n[s kHkky miyC/k gks a vkSj Vys hesfMflu ijke'kZ dsoy izFkeksipkj] izk.kj{kk mik;ksa] jQs jy ij ijke'kZ vkSj lykg rd gh lhfer gkus h pkfg,A  vkikrdky ds lHkh ekeykas es]a ejht dks ;Fkk'kh/kz vkj-,p-ih- ds lkFk O;fDrxr :Ik ls fopkj&foe'kZ dju s dh lykg nh tkuh pkfg,A VsyhesfMflu lsok,]a Ekjht dk s vkj-,p- VsyhesfMflu lsok,]a <kpa s ¼Hkkx&4½ eas ;Fkk of.kZr dqN ih- ls tkMs + ldrh gaSA fLFkfr;ks a es a ns[kHkkydrkZ dk s vkj-,p-ih- ls tkMs + ldrh gSaA vkj ,p ih] ,d ;k ,d ls vf/kd ejhtks a dksbZ LokLF;deh1Z1] fdlh vkj-,p-ih- ds lkFk fdlh ejht dh n[s kHkky ds eqÌkas ij ;k tkudkjh ds fy, ijke'kZ l= es a lqfo/kk iznku dj ldrk gSA ,ls k izlkfjr djus ds fy, vU; vkj-,p-ih- dju s es a LokLF;dehZ] bfro`Ùk ysu]s ejht dh tkap djus vkSj @iaftd`r fpfdRlk O;olk;h ¼esfMflu dh fu’d’kZ lalwfpr djus eas lgk;rk dj ldrk gSaA o s ejht dks vU; iz.kkyh ls½ ds lkFk ppkZ dju s ds iathd`r gksE;ksiSFkh fpfdRlk O;olk;h }kjk nh xbZ lykg dks 1 ulZ] laca) LokLF; O;olk;h] e/; Lrjh; LokLF; iznkrk] ,-,u-,e] ;k fdlh leqfpr izkf/kdkjh }kjk ukfer dksbZ vU; LokLF; dehZ][भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 7 fy, VsyhesfMflu lsokvkas dk mi;ksx dj Li’V@iqucZfyr Hkh dj ldrk gSA ldrk gSaA VsyhesfMflu ijke'kZ iznku djus ds fy, cgqy izkS|ksfxfd;kas dk bLrseky fd;k tk ldrk gS A izkFkfed :i ls rhu rjhds gSa % ohfM;k]s vkWfM;k s ;k VsDLV ¼pSV] eSlsftax] bZ&esy] QSDl vkfn½A bu izkS|kfsxdh iz.kkfy;kas esa ls izR;sd dh viuh&viuh 'kfä;kaW] detksfj;kWa vkSj lanHkZ ga]S ftues a o s ,d mfpr funku iznku djus ds fy, leqfpr ;k vi;kZIr gk s ldrh gaAS blfy, fHk™k&fHk™k izkS|ksfxfd;kas dh 'kfä;ks]a ykHkksa vkSj lhekvks a dk s le>uk egRoi.w kZ gSaA eksVs rkSj ij gkykfad VsyhesfMflu ijke'kZ] vkj-,p-ih- dk s lkalfxZd fLFkfr;ks a ls lqj{kk inz ku djrk gS ijarq ;g HkkSfrd tkpa dks izfrLFkkfir ugha dj ldrh ftlds fy, Li'kZ&ijh{kk] lek/kku ;k Jo.k&funku vko';d gks ldrk gS] ftles a 'kkjhfjd Li'kZ vkSj vuqHkwfr vko';d gksrh gSA vis{kkd`r ubZ izkS|ksfxdh bl deh es a lq/kkj yk ldrh gSA  O;fäxr ijke'kZ] okLrfod le;  nksuks a fljks a ij mPp xq.koÙkk oky s Vys hesfMflu lqfo/kk] ,Il] pVS fopkj&foe'kZ ds fudVreA baVjusV dusD'ku ij fuHkZj gS] IyVs QkeksZa Qsl VkbZe vkfn ij  ejht dh igpku vf/kd vklku gSA vU;Fkk blds ifj.kke&Lo:i ohfM;ks lwpuk dk mi&b’Vre  iaftd`r gksE;ksiSFkh fpfdRlk O;olk;h vknku&iznku gksxkA ejht dk s n[s k ldrk gS vkSj n[s kHkkydrkZ ds lkFk ppkZ dj ldrk  pfawd nq#i;ksx dh laHkkouk gS] gSA blfy, ohfM;ks ijke'kZ] eas ejht dh xksiuh;rk lqfuf'pr djuk  pk{kq’k ladsr eglwl fd, tk ldrs gSaA vR;f/kd egRoiw.kZ gSA  ejht dk fujh{k.k fd;k tk ldrk gSA Qksu] ohvksvkbZih]  lqfo/kktud vkSj rst  xSj&ekSf[kd ladsr NwV ldr s gSaA ,Il vkfn  vlhfer igq¡p  ,slh fLFkfr;ks a ds fy, mi;qä  RkkRdkfyd ekeyks a ds fy, mi;qä ugh]a ftueas pk{kq’k fujh{k.k ¼vFkkZr Ropk] vka[k ;k thHk dh  fdlh vyx volajpuk dh vko';drk tkpa ½ ;k 'kkjhfjd Li'kZ ugha vko';d gSA  xksiuh;rk lqfuf'pr dh tkrh gSA  ejht dh igpku] dk vf/kd  okLrfod le; fopkj&foe'kZ Li’V gksuk vko';d gS] okLrfod ejht dk izfrfuf/kRo dju s oky s /kks[ksckt dh vf/kd laHkkouk gSA  lqfo/kktud vkSj rhoz  pk{kq’k vkSj 'kkjhfjd Li'kZ ds fo'ks’kKrk okyk pSV vk/kkfjr  nLrkosthdj.k vkSj igpku] bl vykok] VDs LV vk/kkfjr Vys hesfMflu LekVZ Qksu ,Il] IyVs QkeZ dh vfHk™k fo'ks’krk,a gks ldrh fopkj&foe'kZa eas ekSf[kd ladsr ,l,e,l osclkbV els sftax gSaA Hkh izkIr ugh a gksrsA iz.kkfy;kW vFkkZr OgkVl~ ,i]  rkRdkfyd ekeyks a ;k vuqorZuks]a nlw jh  ejht ds lkFk rkyesya LFkkfir xwxy gSax&vkmV] Qsl&cqd jk; ds fy, mi;qä c'krZs fd vkj-,p- djuk dfBu gksrk gSA eSlsta j ih- ds ikl vU; lzksrks a ls i;kZIr lanHkZ  MkWDVj ;k ejht dh igpku gksAa lqfuf'pr ugha gks ldrhA  fdlh vyx volajpuk dh vko';drk ugh a  okLrfod le; gks ldrk gSA8 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4]  nLrkosthdj.k djus eas lqfo/kktud vkSj  okLrfod le; ij fopkj&foe'kZ bZ&esy] QSDl] fjdkfMZax vkfn vklku ugh]a blfy, ,d i{kh; lanHkZ  fdlh fof'k’V ,i vkSj MkmuyksM dh miyC/k gksrk gS] ,d ek= ejht vko';drk ugha gSA }kjk fd, x, mPpkj.k dk s vk/kkj cuk;k tkrk gSA  rLohjas] vkadMs]+ fjikVs Zas] rRdky lk>k dh tk ldrh gSA  ejht dh igpku dsoy nLrkost vk/kkfjr gksrh gS vkSj iqf’V djuk  vyx ls fdlh volajpuk dh dfBu gSA vko';drk ugha  xSj&ekSf[kd ladsr izkIr ugh a  vf/kd mi;ksxh] tc tkap fjikVs Zsa vkSj gksrsA vuqorZu rFkk nlw jh jk; lkFk gksAa  foyca gks ldrk gS D;ksfad MkWDVj laHkor% rqjar eys u ns[k ldsA iaftd`r gkEs ;kis SFkh fpfdRlk O;olk;h gh ;g fu.kZ; ysus dh lcls vPNh fLFkfr es a gksrk gS fd D;k izkS|kfsxdh vk/kkfjr ijke'kZ i;kZIr gS vFkok O;fäxr leh{kk dh vko';drk gSA fpfdRlk O;olk;h mfpr foods kf/kdkj dk bLres ky djsxk vkSj n[s kHkky dh xq.koÙkk ij dksbZ le>kSrk ugha djsxkA Vys hesfMflu ijke'kZ vkjHa k dju s ls igy s lkr dkjdks a ij fopkj fd;k tkuk vko';d gSA ¼iSuy n[s ksa½ 1 lanHkZ 2 vkj-,p-ih- vkSj ejht dh igpku 3 lalwpu dk rjhdk 4 lgefr 5 ijke'kZ ds izdkj 6 ejht dk ewY;kadu 7 ejht dk izca/ku ;g fu.kZ; ysus ds fy, fd D;k fLFkfr fo'k’sk es a Vys hesfMflu ijke'kZ leqfpr gS vFkok ejht ds fgr es a O;fäxr ijke'kZ vko';d gS] vkj-,p-ih- dks vius O;kolkf;d fu.kZ; dk bLrseky djuk pkfg,A mUgas fdlh LokLF; f'k{kk ;k ijke'kZ ;k fpfdRlu fodYi pquu s ls igy s fdlh funku ds fy, miyC/k rjhds@izkS|ksfxfd;kas vkSj mudh Ik;kZIrrk ij fopkj djuk pkfg,A mUgs a ,d fuf'pr fLFkfr dk gksfyfLVd n`f’Vdk.s k viuku s ds i'pkr~ bl lac/a k es a rdZlaxr <ax ls tku ysuk pkfg, fd Vys hesfMflu ejht ds fgr es a gSA izR;ds ejht@ekeyk@ esfMdy n'kk fHk™k gks ldrh gS( mnkgj.k ds fy, fdlh u;s ejht dks ,d lk/kkj.k f'kdk;r gk s ldrh gS tSls fljnnZ] tcfd e/kqesg dk dksbZ Kkr ejht] e/kqesg dsVks,lhMksfll tSlh vkikrdkfyd fLFkfr;ks a ds lkFk vuqorZu ds fy, ijke'kZ dj ldrk gSA vkj-,p-ih-] ns[kHkky dk ogh ekud cuk, j[ksxk tks O;fäxr ijke'kZ es a cuk, j[krk gS] ijarq Vys hesfMflu dh vkra fjd lhekvksa ds vna jA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 9 3-2-1 Vys hesfMflu vuke ugha gksuh pkfg,% ejht vkSj vkj-,p-ih- nksuksa dks ,d nlw js dh igpku tkuuk vko';d gSA 3-2-2- fdlh vkj-,p-ih- dk s ejht dh igpku] uke] vk;q] irs] bZ&esy vkbZ Mh-] Qksu uca j] iathd`r vkbZ Mh- ;k fdlh vU; igpku] tks mi;qä le>h tk,] }kjk lR;kfir djuh pkfg, vkSj mldh iqf’V djuh pkfg,A vkj-,p- ih- dks ;g lqfuf'pr djuk pkfg, fd vkj-,p-ih- dh lk[k vkSj laidZ C;kSj s lR;kfir dju s ds fy, fdlh ejht grs q ,d ra= ekStwn gksA 3-2-3- dksbZ izSfLØI'ku tkjh dju s ds fy,] vkj-,p-ih- dks ejht dh vk;q Li’V rjhds ls iwNuk vko';d gS vkSj ;fn dksbZ lansg gS rks vk;q dk izek.k ekaxsAa tgk a ejht ,d ukckfyd gS] ,ls h fLFkfr es]a vk;q dh iqf’V djus ds i'pkr~ Vys h ijke'kZ dh vuqefr dsoy rHkh nh tk,xh] ;fn ukckfyd ml O;Ld O;fä ds lkFk ijke'kZ ys jgk gS] ftldh igpku irk yxkbZ tkuh vko';d gSA 3-2-4- fdlh vkj-,p-ih- dk s vius uke vkSj 'kSf{kd ;kXs ;rk ds ckjs es a ejht dks lwfpr djds ijke'kZ vkjaHk djuk pkfg,A 3-2-5- izR;sd vkj-,p-ih-] fizfLØi'ku ij] jkT; gksE;ksiSFkh ifj’kn @ dsUnzh; gksE;ksiSFkh ifj’kn }kjk mls iznku dh xbZ iathdj.k la[;k] ocslkbV] bysDVªkfud lalwpu ¼OgkV~l ,i@bZ&esy vkfn½ iznf'kZr djsxk@djsxh vkSj vius ejht dk s jlhn vkfn nsxk@nxs hA 3-3-1 VsyhesfMflu ijke'kZ iznku dju s ds fy, cgqr izkS|kfsxfd;kas dk bLres ky fd;k tk ldrk gSA bu lHkh izkS|kfsxdh iz.kkfy;ksa dh viuh&viuh 'kfä;ka] detksfj;k a vkSj lanHkZ gSa] ftues a mfpr n[s kHkky iznku dju s dh n`f’V ls o s leqfpr ;k vi;kZIr gks ldrh gSaA 3-3-2 izkFkfed :i ls 3 rjhds gSa % ohfM;ks] vkWfM;k s;k VDsLV ¼pSV] rLohjs] eslsftax] bZ&esy] QSDl vkfn½A vkj- ,p-ih- }kjk Hkkx 2 es a of.kZr mudh 'kfä;kas] lhekvksa vkSj mi;qärk ij fopkj djuk vko';d gSA 3-3-3 ,ls h fLFkfr;k a gks ldrh gSa] tgk a funku rd ig¡qpus vkSj lanHkZ dks cgs rj <ax ls le>u s dh n`f’V ls lwpuk ds vlgdkfyd vknku&iznku dh rqyuk es a okLrfod le; ijke'kZ ojh;rk okyh gks ldrh gSA blh izdkj ,ls h fLFkfr;k a gkasxh] tgka fdlh vkj-,p-ih- ds fy, ejht dks ckys rs gq, lquuk vko';d gk s ldrk gk]s blfy, fdlh funku ds fy, bZ&esy ;k VDs LV dh rqyuk es a ok.kh lac/a kh fopkj&foe'kZ] ojh;rk okyk gks ldrk gSA ,ls h fLFkfr;k a Hkh gSa] tgk a vkj-,p-ih- ds fy, ejht dh pk{kq’k tkap djuk vkSj funku djuk vko';d gksA fdlh ,ls s ekey s es a vkj-,p-ih- ,d ohfM;ks ijke'kZ dh flQkfj'k dj ldrk gSA fLFkfr ij fopkj djr s gq, vius loksZÙke fu.kZ; dk bLrseky djr s gq,] dksbZ vkj-,p-ih-] funku dju s rFkk bykt dju s ds fy, bLrseky dh tkus okyh lokZsÙke izkS|ksfxdh ij fu.kZ; ys ldrk@ldrh gSA fdlh VsyhesfMflu ijke'kZ ds fy, ejht dh lgefr vko';d gSA ;g lgefr] fuEufyf[kr fLFkfr;ks a ij fuHkZj djr s gq, vra fuZfgr ;k vfHkO;ä gk s ldrh gS %10 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] 3-4-1 ;fn ejht] Vys hesfMflu ijke'kZ izkjaHk djrk gS rk s ;g lgefr gSA 3-4-2 ejht dh vko';d gksrh gS] ;fn % dksbZ ;k dkbs Z Vys hesfMflu ijke'kZ vkjHa k djrk gSA dksbZ vfHkO;ä lgefr fdlh Hkh :Ik es a fjdkMZ dh tk ldrh gSA ejht ,d bZ&esy] VsDLV ;k vkWfM;ks@ohfM;ks eslst Hkst ldrk gSA ejht] vkj-,p-ih- dks Qksu@ohfM;k s ij viuh ea'kk dk mYys[k dj ldrk@ldrh gSA vFkkZr ¼**gk¡] eSa VsyhesfMflu ds tfj, ijke'kZ izkIr djus dh lgefr nsrk@nsrh g¡w** ;k dksbZ ,ls k lalwpu ljy 'kCnkas es a fn;k tk ldrk gSA½ vkj-,p-ih- dks vius ejht ds fjdkMZ es a bls ntZ djuk pkfg,A dks dksbZ O;kolkf;d fu.kZ; ysus ls igys ejht dh n'kk ds ckjs es a i;kZIr esfMdy lwpuk izkIr dju s ds lHkh iz;kl dju s pkfg,A mfpr uSnkfud fu.kZ; dk bLres ky dju s es a leFkZ gksus ds fy, visf{kr ¼bfro`Ùk@ tkap fu’d’kZ@ tkap fjiksVZas@ fiNys fjdkMZ vkfn½ izkIr dju s ds fy, vius O;kolkf;d foods kf/kdkj dk bLrseky djsxk@djsxhA ;g lwpuk] fdlh LokLF; lqj{kk dehZ@ lsok iznkrk ds lkFk ckrphr ds tfj, vkSj }kjk fdlh lwpuk }kjk vuqiwfjr dh tk ldrh gSA ;fn vkj-,p-ih- ;g eglwl djrk gS fd rks og ejht ls vfrfjä lwpuk dk vuqjks/k dj ldrk gSA ;g lwpuk] blds Lo:i ds vuqlkj OkkLrfod le; es a lk>k dh tk ldrh gS ;k ckn es a bZ&esy@VDs l ds tfj, lk>k dh tk ldrh gSaA mnkgj.k ds fy,] dksbZ vkj-,p-ih-] ejht dks fdlh iz;ksx'kkyk vkSj@;k jsfM;kys ksthdy tkapkas dh lykg n s ldrk gSaA ,ls s ekeykas es a ijke'kZ dks] fojke fLFkfr es a ekuk tk,xk vkSj iqu% fu/kkZfjr dk;ZØe ds le; ij iqu% vkjaHk fd;k tk ldrk gSaA Vys hesfMflu es]a i;kZIr tkap ds fy, lhekvkas ds viu s Lo;a ds lSV gSaA iaftd`r gksE;kis SFkh fpfdRlk O;olk;h ds O;kolkf;d fu.kZ; ij fuHkZj djrs gq,] tc rd dHkh vko';d gks] og fuEufyf[kr dh flQkfj'k djsxk%& & ohfM;k s ijke'kZ & vU; vkj-,p-ih- @LokLF;dehZ }kjk tkpa & O;fDrxr ijke'kZ 2 varfufZgr lgefr % fdlh O;fäxr ijke'kZ es a ;g eku fy;k tkrk gS fd ejht us viu s O;ogkj }kjk ijke'kZ dh lgefr ns nh gSA tc ejht vksihMh es a tkrk gS rks ijke'kZ ds fy, lgefr varfufZgr ekuh tkrh gSA O;fäxr ijke'kZ dh rjg] vf/kdka'k Vys hijke'kkZs a ds fy, lgefr varfufZgr eku yh tkrh gS D;ksfd ejht us ijke'kZ vkjHak dh gSA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 11 & mlds O;kolkf;d vuqHko vkSj foods kf/kdkj ds vk/kkj ij vkSj ifjHkkf’kr ekudkas rFkk ekud bykt fn'kkfunsZ'kksa ij vk/kkfjr fHkUu&fHkUu esfMdy fLFkfr;ks a ds fy, vifs{kr lwpuk ,d vkj-,p-ih- ls nlw js vkj- ,p-ih-ds fy, fHkUu gk s ldrh gSaA & vkj-,p-ih-] tks mi;qDr gks] jksxh bfro`Rr] tkap fjiksVkZsa] rLohjksa vkfn lfgr ejht ds lHkh fjdkMZ j[ksxkA ejht ijke'kZ nks izdkj ds gksr s gSa uker% igyk ijke'kZ vkSj vuqorhZ ijke'kZA fdlh vkj-,p-ih- dks laHkor% igyh ckj esa Vsyh ijke'kZ izkIr dju s okys ejht dh dsoy ,d lhfer le>cw> gks tc igy s O;fDrxr ijke'kZ u gqvk gkAs rFkkfi] igyk ijke'kZ] ohfM;ks a ds tfj, gqvk gks rks iaftd`r gksE;ksiSFkh fpfdRlk O;olk;h csgrj fu.kZ; ys ldrk gSa vkSj blfy, vfrfjDr nokb;kas] ;fn fufnZ’V dh xbZ gk]s lfgr csgrj lykg miyC/k djk ldrk gSaA nlw jh vksj ;fn vkj-,p-ih- }kjk fdlh ejht dks igys O;fDrxr :Ik ls ns[k fy;k x;k gS rks ;g laHko gS fd ejht dk izca/ku vf/kd O;kid cuk;k tk ldsA %  ejht] vkj-,p-ih- ds lkFk igyh ckj ijke'kZ dj jgk gS( ;k  ejht u s igy s vkj-,p-ih- ds lkFk ijke'kZ fd;k gS ijarq fiNys ijke'kZ ls 6 eghus ls vf/kd chr x, gS( ;k  ejht us igys vkj-,p-ih- ds lkFk ijke'kZ fd;k gSa ijra q fdlh fHkUu LokLF; n'kk ds fy,A &  ejht viu s fiNys O;fDrxr ijke'kZ ds 6 eghu s ds vanj mlh vkj-,p-ih- ds lkFk ijke'kZ dj jgk@jgh gS vkSj ;g mlh LokLF; n'kk dh n[s kHkky ds Øe esa gSaA rFkkfi bls vuqorhZ ijke'kZ ugha ekuk tk,xk] ;fn%  dksbZ ,sls u;s lay{k.k gSa tk s mlh LokLF; n'kk ds nk;j s es a ugh a gSa vkSj@;k  vkj-,p-ih- dks fiNys bykt vkSj lykg dk lanHkZ ;kn ugha gSaA % LokLF; f'k{kk] ijke'kZ vkSj fpfdRlk ;fn n'kk] ijke'kZ ds izdkj ds vk/kkj ij Vys hesfMflu ds tfj, leqfpr <ax ls fu;af=r dh tk ldrh gS rk s vkj-,p-ih- ,d O;olkf;d fu.kZ; ds lkFk fuEufyf[kr ds laca/k es a vkxs dkjZokbZ dj ldrk gS %  bl ekey s es a ;Fkk mi;qDr LokLF; f'k{kk miyC/k djkuk vkSj@;k  fof'k’V uSnkfud n'kk ls lacaf/kr ijke'kZ miyC/k djkuk vkSj@;k  nokb;k a fizLØkbc djuk % dksbZ vkj-,p-ih- LokLF; lao/kZu vkSj jksx jksdFkke lans'k Hkst ldrk gSaA ;s lans'k] [kqjkd] 'kkjhfjd fØ;kdyki] /kqeziku can djuk] lkla fxZd laØe.kks a vkfn