DPDP for the Medical director in Healthcare

Usually not for the treatment itself. A patient who comes for care gives data voluntarily for that purpose, and a medical emergency involving a threat to life is a listed use. Clinical consent for procedures is a separate medical and legal requirement and stays. Extra uses such as research, marketing, testimonials and sharing beyond what care and billing need do require DPDP consent.

Section 7(a) covers data given voluntarily for a specified purpose; Section 7(f) and 7(g) cover emergencies and epidemics. Section 7 · Section 6 · Section 5 · Rule 3

1. Keep clinical consent forms as they are.
2. Add a short notice at registration.
3. Add separate boxes for research, offers and stories.
4. Record which box each patient ticked.
5. Train front desk to explain the difference.

• Registration notice
• Consent records for extra uses

• One form that bundles treatment and marketing
• Calling clinical consent 'DPDP consent'
• No notice at registration

• What should our privacy notice say, and where must people see it?
• Can we use patient data for research, audits or case studies?
• Can we share patient records with insurers and TPAs?

Research with identifiable patients needs informed consent under research rules and DPDP consent for that use. Clinical audit to improve care within the hospital usually fits the treatment purpose. Case studies and teaching material should be de-identified so patients cannot be recognised. Clinical trials follow the NDCT Rules, 2019.

Section 6 sets consent; Section 17(2)(b) covers research only where no decision is taken about the person and prescribed standards are followed. Section 6 · Section 7 · Section 8(5) · Rule 6

1. Route research through the ethics committee.
2. Take research consent separately.
3. De-identify teaching cases and photos.
4. Limit researcher access.
5. Delete or anonymise at the end.

• Ethics approvals
• Research consents
• De-identification checks

• Photos with faces or tattoos in slides
• Using records for studies without approval
• Keeping research data with names after the study

• Do we need DPDP consent to treat a patient?
• When do we need consent, and when can we rely on a legitimate use?
• How long can we keep personal data?

HIV results, mental health records, MTP registers and PCPNDT records each have their own law. HIV status needs informed consent before disclosure. Mental health records are confidential and cannot go to the media without consent. The MTP admission register is a secret document. PCPNDT records are kept for two years. Give these the tightest access in the hospital.

Section 8(5) asks for safeguards suited to the risk; the special laws set their own rules. Section 8(5) · Rule 6 · Section 8(7) · Rule 8

1. List where these records sit.
2. Restrict access to the treating team.
3. Keep the MTP register with the head of the hospital.
4. Set retention as each law says.
5. Log every access.

• Access settings
• Retention entries
• Access logs

• HIV results visible to all clinicians
• MTP details in general billing
• PCPNDT records deleted early

• Who should be able to see personal data in our systems?
• How long can we keep personal data?
• How do we stop staff looking at records they do not need?

Snooping on VIP, celebrity, colleague or neighbour records is a common problem. Give access by role, mark sensitive records, ask for a reason before opening them, allow break-glass access in emergencies, and review those logs every week.

Rule 6 requires access control and monitoring. Section 8(5) · Rule 6 · Section 8(6) · Rule 7

1. Flag VIP, staff and sensitive records.
2. Ask for a reason to open them.
3. Allow break-glass with review.
4. Review logs weekly.
5. Act on misuse consistently.

• Flag settings
• Review records
• Action records

• Everyone can see everything
• Break-glass never reviewed
• No action on misuse

• Who should be able to see personal data in our systems?
• Which logs must we keep, for how long, and where?
• Which records need extra protection under other health laws?

Sending personal data to the wrong chat or a personal account is one of the most common breaches. Banning messaging rarely works. Give staff an approved tool that is easy to use, set simple rules, and make it safe to report a wrong send at once.

Reports and images on WhatsApp groups are the most common hospital breach.

Section 8(5) asks for reasonable safeguards. A wrong send is a breach under Section 2(u), and Section 8(6) applies. Section 8(5) · Rule 6 · Section 8(6) · Rule 7

1. Ask teams how they actually share files and photos today.
2. Provide an approved tool for that job.
3. Set three simple rules: approved tool, no personal accounts, report wrong sends.
4. Teach the rules with real examples from your own work.
5. Treat a quick report as good behaviour, not a disciplinary case.

• Approved-tool policy
• Training record
• Incident reports of wrong sends

• A ban with no alternative
• Punishing people who report
• Ignoring group chats with vendors

• Something has gone wrong. What happens in the first 72 hours?
• Who needs DPDP training, and what should it cover?
• Who should be able to see personal data in our systems?

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.

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.

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

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.

• Request register
• Search notes for each request
• Copy of each reply with date

• Sending raw database dumps
• Forgetting data held by vendors
• No identity check before sending

• How do we handle a privacy complaint within 90 days?
• Someone asks us to delete their data. Must we?
• Where does personal data live in our organisation?

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.

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

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

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.

• Incident plan with clocks
• Rehearsal record
• Incident log with times of each step

• 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

• Which logs must we keep, for how long, and where?
• What must a vendor contract say about personal data?
• Does deletion have to reach backups and test copies?

Everyone who handles personal data needs short, practical training on what to do in their own job. Front-line staff need examples from their counter or desk. Managers need to know the clocks and their own duties. Management needs to know what to ask.

Short sessions with real examples: wrong sends, whiteboards, printouts.

Section 8(4) and 8(5) ask for appropriate technical and organisational measures. Training is part of showing those measures work. Section 8(5) · Rule 6

1. Group staff by what they handle: front line, back office, IT, managers, management.
2. Write three to five real scenarios for each group.
3. Keep sessions short: 20 to 30 minutes.
4. Test with a few questions, and record attendance.
5. Repeat every year, and at joining.

• Training plan by group
• Attendance and test results
• Scenario material

• One long legal lecture for all
• Training once and never again
• No record of attendance

• Staff share personal data on WhatsApp and personal email. What do we do?
• Something has gone wrong. What happens in the first 72 hours?
• Someone asks what data we hold about them. What do we send?

For every use of personal data you need one basis: consent, or one of the legitimate uses in Section 7, such as a legal duty, employment, a medical emergency, or data a person gave voluntarily for a specific purpose. Anything beyond what the person expects, such as marketing, profiling or sharing with partners, usually needs consent.

Treatment rests on the patient's purpose; research, offers and testimonials need consent.

Section 4 allows processing only with consent or for a legitimate use. Section 6 sets what valid consent looks like. Section 7 lists the uses that need no consent. Section 4 · Section 6 · Section 7

1. List each purpose for which you use personal data.
2. Against each purpose, write the basis: consent or the exact clause of Section 7.
3. Where the basis is consent, check that it was asked separately, with a clear action and no pre-ticked box.
4. Stop or re-paper any purpose with no basis.
5. Review the list whenever a new product, campaign or system starts.

• Purpose and basis register
• Consent records with date, version and channel
• Legal sign-off on each legitimate use relied on

• Treating account terms as consent for marketing
• Bundling several purposes in one tick-box
• Relying on 'legitimate interest', which the Indian Act does not have

• What should our privacy notice say, and where must people see it?
• Someone withdraws consent. What has to stop, and how fast?
• Can we send offers to past customers and leads?

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.

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

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

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.

• Notices in place
• Retention settings on the recorder
• Viewing log

• Photocopying visitor IDs as routine
• Footage kept until the disk fills
• Biometric systems with vendor default passwords

• Are contract and agency workers our responsibility?
• How long can we keep personal data?
• What must a vendor contract say about personal data?