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**Report: Analysis of the Unique Health Identifier (UHID) Rules, 2021**
**1. Executive Summary:**
This report analyzes the Unique Health Identifier (UHID) Rules, 2021, as outlined in the provided official gazette notification. The core purpose of this policy is to establish a framework for creating Unique Health Identifiers (UHIDs) for beneficiaries within various health IT applications implemented by the Ministry of Health and Family Welfare (MoHFW). The key findings are that the use of Aadhaar for UHID creation is voluntary, and the MoHFW will act as the primary Authentication User Agency (AUA) or KYC User Agency (KUA). The policy aims to facilitate the integration of health data and create longitudinal Electronic Health Records (EHRs) for citizens. No health service can be denied if a user does not want to use Aadhaar authentication.
**2. Introduction:**
The purpose of this report is to provide an informative overview of the Unique Health Identifier (UHID) Rules, 2021, based solely on the text of the official notification provided. This report aims to outline the policy's objectives, key provisions, target audience, implementation aspects, and expected outcomes.
**3. Policy Overview:**
This is a new policy.
* **Core Objective(s):** As inferred from the text, the core objectives are to:
* Create Unique Health Identifiers (UHIDs) for identification and authentication of beneficiaries.
* Facilitate the integration of health data across various Health IT applications.
* Create longitudinal Electronic Health Records (EHRs) for citizens.
* Allow for deduplication in various health services.
* To define the use of Aadhaar authentication within health services.
**4. Background and Rationale:**
The policy addresses the need for a standardized system for identifying and authenticating beneficiaries within the Indian healthcare system. The rationale appears to be the desire to improve efficiency, reduce redundancy, and enhance data integration across various health IT applications. By creating UHIDs, the Ministry of Health and Family Welfare aims to establish a more seamless and integrated healthcare ecosystem. The reference to Aadhaar authentication suggests a drive to leverage existing identity infrastructure for improved service delivery, while ensuring its use is voluntary.
**5. Key Provisions / Changes:**
As a new policy, the key provisions are:
* **Voluntary Aadhaar Authentication:** The use of Aadhaar authentication for creating UHIDs is voluntary.
* **Purpose:** Aadhaar authentication, when used, is for establishing UHIDs for identification and authentication of beneficiaries in Health IT applications.
* **Entities Allowed:** Entities that wish to allow voluntary Aadhaar authentication as an option for users to create health IDs and share health information under Health IT applications are permitted to do so, subject to existing regulations.
* **AUA/KUA Designation:** The Ministry of Health and Family Welfare will serve as the Authentication User Agency (AUA) or KYC User Agency (KUA) for providing Aadhaar authentication services to create UHIDs.
* **No Denial of Service:** No health service can be denied if a user does not want to use Aadhaar authentication for the creation of a UHID.
* **Additional Documents:** The Ministry can allow additional documents for the creation of UHIDs and health service delivery.
* **Short Title and Commencement:** The rules are called the "Unique Health Identifier Rules, 2021" and came into force on the date of their publication in the Official Gazette (January 1st, 2021).
**6. Target Audience and Stakeholders:**
Based on the text, the target audience and stakeholders include:
* Beneficiaries of health services provided by the Central, State, or Union territory Governments.
* Entities involved in developing and implementing Health IT applications.
* The Ministry of Health and Family Welfare (MoHFW).
* The Authority (implied to be the Unique Identification Authority of India - UIDAI).
* Health service providers.
**7. Implementation Aspects (Inferred):**
* **Responsible Agency:** The Ministry of Health and Family Welfare (MoHFW) is the primary responsible agency, acting as the AUA/KUA.
* **Procedures:** The Ministry may issue separate instructions through administrative orders or circulars to guide entities involved in the UHID creation process.
* **Timelines:** The policy came into force on January 1, 2021.
* **Additional Documents:** The Ministry may allow additional documents for the creation of UHIDs and health service delivery through a written order.
**8. Expected Outcomes / Impact of Changes:**
The likely intended outcomes based on the policy's stated provisions are:
* Improved identification and authentication of beneficiaries within the healthcare system.