ls lacfa/kr gks ldrs gSaA blh izdkj og izfrj{kk] O;k;ke] LoPNrk i)fr;ks]a ePNj fu;a=.k vkfn ij lykg ns ldrk@ldrh gSaA12 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] % ;g jksfx;ks dks nh tku s okyh fof'k’V lykg gS vkSj mnkgj.k ds fy,] varfuZfgr fLFkfr dks de dju s ds fy, [kk| izfrc/a k] O;fDrxr fof'k’V vkgkj] gksE;ksiSfFkd nok ds lkFk ^D;k djs] D;k u djs^ 'kkfey gSaA bles a ,ls h ubZ tkWpa ks a ds fy, lykg Hkh 'kkfey gks ldrh gS ftls vxys ijke'kZ ls igys fd;k tkuk vko';d gkAs Vys hesfMflu ds tfj, nokb;ka izSLdkbc djuk] vkj-,p-ih- dk O;kolkf;d foods kf/kdkj gSaA bles a ogh O;kolkf;d tokcngs h vfuok;Z gksrh gSa tks ijaijkxr O;fDrxr ijke'kZ es a gSaA ;fn fdlh esfMdy n'kk ds fy, funku vkSj fizLØkbc dju s grs q fdlh fo'k’sk lays[k dh vko';drk gks tks O;fDrxr ijke'kZ ds ekey s es a gks] rks Vys hesfMflu ijke'kZ ij Hkh ogh izpfyr fl)kra ykxw gkasxsA fofuekZ.k vkSj nokbZ dk vf/kdkj jkT; ds d`R;kas }kjk fu;af=r gksrk gS] blfy, ;g jkT; esa fHkUu gksrk gSA vkj-,p-ih- dk s nokvksa dks fu/kkZfjr djrs le; ges'kk jkT; vf/kfu;e esa bl fHkUurk dks /;ku esa j[kuk pkfg,] Hky s gh ;s fn'kkfunsZ'k mUgs ijw s Hkkjr esa Vys hesfMflu dk vH;kl djus dh vuqefr nrs s gSA vkj-,p-ih-] Vys hesfMflu ds tfj, dsoy rHkh nokb;ka fizLØkbc dj ldrk gS] tc vkj-,p-ih- bl lac/a k es a larq’V gks fd mlu s ejht dh esfMdy n'kk ds ckjs esa I;kZIr vkSj lqlaxr lwpuk izkIr dj yh gSa vkSj fizLØkbc dh xbZ nokb;k a ejht ds lokZsRre fgr es a gSaA fdlh leqfpr funku@vuafre funku ds fcuk nokb;k a fizLØkbc dju s dk vFkZ gksxk O;kolkf;d dnkpkjA Vys hesfMflu ds tfj, ijke'kZ ij nokb;k a fy[kus dh dqN lhek;s a gSa tkfsd lykg ds izdkj ,o a lykg ds ek/;e ij fuHkZj djrh gSa A dksbZ vkj-,p-ih-] tks fd Vys hesfMflu ds tfj, lykg n s jgk gks bl J.s kh vkS’kf/k;ka ugha fizfLØbc dj ldrkA bu nokvkas es a nq#i;ksx dh ,d mPp {kerk gS vkSj vuqfpr rjhds ls mi;ksx fd, tku s ls cM+ s iSekus ij jksxh ;k lekt dks uqdlku igqapk ldrh gSA og lHkh gksE;kis SfFkd nok,a ftuesa tgjhys inkFkZ ds lkFk fdlh Hkh ukjdksfVd vkSj lkbdksVªksfid inkFkZ tks ukjdkfsVd MªXl vkSj lkbdkVs ªkfsid inkFkZ] vf/kfu;e] 1985 esa lwphc) gS] vifj’d`r ek=k es a Vys hefsMflu ds ek/;e ls fu/kkZfjr dju s dh vuqefr ugha gSA  ;fn iathd`r gksE;kis SFkh fpfRdlk O;o;k;h us nokb;k a fizLØkbc fd;k gS] rks vkj-,p-ih- gksE;ksiSfFkd fpfdRlk O;olk;h ¼o`fRrd vkpj.k] f'k’Vkpkj vkSj uSfrdrk lafgrk½ fofu;e] 1982] ds vuqlkj ,d fizfLØi'ku djsxk rFkk vkS’k/k ,o a izlk/ku lkexzh vf/kfu;e vkSj fu;e dh vogsyuk ugha djsxkA QkeZsV dk ,d uewuk] vuqca/k es a lq>k;k x;k gS A  iathd`r gkEs ;kis SFkh fpfRdlk O;o;k;h] gLrk{kj fd, x, fizfLØi'ku dh QksVks] LdSu] fMthVy izfr ;k bZ&fizfLØI'ku ejht dk s bZ&esy ;k fdlh els sftax IysVQkeZ ds tfj, miyC/k djk,xkA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 13  ;fn iathd`r gksE;ksiSFkh fpfRdlk O;o;k;h] fizfLØIk'ku lh/k s fdlh QkeZslh izsf’kr dj jgk gS rk s mls ejht dh pkfg, tks mls mldh ilan dh fdlh QkeZslh ls laforfjr nokb;k a izkIr djus dk gdnkj cukrh gkAs 3 dsfaUnz; gkEs ;kis SfFkd ifj’kn~ vf/kfu;e ds vuqlkj ejht dh futrk vkSj xksiuh;rk ds laj{k.k ds fy, O;kolkf;d ekinMa ksa lfgr fpfdRlh; uSfrdrk ds fl}kra ck/;dkjh gksaxs vkSj mUgsa cuk, j[kk tkuk pkfg, rFkk O;ogkj eas yk;k tkuk pkfg,A iathd`r gkEs ;kis SfFkd fpfdRlk O;olk;h ds fy, ;g vko';d gkXs kk fd og ejht dh futrk vkSj xkis uh;rk lajf{kr djus ds fy, vkSj ejht ds laca/k esa ,slh O;fDrxr lwpuk ds varj.k vkSj gSaMy djus ds laca/k esa gksE;ksiSfFkd fpfdRlk O;olk;h ¼o`fRrd vkpj.k] f'k’Vkpkj vkSj uSfrdrk lafgrk½ fofu;e] 1982] vkSj lwpuk izkS|ksfxdh vf/kfu;e] vkadM+k laj{k.k ,o a futrk dkuwu ;k le;&le; ij vf/klwfpr ykxw gksu s oky s vU; fu;ekas ds mica/kkas dk ikyu djsA ;g ck/;dkjh gksxk vkSj bls cuk, j[k tkuk pkfg, rFkk O;ogkj eas yk;k tkuk pkfg,A dks xkis uh;rk ds mYya?ku ds fy, ftEesnkj ugha ekuk tk,xk] ;fn ;g fo'okl dju s ds fy, dkbs Z rdZlaxr lk{; ekStwn gS fd ejht dh futrk vkSj xkis uh;rk ds lkFk fdlh izks|kfsxdh; mYya?ku ;k vkj-,p-ih- ds vykok fdlh vU; O;fDr }kjk le>kSrk fd;k x;k gSaA vkj-,p-ih- dk s ;g lqfuf'pr djuk pkfg, fd ,ls h lsokvksa dks fdjk, ij ysus ds nkSjku mfpr ek=k es a lko/kkuh cjrh xbZ gSA fo'k’s k :Ik ls ;g uksV fd;k x;k gS fd o`fRrd vkpj.k] uSfrdrk vkfn ds fy, gksE;kis SFkh dsUnzh; ifj’kn~ vf/kfu;e ds vra xZr lHkh lkekU; 'krkZsa ds vykok] VsyhefsMflu dk bLres ky djr s le; lHkh ,slh dkjZokbZ;ka tks tkuc>w dj ejht dh n[s kHkky ;k futrk vkSj xkis uh;rk ls le>kSrk djrh gS ;k fdlh izpfyr dkuwu dk mYya/ku djrh gS] mudh vfHkO;Dr :Ik ls vuqefr ugh a gSA ftu dkjZokb;kas dh vuqefr ugha gS] muds dqN mnkgj.k fuEufyf[kr gS %&  Ikathd`r gksE;ksiSFkh fpfdRlk O;olk;h dk Vys hesfMflu ij tksj nus k] tc lqfo/kk vkSj@;k O;fdrxr ijke'kZ ds vuqjks/kkas ds fy, ejht ;k=k djus dk bPNqd gkAs  Ikathd`r gksE;ksiSFkh fpfdRlk O;olk;h }kjk ejht dh rLohjk s vkSj vkadM+ks a dk nq:Ik;ksx djuk fo'k’sk :Ik ls futh vkSj laosnu'khy Lo:Ik okys ¼vFkkZr tc vkj-,p-ih- ejht dh lqLi’V rLohj lks'ky ehfM;k vkfn ij miyksM djrk gS½ 3 dh ;g ftEens kjh gS fd og orZeku vkadM+k laj{k.k vkSj xksiuh;rkds dkuuw ls voxr gksA ] fdlh O;fDrxr ijke'kZ ls lacaf/kr ejht dh xksiuh;rk dk mYy?a ku u djsA mnkgj.k ds fy, % ;fn vkj,pih] fdlh fo'ks’k jksx n'kk ls ihfM+r ejhtks a ds fy, LokLF; f'k{kk ds izlkj ds fy, okLrfod lgk;rk lewg lwftr djus dh ;kstuk cuk jgk gSA rks ejht dh bPNk ds ckjs eas lrdZ jgsxk vkSj mudh lgefr ds fcuk mUgs a lewg eas 'kkfey djds ejht dh xksiuh;rk dk mYya/ku ugha djsxkA14 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4]  Ikathd`r gkEs ;kis SFkh fpfdRlk O;olk;h] tk s VsfyesfMflu dk mi;ksx gksE;ksiSfFkd nokvks a dh ,ls h ikVs salh dk s fu/kkZfjr djr s gS tks Hkkjr ds gkEs ;kis SfFkd QkekZdkfsi;k ds vuqlkj lqjf{kr ugha gSA  Ikathd`r gksE;ksiSFkh fpfdRlk O;olk;h] dks VsyhesfMflu ds fy, jksfx;ks a dks fdlh Hkh foKkiu ;k izykHs ku ds ek/;e ls yqHkku s dh vuqefr ugha gSA  gksE;kis SFkh dsUnzh; ifj’kn~ vf/kfu;e ds vuqlkj uSfrdrk vkSj vU; izpfyr dkuwuA Ikathd`r gksE;kis SFkh fpfdRlk O;olk;h ds fy, vko';d gS fd og le;&le; ij ;Fkk fofu/kkZfjr vof/k ds fy, fuEufyf[kr fjdkMZ@nLrkots j[ks %& Vys hesfMflu fopkj&foe'kZ dk ykWx ;k fjdkMZ ¼vFkkZr Qksu ykWXl] bZ&esy fjdkMZ] pSV@VsDLV fjdkMZ] ohfM;k s fopkj&foe'kZ ykWXl vkfn½ Vys hesfMflu ijke'kZ es a mi;ksx es a yk, x, ejht ds fjdkMZ] nLrkots ] rLohjas] uSnkfud vkadM+s ¼fMthVy ;k xSj&fMthVy½ vkfn iathd`r gkEs ;kis SfFkd fpfdRlk O;olk;h }kjk j[ks tku s pkfg,A fo'k’s k :Ik ls ;fn dkbs Z izSfLØi'ku] ejht ds lkFk lk>k fd;k x;k gS rks vkj-,p-ih ds fy, ;g vko';d gS fd og O;fDrxr ijke'kkZsa ds fy, rFkk visf{kr izsfLØi'ku fjdkMZ j[ksA 'kqYd dh n`f’V ls Vys hefsMflu ijke'kkZsa dks mlh izdkj ekuk tkuk pkfg, tSls O;fDrxr ijke'kkZsa dks ekuk tkrk gSA vkj-,p-ih] miyC/k djk,] x, VsyhesfMflu ijke'kZ ds fy, ,d leqfpr 'kqYd dj ldrk gSA fdlh vkj-,p-ih dks] Vys hesfMflu vk/kkfjr ijke'kZ miyC/k djkus ds fy, izHkkfjr 'kqYd ds fy, ,d jlhn@buok;l Hkh nus k pkfg,A bl Hkkx es a ikap ifj–';kas es a Vys hesfMflu dh izSfDVl dju s ds fy, <kpa k iznf'kZr fd;k x;k gS % 1- Ekjht ls ita hd`r gksE;ksiSfFkd fpfdRlk O;olk;h 2- n[s kHkkydrkZ ls ita hd`r gksE;kis SfFkd fpfdRlk O;olk;h 3- LokLF;&dehZ ls ita hd`r gksE;kis SfFkd fpfdRlk O;olk;h 4- iathd`r gksE;ksiSfFkd fpfdRlk O;olk;h ls ita hd`r fpfdRlk O;olk;h 5- vkikrdkfyd fLFkfr;ka & fdlh iathd`r gksE;ksiSfFkd fpfdRlk O;olk;h dk ] ekxZn'khZ fl}kar gkus k pkfg,A ,d ] ;g fu.kZ; ysu s ds fy, lcls vPNh fLFkfr es a gksrk gS fd D;k ,d izkS|kfsxdh vk/kkfjr ijke'kZ i;kZIr gS ;k O;fDRkxr iqujh{k.k dh vko';drk gSA fpfdRlk O;olk;h] mfpr foods kf/kdkj dk bLres ky djsxk vkSj ns[kHkky dh xq.koÙkk ds lkFk le>kSrk ugha djsxkA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 15 & ¼ohfM;ks] vkWfM;ks]a VsDLV½ dksbZ Hkh gksA rFkkfi] bLrseky fd, x, lalwpu ds rjhds ij fuHkZj djr s gq, ejht izca/ku vkSj bykt fHkUu gks ldrk gSA & fpfdRlh; n'kk ds izdkj ij fuHkZj djr s gq, lalwpu ds rjhds ds fy, vkj-,p-ih- dks vius dk bLrseky djuk pkfg, A ;fn fdlh ekey s es a tkap ds fy, ,d ohfM;ks ijke'kZ vko';d gks rks vkj-,p-ih- dks blds fy, Li’V :Ik ls dguk pkfg,A & vkj-,p-ih- dksbZ Hkh le; esa pqu ldrk gSA fdlh Hkh pj.k esa vkj-,p-ih-] O;fDrxr ijke'kZ ds fy, jsQj dj ldrk gS ;k mlds fy, vuqjks/k dj ldrk gSA & 4-1 fo'ks’k :Ik ls bl Hkkx esa] igy s ijke'kZ vkSj vuqorhZ ijke'kZ] tc dksbZ ejht fdlh vkj-,p-ih- ds lkFk ijke'kZ djrk gS] es a bLrseky fd, tku s oky s Vsyh&ijke'kZ dh izfØ;k ds izeq[k ?kVdkas dk foLrkj ls o.kZu fd;k x;k gSA 4-1-1 4-1-1-1 1- ejht] vkj-,p-ih- ds lkFk igyh ckj ijke'kZ dj jgk gS( ;k 2- ejht] us igys vkj-,p-ih ds lkFk ijke'kZ fd;k gS] ijra q fiNys ijke'kZ ls 6 eghus ls vf/kd chr x, gS( ;k 3- ejht u s igys vkj-,p-ih ds lkFk ijke'kZ fd;k g]S ijarq fdlh fHkUUk LokLF; n'kk ds fy,A 4-1-1-2 izfØ;k dk izokg fp= 1 es a la{kis es a n'kkZ;k x;k gS vkSj pj.k foLrkjiwoZd uhps fn, x, gS% igys ijke'kZ ds fy, Vys hesfMflu ijke'kZ dk izkajHk.k o Vys hesfMflu ijke'kZ] ejht }kjk vkjaHk fd;k tkrk gSA ¼mnkgj.k ds fy, ejht fdlh vkj-,p-ih- dk s vkWfM;k s ;k ohfM;kds kWy dj ldrk gS ;k ,d LoLFk i`PNk ds lkFk bZ&esy ;k VDs lV Hkts ldrk gSA o vkj-,p-ih- ijke'kZ nsuk Lohdkj djrk gSA ejht dh igpku vkSj lgefr o vkj-,p-ih- dks ejht dk uke] vk;q] irk] bZ&esy vkbZ Mh] Qksu uacj ;k dksbZ vU; igpku] tks rdZlaxr gks] iwN dj viuh larqf’V ds vuqlkj ejht dh igpku dh iqf’V djuh pkfg,A o Vys hesfMflu ijke'kZ] ejht }kjk vkjHa k dh tkuh pkfg, vkSj blds }kjk lgefr vra fuZfgr gSA16 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] rhoz n'kk fu/kkZj.k o miyC/k buiqV ds vk/kkj ij vkj-,p-ih- }kjk ejht dh n'kk dk rhozrk ls fu/kkZj.k fd;k tkuk vko';d gS vkSj vkj-,p-ih- ;g fu.kZ; ysus esa viu s O;kolkf;d foods kf/kdkj dk bLrseky djrk gS fd D;k vkikrdkfyd n[s kHkky dh vko';drk gSA o ;fn ejht dh n'kk ds fy, vkikrdkfyd gLr{ksi dh vko';drk gS rks izFkekis pkj@rRdky jkgr dh lykg nh tkrh gS vkSj ;Fkk mi;qDr jsQjy ds fy, ekxZn'kZu fn;k tkrk gSA ;fn ejht dh n'kk ds fy, vkikrdkfyd gLr{ksi dh vko'drk ugha gS rk s fuEufyf[kr dne mBk, tkr s gS% ejht ds ewY;kadu ds fy, lwpuk dk vknku&iznku o vkj-,p-ih-] ejht ls dg ldrk gS fd og lqlaxr lwpuk ¼f'kdk;r] mlh leL;k ds fy, fdlh vU; ijke'kZ ds ckjs es a lwpuk] miyC/k tkap vkSj nokb;ka] ;fn dkbs Z gSa] ds C;ksjs½ miyC/k djk,A vkj-,p-ih- ds lkFk ejht }kjk lk>k dh xbZ lwpuk dh ifj'kq}rk ds fy, ejht ftEesnkj gksxkA o ;fn vkj-,p-ih- ;g eglwl djrk gS fd bl pj.k es a miyC/k djkbZ xbZ lwpuk vi;kZIr gS rks ;g ejht ls vfrfjDr lwpuk ds fy, vuqjks/k djsxkA ;g lwpuk] ml lwpuk ds Lo:i ds vuqlkj ckn es a okLrfod le; es a ;k bZ&esy@VsDLV ds tfj, lk>k dh tk ldrh gSA ;g ijke'kZ] vfrfjDr lwpuk dh izkfIr ds i'pkr iqu% fu/kkZfjr fd, x, le; ij iqUk% vkjEHk dh tk ldrh gSA ¼bles a iz;ksx'kkyk ds vkSj fofdj.k fpfdRlh; dqN ijh{k.k 'kkfey gks ldrs gS½ blh chp vkj-,p-ih- ;Fkk mi;qDr LokLF; lykg miyC/k dj ldrk@ldrh gSA o ;fn vkj-,p-ih- bl laca/k es a larq’V gS fd O;kolkf;d lq>ko iznku djus ds fy, mlds ikl ejht dh i;kZIr lwpuk gS rks ;g Vys hesfMflu ds tfj, izca/ku ds fy, mldh mi;qDrk gsrq viu s O;kolkf;d fu.kZ; dk bLrseky dj ldrk@ldrh gSA o ;fn vkxs Vys hesfMflu ijke'kZ ds fy, fLFkfr mi;qDr ugha gS rks vkj-,p-ih- dks ;Fkk mi;qDr LokLF; lykg@f'k{kk iznku djuh pkfg, vkSj@;k O;fDrxr ijke'kZ ds fy, jQs j djuk pkfg,A Ekjht izca/ku ;fn n'kk dk izca/ku] leqfpr <xa ls Vys hesfMflu ds tfj, fd;k tk ldrk gS rks vkj-,p-ih- fuEufyf[kr es a ls fdlh ds fy, dksbZ O;kolkf;d fu.kZ; ys ldrk gS% o bl ekey s es a ;Fkk mi;qDr LokLF; f'k{kk miyC/k djkuk% vkSj@;k o ubZ tkap] tks vxys ijke'kZ ls igy s dh tkuh vko';d gks] ls lacf/kr lykg lfgr fof'k’V uSnkfud n'kk ls lacfa/kr ijke'kZ miyC/k djkuk% vkSj@;k o ekey s dh lexzrk ij fopkj dj nokvks a dk s fu/kkZfjr djds fof'k’V mipkj iznku djkukA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 17 4-1-2 vuqorhZ ijke'kZ esa] pwfad vkj-,p-ih- ejht fopkj&foe'kZ] vuqorZu ds varxZr fof'k’V fpfdRlh; n'kk ds fy, igys gh gks x;k gS] blfy, fiNys fjdkMZ dh miyC/krk ds lkFk lanHkZ dh igys ls gh le>cw> gksrh gSA blls vkj-,p-ih- vkSj ejht ds chp vf/kd fuf'p;kRed vkSj lqjf{kr fopkj&foe'kZ laHko gkrs k gSA 4-1-2-1 ejht viu s fiNys O;fDrxr ijke'kZ] ds 6 eghus ds vna j ijke'kZ ys jgk@jgh gS vkSj ;g ijke'kZ] mlh LokLF; n'kk dh n[s kHkky ds Øe esa gSA vuqorZu] fdlh fpjdkfyd jksx ;k fdlh bykt dh fLFkfr;kas es a gk s ldrk gS ¼vFkkZr uohdj.k ;k nokbZ;ks a esa ifjorZu ½ tc vkeu&s lkeus ijke'kZ vko';d ugha gSA bl izdkj ds fpjdkfyd jksxkas ds mnkgj.k fuEu gS% nek] e/kqesg] mPpjDrpki vkSj fejxh vkfnA bl izfØ;k dk izokg la{ksi esa layXud ds fp= 2 es a n'kkZ;k x;k gSa vkSj pj.kksa dk fooj.k uhps fn;k x;k gSa % 1 vuqorZu ds fy, VsyhesfMflu ijke'kZ dk izkjaHk.k o ejht] lalwpu ds fdlh rjhds dk bLrseky djds bykt ds nkSjku mRiUu fdlh ubZ f'kdk;r ;k tfVyrk ds fy, ;k py jg s viu s bykt dh fujarjrk ds fy, fdlh vkj- ,p-ih- ds lkFk vuqorhZ ijke'kZ vkjHa k dj ldrk gSaA mnkgj.k ds