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DPDP Insights › Healthcare and hospitals › Data and analytics head

DPDP for the Data and analytics head in Healthcare

Reviewed by InfraVeritas360 ResearchFirst published Last reviewed

Sources: DPDP Act, 2023 and DPDP Rules, 2025 (MeitY) · Code of Medical Ethics, 2002 · MoHFW · Tamil Nadu health department FAQ · MTP Regulations

Hospital data is useful for quality reviews, research and planning. Each use needs a check against the purpose patients were told.

Written for: Data and analytics head, Healthcare and hospitals. Open this seat in the interactive tool

What is different here

Clinical audit to improve care inside the hospital usually fits the treatment purpose. Research with identifiable patients needs the ethics committee, research consent and DPDP consent. Rare conditions, exact dates and pin codes can make 'anonymous' data point to one person, so de-identification needs care.

The first four things to sort out

  1. Sort each request: clinical audit, research or marketing.
  2. Send research through the ethics committee before any data is pulled.
  3. Remove names, UHIDs, phone numbers and exact dates before analysis.
  4. Give every research and analysis copy an end date.

A worked example

Data and analytics head

A doctor asks for diabetes patient data for a paper

  1. Day 1The request is logged; it is research, not clinical audit.
  2. Week 1Ethics committee approval and research consent are checked.
  3. Week 2Data is pulled with UHIDs replaced by study codes; only medical records holds the key.
  4. Study endThe data set is deleted or anonymised, and this is recorded.

Evidence kept

  • Request log
  • Ethics approval
  • De-identification check
  • Deletion record

Ethics approval and consent come first, then the data.

What others in the sector usually do. Some hospitals keep a separate de-identified data set for analysis, so analysts never work on the live HIS.

Where it usually goes wrong, by organisation type

Organisation typeHotspots
Multi-specialty hospital chainShared logins on ward computers; Reports forwarded on messaging apps; VIP or staff records viewed out of curiosity
Standalone hospital or nursing homePaper case sheets at nursing stations; Vendor remote access to the hospital software; Records room with no access log
Diagnostic labs and imagingReport links sent to the wrong number; Franchisees keeping patient lists; PCPNDT records and images
Health-tech and telemedicineAnalytics and ad SDKs in health apps; Chat transcripts kept with no period; Sharing user data with partner pharmacies for offers
Pharmacy chain and e-pharmacyPrescription images in the app and with stores; Refill reminders used for marketing; Delivery partners with addresses and order details

10 questions the Data and analytics head asks, answered in full

We are linked to ABDM. How does its consent fit with DPDP?

Short answer: Both apply; align the wording

ABDM uses a consent manager and consent artefacts to share health records between providers. That consent covers ABDM sharing. You still need your own DPDP notice for what you collect, and your own safeguards, retention and grievance process. The two should use the same plain language so patients are not confused.

What the law says

Section 5 and 6 for your own notice and consent; ABDM's policy for ABDM sharing. Section 5 · Rule 3 · Section 6 · Section 8(5) · Rule 6

Steps
  1. Map what goes through ABDM and what does not.
  2. Align notices with ABDM screens.
  3. Log ABDM consent requests.
  4. Keep safeguards on the gateway.
  5. Train front desk on ABHA linking.
Evidence to keep
  • Flow map
  • Aligned notices
  • Gateway logs
Common mistakes
  • Assuming ABDM consent covers everything
  • ABHA linking without explanation
  • Gateway with weak access

Imaging machines and lab analysers hold patient data. What do we do?

Short answer: Separate network, controlled vendor access, wipe before disposal

Imaging and lab devices store names, ages and results, often on old operating systems. Put them on a separate network, control vendor remote access, change default passwords, and wipe disks before a device is returned or scrapped.