* Enhanced integration of health data across different applications.
* Creation of comprehensive longitudinal Electronic Health Records (EHRs) for citizens.
* Reduced duplication of efforts in health service delivery.
* More efficient and seamless access to health services for beneficiaries.
* Modernization of the health sector through digital means.
**9. Conclusion:**
The Unique Health Identifier (UHID) Rules, 2021 establish a framework for creating UHIDs using voluntary Aadhaar authentication. The policy aims to improve efficiency, data integration, and service delivery within the Indian healthcare system. While the use of Aadhaar is permitted, the policy explicitly states that no health service can be denied based on the choice to not authenticate with Aadhaar. The implementation of these rules is likely to have a significant impact on the healthcare ecosystem by fostering a more connected and patient-centric approach.
Key Entities Referenced
Ministry of Health and Family Welfare: The ministry in the Government of India responsible for health and family welfare.
Unique Health Identifier: A unique identifier (UHID) for identification and authentication of beneficiaries in various health IT applications implemented by the Ministry of Health and Family Welfare.
Electronic Health Record: Longitudinal Electronic Health Record EHR for citizens.
Aadhaar Targeted Delivery of Financial and Other Subsidies, Benefits and Services Act, 2016: The Aadhaar Act, 2016, which governs the use of Aadhaar for targeted delivery of financial and other subsidies, benefits, and services.
Unique Health Identifier Rules, 2021: The rules pertaining to the establishment and use of the Unique Health Identifier.
Aadhaar Authentication for Good Governance Social Welfare, Innovation, Knowledge Rules, 2020: Rules related to Aadhaar authentication for good governance, social welfare, innovation, and knowledge.
Authentication User Agency: AUA, an agency that uses Aadhaar authentication.
KYC User Agency: KUA, an agency that uses Aadhaar eKYC service.
Lav Agarwal: Jt. Secy. of Ministry of Health and Family Welfare
New Delhi: The location of the notification.
रजिस्ट्री स.ं डी.एल.- 33004/99 REGD. No. D. L.-33004/99
सी.जी.-डी.एल.-अ.-01012021-224099
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असाधारण
EXTRAORDINARY
भाग II—खण् ड 3—उप-खण्ड (i)
PART II—Section 3—Sub-section (i)
प्राजधकार स ेप्रकाजित
PUBLISHED BY AUTHORITY
स.ं 3] ुई दि्ली, िभक्रवार, िुवरी 1, 2021/राज पौष 11, 1942
No. 3] NEW DELHI, FRIDAY, JANUARY 1, 2021/PAUSHA 11, 1942
स्ट्व ास्ट्् य एव ंपिरवार क्य ाण तरालं ालय
(ई-ह्े थ अुभभ ाग)
अजधसचू ुा
ुई दि्ली, 1 िुवरी, 2021
सा.का.जु . 3( अ).—िबदक आधार अजधप्रताणु का कायय अच् छे िासु के जहत तह ह और यह लाभार्थययों को
सभजवधािुक और सभचारू रूप से प्रत् यक्ष सेवा प्रिाु कराुे तह सहायक ह और आधार का स्ट् व जच्छक प्रयोग केर /राजरायय
अथवा संघ राय य क्ष ेराल क सरकार ्ारा प्रित् त सेवां के उपयोग हते भ यह प्रयोगकताय को सभजवधािुक तरीके से उसक
पहचाु उपलब् ध कराता ह;
और िबदक, स्ट् वास्ट् ्य एवं पिरवार क्य ाण तरालं ालय ( मसत ह मसके पचातात तंरालालय कहा िाएगा) त ह भारत सरकार मस
तंरालालय ्ारा कायायजवत जवजभ ु स्ट्व ास्ट् ् य आईीी ए् लीकेिु त ह लाभाथक क पहचाु और अजधप्रताणु के जलए