fy, ejht fdlh vkj-,p-ih- dks ,d vkWfM;ks ;k ohfM;k s dkWy dj ldrk gS ;k fdlh fof'k’V LokLF; i`PNk ds lkFk ls bZ&esy ;k VDs LV eSlst Hkst ldrk gSaA o vkj-,p-ih- ijke'kZ nsuk Lohdkj djrk gSa 2 ejht dh igpku vkSj lgefr o vkj-,p-ih- rdZlaxr <ax ls bl ckr ls lger gksuk pkfg, fd og tkus&igpku s ejht ds lkFk ckrphr dj jgk@jgh gSaA mnkgj.k ds fy,] ;fn ejht] vkj-,p-ih- ds lkFk iathd`r Qkus uca j ;k iathd`r bZ&esy vkbZ Mh- ds tfj, ckrphr dj jgk gSaA o ;fn dksbZ lansg gk s rks vkj-,p-ih-] ejht ls ;g vuqjk/s k dj ldrk gS fd og fdlh iathd`r Qksu uacj ;k bZ&esy vkbZ Mh- ls ckrphr iqu% vkjaHk djs ;k ejht dk uke] vk;q] irk] bZ&esy vkbZ Mh- ;k Qkus uca j iwN dj viuh larqf’V ds vuqlkj ejht dh igpku dh iqf’V djuh pkfg,A ¼fooj.k /kkjk 3-2 es a fn, x, gSa½ o Ekjht VsyhesfMflu ijke'kZ vkjaHk djrk gS vkSj bles a lgefr] vra fuZfgr gSaA 3 vkikrdkfyd n'kk dk rhoz fu/kkZj.k o ;fn ejht es a dksbZ f'kdk;r fn[kkbZ nrs h gSa] ftldh igpku vkj-,p-ih- ,d ,slh vkikrdkfyd fLFkfr ds :Ik es a djrk gSa] ftlds fy, rRdky n[s kHkky dh vko';drk18 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] gSa rks vkj-,p-ih- rRdky jkgr miyC/k djkus ds fy, izFkekis pkj grs q lykg nsxk vkSj tSlk vko';d le>k tk, ejht ds jsQjy ds fy, ekxZn'kZu djsxkA 4 uSR;d vuqorhZ ijke'kZ ds ekeys eas fuEufyf[kr fd;k tk,xk % o ;fn vkj-,p-ih- ds ikl ejht dk fiNyk fjdkMZ gSa rks og n[s kHkky dh fujarjrk cuk, j[k ldrk@ldrh gSaA o vkj-,p-ih-] ejht dh lwpuk ¼O;fDr o`r@tkap fu’d’kkZsa@tkap fjiksVksZa@fiNys fjdkMZ½ dh ifj'kq)rk ds vk/kkj ij ijke'kZ ds izdkj ds fy, viu s O;kolkf;d foods kf/kdkj dk bLres ky djsxk@djsxhA o ;fn vkj-,p-ih- dks vfrfjDr lwpuk dh vko';drk gks rks mls vkxs dkjZokbZ djus ls igy s lwpuk izkIr djuh pkfg, vkSj ckn ds le; ds fy, Vys hijke'kZ iqu% vkjHa k djuh pkfg,A 5 ejht dk izca/ku  ;fn vkj-,p-ih- bl lac/a k esa larq’V gSa fd mlds ikl ejht dh i;kZIr lwpuk gS vkSj ;fn ejht dh n'kk mfpr <ax ls Vys hijke'kZ }kjk fu;af=r dh tk ldrh gS rks og ejht ds Vsyhizca/ku dh vkxs dkjZokbZ djsxkA  ;fn vuqorZu] ns[kHkky dh fujra jrk ds fy, gS rks vkj-,p-ih- fuEufyf[kr es a ls fdlh ds fy, O;kolkf;d fu.kZ; ys ldrk gS % o Ekkey s es a ;Fkk mi;qDr LokLF; f'k{kk miyC/k djkuk] ;k o ubZ tkapkas] tks vxys ijke'kZ ls igys dh tkuh vko';d gksa] ls lacaf/kr lykg lfgr fof'k’V uSnkfud fLFkfr ls lacaf/kr ijke'kZ miyC/k djkuk] o vkSj@;k vkS’k/k izys[ku djuk@;s nokb;k a fuEufyf[kr esa ls dkbs Z gks ldrh gS% & ;fn vuqorZu mlh fpfdRlh; n'kk ds fy, ns[kHkky dh fujarrk ds fy,] vkj-,p-ih- gksE;kis SFkh ds fl}kark s ds vuqlkj nokbZ;k fu/kkZfjr djsxkA & ;fn vuqorhZ ijke'kZ ls] jksx ds fdlh fHkUu nk;js ls lacf/kr u;s lay{k.k dk irk pyrk gS rks vkj-,p-ih- igyh ckj okys ijke'kZ ds ifjn`'; esa ;Fkk mfYyf[kr n'kk ds lkFk vkxs dkjZokbZ djsxkA ¼4-1-1½ 4-2-1 bu fn'kkfunZs'kkas ds m)s'; ds fy, ^^ ** ifjokj dk dksbZ lnL; ;k ejht dk izfrfuf/kRo djus okyk ejht }kjk izkf/kd`r dksbZ O;fDr gks ldrk gSA 4-2-2 nk s laHkkfor lSfVax gks ldrs gS% 1- ijke'kZ ds nkSjku ds lkFk ejht 2- ds lkFk A fuEufyf[kr es ,ls k ekeyk gks ldrk gS%[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 19 ejht ukckfyx ¼16 o’kZ ;k blls de mez dk½ gS ;k ejht fodykax gSA mnkgj.k ds fy, Ikkxyiu ;k 'kkjhfjd fodykxa rk vkfn tSlh fpfdRlh; n'kkvkas es n[s kHkkydrkZ dks ejht dh vksj ls ijke'kZ dju s ds fy, izkf/kd`r ekuk tkrk gSA ds ikl ,d vkSipkfjd izkf/kdkji= ;k ,d ,slk lR;kfir nLrkost gS tks ejht ds lkFk mldh fj'rns kjh fl} djrk gk s vkSj@ ;k bls fiNys O;fDrxr ijke'kZ ¼vfHkO;Dr ijke'kZ½ es a ejht }kjk LkR;kfir fd;k x;k gSA mi;qZDr lHkh fLFkfr;kas es]a ijke'kZ ij mlh izdkj vxyh dkjZokbZ dh tk,xh tSls vkj-,p-ih- vkSj ejht ds ekeys eas dh tkrh gS ¼igys vkSj vuqorhZ ijke'kZ ds ekeys eas] 4-1 ds varxZr½A 4-3 bu fn'kkfunZs'kkas ds m}s'; ds fy,] LokLF;dehZ dksbZ ulZ] lac/a k LokLF; O;olk;fon] e/; Lrjh; LokLF; izSfDV'kuj] ,-,u-,e- ;k fdlh leqfpr izkf/kdkjh }kjk uketn dkbs Z vU; LokLF;dehZ gk s ldrk gSA bl mi&Hkkx es a fdlh lkoZtfud ;k fuft LokLF; lqfo/kk esa fdlh ejht ds fy, ijke'kZ dju s oky s LokLF;dehZ ds chp foPkkj&foe'kZ doj fd;k tk,xk & fdlh lkoZtfud LokLF; lqfo/kk esa fdlh mi&dsanz ;k LokLF; ,o a vkjkXs ; dsanz esa e/; Lrjh; LokLF; izSfDV'kuj] ftys ;k jkT; ;k jk’Vªh; Lrj ij fdlh mPprj dsUnz esa fdlh vkj-,p-ih- ds lkFk ejht ds fy, Vys hesfMflu ijke'kZ vkjEHk dj ldrk gS vkSj mldk leUo; dj ldrk gSA LokLF; vkSj vkjksX; dsUnz] O;kid izkFkfed LokLF; ns[kHkky dk ,d vfHkUu vax gSA & bl lsfVax es a LokLF; f'kfoj] gkes foftV] lpy fpfdRlk bdkb;ka ;k dksbZ lkeqnkf;d vk/kkfjr fopkj&foe'kZ Hkh 'kkfey gSA bl izfØ;k dk izokg la{ksi esa fp= 2 es n'kkZ;k x;k gS vkSj pj.kksa dk fooj.k uhps fn;k x;k gS% 1- fdlh LokLF;dehZ @iathd`r gkEs;kisSFkh O;kolk;h ds fy, Vys hesfMflu ijke'kZ dk izkjaHk.k%& o bl ijke'kZ dk vk/kkj&okD; ;g gS fd ejht dk s LokLF;dehZ }kjk n[s k fy;k x;k gSA o LokLF;dehZ ds fu.kZ; ds vuqlkj vkj-,p-ih- ds lkFk Vys hijke'kZ vko';d gSA o LokLF;dehZ dks ejht dh lwfpr lgefr izkIr djuh pkfg,A o LokLF;dehZ dks VsyhesfMflu ijke'kZ ds laHkkfor bLrseky vkSj lsok,a Li’V djuh pkfg,A o mls ejht dk uke] vk;q] irk] bZ&esy vkbZ-Mh-] Qkus uacj ;k dksbZ vU; igpku] tk s rdZlaxr gks] iwN dj ejht dh igpku dh Hkh iqf’V djuh pkfg,A o LokLF;dehZ] Vys hefsMflu ijke'kZ izkjEHk djrk gS vkSj mls lqlk/; cukrk gSA 2- Ekjht dh igpku ¼vkj-,p-ih- }kjk½20 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] o vkj-,p-ih- dks] ejht dk uke] vk;q] irk] bZesy vkbZ Mh] Qksu uca j ;k dksbZ vU; igpku] tk s rdZlaxr gks] iwNdj viuh larqf’V ds vuqlkj ejht dh igpku dh iqf’V djuh pkfg,A o vkj-,p-ih- }kjk ejht dks viuh igpku ls Hkh voxr djkuk pkfg,A 3- ejht dh lgefr ¼vkj-,p-ih- }kjk½ o vkj-,p-ih- dks ijke'kZ tkjh j[ku s ds fy, ejht dh lgefr dh iqf’V djuh pkfg,A 4- vkikrdky ds ekeys eas o LokLF;dehZ] vkj-,p-ih- dk s ejht dh vkarfjd fpfdRlh; n'kk ds ckjs eas 'kh/kzrk ls lalwfpr djsxkA o miyC/k djkbZ xbZ lwpuk ds vk/kkj ij ;fn vkj-,p-ih- bldh igpku ,d ,ls h vkikrdkyhu n'kk ds :i esa djrk gS] ftlds fy, rRdky n[s kHkky dh vko';drk gks rks mls rRdky jkgr ds fy, LokLF;dehZ }kjk izFkeksipkj miyC/k djk, tkus dh lykg nus h pkfg, vkSj tSlk Hkh vko';d le>k tk, ejht ds jQs jy ds fy, ekxZn'kZu djuk pkfg,A ;fn n'kk vkikrdkfyd ugha gS rk s fuEufyf[kr dne mBk, tk,axs% 5- ejht ds ewY;kadu ds fy, lwpuk dk vknku&iznku ¼vkj-,p-ih- }kjk½ o LokLF;dehZ }kjk vkj-,p-ih- dks mudh LokLF; leL;kvksa dk ,d foLr`r Li’Vhdj.k fn;k tkuk pkfg,] ftls] ;fn vko';d gks ejht }kjk vfrfjDr tkudkjh ls vuqiwfjr fd;k tk ldrk gSA o vkj-,p-ih] mfpr uSnkfud fu.kZ; dk bLres ky djus esa leFkZ gksus ds fy, visf{kr ejht dh lwpuk ¼bfro`r@tkpa fu’d’kkZs@tkap fjikVs kZs@fiNys fjdkMkZs½ ds izdkj vkSj lhek ds fy, vius O;olkf;d foods kf/kdkj dk bLres ky djsxkA o ;fn vkj-,p-ih- ;g eglwl djrk gS fd miyC/k djkbZ xbZ lwpuk vi;kZIr gS rks og vfrfjDr lwpuk ds fy, vuqjks/k djsxk@djsxh ;g lwpuk] ml lwpuk ds Lo:Ik ds vuqlkj okLrfod le; esa ;k ckn es a bZ&esy@VDs LV ds tfj, lk>k fd;k tk ldrk gSA mnkgj.k ds fy, vkj- ,p-ih- ejht ds fy, dqN iz;ksx'kkyk ;k@vkSj jsfM;ksyksftdy ijh{k.kkas dh lykg n s ldrk gSA ,ls s ekeykas ds fy,] ijke'kZ dks fojke fn;k x;k ekuk tk ldrk gS vkSj iqu% fu/kkZfjr fd, x, le; ij iqu% vkjEHk fd;k tk ldrk gS] vkj-,p-ih- fdlh le; ;Fkk mi;qDr LokLF; f'k{kk miyC/k djk ldrk gSA 6- ejht dk izca/ku o ,d ckj vkj-,p-ih- ds bl lac/k es a larq’V gkus s ij fd ejht dh miyC/k lwpuk i;kZIr gS vkSj fd ;g ekeyk Vys hesfMflu ds tfj, izca/ku fd, tkus grs q mi;qDr gS] ;g izca/ku ls lacf/kr dkjZokbZ djsxkA LokLF;dehZ dks viu s fjdkMZ es a bldk nLrkots hdj.k djuk pkfg,A o vkj-,p-ih- fuEufyf[kr es a ls dksbZ O;kolkf;d fu.kZ; y s ldrk gS%  bl ekey s es a ;Fkk mi;qDr LokLF; f'k{kk miyC/k djkuk%  ,ls h ubZ tk¡p] tks vxys ijke'kZ ls igys dh tkuh vko';d gks] ls lacaf/kr lykg lfgr fof'k’V uSnkfud n'kk ls lacaf/kr ijke'kZ miyC/k djkUkk%  vkSj@;k nokb;k a fizLØkbc djkukA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 21 vkikrdky ds lHkh ekeykas es]a LokLF;dehZ dks ml iathd`r gksE;ksiSFkh fpfdRlk O;olk;h ls rRdky jkgr vkSj izFkeksipkj ds mik; iazkIr dju s pkfg, ftl Vys h iaftd`r gksE;ksiSFkh fpfdRlk O;olk;h ijke'kZ fd;k tk jgk gSA LokLF;dehZ dks iathd`r gksE;kis SFkh fpfdRlk O;olk;h }kjk nh xbZ lykg ds vuqlkj vkSj leqfpr n[s kHkky ds fy, ejht dk jQs jy lqlk/; cukus ds fy, rRdky jkgr@izFkekis pkj miyC/k djkuk pkfg,A LokLF;dehZ dk s ;g lqfuf'pr djkuk pkfg, fd ejht dks ;Fkk'kh/kz fdlh vkj- ,p-ih- ds lkFk O;fDrxr :i ls fopkj&foe'kZ ds fy, lykg nh xbZ gSA ,ls s ejhtkas ds fy,] ftudk mfpr <ax ls izca/ku Vys hefsMflu ds tfj, fd;k tk ldrk gS] LokLF; dehZ fuEufyf[kr es a egRoiw.kZ Hkwfedk fuHkkr s gS% o vkj-,p-ih- }kjk miyC/k djkbZ xbZ LokLF; f'k{kk vkSj ijke'kZ dk s iquoZfyr djuk o vkj-,p-ih- }kjk fizLØkbc dh xbZ nokb;k a miyC/k djkuk vkSj mlds bykt ij ejht dks ijke'kZ miyC/k djkukA 4-4 o iathd`r fpfdRlk O;olk;h] mldh n[s kHkky ds v/khu fdlh ejht ds fy, vU; vkj-,p-ih- ;k fdlh fo'k’skK ds lkFk ijke'kZ dju s ds fy, Vys hesfMflu lsokvkas dk mi;ksx dj ldrk gS] ,ls s ijke'kZ mlds O;olkf;d fu.kZ; ij fdlh vkj-,p-ih- }kjk vkjEHk fd, tk ldrs gSA o vU; vkj-,p-ih- dh lykg ekxa us okyk vkj-,p-ih- gh bZykt dju s okyk vkj-,p-ih- cuk jgrk gS vkSj og ejht dks fn, tku s okys bYkkt vkSj vU; vuq'kla k ds fy, ftEesnkj gksxkA fpfdRlk ds vU; vuq'kklu ls iathd`r fpfdRlk fo'k’skK }kjk vuq'kfalr yksxk s dk s NkMs +djA o ;g ckr Lohdkj dh tkrh gS fd fofdj.k&foKku] jksx&foKku] u=s jkxs &foKku] gn;jksx&foKku] Ropk jksx foKku vkfn tSlh vusd fpfdRlh; fo'k’skKrk,a] lwpuk ds vknku&iznku fd fy, izkS/kksfxdh ds vaxhdj.k ds mUur pj.k es a gk s ldrh gSa ;k bueas ls dqN izkjafHkd pj.k esa gks ldrh gSA fn'kkfunZs'k funku] izca/ku vkSj jksxks dh jkds Fkke ds fy, lwpuk izkS/kksfxdh dk bLres ky djr s gq, vkj-,p-ih-@fo'ks’kKksa ds chp gq, fopkj&foe'kZ dk leFkZu djr s gS avkSj izksRlfgr djrs gSA o ,d LFkku ls nlw j s LFkku ij jsfM;kxs zkfQd rLohjs a ¼,Dl&jst] lh-Vh-] ,- vkj-vkbZ-]ih-bZ-Vh-@lh-Vh-] ,l-ih-bZ-lh-Vh-@lh-Vh-] ,e-th-] vYVªlkmaM½ Hkts us dh ;kXs ;rk gSA o funku] f'k{kk vkSj vuqla/kku ds mnns';kas ds fy,] nwjLFk LFkkukas ds chp best&fjp iSFkksykts h vkadM+ vra fjr dju s dh izk|s kfsxdh dk mi;ksx gSA o nwjLFk {ks=kas es a ejhtks a ds fy, u=s fo'k’skKks a dk s us= jksx LØhfuax] funku vkSj ekWfuVfjax rd igqWap iznku djrh gSA lHkh Vys hesfMflu ijke'kksZ esa] vkj-,p-ih- ds fu.kZ; ds vuqlkj] ;fn ;g ,d vkikrdkfyu fLFkfr gS] rk s y{; vkSj m}s';] ;Fkk'kh/kz O;fDrxr ns[kHkky miyC/k djkuk gksuk pkfg,A rFkkfi] egRoiw.kZ dne] izk.k22 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] j{kk gks ldrk gS vkSj ekxZn'kZu rFkk ijke'kZ egRoiw.kZ gk s ldrk gSA mnkgj.k ds fy, ,ls s ekeyksa es a tgka vfHk?kkr 'kkfey gks] xnZu dh fLFkfr cuk, j[kus ds bnZ&fxnZ nh xbZ lgh lykg vkSj ekxZn'kZu] dqN ekeyksa es a es:nMa dh j{kk dj ldrh gSA ;s fn'kkfunZs'k] ,ls h fLFkfr;ks a es a ,d larqfyr n`f’Vdk.s k miyC/k djkus ds fy, rS;kj fd, x, gSA vkj-,p-ih-] vius O;olkf;d foods kf/kdkj ds vk/kkj ij% o izFkekis pkj dh lykg n s ldrk@ldrh gSA o ijke'kZ ns ldrk@ldrh gSA o jQs jy dks lqlk/; cuk ldrk @ldrh gSA vkikrdky ds lHkh ekeyksa es a ejht dks ;Fkk'kh/kz fdlh iathd`r fpfdRlk O;olk;h dh lykg ds lkFk O;fDrxr fopkj&foe'kZ tgkW a vkikrdkyhu LokLF; lqj{kk lsok, miyC/k gks nh tkuh pkfg, bles a fo'ks’k :i ls ,ls s izkS|kfsxdh IyVs QkeZ doj fd, x, gSa] tks fd iathd`r gksE;kis SFkh fpfdRlk O;olkf;;kas ds iwj s uVs odZ es a dke djrs gSa vkSj ejhtks a dks IyVs QkeZ ds tfj, vkj-,p-ih- ds lkFk ijke'kZ dju s esa leFkZ cukrs gSaA 5-1 miHkksDrkvks a dks VsyhesfMflu lsok, a miyC/k djkus okys izkS|kfsxdh IysVQkeksZa ¼ekcs kby ,Il] ocs lkbV vkfn½ dks ;g Z gksxk fd miHkkDs rk] dsUnzh; gksE;ksiSFkh ifj’kn~ ;k viuh&viuh jkT; gkEs ;kis SFkh ifj’knks a ds lkFk fof/kor iathd`r] ds lkFk ijke'kZ dj jg s gSa vkSj lqlaxr mica/kkas dk vuqikyu dj jg s gSaA 5-2 izkS|kfsxdh IysVQkeZ] vius vkWuykbu ikVs Zy ij fdlh vkj-,p-ih- dks lwphc) dju s ls igys djsxkA IysVQkeZ es a ml IyVs QkeZ ij lwphc) miyC/k djk, tkus pkfg,A 5-3 dksbZ vuqikyu u djuk uksV fd, tku s dh fLFkfr es]a izkS|kfsxdh IyVs QkeZ ds fy, ;g vko';d gksxk fd og dsUnzh; gksE;ksiSFkh ifj’kn~ ds vf/kØe.k es a 'kklh ckMs Z dks bldh lwpuk ns] tk s leqfpr dkjZokbZ dj ldrk gSaA 5-4 ij vk/kkfjr izkS|kfsxdh IyVs QkekZsa dks dsoy dksbZ vkj-,p-ih- gh ijke'kZ nus s vkSj nokb;ka fizLØkbc dju s dk gdnkj gSa vkSj mls bl laca/k esa ejht ds LkkFk lh/ks ckrphr djuh pkfg,A tcfd d`f=e vklwpuk] fo’k;kas dk baVjusV] mUur vkadMk&foKku vk/kkfjr fu.kZ; leFkZu iz.kkfy;ks a tSlh ubZ izkS|kfsxfd;ka] ejht dk ewY;kda u] funku ;k izca/ku ij leFkZu dj ldrh gSa ijra q vafre fizfLØi'ku ;k ijke'kZ lh/k s vkj-,p-ih- }kjk iznku fd;k tkuk gksxkA 5-5 izkS|kfsxdh IysVQkeZ dks ;g lqfuf'pr djuk pkfg, fd ,ls h fdlh i`PNk ;k f'kdk;r] tk s vRa ; xzkgd dh gks] dk gy fudkyus ds fy, ,d mfpr r=a ekStwn gSaA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 23 5-6 ;fn