What the law says

Rule 6 safeguards apply to devices that store personal data. Section 8(5) · Rule 6 · Section 8(7) · Rule 8

Steps
  1. List devices that store patient data.
  2. Segment them.
  3. Control vendor remote access.
  4. Change default passwords.
  5. Wipe before disposal.
Evidence to keep
  • Device list
  • Network diagram
  • Wipe certificates
Common mistakes
  • Devices on the general network
  • Vendor modems always on
  • Disks leaving with old machines

Can we use customer data for analytics and models?

Short answer: Yes, within the purpose or with consent

Yes, where the use fits the purpose people were told, or you have consent for it. Improving the service people signed up for usually fits. Selling insights, profiling for third parties or targeting children does not. Mask or aggregate wherever the question allows, and give analysis copies their own deletion date.

From your seat: Data and analytics head. Check the purpose before each new analysis. Purpose decides whether you need consent.
What the law says

Section 4 needs a lawful basis for each purpose. Section 6 needs specific consent. Section 9 bars behavioural monitoring of children. Section 8(3) asks for accuracy when data drives decisions. Section 4 · Section 6 · Section 9 · Rules 10, 12 · Section 8(3)

Steps
  1. Write the question and the data needed.
  2. Check the purpose people were told.
  3. Mask or aggregate by default.
  4. Get consent for uses outside the purpose.
  5. Set a deletion date for the copy.
Evidence to keep
  • Purpose checks
  • Data specifications
  • Retention entries
Common mistakes
  • Using all data because it is there
  • Analysis copies with no end date
  • Profiling children

How do we build privacy into a new product or system?

Short answer: Four questions at design, then build the basics in

Ask four questions at the design stage: what personal data, why, for how long, and who sees it. Then build in what the Act assumes: a notice, consent where needed, role-based access, logs of record views, a way to delete, and a way to answer requests. Adding these after launch costs far more.

From your seat: Data and analytics head. Work with masked or aggregated data wherever the question allows.
What the law says

Sections 5 to 12 assume systems that can show notices, record consent, limit access, log, delete and answer requests. Section 5 · Rule 3 · Section 6 · Section 8(5) · Rule 6 · Section 8(7) · Rule 8 · Sections 11–14 · Rule 14

Steps
  1. Add the four questions to design templates.
  2. Drop data you do not need.
  3. Build access roles and record-view logs.
  4. Build deletion and request export.
  5. Register the system in the inventory at launch.
Evidence to keep
  • Design review records
  • Inventory entries
  • Deletion tests
Common mistakes
  • Privacy review only at launch
  • Collecting 'in case we need it'
  • No delete function

Do we need a Data Protection Impact Assessment?

Short answer: Required only for SDFs; good practice for high-risk changes

By law, only Significant Data Fiduciaries must do a yearly impact assessment. For everyone else it is good practice for high-risk changes: new tracking, profiling, large data sharing, children's data or moving data abroad. A short assessment before the change is cheaper than fixing it later.

From your seat: Data and analytics head. Profiling and automated decisions deserve an assessment.
What the law says

Section 10 and Rule 13 require a yearly impact assessment for Significant Data Fiduciaries. Section 10 · Rule 13 · Section 9 · Rules 10, 12 · Section 16 · Rule 15

Steps
  1. Define what counts as a high-risk change for you.
  2. Use a two-page template.
  3. Record the data, purpose, risks and safeguards.
  4. Get the DPO's view before approval.
  5. Keep it with the project record.
Evidence to keep
  • Assessment template
  • Completed assessments
  • DPO views
Common mistakes
  • Treating it as paperwork after launch
  • A 40-page template nobody completes
  • No trigger list

Do we process children's data, and what changes if we do?

Short answer: Check every channel; children often appear where you least expect

Anyone under 18 is a child under the Act. For a child's data you need verifiable consent from a parent or lawful guardian, and you must not track, behaviourally monitor or show targeted ads to children. Some classes and purposes are exempt under Rule 12 and the Fourth Schedule, for example healthcare to the extent needed to protect the child's health, and educational institutions for their educational work.