जवजिष्ट स्ट्वास्ट््य पहचाुकताय (यूएचआईडी) का सृिु करुे का आिय रखती ह;
और िबदक, यूएचआईडी जवजभ ु उपयोिु त ह स्ट् वास्ट् ्य आंक़ों ों का एक करण और तरालं ालय ्ारा प्रित् त
जवजभ ु स्ट् वास्ट् ् य सेवां के जड-डभ् लीकेिु के अजतिरत सभी ुागिरकों के अुभलंब मलेर ॉजुक ह्े थ िरकॉड य
(ईएचआर) के सृिु तह सहायक ह;
और िबदक, यूएचआईडी का सृिु स्ट् वज च्छक होगा;
और िबदक, आधार क (जवत्त ीय और अय सजब्सडी, लाभ और सेवां क लजक्ष त प्रिाुगी) अजधजुयत,
2016 (2016 का 18) (मसतह मसके पचातात आधार अजधजुयत, 2016 कहा िाएगा) धारा-4 क उप-धारा (4) के
25 GI/2021 (1)2 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)]
खंड (ख) का उप खंड (ii) अजधप्रताणु के जलए सस्ट्ं था को अुभज्ञात करती ह और यदि प्राजधकारी संतभष् ी ह दक
अजधप्रताणु सवे ां का प्रस्ट् ताव करुे और मस प्रकार के उदेशे य के जलए अजधप्रताणु प्रा् त करुे क अुभज्ञजति का
अुभरोध करुे वाली सस्ट्ं था संसि ्ारा जुर्तयत दकसी भी अय जवजध के प्रावधाुों के अधीु ह तो केर सरकार
प्राजधकारी के परातिय स े जुयतों के अधीु अुभज्ञजति प्रिाु कर सकती ह।
अत:, अब, कहर सरकार आधार अजधजुयत, 2016 क धारा 53 के उप- धारा (2) के खडं (कक) ्ारा प्रित्त
िजियों का प्रयोग करते हुए प्राजधकारी के परातिय स े जुनलिजलजखत जुयत बुाती ह अथातय :-
1. सजं क्ष ति ुात और प्रारंभ: (1) मु जुयतों को जवजिष्ट स्ट्वास्ट््य पहचाुकता य जुयत, 2021 ह।
(2) ये रािपराल तह मुके प्रकािु क तारीख को लागू होंग।े
2. उदेशेय:- आधार अजधजुयत, 2016 क धारा 4 क उप- धारा (4) के खंड (ख) के उप- खंड (ii) के साथ पिित
सभिासु ( साताजिक क्याण, ुवप्रवतयु,ज्ञाु) के जलए आधार अजधप्रताणु, जुयत, 2020 के अधीु
जवजभन्न स्ट्वास्ट््य आईडी आविे ुों तह लाभार्थययों क पहचाु और अजधप्रताणु के जलए जवजिष्ट स्ट्वास्ट््य
पहचाुकताय को स्ट्थाजपत करुे के जलए आधार अजधप्रताणु स्ट्वज च्छक होगा।
3. आधार अजधप्रताणु के जलए अुतभ ोदित सस्ट्ं थाए:ं - वे संस्ट्थाए,ं िो स्ट्वास्ट््य आईडी का सृिु करु े के
जलए उपयोगकताय के जलए स्ट्व जच्छक आधार अजधप्रताणु को जवक्पों तह से दकसी एक को अुभतजत िुे े के
मच्छभक ह ैं और जवजभन्न आईीी आवेिुों के अधीु स्ट्वास्ट््य संबंधी सूचुा साका करत े ह,ैं उह ह ऐसा करु े
क अुभतजत िी िाएगी और मस संबंध तह वतयताु जुयत सभी संस्ट्थां और सव्यं वहार पर लागू होगा।
4. अजधप्रताणु उपयोगकता य एिसह ी (एयएू ) या केवाईसी उपयोगकता य एिसह ी (केयएू ):- जवजभन्न स्ट्वास्ट््य
आईीी आवेिुों तह लाभार्थययों क पहचाु और अजधप्रताणु के जलए सभी स्ट्वास्ट््य आईीी आवेिु को
आधार अजधप्रताणु सेवाए ं प्रिाु करुे के उदेशे य के जलए तंरालालय एयूए या केयूए होगा।
5. स्ट्वास्ट््य सवे ां का प्रत्याख्याु ुही:- चूंदक यूएचआईडी के सृिु के जलए आधार अजधप्रताणु सेवा
स्ट्व जच्छक ह, पूवोपाय के आभाव स्ट्वास्ट््य सेवा के प्रत्याख्याु क अुभतजत ुहीं होगी।
6. यएू चआईडी के सिृ ु के जलए अुतभ ोदित िस्ट्ताविे :- तंरालालय यूएचआईडी के सृिु के जलए अजतिरि
पिरलजक्ष त िस्ट्तावेिों और स्ट्वास्ट््य सेवा जववरण को जलजखत आििे ्ारा अुभज्ञजति ि े सकेगा।
[फा. स.ं ीी-21016/राज311/राज2020-ईह्े थ दिुांक 01.01.2021]
लव अग्रवाल, संयभि सजचव
MINISTRY OF HEALTH AND FAMILY WELFARE
(E-Health Section)
NOTIFICATION
New Delhi, the 1st January, 2021
G.S.R. 3(E).—Whereas, the use of Aadhaar authentication in the interest of good governance and enabling
access to services enables beneficiaries to get the service directly in a convenient and seamless manner and the
voluntary use of Aadhaar provides a convenient way to prove one’s identity to obtain services provided by the
Central, State or Union territory Governments;