dksbZ fof'k’V izkS|kfsxdh IyVs QkeZ mYya?ku djus okyk ik;k tk, rk s 'kklh ckMs Z] ds-gk-si- ml IyVs QkeZ dks CySdfyLVsM ukfer dj ldrk gS vkSj blds i'pkr dksbZ vkj-,p-ih-] VsyhefsMflu miyC/k djkus ds fy, ml IysVQkeZ dk bLrseky ugha dj ldrkA 6-1 Vys hesfMflu izSfDVl fn'kkfunZs'kks a es a nh xbZ vkS’kf/k&lwfp;kas esa ls fdlh Hkh lwph dks] ;Fkk visf{kr le;&le; ij dsUnzh; gkEs ;ksiSFkh ifj’kn~@Hkkjr ljdkj }kjk la'kkfs/kr fd;k tk ldrk gSaA 6-2 dsUnzh; gkEs ;kis SFkh ifj’kn~ ;Fkk visf{kr] bu fn'kkfunZs'kkas ds laca/k es a vko';d funZs'k ;k lykg ;k Li’Vhdj.k tkjh dj ldrk gSaA 6-3 Vys hesfMflu izSfDVl fn'kkfunZs'k] dsanz ljdkj ¼vk;q’k ea=ky;] Hkkjr ljdkj½ ds iwoZ vuqekns u ls O;kid ykds fgr esa le;&le; ij la'kksf/kr fd, tk ldrs gSaA24 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] पररजिष्ट ohfM;ks vkWfM;ks VsDLV A Sg ejht dh igpku kr d l j lgefr varfuZfgr d k/skj sd l qu v u qp , y i f Y d rhoz ewY;kadu ;fn sd o vkikrdkfyd n[s kHkky A Sg kr d Zk' e kj i r f kd su j d vko';d gS\ lx u r D n ac qpf; gk¡ ugh a i Y d o f kd suO k; Sg kr d l Zk' e kj i hy sV g  i jkzF gke rk si mp ikj k;@ drR hd lky y kg  ejht dhe vjh ft /kd d rk e @foL ir wj`r h le wpYw ; uk kad iu zkI r djukA j d j d o d nsuk  bfro`Rr] tkap fjiksVsZa] fiNys fjdkMZA u Zb j Q f Sg  ;Fkk mi;qDr jsQjy  ;fn vko';d gks] vfrfjDr lwpuk ekaxs ko Zj kd hd suj kvph ,i sj --- j kd k/fv g ; d eks xf Z&y n, ' ke Zuj ht dj ud kk  v rjkj hd-, kp c-i nh- y] ; lfn d rv kk o g' S ;d gks lalwpu dk sn usea skd Zk' k. j t D;k ;g ekeyk VsyhefsMflu e kj i xs kv ; e l hkH p hkH hl d f hj e sae k. j p hkH hl d gk¡ d mis ;t qDfj r, gi S\zc a/ku ds fy, ugha hl jpd kh v,i f --- f izca/k Z u ¼ uSnk fud n'kk ls   L O d;o s fk D fL yrF; ,x rf j' sQk i{ jjkk k e d' jkZ uk ¼tks mi;qDr gks½ fof'k’V½[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 25 ohfM;ks vkWfM;ks VsDLV ejht dh igpku  vkj-,p-ih- dk s rdZ lxa r <ax l s bl laca/k esa lger gksuk pkfg, fd og tkus&igpkus ejht ds lkFk ckrphr dj jgk@jgh gSA  ;fn ugha] rks vkj-,p-ih- ejht l s vuqjks/k dj ldrk gS fd og fdlh iathd`r Qksu A uacaj@bZ&esy l s ckrphr iqu% vkjaHk djs ;k ejht dk uke] vk;q] irk] bZ&esy vkbZ Mh- ;k Sg kr Qksu uacj iwN dj ejht dh igpku dh iqf’V djsA d l j d lgefr varfuZfgr k/skj qu v , y sd l f rhoz ewY;kadu ;fn sd u qp vkikrdkfyd A Sg Zk' e kj i Y d ns[kHkky vko';d gS\ kr di r o f lx kd u qpr D f; su j gk¡ ugh a i Y dO k; d n ac ejht dk foLr`r eYw ;kadu oSg  izFkeksipkj@rRdky jkgr f kd su j kr d l Zk' e kj i hy  m ;Fi kk k; m d i;h qDl ry jkg sQ jn ysu k ds fy,   f bi fN roy `Rs rf ]j d tk kM pa Z d fjk i ke sVwY Zas] ; fk iad Nu yA s fjdkMZA d u Zb ko Zj kdj d j hQ i sj - SgsV g o d f ejht dk ekxZ&n'kZu djuk   ; v cnf kn j y- , v p lk -o i d' h r-; ] kd ; g fn S g ks] v v kof 'r ;fj dD r g kl s lpw aluk pw e uk ax ds k rjhdk hd su snj kv p , -- j kd k/fv usea g k' Zk. j ; D;k ;g ekeyk VsyhefsMflu e kj i p hkH skd t d mis ;t qDfj r, gi S\zc a/ku ds fy, xs kv ; e l hl d f hj e sae k. j p gk¡ ugha hkH hl d hkH hl ns[kHkky dk Øe \ ubZ f'kdk;r \ phi f -- d f ¼ogh f'kdk;r tks igys Fkh½ j kv, - Z ¼uSnkfud igys ijke'kZ dh rjg  LokLF; f'k{kk vkxs dkjZokbZ djsa ¼fp=  O;fDrxr ¼tk s mi;qDr gks½ fLFkfr es a fof'k’V½ 1 ns[k½s ijke'kZ ds fy, jsQj djuk26 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] ejht dh igpku ohfM;ks vkWfM;ks VsDLV ीम क य ा व् स्ट्स्ट् vkj-,p-ih- vv kSjkSj le gj eht fr , id zkI rn wl dj h s td kh r i h g gp SAk u djrs gS rhoz ewY;kadu ;fn vkikrdkfyd ns[kHkky A Sg vko';d gS kr d l j gk¡ ugh a d k/skj ejht dk foLr`r ewY;kadu qu v , y  ejht dh vf/kdre@iwjh lpw uk izkIr djukA f sd sd  bfro`Rr] tkpa fjiksVZas] fiNys fjdkMZA l A Sg kr d lZk' e kj i r x u qp i Y d h; kl o   i d ;zF Fhk k e kl k mis yp ik ;gkj qD@ n rsur jkR sQd jky y j dkg s r fy m , ik;   ; vf kn j- ,v pk -o i' h-; ] d ; fng ks] v v kof 'r ;fj dD r g kl s lpw aluk pw e uk ax ds k rjhdk cny ldrk gS u qp i Y d o f kd su j d u Zbr D f; O k; Sg kr d l j d j Q Zk' e kj i hy sVo f kd su j d n ac f h; kFO Si skk ;l ER ksd g ht f —p r ia ejht dk ekxZ&n'kZu djuk gk¡ tD V f; sy f yjk h , ,e; sf iM gg mzc S\ f ile a/ ;kuk u qDe ry d d k s s ugha ko Zj kdhi sj - g o izca/ku p- d hd suj kv, - f Sg j sn sea kd Zk' e kj i xs kvu k. j p hkH hl d skd tk/fv g ; Z nfo of k' bk Z;’V kWa fb iy zLØkt k bv Zc kj d-, jp r- ki h g- S   L O fy;o f ,k DL rF j; x sQ rf j' k i { jkk k e'Zk ds ; f hj e l hkH hl jpd kh v,i f --- e sae k. j p hkH hl d f ी यम ् क स्ट्   r d j csQ uR jd kjk ,, yk y a djk kg s lr qlm k/i ;y C/k LokLF; if' quk c{k Zfk y @ r dij jk sa e'kZ dks nokb; dk ja km ,i a yC/k f'k i{k quk@L co Zfi ykL j rF ke; ' d kZ jd sa ks ाव स्ट्[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 27 जप्रस्ट्रप्िन फामटे का नमनू ा iathd`r gksE;ksiSFkh fpfdRlk O;olk;h dk uke “kSf{kd ;ksX;rk iathdj.k la[;k irk laidZ C;kSjk ¼bZ&esy vkSj Qksu uca j½ jksxh igpku i= ¼vkbZ Mh½ ijke'kZ dh rkjh[k ejht dk uke vk;q fyxa irk yca kbZ ¼tgka dgha ykxw½ otu ¼tgka dgha ykxw½ ,y-,e-ih- ¼tgka dgha ykxw½ eq[; f'kdk;r funku ;k vuafre funku bfro`Ùk ls çkIr lqlaxr fcanw tkpa @ ç;ksx'kkyk fu’d’kZ 1- nokbZ dk uke ¼{kerk rFkk ek=k½ çLrkfor tkapas 2- vuiq ku dk uke rFkk bldh ek=k fo'ks’k funsZ'k 1- nok forj.k gsrq forjd dks fun's k 2- jksxh dks nok ysus] vkgkj rFkk foJke] iqu% fjiksVZ djus gsrq funs'k 3- ;g fizLØhI'ku Vsyhijke'kZ ij l`ftr fd;k x;k gSA28 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] BOARD OF GOVERNERS IN SUPER SESSION OF CENTRAL COUNCIL OF HOMOEOPATHY NOTIFICATION New Delhi, the 23rd November, 2020 F. No. 7-3/2003-CCH (Pt.-I).—In exercise of the powers conferred by sub-section (I) of section 33 read with section 24 of the Homoeopathy Central Council Act, 1973 (59 of 1973), the Board of Governors in Supersession of the Central Council of Homoeopathy, with the previous sanction of the Central Government, hereby makes the following Regulations to amend the Homoeopathic Practitioners (Professional Conduct, Etiquette and Code of Ethics) Regulations 1982, namely:— 1. (1) These regulations may be called the Homoeopathic Practitioners (Professional Conduct, Etiquette and Code of Ethics) Amendment, Regulations, 2020. (2) These regulations shall come into force on the date of their publication in the Official Gazette. 2. In the “Homoeopathic Practitioners (Professional Conduct, Etiquette and Code of Ethics) Regulations 1982, after regulation 29, the following regulation shall be inserted, namely:— “29A Consultation by Telemedicine.— (1) The Consultation through Telemedicine to the registered Homoeopathic Practitioners shall be permissible in accordance with the Telemedicine Practice Guidelines contained in Appendix 3. (2) Telemedicine Practice Guidelines shall be followed by the registered Homoeopathic Practitioners to enhance health services to the public at large.” Dr. KUMAR VIVEKANAND, Registrar-Cum-Secy. [ADVT.-III/4/Exty./374/2020] Note: The principal regulations were published in the Gazette of India, Extraordinary part III- Section-4 vide Number 7-1/82-CCH dated the 16th March, 1982 and subsequently amended vide No. 7-3/2003-CCH (Pt.) dated 12th - 18th July, 2014; and No.7-3/2003-CCH (Pt.1) dated 8th June, 2018. Telemedicine Practice Guidelines (see regulation 29A) TELEMEDICINE ‘The delivery of health care services, where distance is a critical factor, by all health care professionals using information and communication technologies for the exchange of valid information for diagnosis, treatment and prevention of disease and injuries, research and evaluation, and for the continuing education of health care providers, all in the interests of advancing the health of individuals and their communities.’ TELEHEALTH ‘The delivery and facilitation of health and health-related services including medical care, provider and patient education, health information services, and self-care via telecommunications and digital communication technologies.’ REGISTERED HOMOEOPATHY PRACTITIONER ‘A Registered Homoeopathy Practitioner [RHP] is a person who is enrolled in the State Register of Homoeopathy or the Central Register of Homoeopathy under the Homoeopathy Central Council Act 1973.’ [HCC Act, 1973] S.O. No. 76 THE GAZETTE OF INDIA: EXTRAORDINARY [PART II—SEC. 1] dated 28th December, 1973. Background Homoeopathy being a wholistic system of medicine has been benefiting people for their health problems. Telemedicine can help to increase the availability of homoeopathy to the level where health care is difficult to reach. Telemedicine can play a particularly important role in cases where there is no need for the patient to physically see the RHP (or other medical professional), e.g. for regular, routine check-ups or continuous monitoring. Homoeopathy Telemedicine / Teleconsultation will enhance primary health care immensely. India's digital health policy advocates use of digital tools for improving the efficiency and outcome of Healthcare system and lays significant focus on the use of telemedicine services especially in the Health and Wellness centres at the grass root level wherein a mid-level health care provider / health worker can connect the patient to the doctor through Technology platforms for providing timely and best possible care. In spite of this policy till now there is no legislation or guidelines for Homoeopathic practitioners on the practice of telemedicine through video, phone and internet based platforms (webchat, apps etc). Lack of clear guidelines has[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 29 created significant ambiguity for registered medical professionals of the Homoeopathic systems raising doubts on the practice of telemedicine. The 2018 judgment of the Honourable High Court of Bombay has created uncertainty about the place and legitimacy of telemedicine as an appropriate Framework does not exist. In India the practice of Homoeopathic medicine is mainly governed by concerned State Acts along with The Homoeopathy Central Council Act 1973, the Homoeopathic Practitioners (Professional Conduct, Etiquette and Code of Ethics) Regulations 1982; Drugs & Cosmetics Act 1940 & rules 1945; and Clinical Establishment (Registration and Regulation) Act, 2010. Information technology is governed by IT Act 2000, and the information technology (reasonable security practices and procedure and sensitive personal data or information) rules 2011. Gaps in legislation and the uncertainty of rules force a risk for both the doctors and their patients. It is the need of the hour to bridge the gaps in legislation and the uncertainty of rules. These guidelines will serve as a step forward to be treated as professional norms that need to be followed by RHPs to enable them to regulate the practice of telemedicine. Purpose • The purpose of these guidelines is to enable Homoeopathic practitioners to use telemedicine tools. This will be done by providing information as well as training which will be updated from time to time in the coming years. Telemedicine will continue to grow and be adopted by more health care practitioners and patients in a wide variety of forms. • These guidelines will give practical advice to registered homoeopathic practitioners regarding telemedicine to encourage them to consider the use of telemedicine as a part of their normal practice as well as in disasters and pandemics which pose unique challenges to provide Healthcare. • Practice of Telemedicine can prevent transmission of infectious diseases reducing the risk to both doctors and patients by avoiding social contact. These guidelines will provide norms and protocols relating to doctor patient relationship issues of liability and negligence, evaluation, management and treatment, informed consent, continuity of care, referral for emergency services, medical records, privacy and security of patient records and exchange of information, describing and reimbursement, health education and counseling. • Telemedicine will not only encourage social distancing in special situations of epidemics and pandemics but talking to doctors will also allay their anxiety in the situation of complete lockdown ADVANTAGE OF TELEMEDICINE • Telemedicine provides patient’s safety as well as doctor’s & health worker’s safety, especially in situations where there is a risk of contagious infections. A telemedicine visit can be conducted without exposing staff to viruses/infections at the time of such outbreaks. • Telemedicine provides rapid access to medical practitioners who may not be available in person. • Telemedicine will not only encourage social distancing in special situations of epidemics and pandemics but talking to doctors will also allay their anxiety in the situation of complete lockdown. • With telemedicine there is higher likelihood of maintenance of records and documentation. Written documentation increases legal protection of doctors as well as patients. • Telemedicine, when effectively used, reduces the burden on secondary health care system. • Telemedicine is useful for regular routine checkup on continuous monitoring and minimizes gaps in timely follow ups. IMPORTANT: It is to be noted that unlike other technologies, the technology used for telemedicine has some risks, drawbacks & limitations, which can be mitigated through appropriate training, enforcement of standards, protocols & Guidelines from time to time. These guidelines should be used in conjunction with the other national clinical standards, protocols, policies and procedures. 