From your seat: Data and analytics head. No behavioural monitoring of under-18s.
Example in Healthcare

Paediatric care is exempt from parent-consent limits only to the extent needed to protect the child's health; marketing to parents of children is not.

What the law says

Section 9 sets the duties. Rule 10 explains how to verify the parent. Rule 12 and the Fourth Schedule list the exemptions. Section 9 · Rules 10, 12 · Section 6

Steps
  1. Find where children's data enters: customers, dependants, interns, visitors, scholarships, app sign-ups.
  2. Decide whether an exemption in the Fourth Schedule applies to that purpose.
  3. Where none applies, add an age question and a parent-consent step.
  4. Switch off tracking and targeted ads for under-18 users.
  5. Record the decision for each channel.
Evidence to keep
  • Channel-by-channel note on children's data
  • Parent-consent records
  • Ad and tracking settings
Common mistakes
  • Assuming 'we are B2B, so no children'
  • Using the age 13 or 16 from foreign laws
  • Treating a tick-box from the child as parental consent

How long can we keep personal data?

Short answer: For the legal or business period, then erase

Keep data for as long as its purpose needs, or as long as a law requires, and then erase it. Every organisation must keep personal data and logs for at least one year under Rule 8(3). Write a retention schedule by record type, with the law or reason against each period.

From your seat: Data and analytics head. Analytics copies often outlive the source. Give them their own period.
Example in Healthcare

Indoor records at least 3 years (2002 regulations), PCPNDT 2 years, MTP 5 years, Schedule H1 3 years.

What the law says

Section 8(7) asks for erasure when the purpose is over, unless a law requires retention. Rule 8(3) sets a one-year minimum for personal data, traffic data and logs. Section 8(7) · Rule 8 · Section 8(5) · Rule 6

Steps
  1. List the record types you hold.
  2. Write the period for each, with the law, regulator rule or business reason.
  3. Set a trigger for the period to start: end of relationship, date of transaction, exit date.
  4. Automate deletion where you can; for paper, schedule shredding.
  5. Keep a deletion log.
Evidence to keep
  • Retention schedule approved by Legal
  • Deletion log
  • Shredding or disposal certificates
Common mistakes
  • 'Keep everything forever' because storage is cheap
  • Deleting before the legal minimum
  • Forgetting email, shared drives and backups

Where does personal data live in our organisation?

Short answer: Start with one row per system

Usually in more places than anyone expects: core systems, email, shared drives, laptops, vendor systems, backups, test copies, spreadsheets and paper. A simple inventory, one row per system, is the base for every other duty.

From your seat: Data and analytics head. Register every data set and its source.
Example in Healthcare

HIS, PACS, LIS, pharmacy, billing, apps, ABDM gateway and devices.

What the law says

Every duty in Sections 5 to 12 assumes you know where the data is. Rule 6 needs safeguards for each system, and Section 11 needs you to find the data when someone asks. Section 8(5) · Rule 6 · Sections 11–14 · Rule 14 · Section 8(7) · Rule 8 · Section 3

Steps
  1. List systems, then shared drives, email, spreadsheets and paper stores.
  2. For each one, note whose data, which items, purpose, owner, hosting location and vendors.
  3. Add copies: backups, test, analytics.
  4. Get each owner to confirm their rows.
  5. Update it whenever a system is bought or retired.
Evidence to keep
  • Data inventory
  • Owner confirmations
  • Change log
Common mistakes
  • A 200-column spreadsheet nobody finishes
  • Leaving out SaaS tools bought by departments
  • No owner for each row

What must a vendor contract say about personal data?

Short answer: Yes, every vendor that touches personal data

You stay responsible for what your vendors do with personal data. The contract should say what data they get, for what purpose, the security they must keep, how fast they must tell you about an incident, that sub-contractors need your approval, and how data is returned or deleted at the end.

From your seat: Data and analytics head. Analytics and cloud vendors receive large copies. Check their terms.
Example in Healthcare

Labs, teleradiology, HIS vendors, TPAs and ambulance services.