And whereas, the Ministry of Health and Family Welfare (hereinafter referred to as the Ministry) in the
Government of India intends to create Unique Health Identifier (UHID) for identification and authentication of
beneficiaries in various health IT applications implemented by the Ministry;
And whereas, UHID will facilitate integration of health data across various applications and create
longitudinal Electronic Health Record (EHR) for citizens besides allowing de-duplication in various health services
provided by Ministry;
And whereas, the creation of UHID will be voluntary;[भाग II—खण् ड 3(i)] भारत का रािपराल : असाधारण 3
And whereas, sub-clause (ii) of clause (b) of sub-section (4) of section 4 of the Aadhaar (Targeted Delivery
of Financial and Other Subsidies, Benefits and Services) Act, 2016 (18 of 2016) (hereinafter referred to as the
Aadhaar Act, 2016) allows an entity to perform authentication, if the Authority is satisfied that the requesting entity is
permitted to offer authentication services under the provisions of any other law made by Parliament or seeking
authentication for such purpose, as the Central Government in consultation with the Authority may provide by rules.
Now, Therefore, in exercise of the powers conferred by clause (aa) of sub-section (2) of section 53 of the
Aadhaar Act, 2016, the Central Government in consultation with the Authority makes the following rules, namely: -
1. Short title and Commencement.- (1) These rules may be called as the Unique Health Identifier Rules, 2021.
(2) They shall come into force on the date of their publication in the Official Gazette.
2. Purpose.- Aadhaar authentication shall be used on voluntary basis, for establishing Unique Health Identifier
for identification and authentication of beneficiaries in various Health IT applications under Aadhaar
Authentication for Good Governance (Social Welfare, Innovation, Knowledge) Rules, 2020 read with sub-
clause (ii) of clause (b) of sub-section (4) of section 4 of the Aadhaar Act, 2016.
3. Entities allowed for Aadhaar authentication.- Entities which are desirous of allowing voluntary Aadhaar
authentication as one of the options for users to create health ID, share health information under various
Health IT applications shall be permitted to do so and the extant regulations in this regard shall be applicable
to all entities and transactions.
4. Authentication User Agency (AUA) or KYC User Agency (KUA).- The Ministry will be the AUA or
KUA for the purpose of providing Aadhaar authentication services to all health IT application to create
UHID for identification and authentication of beneficiaries in various health IT applications. Instructions for
the entities may be issued separately through an administrative order or circular.
5. No denial of health service.- Since use of Aadhaar authentication service for creation of UHID is voluntary,
no denial of health service provisioning in default shall be allowed.
6. Documents permitted for creation of UHID.- The Ministry may by an order in writing allow additional
identified documents for creation of UHID and health service delivery.
[F. No. T-21016/311/2020-eHealth Dated 01.01.2021]
LAV AGARWAL, Jt. Secy.
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.