1. TELEMEDICINE: DEFINITIONS AND APPLICATIONS 1.1 DEFINITIONS. 1.1.1 Definition of Telemedicine World Health Organization defines telemedicine as “The delivery of health-care services, where distance is a critical factor, by all health-care professionals using information and communications technologies for the exchange of valid information for diagnosis, treatment and30 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] prevention of disease and injuries, research and evaluation, and the continuing education of health-care workers, with the aim of advancing the health of individuals and communities.” 1.1.2 Definition of Telehealth NEJM Catalyst defines tele-health as “The delivery and facilitation of health and health-related services including medical care, provider and patient education, health information services, and self-care via telecommunications and digital communication technologies.” In general, telemedicine is used to denote clinical service delivered by a Registered Homoeopathy practitioner while telehealth is a broader term of use of technology for health and health related services including telemedicine. 1.1.3 Definition of Registered Homoeopathy Practitioner (RHP) For the purpose of this document a Registered Homoeopathic Practitioner (RHP) is defined as a person who possess any of the medical qualifications in homoeopathy included in the 2nd or 3rd Schedule of the Homoeopathy Central Council Act 1973 and enrolled in the State Register of Homoeopathy or the Central Register of Homoeopathy under the Act. 1.2 SCOPE Within the broad paradigm of telemedicine, these guidelines will be published under the HCC Act and are for privileged access only. These guidelines are designed to serve as an aid and tool to enable RHPs to effectively leverage Telemedicine to enhance healthcare service and access to all  The guidelines are meant for RHPs under the HCC Act 1973  The guidelines cover norms and standards of the RHP to consult patients via telemedicine  Telemedicine includes all channels of communication with the patient that leverage Information Technology platforms, including Voice, Audio, Text & Digital Data exchange EXCLUSIONS: The guidelines specifically explicitly exclude the following:  Specifications for hardware or software, infrastructure building & maintenance  Data management systems involved; standards and interoperability  Other aspects of telehealth such as research and evaluation and continuing education of health-care workers  Does not provide for consultations outside the jurisdiction of India 1.3 REGISTERED HOMOEOPATHY PRACTITIONERS ARE ENTITLED TO PRACTICE TELEMEDICINE: ALL OF THEM WILL TAKE AN ONLINE COURSE ON PRACTICE OF TELEMEDICINE. 1.3.1 A Registered Homoeopathy Practitioner is entitled to provide telemedicine consultation to patients from any part of India 1.3.2 RHPs using telemedicine shall uphold the same professional and ethical norms and standards as applicable to traditional in-person care, within the intrinsic limitations of telemedicine 1.3.3 To enable all those RHPs who would want to practice telemedicine get familiar with these Guidelines as well as with the process and limitations of telemedicine practice:  An online program will be developed and made available by the Board of Governors in supersession of Central Council of Homoeopathy.  All registered Homoeopathy practitioners intending to provide online consultation need to complete a mandatory online course within 3 years of its notification.  In the interim period, the principles mentioned in these guidelines need to be followed.  Thereafter, undergoing and qualifying such a course, as prescribed, will be essential prior to practice of telemedicine. 1.4 TELEMEDICINE APPLICATIONS. 1.4.1 Tools for Telemedicine RHP may use any telemedicine tool suitable for carrying out technology-based patient consultation e.g. telephone, video, devices connected over LAN, WAN, Internet, mobile or landline phones, Chat Platforms like WhatsApp,[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 31 Facebook Messenger etc., or Mobile App or internet based digital platforms for telemedicine or data transmission systems like Skype/ email/ fax etc. Irrespective of the tool of communication used, the core principles of telemedicine practice remain the same. 1.4.2 Telemedicine applications can be classified into four basic types, according to the mode of communication, timing of the information transmitted, the purpose of the consultation and the interaction between the individuals involved—be it RHP-to-patient / caregiver, or RHP to RHP. 1.4.2.1 According to the Mode of Communication  Video (Telemedicine facility, Apps, Video on chat platforms, Skype/Facetime etc.)  Audio (Phone, VOIP, Apps etc.)  Text Based: o Telemedicine chat based applications (specialized telemedicine smartphone Apps, Websites, other internet-based systems etc.) o General messaging/ text/ chat platforms (WhatsApp, Google Hangouts, Facebook Messenger etc.) o Asynchronous (email/ Fax etc.) 1.4.2.2 According to timing of information transmitted Real time Video/audio/text interaction Real time Video/audio/text interaction Video/audio/text for exchange of relevant Transmission of summary of patient complaints and information for diagnosis, medication and supplementary data including images, lab reports and/or health education and counseling radiological investigations between stakeholders. Such data can be forwarded to different parties at any point of time and thereafter accessed per convenience/need 1.4.2.3 According to the purpose of the consultation For Non-Emergency consult: First consult with any RHP for Follow-up consult with the same RHP diagnosis/treatment/health education/ counseling Patients may consult with an RHP for Patients may use this service for follow up consultation on his ongoing treatment with the same RHP who prescribed the diagnosis and treatment of her condition or for treatment in an earlier in-person consult. health education and counseling Emergency consult for immediate assistance or first aid etc.  In case alternative care is not present, tele-consultation might be the only way to provide timely care. In such situations, RHPs may provide consultation to their best judgement. Telemedicine services should however be avoided for emergency care when alternative in-person care is available, and telemedicine consultation should be limited to first aid, life-saving measure, counseling and advice on referral.  In all cases of emergency, the patient must be advised for an in-person interaction with an RHP at the earliest. 1.4.2.4 According to the individuals involved Patient to RHP Caregiver to RHP Telemedicine services may connect patients to Telemedicine services may connect Care givers to an an RHP RHP, under certain conditions as detailed in Framework (Section 4)32 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] RHP to RHP/RMP Health workers to RHP RHP may use telemedicine services to discuss Health Workers14 can facilitate a consultation session for a patient with other RHP/Registered Medical with a RHP. In doing so, the former can help take history, examine Practitioners (from other systems of medicine) the patient and convey the findings. They can also issues of care of one or more patients, or to explain/reinforce the advice given by the Registered disseminate knowledge Homoeopathic Practitioners to the patient. 2. TECHNOLOGY USED & MODE OF COMMUNICATIONS Multiple technologies can be used to deliver telemedicine consultation. There are 3 primary modes: Video, Audio, or Text (chat, messaging, email, fax etc.) Each one of these technology systems has their respective strengths, weaknesses and contexts, in which, they may be appropriate or inadequate to deliver a proper diagnosis. It is therefore important to understand the strengths, benefits as well as limitations of different technologies. Broadly, though telemedicine consultation provides safety to the RHP from contagious conditions, it cannot replace physical examination that may require palpation, percussion or auscultation; that requires physical touch and feel. Newer technologies may improve this drawback. STRENGTHS AND LIMITATIONS OF VARIOUS MODES OF COMMUNICATION MODE STRENGTHS LIMITATIONS VIDEO:  Closest to an in person-consult, real time  Is dependent on high quality internet interaction connection at both ends, else will Telemedicine facility, lead to a sub optimal exchange of Apps,  Patient identification is easier information Video on chat platforms, Facetime etc.  Registered Homoeopathic Practitioners  Since there is a possibility of abuse/ can see the patient and discuss with the misuse, ensuring privacy of patients caregiver in video consults is extremely important  Visual cues can be perceived  Inspection of patient can be carried out AUDIO:  Convenient and fast  Non-verbal cues may be missed Phone, VOIP, Apps etc.  Unlimited reach  Not suitable for conditions that require a visual inspection (e.g.  Suitable for urgent cases skin, eye or tongue examination, facial gestures or movements), or  No separate infrastructure required physical touch  Privacy ensured  Patient identification needs to be  Real-time interaction. clearer, greater chance of imposters representing the real patient TEXT BASED:  Convenient and quick  Besides the visual and physical touch, text-based interactions also Specialized Chat based  Documentation & Identification may be miss the verbal cues Telemedicine Smartphone an integral feature of the platform Apps, SMS, Websites,  Difficult to establish rapport with  Suitable for urgent cases, or follow ups, the patient. Messaging systems e.g. second opinions provided RHP has WhatsApp, Google enough context from other sources,  Cannot be sure of identity of the Hangouts, FB doctor or the patient  No separate infrastructure required, Messenger  Can be real time ASYNCHRONOUS:  Convenient and easy to document  Not a real time interaction, so just one-way context is available, Email Fax,  No specific app or download requirement relying solely on the articulation by 1Nurse, Allied Health Professional, Mid-level health provider, ANM or any other health worker designated by an appropriate authority.[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 33 MODE STRENGTHS LIMITATIONS recordings etc.  Images, data, reports readily shared the patient  No separate infrastructure required  Patient identification is document based only and difficult to confirm  More useful when accompanied with test reports and follow up and second  Non-verbal cues are missed opinions  There may be delays because the Doctor may not see the mail immediately 3. GUIDELINES FOR TELEMEDICINE IN INDIA The professional judgment of a RHP should be the guiding principle for all telemedicine consultations: A Registered Homoeopathic Practitioner is well positioned to decide whether a technology-based consultation is sufficient or an in-person review is needed. Practitioner shall exercise proper discretion and not compromise on the quality of care. Seven elements need to be considered before beginning any telemedicine consultation (see panel). Seven Elements to be considered before any telemedicine consultation 1 Context 2 Identification of RHP and Patient 3 Mode of Communication 4 Consent 5 Type of Consultation 6 Patient Evaluation 7 Patient Management 3.1 TELEMEDICINE SHOULD BE APPROPRIATE AND SUFFICIENT AS PER CONTEXT 3.1.1 RHP should exercise their professional judgment to decide whether a telemedicine consultation is appropriate in a given situation or an in-person consultation is needed in the interest of the patient. They should consider the mode/technologies available and their adequacy for a diagnosis before choosing to proceed with any health education or counseling or medication. They should be reasonably comfortable that telemedicine is in the patient’s interest after taking a holistic view of the given situation. 