What the law says

Section 8(1) keeps responsibility with you. Section 8(2) allows a processor only under a valid contract. Rule 6 asks for security terms in that contract. Section 8(1)–(2) · Section 8(5) · Rule 6 · Section 8(6) · Rule 7 · Section 8(7) · Rule 8

Steps
  1. List vendors who receive or can see personal data.
  2. Rank them by how much and how sensitive.
  3. Add a data-protection schedule to each contract, starting with the top ten.
  4. Ask for evidence: certificates, test results, deletion confirmations.
  5. Review the top vendors every year.
Evidence to keep
  • Vendor register
  • Signed data-protection schedules
  • Annual review notes
Common mistakes
  • Relying on the vendor's standard terms
  • No incident-notice time
  • No exit and deletion clause

The sections you will use most

Other rules that sit alongside DPDP

RuleWhat it saysWhat it means alongside DPDPSource
Indian Medical Council (Professional Conduct, Etiquette and Ethics) Regulations, 2002Regulation 1.3.1: keep indoor patients' medical records for 3 years from the start of treatment. Regulation 1.3.2: issue records to patients, authorised attendants or legal authorities within 72 hours of a request. Regulation 2.2: keep patient confidences.Set retention at or above these minimums. Use the 72-hour record copy rule as the base for patient access requests.Code of Medical Ethics, 2002
Telemedicine Practice Guidelines, 2020 (Appendix 5 to the 2002 Regulations)Consent is implied when the patient starts a teleconsultation and must be explicit when a health worker or caregiver starts it. The doctor records consent and keeps logs, records and prescriptions as for in-person care.Telemedicine apps must add DPDP notices and protect chat, video and prescription data.MoHFW
Pre-Conception and Pre-Natal Diagnostic Techniques (PCPNDT) Act, 1994Records of tests and procedures, including Form F, must be preserved for 2 years, or until a legal proceeding ends.These records cannot be erased early on request; protect them carefully.Tamil Nadu health department FAQ
Medical Termination of Pregnancy Regulations, 2003The admission register is a secret document, kept by the head of the hospital, not open to inspection except under law, and kept for five years.MTP records need the tightest access in the hospital.MTP Regulations
Mental Healthcare Act, 2017Section 23: right to confidentiality. Section 24: no photos or information to media without consent. Section 25: right to access basic medical records.Psychiatry and counselling records need separate access and a careful request process.NHSRC copy of the Act
HIV and AIDS (Prevention and Control) Act, 2017HIV status may be disclosed only with informed consent, except in narrow cases. Establishments keeping HIV-related records must adopt data protection measures.Restrict HIV results and counselling notes to the treating team.Act
New Drugs and Clinical Trials Rules, 2019Informed consent of trial participants; ethics committees keep records for five years after the trial ends (Rule 13).Trial data needs both informed consent and DPDP safeguards.NDCT Rules
Drugs Rules: Schedule H1 registerPharmacies record prescriber's name and address, patient's name, drug and quantity, kept for three years.Keep the register for three years, then dispose of it.NHSRC
ABDM Health Data Management PolicyFor entities in the Ayushman Bharat Digital Mission, health records are shared through a consent manager, with consent artefacts for each request.If you are ABDM-linked, the ABDM consent flow and your DPDP notices must agree.ABDM / NHA
Clinical Establishments Act, 2010 and Rules, 2012 (states that adopted it)Registered establishments maintain medical records, and electronic records as the government specifies.Check whether your state follows this Act or its own nursing home law.MoHFW
IRDAI health insurance master circular, 2024Insurers decide cashless requests within one hour and final discharge within three hours.Fast TPA sharing is needed, but only the records the claim needs, through secure channels.IRDAI
CERT-In Directions, 2022Report specified cyber incidents within six hours; keep ICT logs 180 days in India.A ransomware attack needs a CERT-In report and the DPDP messages.CERT-In
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