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DPDP Insights › Healthcare and hospitals › Records and archives department

DPDP for the Records and archives department 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

The medical records department keeps case files, registers and scanned records, and issues copies when patients ask.

Written for: Records and archives department, Healthcare and hospitals. Open this seat in the interactive tool

What is different here

Health laws set the minimums: indoor records at least 3 years from the start of treatment, PCPNDT records 2 years or until legal proceedings end, the MTP register 5 years with the head of the hospital, and the Schedule H1 register 3 years. Patients and authorised attendants should get copies within 72 hours. An erasure request cannot cut these periods short.

The first four things to sort out

  1. Keep one retention schedule by record type, with its legal basis.
  2. Log every file movement and every copy issued.
  3. Issue record copies within 72 hours of a valid request.
  4. Destroy only past the schedule and outside any legal hold, with a certificate.

A worked example

Records and archives department

Clearing old files from the records room

  1. Week 1Files past the retention schedule are found.
  2. Week 2MLC files that may be needed in court, files under legal hold, and PCPNDT and MTP records are checked separately.
  3. Week 3The rest are shredded, with a destruction certificate.
  4. AfterDestruction is logged every month, and erasure replies explain what is kept and why.

Evidence kept

  • Retention schedule
  • Hold list
  • Destruction certificate
  • Destruction log

Destroy on schedule, and never before the legal minimum.

What others in the sector usually do. Many hospitals keep indoor records well beyond three years for continuity of care and claims, and write down why.

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 questions the Records and archives department asks, answered 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.

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

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: Records and archives department. Own the schedule and the destruction log.
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

Someone asks us to delete their data. Must we?

Short answer: Yes, unless a law requires you to keep it

You must erase data that you no longer need for the purpose it was collected for, unless a law requires you to keep it. Where a law does require it, keep the data, stop using it for anything else, and tell the person why it is being kept and until when.

From your seat: Records and archives department. Explain clearly what is kept and why.
Example in Healthcare

Medical records have legal minimums; a patient's erasure request cannot cut those short.

What the law says

Section 12 gives the right to correction and erasure. Section 8(7) allows retention only where a law requires it. Rule 8(3) asks every organisation to keep personal data and logs for at least one year first. Sections 11–14 · Rule 14 · Section 8(7) · Rule 8

Steps
  1. Log the request and verify identity.
  2. Check the retention schedule for each record type involved.
  3. Delete what has no legal reason to stay, including copies with vendors and in test systems.
  4. Mark what must stay, with the law and the end date.
  5. Reply in plain words: what was deleted, what is kept, why and until when.
Evidence to keep
  • Erasure log
  • Vendor deletion confirmations
  • Reply to the person
Common mistakes
  • Refusing every erasure request 'because of backups'
  • Deleting records a law requires
  • Not telling vendors

Does deletion have to reach backups and test copies?

Short answer: Yes, through a written backup-expiry rule

Deletion should reach every copy you control. For backups, the usual practice is to let deleted records expire with the normal backup cycle, never restore them into live use, and write this down. Test and training copies should use masked data.

From your seat: Records and archives department. Old backups are records too.
Example in Healthcare

Offline backups decide whether care continues during ransomware.

What the law says

Section 8(7) asks for erasure. Rule 6 asks for backups for continuity. The two meet in a backup retention rule that is short enough and written down. Section 8(7) · Rule 8 · Section 8(5) · Rule 6

Steps
  1. List where copies live: backups, replicas, test, analytics, laptops, vendors.
  2. Set backup retention to match the retention schedule.
  3. Write a rule: deleted records are not restored into live systems.
  4. Mask personal data in test and training copies.
  5. Get deletion confirmations from vendors.
Evidence to keep
  • Backup retention settings
  • Written backup-expiry rule
  • Masking procedure for test data
Common mistakes
  • Ten-year backups for convenience
  • Live copies in test
  • Restoring old backups and bringing deleted records back

Someone asks what data we hold about them. What do we send?

Short answer: Yes, a clear summary, inside the published timeline

Send a summary of the personal data you hold about them and what you do with it, and the names of the other organisations you shared it with and what was shared. Check the person's identity first, log the request and keep a copy of your reply.

From your seat: Records and archives department. Find records fast when someone asks.
Example in Healthcare

Under the 2002 regulations, patients and authorised attendants should get record copies within 72 hours of a request. The DPDP summary adds who the data was shared with.

What the law says

Section 11 gives the right to a summary and the list of organisations it was shared with. Rule 14 asks you to publish how requests are made and to answer within the period you publish. Sections 11–14 · Rule 14 · Section 8(9)–(10) · Rules 9, 14

Steps
  1. Log the request in one register the day it arrives.
  2. Verify identity using details you already hold.
  3. Search every system, including vendors' copies.
  4. Write a plain summary: what data, why it is used, who received it.
  5. Send it, and file the request, search notes and reply.
Evidence to keep
  • Request register
  • Search notes for each request
  • Copy of each reply with date
Common mistakes
  • Sending raw database dumps
  • Forgetting data held by vendors
  • No identity check before sending

Police, a court or a regulator asks for someone's data. What do we do?

Short answer: Yes, when the request is lawful and in writing

Check that the request is in writing, comes from the right authority and cites the legal power. Share only what is asked for, record what you sent and to whom, and keep the request on file. The Act allows processing to meet a legal duty, but it does not mean sharing everything on a phone call.

From your seat: Records and archives department. Log what was released.
Example in Healthcare

Police requests for MLC records and court summons are common.

What the law says

Section 7(d) and 7(e) allow processing to meet a legal duty to disclose to the State, or to comply with a judgment or order. Section 17(1)(c) exempts processing for preventing, detecting or investigating offences. Section 7 · Section 8(5) · Rule 6

Steps
  1. Route every such request to Legal.
  2. Check the authority, the legal power and the scope.
  3. Share only what is asked, by a secure method.
  4. Log the request, what was sent, by whom and when.
  5. Tell the person, unless the law or the authority says you must not.
Evidence to keep
  • Authority request log
  • Copies of requests
  • Record of what was sent
Common mistakes
  • Sharing on a phone call
  • Sending whole files when a few lines were asked
  • No log

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: Records and archives department. A missing file is a breach.
Example 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

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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