3.1.2 COMPLEXITY OF PATIENT’S HEALTH CONDITION Every patient/case/medical condition may be different, for example, a new patient may present with a simple complaint such as headache while a known patient of Diabetes may consult for a follow-up with emergencies such as Diabetic Ketoacidosis. The RHP shall uphold the same standard of care as in an in-person consultation but within the intrinsic limits of telemedicine. 3.2 IDENTIFICATION OF THE REGISTERED HOMOEOPATHIC PRACTITIONER AND THE PATIENT IS REQUIRED 3.2.1 Telemedicine consultation should not be anonymous: both patient and the RHP need to know each other’s identity. 3.2.2 A RHP should verify and confirm patient’s identity by name, age, address, email ID, phone number, registered ID or any other identification as may be deemed to be appropriate. The RHP should ensure that there is a mechanism for a patient to verify the credentials and contact details of the RHP. 3.2.3 For issuing a prescription, the RHP needs to explicitly ask the age of the patient, and if there is any doubt, seek age proof. Where the patient is a minor, after confirming the age, tele-consultation would be allowed only if the minor is consulting along-with an adult whose identity needs to be ascertained. 3.2.4 ARHP should begin the consultation by informing the patient about his/her name and qualifications. 3.2.5 Every RHP shall display the registration number accorded to him/her by the State Register of Homoeopathy/Central Register of Homoeopathy, on prescriptions, website, electronic communication (WhatsApp/email etc.) and receipts etc. given to his/her patients.34 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] 3.3 MODE OF TELEMEDICINETELEMEDICINE 3.3.1 Multiple technologies can be used to deliver telemedicine consultations. All these technology systems have their respective strengths, weaknesses and contexts in which they may be appropriate or inadequate in order to deliver proper care. 3.3.2 Primarily there are 3 modes: Video, Audio or Text (chat, images, messaging, email, fax etc.). Their strengths, limitations and appropriateness as detailed in Section 2 need to be considered by the RHP. 3.3.3 There may be situations where in order to reach a diagnosis and to understand the context better; a real- time consultation may be preferable over an asynchronous exchange of information. Similarly, there would be conditions where a RHP could require hearing the patients peak, therefore, a voice interaction may be preferred than an email or text for a diagnosis. There are also situations where the RHP needs to visually examine the patient and make a diagnosis. In such a case, the RHP could recommend a video consultation. Considering the situation, using his/her best judgment, a RHP may decide the best technology to use to diagnose and treat. 3.4 PATIENT’S CONSENT Patient’s consent is necessary for any telemedicine consultation. The consent can be Implied or explicit depending on the following situations: 3.4.1 If, the patient initiates the telemedicine consultation, then the consent is implied52. 3.4.2 An Explicit patient consent is needed if: A Health worker, RHP or a Caregiver initiates a Telemedicine consultation. 3.4.3 An Explicit consent can be recorded in any form. Patient can send an email, text or audio/video message. Patient can state his/her intent on phone/video to the RHP (e.g. “Yes, I consent to avail consultation via telemedicine” or any such communication in simple words). The RHP must record this in his/her patient records. 3.5 EXCHANGE OF INFORMATION FOR PATIENT EVALUATION RHPs must make all efforts to gather sufficient medical information about the patient’s condition before making any professional judgment. 3.5.1 Patient’s Information - A RHP would use his/her professional discretion to gather the type and extent of patient information (history/examination findings/Investigation reports/past records etc.) required to be able to exercise proper clinical judgment. - This information can be supplemented through conversation with a healthcare worker/provider and by any information supported by technology-based tools. - If the RHP feels that the information received is inadequate, then he/she can request for additional information from the patient. This information may be shared in real time or shared after via email/text, as per the nature of such information. For example, a RHP may advise some laboratory or/and radiological tests to the patient. In such instances, the consult may be considered paused and can be resumed at the rescheduled time. A RHP may provide health education as appropriate at anytime. - Telemedicine has its own set of limitations for adequate examination. If a physical examination is critical for consultation, RHP should not proceed until a physical examination can be arranged through an in-person consult. Wherever necessary, depending on professional judgement of the Registered Homoeopathic Practitioner, he/she shall recommend: - Video consultation - Examination by another RHP / Health Worker; - In-person consultation The information required may vary from one RHP to another based on his/her professional experience and discretion and for different medical conditions based on the defined clinical standards and standard treatment guidelines. 2.5Implied Consent: In an in-person consultation, it is assumed the patient has consented to the consult by his/her actions. When the patient walks in an OPD, the consent for the consultation is taken as implied. Like an in-person consultation, for most of the tele-consultations the consent can be assumed to be implied because the patient has initiated the consultation.[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 35 - RHP shall maintain all patient records including case history, investigation reports, images, etc. as appropriate. 3.6 TYPES OF CONSULTATION: FIRST CONSULT/FOLLOW-UP CONSULT There are two types of patient consultations, namely, first consult and the follow-up consult. An RHP may have only a limited understanding of the patient seeking tele consultation for the first time, when there has been no prior in-person consultation. However, if the first consult happens to be via video, Registered Homoeopathic Practitioner can make a much better judgment and hence can provide much better advice including additional medicines, if indicated. On the other hand, if a patient has been seen in-person earlier by the -RHP, then it is possible to be more comprehensive in managing the patient. 3.6.1 First Consult means  The patient is consulting with the RHP for the first time; or  The patient has consulted with the RHP earlier, but more than 6 months have lapsed since the previous consultation; or  The patient has consulted with the RHP earlier, but for a different health condition 3.6.2 Follow-Up Consult(s) means  The patient is consulting with the same RHP within 6 months of his/her previous in- person consultation and this is for continuation of care of the same health condition. However, it will not be considered a follow up if:  There are new symptoms that are not in the spectrum of the same health condition; and/or  RHP does not recall the context of previous treatment and advice 3.7 PATIENT MANAGEMENT: HEALTH EDUCATION, COUNSELING AND MEDICATION 3.7.1 If the condition can be appropriately managed via telemedicine, based on the type of consultation, then the RHP may proceed with a professional judgment to:  Provide Health Education as appropriate in the case; and/or  Provide Counseling related to specific clinical condition; and/or  Prescribe Medicines 3.7.2 Health Education: An RHP may impart health promotion and disease prevention messages. These could be related to diet, physical activity, cessation of smoking, contagious infections and so on. Likewise, he/ she may give advice on immunizations, exercises, hygiene practices, mosquito control etc. 3.7.3 Counseling: This is specific advice given to patients and it may, for instance, include food restrictions, individual specific regimen, dos and don’ts with homoeopathic medication, etc to mitigate the underlying condition. This may also include advice for new investigations that need to be carried out before the next consult. 3.7.4 Prescribing Medicines Prescribing medications, via telemedicine consultation is at the professional discretion of the Registered Homoeopathic Practitioner. It entails the same professional accountability as in the traditional in-person consult. If a medical condition requires a particular protocol to diagnose and prescribe as in a case of in-person consult then same prevailing principle will be applicable to a telemedicine consult. Manufacturing and right to prescribe medicine are governed by State acts, hence varies from state to state. RHP should always keep in mind this variation in State Act while prescribing the medicines, even though these guidelines allow him to practice telemedicine all over India. RHP may prescribe medicines via telemedicine ONLY when the RHP is satisfied that he/ she has gathered adequate and relevant information about the patient’s medical condition and the prescribed medicines are in the best interest of the patient. Prescribing Medicines without an appropriate diagnosis/provisional diagnosis will amount to professional misconduct. 3.7.4.1 Specific Restrictions: Practitioner of Homoeopathy shall refer to the provisions of 12A. There are certain limitations on prescribing medicines on consult via telemedicine depending upon the type of consultation and mode of consultation.36 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] Prohibited Medicines: An RHP providing consultation via telemedicine cannot prescribe medicines in this category. These medicines have a high potential of abuse and could harm the patient or the society at large if used improperly. All homoeopathic medicines containing Poisonous Substances in crude doses including any Narcotic and Psychotropic substances listed in the Narcotic Drugs and Psychotropic Substances, Act, 1985 are not allowed to prescribe through telemedicine. 3.7.4.2 Issue a Prescription and Transmit  If the Registered Homoeopathic Practitioner has prescribed medicines, Registered Homoeopathic Practitioner shall issue a prescription as per the Homoeopathic Practitioners (Professional Conduct, Etiquette and Code of Ethics) Regulations 1982 and shall not contravene the provisions of the Drugs and Cosmetics Act and Rules. A sample format is suggested in Annexure.  Registered Homoeopathic Practitioner shall provide photo, scan, digital copy of a signed prescription or e- Prescription to the patient via email or any messaging platform.  In case the Registered Homoeopathic Practitioner is transmitting the prescription directly to a pharmacy, he/she must ensure explicit consent of the patient that entitles him/her to get the medicines dispensed from any pharmacy of his/ her choice. 3.8 DUTIES AND RESPONSIBILITIES OF A RHP INGENERAL 3.8.1 Medical Ethics, Data Privacy & Confidentiaility63 3.8.1.1 Principles of medical ethics, including professional norms for protecting patient privacy and confidentiality as per HCC Act shall be binding and must be upheld and practiced. 3.8.1.2 Registered Homoeopathic Practitioner would be required to fully abide by the Homoeopathic Practitioners (Professional Conduct, Etiquette and Code of Ethics) Regulations 1982 and with the relevant provisions of the IT Act, Data protection and privacy laws or any applicable rules notified from time to time for protecting patient privacy and confidentiality and regarding the handling and transfer of such personal information regarding the patient. This shall be binding and must be upheld and practiced. 3.8.1.3 Registered Homoeopathic Practitioner will not be held responsible for breach of confidentiality if there is a reasonable evidence to believe that patient’s privacy and confidentiality has been compromised by a technology breach or by a person other than Registered Homoeopathic Practitioner. The Registered Homoeopathic Practitioner should ensure that reasonable degree of care undertaken during hiring such services. 