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Healthcare and hospitals

DPDP for the Operations head in Healthcare

Front desk, records room, wards and billing handle patient data every minute.

Open this seat in the interactive tool

What is different here

Paper case sheets, printed reports, wristbands and whiteboards show names and conditions. The front desk is also where most requests arrive.

The first four things to sort out

  1. Put the short notice at registration.
  2. Lock records rooms and log file movement.
  3. Clear whiteboards and printouts of unnecessary detail.
  4. Log patient requests and pass them on the same day.

A worked example: A lab report sent to the wrong phone number

  1. Hour 1A patient complains she got someone else's report link.
  2. Hour 2The link is disabled; the correct patient is identified.
  3. Day 1The DPO assesses and informs the affected patient.
  4. Week 1Registration now confirms the mobile number aloud.

Evidence kept: Complaint; Link disable record; Process change.

Most breaches start at registration.

What others in the sector usually do. Hospitals are moving to wristband IDs without diagnosis and reducing names on public boards.

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

9 guides for the Operations head, in full

How do we stop staff looking at records they do not need?

Short answer: Role access, flags and weekly log review

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.

From your seat: Operations head. Front desk and billing also browse records.
What the law says

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

Steps
  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.
Evidence to keep
  • Flag settings
  • Review records
  • Action records
Common mistakes
  • Everyone can see everything
  • Break-glass never reviewed
  • No action on misuse
Related questions

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.

From your seat: Operations head. Front desk explains ABHA linking.
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
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: Operations head. Your counters, forms and call scripts are where notices are actually seen. Check that each one shows the current version.
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

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: Operations head. Front-line staff receive most requests. Teach them to log the request and pass it on the same day, not to answer it themselves.
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
Related questions

How do we handle a privacy complaint within 90 days?

Short answer: Reply within your published period, never beyond 90 days

Publish one clear way to complain, log every complaint, give it an owner and reply within the period you publish, never more than 90 days. People can go to the Data Protection Board only after using your process, so a good process keeps most matters with you.

From your seat: Operations head. Many complaints start as service complaints. Tag the ones about personal data so they enter the privacy log.
In Healthcare

Patient relations already handles complaints. Tag the data ones and count the days.

What the law says

Section 8(10) requires a working grievance process. Rule 14(3) caps the reply time at 90 days. Section 13 says people must use your process before approaching the Board. Section 8(9)–(10) · Rules 9, 14 · Sections 11–14 · Rule 14 · Sections 18–26

Steps
  1. Publish one contact for privacy complaints on your website, app and notices.
  2. Log each complaint with the date, channel and a named owner.
  3. Acknowledge within a few days, and set an internal target well under 90 days.
  4. Find and fix the cause, not just the single case.
  5. Reply in writing and close the entry with the date.
Evidence to keep
  • Complaint register with dates
  • Replies sent
  • Monthly summary to management
Common mistakes
  • Mixing privacy complaints into general complaints with no tag
  • No owner, so nobody counts the days
  • Closing a complaint without fixing the cause
Related questions

Staff share personal data on WhatsApp and personal email. What do we do?

Short answer: Yes, this is a common breach; give staff a safer option

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.

From your seat: Operations head. Shift groups and vendor chats are where data leaks. Give supervisors an approved way to share lists and photos.
In Healthcare

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

What the law says

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

Steps
  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.
Evidence to keep
  • Approved-tool policy
  • Training record
  • Incident reports of wrong sends
Common mistakes
  • A ban with no alternative
  • Punishing people who report
  • Ignoring group chats with vendors
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: Operations head. Check notices at entrances and recording areas, and who on site can view footage.
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

What about call recordings and customer service screens?

Short answer: Yes, with notice, a retention period and masking

Call recordings, chat transcripts and agent screens hold a lot of personal data. Tell callers that calls are recorded and why, keep recordings for a set period, limit who can listen, and mask card numbers and passwords on screen and in recordings.

From your seat: Operations head. Call scripts need a recording notice, and agents need to know when to pause the recording.
In Healthcare

Appointment and lab call centres record names and conditions.

What the law says

Section 5 needs notice, Section 8(5) needs safeguards, and Section 8(7) needs erasure after the purpose. Section 5 · Rule 3 · Section 8(5) · Rule 6 · Section 8(7) · Rule 8

Steps
  1. Play a short recording notice at the start of calls.
  2. Set a retention period by call type.
  3. Pause recording when card or other sensitive details are given.
  4. Limit replay rights to quality and complaint teams.
  5. Lock agent screens and stop phones on the floor if data is sensitive.
Evidence to keep
  • Recording notice script
  • Retention settings
  • Replay access list
Common mistakes
  • Recordings kept indefinitely
  • Card numbers in recordings
  • Open replay access for all supervisors
Related questions

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: Operations head. Front-line teams need a simple answer for 'delete my data': log it, pass it on, and explain the timeline.
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
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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