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Healthcare and hospitals

DPDP for the Administration department in Healthcare

Admin runs reception, records rooms, CCTV and agencies.

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What is different here

Patients tell doctors things they tell nobody else, and many people touch the same record: front desk, doctors, nurses, labs, billing, insurers and TPAs. Treatment itself usually rests on the purpose the patient came for, and a medical emergency allows action without consent. Almost everything around treatment still needs a notice, a reason and proper care, and several health laws add their own confidentiality rules.

The first four things to sort out

  1. Records room access log.
  2. CCTV notices, no cameras in care areas.
  3. Agency contracts.
  4. Shredding.

A worked example: Records room without a log

  1. Week 1Files go out with no record.
  2. Week 2A movement register starts.
  3. Week 4Access is limited.
  4. AfterMissing files drop.

Evidence kept: Register.

Log file movement.

What others in the sector usually do. File movement registers.

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

7 guides for the Administration department, in full

How long should we keep patient records?

Short answer: At least the legal minimums, with a written reason for anything longer

Keep them for at least the periods health laws set: indoor records for three years from the start of treatment under the 2002 medical ethics regulations, PCPNDT records for two years, MTP registers for five years, Schedule H1 registers for three years, and ethics committee trial records for five years after a trial. Many hospitals keep records longer for continuity of care and legal claims. Write the period and reason for each record type, then erase or archive.

From your seat: Administration department. Records rooms follow the schedule.
What the law says

Section 8(7) allows retention where a law requires it; Rule 8(3) sets a one-year floor. Section 8(7) · Rule 8 · Section 7

Steps
  1. List record types: OPD, IPD, lab, imaging, billing, PCPNDT, MTP, pharmacy.
  2. Note the legal minimum.
  3. Decide any longer period and why.
  4. Archive with restricted access.
  5. Record each deletion.
Evidence to keep
  • Retention schedule
  • Archive access list
  • Deletion log
Common mistakes
  • No schedule at all
  • Deleting before the minimum
  • Keeping open access to old records
Related questions

What about CCTV, visitor registers and biometric attendance?

Short answer: Yes, with notice, limits and a deletion period

All three are personal data. Put a clear notice where people are recorded, collect only what you need at reception, keep footage and registers for a set period, and protect biometric templates carefully. Do not keep copies of ID documents unless you must.

From your seat: Administration department. Admin runs the cameras and the reception desk. Notices, retention and viewing rights are yours to fix.
In Healthcare

CCTV must not cover examination or changing areas; put notices at entrances.

What the law says

Section 5 needs notice. Section 8(5) needs safeguards. Section 8(7) needs erasure after the purpose. For staff, Section 7(i) can cover security and attendance. Section 5 · Rule 3 · Section 8(5) · Rule 6 · Section 8(7) · Rule 8 · Section 7

Steps
  1. Put notices at CCTV points and reception, in the local language.
  2. Ask visitors only for name, phone and whom they are meeting, unless security needs more.
  3. Set a period for footage and registers, then delete.
  4. Restrict who can view footage, and log viewing.
  5. Check the vendor contracts for CCTV, guards and attendance systems.
Evidence to keep
  • Notices in place
  • Retention settings on the recorder
  • Viewing log
Common mistakes
  • Photocopying visitor IDs as routine
  • Footage kept until the disk fills
  • Biometric systems with vendor default passwords
Related questions

Are contract and agency workers our responsibility?

Short answer: Yes, for the data you decide about

Their data is your responsibility when you decide why and how it is used, for example gate passes, attendance, biometrics and safety records. The agency holds payroll and personal files, so your contract with the agency must cover how it protects that data.

From your seat: Administration department. Guards, housekeeping and drivers are often agency staff. Their ID copies and gate records need care.
In Healthcare

Housekeeping, security and ambulance staff are often agency staff.