3.8.1.4 Misconduct It is specifically noted that in addition to all general requirements under the HCC Act for professional conduct, ethics etc, while using telemedicine, all actions that willfully compromise patient care or privacy and confidentiality, or violate any prevailing law are explicitly not permissible. Some examples of actions that are not permissible:  Registered Homoeopathic Practitioners insisting on Telemedicine, when the patient is willing to travel to a facility and/or requests an in-person consultation  Registered Homoeopathic Practitioners misusing patient images and data, especially private and sensitive in nature (e.g. Registered Homoeopathic Practitioner uploads an explicit picture of patient on social media etc.)  Registered Homoeopathic Practitioners who use telemedicine to prescribe homoeopathic medicines in such potencies which are not safe as per Homoeopathic Pharmacopoeia of India.  Registered Homoeopathic Practitioners are not permitted to solicit patients for telemedicine through any advertisements or inducements. 3.8.1.5 Penalties: As per HCC Act, ethics and other prevailing laws. 3.8.2 Maintain Digital Trial/ Documentation of consultation 63 It is the responsibility of the Registered Homoeopathic Practitioner to be cognizant of the current Data Protection and Privacy laws. Registered Homoeopathic Practitioner shall not breach the patient’s confidentiality akin to an in-person consultation. For example: If the RHP is planning to create virtual support group for disseminating health education for patients suffering from a particular disease condition then he/she shall be wary of the patient’s willingness and not violate patient’s privacy and confidentiality by adding them to the group without their consent.[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 37 It is incumbent on Registered Homoeopathic Practitioner to maintain the following records/ documents for the period as prescribed from time to time: 3.8.2.1 Log or record of Telemedicine interaction (e.g. Phone logs, email records, chat/ text record, video interaction logs etc.). 3.8.2.2 Patient records, reports, documents, images, diagnostics, data etc. (Digital or non-Digital) utilized in the telemedicine consultation should be retained by the Registered Homoeopathic Practitioner. 3.8.2.3 Specifically, in case a prescription is shared with the patient, the Registered Homoeopathic Practitioner is required to maintain the prescription records as required for in-person consultations. 3.8.3 Fee for Telemedicine consultation 3.8.3.1 Telemedicine consultations should be treated the same way as in-person consultations from a fee perspective: RHP may charge an appropriate fee for the Telemedicine consultation provided. 3.8.3.2 A RHP should also give a receipt/invoice for the fee charged for providing telemedicine- based consultation. 4. FRAMEWORK FOR TELEMEDICINE This section lays out the framework for practicing telemedicine in 5 scenarios: 1. Patient to Registered Homoeopathic Practitioner 2. Caregiver to Registered Homoeopathic Practitioner 3. Health Worker to Registered Homoeopathic Practitioner 4. Registered Homoeopathic Practitioner to Registered Homoeopathic Practitioner 5. Emergency Situations Essential Principles: - The professional judgment of a RHP should be the guiding principle: an RHP is well positioned to decide whether a technology-based consultation is sufficient, or an in-person review is needed. Practitioner shall exercise proper discretion and not compromise on the quality of care. - Same principles apply irrespective of the mode (video, audio, text) used for a telemedicine consultation. However, the patient management and treatment can be different depending on the mode of communication used. - RHP should exercise his/her professional discretion for the mode of communication depending on the type of medical condition. If a case requires a video consultation for examination, RHP should explicitly ask for it. - The RHP can choose not to proceed with the consultation at any time. At any step, the RHP may refer or request for an in-person consultation. - At any stage, the patient has the right to choose to discontinue the tele-consultation. 4.1 CONSULTATION BETWEEN PATIENT AND REGISTERED HOMOEOPATHIC PRACTITIONER Specifically, this section details with the key elements of the process of tele-consultation to be used in the First consults and Follow up consults when a patient consults with an RHP. In these 2 situations, the patient initiates telemedicine consultation and thereby consent is implied 4.1.1 First Consult: Patient to Registered Homoeopathic Practitioner 4.1.1.1 First Consult means 1. The patient is consulting with the RHP for the first time; or 2. The patient has consulted with the RHP earlier, but more than 6 months have lapsed since the previous consultation; or 3. The patient has consulted with the RHP earlier, but for a different health condition. 4.1.1.2 Tele-Consultation Process The flow of the process is summarized in the Figure 1 at Annexure and the steps are detailed below. 1. Start of a Telemedicine Consultation for First Consult  The telemedicine consultation is initiated by the patient (For example, a patient may given audio or video call38 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] with a RHP or send an email or text with a health query)  RHP accepts to undertake the consultation 2. Patient identification and consent  RHP should confirm patient’s identity to his/her satisfaction by asking patient’s name, age, address, email ID, phone number or any other identification that may be reasonable  Telemedicine consultation should be initiated by the patient and thereby consent is implied 3. Quick assessment:  The patient’s condition needs to be quickly assessed by the RHP based on available inputs and RHP uses his professional discretion to decide if emergency care is needed.  If the condition of the patient merits emergency intervention, then advice for first aid/ immediate relief is provided and guidance is provided for referral, as appropriate. If the condition does not merit an emergency intervention, the following steps are undertaken: 4. Exchange of Information for Patient Evaluation  The RHP may ask the patient to provide relevant information (complaints, information about any other consults for the same problem, available investigation and medication details, if any). The patient shall be responsible for accuracy of information shared by him/her with the RHP.  If the RHP feels that the information provided at this stage is inadequate, then he/she shall request for additional information from the patient. This information may be shared in real time or shared later via email/text, as per the nature of such information. The consultation may be resumed at a rescheduled time after receipt of the additional information (this may include some laboratory or radiological tests). In the meantime, the RHP may provide health advice as appropriate.  If the RHP is satisfied that he/she has adequate patient information for offering a professional opinion, then he/she shall exercise one’s professional judgment for its suitability for management via telemedicine.  If the situation is NOT appropriate for further telemedicine consultation, then the RHP should provide Health advice/Education as appropriate; and/or refer for in-person consultation. 5. Patient Management If the condition can be appropriately managed via telemedicine, then the RHP may take a professional judgment to either:  Provide Health Education as appropriate in the case; and/or  Provide Counseling related to specific clinical condition, including advice related to new investigations that need to be carried out before next consult; and/or  Provide specific treatment by prescribing medicines considering the case totality. 4.1.2 Follow-up Consult: Patient to Registered Homoeopathic Practitioner In a follow-up consultation, since the RHP -patient interaction has already taken place for the specific medical condition under follow-up, there is already an understanding of the context, with availability of previous records. This allows a more definitive and secure interaction between the RHP and the patient. 4.1.2.1 Follow-Up Consult means The patient is consulting with the Registered Homoeopathic Practitioner within 6 months of his/her previous in- person, and this consultation is for continuation of care of the same health condition. Follow-up can be in situations of a chronic disease or a treatment (e.g. renewal or change in medications) when a face-to-face consultation is not necessary. Examples of such chronic diseases are: asthma, diabetes, hypertension and epilepsy etc. 4.1.2.2 Tele-Consultation Process The flow of the process is summarized in Figure 2 at Annexure and the steps are detailed below: 1. Start of a Telemedicine Consultation for Follow-Up  Patient may initiate a follow up consult with a RHP for continuation of his/her ongoing treatment or for a new complaint or complication arising during the course of the ongoing treatment using any mode of[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 39 communication. For e.g., the patient may give an audio or video call with a RHP or send him/her an email or text message with a specific health query.  RHP accepts to undertake the consultation 2. Patient identification and consent  RHP should be reasonably convinced that he/she is communicating with the known patient, for e.g. if the patient is communicating with RHP through the registered phone number or registered email Id  If there is any doubt RHP can request the patient to reinitiate the conversation from a registered phone number or email id or should confirm patient identity to his/her satisfaction by asking patient’s name, age, address, email ID or phone number. [Details in the section 3.2]  Patient initiates the Telemedicine consultation and thereby consent is implied 3. Quick Assessment for Emergency Condition  If the patient presents with a complaint which the RHP identifies as an emergency condition necessitating urgent care, the RHP would then advice for first aid to provide immediate relief and guide for referral of the patient, as deemed necessary. 4. In case of routine follow-up consultation, the following would be undertaken:  If the RHP has access to previous records of the patient, he/ she may proceed with continuation of care.  RHP shall apply his/her professional discretion for type of consultation based on the adequacy of patient information (case history/examination/ findings/Investigation reports/past records etc.).  If the RHP needs additional information, he/ she should seek the information before proceeding and resume tele- consultation for later point in time. 5. Patient Management  If a RHP is satisfied that he/she has access to adequate patient information and if the condition can be appropriately managed by tele-consultation, he/she would go ahead with the tele-management of the patient.  If the follow-up is for continuation of care, then the RHP may take a professional judgment to either : o provide health education as appropriate in the case; o provide counseling related to specific clinical condition including advice related to new investigations that need to be carried out before next consult; o And/or prescribe medications. The Medications could be either of the below:  If the follow up is for continuation of care for the same medical condition, the RHP would prescribe medicine according to the laws of Homoeopathy.  If the follow-up consult reveals new symptom pertaining to a different spectrum of disease, then the RHP would proceed with the condition as enunciated in the scenario for a first-time consultation (4.1.1). 4.2 CONSULTATION BETWEEN PATIENT AND RHP THROUGH A CAREGIVER 4.2.1 For the purpose of these guidelines “Caregiver” could be a family member, or any person authorized by the patient to represent the patient. 4.2.2 There could be two possible settings: 1. Patient is present with the Caregiver during the consultation. 2. Patient is not present with the Caregiver. This may be the case in the following: 2a. Patient is a minor (aged 16 or less) or the patient is incapacitated, for example, in medical conditions like dementia or physical disability etc. The caregiver is deemed to be authorized to consult on behalf of the patient. 