What the law says

Section 7(i) covers employment purposes. Section 8(1) and 8(2) make you responsible for processors such as manpower agencies working on your behalf. Section 7 · Section 8(1)–(2) · Section 8(5) · Rule 6

Steps
  1. List what you hold about contract workers: ID copies, photos, biometrics, attendance, medical fitness.
  2. Decide who is the Data Fiduciary for each item: you or the agency.
  3. Put data terms in every manpower contract.
  4. Give a short notice in the workers' language at the gate or induction.
  5. Delete gate and ID records on a schedule.
Evidence to keep
  • Contract-worker data list
  • Agency contracts with data terms
  • Notice at the gate
Common mistakes
  • Photocopies of Aadhaar kept in open files
  • No terms in the agency contract
  • Biometric data with no deletion date
Related questions

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: Administration department. Security, housekeeping, transport and CCTV vendors all touch personal data. Their contracts need data terms.
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
Related questions

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: Administration department. Visitor registers, gate passes and paper files need a period and a shredding date.
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
Related questions

Something has gone wrong. What happens in the first 72 hours?

Short answer: Six hours for CERT-In; without delay for people and the Board; 72 hours for the detailed report

Contain it, then tell people. A reportable cyber incident goes to CERT-In within six hours of being noticed. Under DPDP, each affected person and the Data Protection Board must be told without delay, and the Board needs a detailed report within 72 hours. Sector regulators may have their own clock too.

From your seat: Administration department. A lost register or a stolen laptop is a breach. Call the DPO the same day.
In Healthcare

A ransomware attack on the HIS needs a CERT-In report in six hours and the DPDP messages.

What the law says

Section 8(6) and Rule 7 set the DPDP steps. The CERT-In Directions of 28 April 2022 set the six-hour report. A breach includes accidental disclosure and loss of access, not only hacking. Section 8(6) · Rule 7 · Section 8(5) · Rule 6

Steps
  1. Name one incident lead and a back-up, with phone numbers that work at night.
  2. Write the first-hour steps: isolate, preserve logs, tell the DPO and the incident lead.
  3. Keep ready-made drafts for CERT-In, the regulator, the Board and affected people.
  4. Decide in advance who signs off each message.
  5. Rehearse once a year with the people who would actually be called.
Evidence to keep
  • Incident plan with clocks
  • Rehearsal record
  • Incident log with times of each step
Common mistakes
  • Waiting to finish the investigation before telling anyone
  • Treating a wrong email or a lost laptop as 'not a breach'
  • Only IT knowing the plan
Related questions

What should our privacy notice say, and where must people see it?

Short answer: Yes, at every point where you collect data

A notice must tell people, in plain words, what data you collect, why, how they can withdraw consent, how they can use their rights and how they can complain to the Data Protection Board. It has to stand on its own, separate from long terms and conditions, and be shown at the point where data is collected.

From your seat: Administration department. Reception and gates are collection points. Put the short notice there.
In Healthcare

Registration desks, appointment apps, lab forms and health-camp sign-ups need short notices in the languages patients speak.

What the law says

Section 5 and Rule 3 ask for a notice that can be understood on its own, with an itemised list of the data and the purpose for each item. Data you already hold from before the Act also needs a notice, as soon as reasonably practicable. Section 5 · Rule 3 · Section 6 · Sections 11–14 · Rule 14

Steps
  1. List every point where personal data comes in: forms, apps, counters, calls, emails, partner feeds.
  2. Write one short notice per collection point, with the data items and purpose side by side.
  3. Add how to withdraw consent, how to make a request and the DPO or contact person's details.
  4. Offer the notice in English and in the languages your patients actually use.
  5. Keep each version with the date it went live.
Evidence to keep
  • Screenshots or copies of the notice at each collection point, with dates
  • Notice version history
  • Translations, where used
Common mistakes
  • Hiding the notice inside terms and conditions
  • One notice for everything, with no link between data items and purposes
  • Forgetting old data collected before the Act
Related questions

Practical examples

Notice wording, request log, retention schedule, vendor clause and breach notice for healthcare and hospitals.

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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