2b. Caregiver has a formal authorization or a verified document establishing his relationship with the patient and/or has been verified by the patient in a previous in-person consult (explicit consult). In all of the above, the consult shall proceed as in the case of Registered Homoeopathic Practitioner and the patient (first or follow up consult, vide 4.1) 4.3 CONSULTATION BETWEEN HEALTH WORKER AND RHP40 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] For the purpose of these guidelines, “Health worker” could be a Nurse, Allied Health Professional, Mid- Level Health Practitioner, ANM or any other health worker designated by an appropriate authority Proposed Set up  This subsection will cover interaction between a Health Worker seeking consultation for a patient in a public or private health facility.  In a public health facility, the mid-level health practitioner at a Sub-center or Health and Wellness center can initiate and coordinate the telemedicine consultation for the patient with a RHP at a higher center at district or State or National level. Health and Wellness centers are an integral part of comprehensive primary healthcare.  This setting will also include health camps, home visits, mobile medical units or any community-based interaction. Tele-Consultation Process The flow of the process is summarized in Figure 3 at Annexure and the steps are detailed below: 1. Start of a Telemedicine Consultation through a Health Worker/Registered Homoeopathic Practitioner  The premise of this consultation is that a patient has been seen by the Health worker  In the judgment of the health worker, a tele-consultation with a RHP is required  Health Worker should obtain the patient’s informed consent  Health worker should explain the potential uses and limitations of a telemedicine consultation  He/she should also confirm patient identity by asking patient’s name, age, address, email ID, phone number or any other identification that may be reasonable  Health Worker initiates and facilitates the telemedicine consultation. 2. Patient Identification (by RHP)  RHP should confirm patient identity to his/her satisfaction by asking patient’s name, age, address, email ID, phone number or any other identification that may be reasonable  RHP should also make their identity known to the patient 3. Patient Consent (by RHP):  RHP should confirm the patient’s consent to continue the consultation 4. In case of Emergency  The Health Worker would urgently communicate about the underlying medical condition of the patient to the RHP.  If based on information provided, if the RHP identifies it as an emergency condition necessitating urgent care, he/she should advice for first aid to be provided by the Health Worker for immediate relief and guide for referral of the patient, as deemed necessary. In case, the condition is not an emergency, the following steps would be taken: 5. Exchange of Information for Patient Evaluation (by RHP)  The Health Worker must give a detailed explanation of the health problems to the Registered Homoeopathic Practitioner which can be supplemented by additional information by the patient, if required.  The Registered Homoeopathic Practitioner shall apply his/her professional discretion for type and extent of patient information (history/examination findings/Investigation reports/past records) required to be able to exercise proper clinical judgment.  If the Registered Homoeopathic Practitioner feels that the information provided is inadequate, then he/she shall request for additional information. This information may be shared in real time or shared later via email/text, as per the nature of such information. For e.g., Registered Homoeopathic Practitioner may advice some laboratory or/and radiological tests for the patient. For such instances, the consult may be considered paused and can be resumed at the rescheduled time. Registered Homoeopathic Practitioner may provide health education as appropriate at anytime.[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 41 6. Patient Management  Once the RHP is satisfied that the available patient information is adequate and that the case is appropriate for management via telemedicine, then he/she would proceed with the management. Health worker should document the same in his/her records.  The Registered Homoeopathic Practitioner may take a professional judgment to either: o Provide health education as appropriate in the case, o Provide counseling related to specific clinical condition including advice related to new investigations that need to be carried out before next consult; o And/or prescribe medications. Role of Health Worker In all cases of emergency, the Health Worker must seek measures for immediate relief and first-aid from the Registered Homoeopathic Practitioner who is being tele-consulted. Health worker must provide immediate relief/first aid as advised by the Registered Homoeopathic Practitioner and facilitate the referral of the patient for appropriate care. The Health Worker must ensure that patient is advised for an in-person interaction with a Registered Homoeopathic Practitioner, at the earliest. For patients who can be suitably managed via telemedicine, the Health Worker plays a vital role of o Reinforcing the health education and counseling provided by the RHP o Providing the medicine prescribed by the RHP and Providing patient counseling on his/her treatment. 4.4 REGISTERED HOMOEOPATHIC PRACTITIONER TO ANOTHER RHP/SPECIALIST  Registered Homoeopathic Practitioner might use telemedicine services to consult with another RHP or a Registered Medical specialist for a patient under his/her care. Such consultations can be initiated by a RHP on his/her professional judgment.  The RHP asking for another RHP’s advice remains the treating RHP and shall be responsible for treatment and other recommendations given to the patient except for those recommended by Registered medical specialist from other discipline of medicine.  It is acknowledged that many medical specialties like radiology, pathology, ophthalmology, cardiology, dermatology etc. may be at advanced stages of adoption of technology for exchange of information or some may be at early stage. Guidelines support and encourage interaction between Registered Homoeopathic Practitioners/ specialists using information technology for diagnosis, management and prevention of disease. o Tele-radiology is the ability to send radiographic images (x-rays, CT, MRI, PET/CT, SPECT/CT, MG, Ultrasound) from one location to another. o Tele-pathology is the use of technology to transfer image-rich pathology data between distant locations for the purposes of diagnosis, education, and research. o Tele-ophthalmology provides eye specialists access to patients in remote areas, ophthalmic disease screening, diagnosis and monitoring. 4.5 EMERGENCY SITUATIONS EMERGENCYSITUATIONS In all telemedicine consultations, as per the judgment of the RHP, if it is an emergency, the goal and objective should be to provide in-person care at the earliest. However critical steps could be life-saving and guidance and counseling could be critical. For example, in cases involving trauma, right advice and guidance around maintaining the neck position might protect the spine in some cases. The guidelines are designed to provide a balanced approach in such conditions. The Registered Homoeopathic Practitioner, based on his/ her professional discretion may • Advise first aid42 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] • Counseling • Facilitate referral In all cases of emergency, the patient MUST be advised for an in-person interaction with a Registered Medical Practitioner in a Health Care Facility having emergency treatment services. 5. GUIDELINES FOR TECHNOLOGY PLATFORMS ENABLING TELEMEDICINE This specifically covers those technology platforms which work across a network of Registered Homoeopathic Practitioners and enable patients to consult with RHPs through the platform. 5.1 Technology platforms (mobile apps, websites etc.) providing telemedicine services to consumers shall be obligated to ensure that the consumers are consulting with RHP duly registered with Central Register of Homoeopathy or respective state homoeopathic board/council and comply with relevant provisions. 5.2 Technology Platforms shall conduct their due diligence before listing any RHP on its online portal. Platform must provide the name, qualification and registration number, contact details of every RHP listed on the platform. 5.3 In the event some non-compliance is noted, the technology platform shall be required to report the same to Central Council of Homoeopathy who may take appropriate action. 5.4 Technology platforms based on Artificial Intelligence/Machine Learning are not allowed to counsel the patients or prescribe any medicines to a patient. Only a RHP is entitled to counsel or prescribe and has to directly communicate with the patient in this regard. While new technologies such as Artificial Intelligence, Internet of Things, advanced data science-based decision support systems etc. could assist and support a RHP on patient evaluation, diagnosis or management, the final prescription or counseling has to be directly delivered by the RHP. 5.5 Technology Platform must ensure that there is a proper mechanism in place to address any queries or grievances that the end-customer may have. 5.6 In case any specific technology platform is found in violation, CCH may designate the technology platform as blacklisted, and no Registered Homoeopathic Practitioner may then use that platform to provide telemedicine. 6. SPECIAL RESPONSIBILITIES OF CENTRAL COUNCIL OF HOMOEOPATHY (CCH) 6.1 Any of the drug-lists for Telemedicine Practice Guidelines can be issued/modified by the CCH/Govt. of India from time to time, as and when required. 6.2 The Central Council of Homoeopathy may issue necessary directions or advisories or clarifications in regard to these Guidelines, as required. 6.3 The Telemedicine Practice Guidelines can be amended from time to time in larger public interest with the prior approval of Central Government [Ministry of AYUSH, Government of India].[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 43 ANNEXURES . First Consult: Patient and Registered Homoeopathic Practitioner .no itatlusnoc nosrep ni na ro- f tseuqer ro refer yam P H R eht ,pets yna tA     O H A RHsib s k Pt t a o f moi rn y r a ,m a yi dn a sdvx wiei tm is i tot cu i n hgm a a tlt h/ i ic eo no n f mm o r r oep m dple eaot tre oit o fsp n, ca ,p o t ia mi fe s rn mt e t r q u ei un nc if io r co er ar d dm ts i o a nti ,o ifn r equired. .em it yna ta noitatlusnoc eht htiw deeco rp ot ton esoohc nac P Prescribe Medicine H R Figure 1 Flowchart for teleconsultation for first consult44 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] Follow up Consult: Patient and Registered Homoeopathic Practitioner  RHP should be reasonably convinced that he/she is communicating with the known patient.  If not, RHP can request the patient to re-initiate conversation from a registered phone number/ email or confirm patient identity by asking patient’s name, age, address, email id o nr u p mh bo en re . ni na rof t.n seo uit qa etl ru rs on o rec f n ero s yr ae mp-  Appraise previous records PH  History, examination findings, investigation reports, R eht ,pets yna tA   RHPA s mk af yo r s wAd itd ci hti o thn ea l m in of do erm ofa t ci oo mnp , m a ifs u t r n er ie q cc u ao tir ir oed d ns .em it yna ta noitatlusnoc eht htiw deecorp ot ton esoohc nac PH m C ao e cn cd Ht oii c orn i d mu n ia e n ot go ei o otrn o pP ao lr ae tf w h ss c ya sr m i ob fe e R Figure 1 Flowchart for teleconsultation on follow-up consult[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 45 Health worker (HW)& Registered Homoeopathic Practitioner (RHP) RHP & Patient identify themselves & consent obtained R E N O I T I T C A R P C I H T A P O E O M O H D E R E T S I G E R Specific treatment RHP prescribes medicines Figure 3: Flowchart for teleconsultation on Health worker (HW)& Registered Homoeopathic Practitioner (RHP)46 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] SAMPLE PRESCRIPTION FORMAT REGISTERED HOMOEOPATHIC PRACTITIONER’S NAME QUALIFICATION REGISTRATION NUMBER ADDRESS CONTACT DETAILS (PHONE AND E-MAIL ID) PATIENT ID: 1. Name of Medicine (potency and its quantity) Name of vehicle and its quantity 1. Direction to the dispenser about dispensing medicine. 2. Direction to the patient about taking medicine, diet and regimen, when to report. RHP’s Signature & Stamp Uploaded by Dte. of Printing at Government of India Press, Ring Road, Mayapuri, New Delhi-110064 and Published by the Controller of Publications, Delhi-110054.

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