Digital Health Records & Patient Privacy: Compliance Obligations for Indian Hospitals in 2025
One of the biggest changes seen in the Indian healthcare landscape is the adoption of electronic and digital technology across various entities. Hospitals, clinics, diagnostic facilities and even the telemedicine provider now keep digital records of your information. And as this transformation progresses, the pressing issue is: How can healthcare providers keep Digital Health Records & Patient Privacy secure?
India Hospitals in 2025. In 2025, Indian hospitals will have to comply with a wide variety of obligations that stem from new statutory provisions, overhauled regulations and patients’ growing expectations.
In this article, we will take an overview of the digital health record scenario in India, look at the legal framework for it and what hospitals need to comply with to maintain confidence and strong privacy safeguards.
Digital Healthcare Records & Patient Confidentiality in India
Digital health records are digitised files of a patient’s medical history, diagnoses, prescriptions, lab results (including images), and demographic information in computer systems with the primary purpose being to allow patients’ secure access to their own records.
These “systems of record” are the linchpin of contemporary healthcare service delivery since they enable quicker access to medical information, minimise mistakes and facilitate more informed clinical decisions.
However, digitisation also introduces risks. The medical record of a patient is one of the most private categories of personal information. Privacy issues arise when the data is stored online or exchanged between platforms, which could lead to unauthorised access, breaches of privacy, or misuse.
In India, the migration towards a digital health framework has been fast-paced, and this has gained impetus after the Abrhman Bharat Digital Mission (ABDM). As digital health IDs, interoperable health records and connected health platforms are set to become the norm, hospitals will have to reimagine how they handle patient data.
The Legal Framework Governing Health Data in India (2025)
The legal system that works with the Health Data in India is:
1. Protection of Personal Data in Digital Media Law (PDGTL) 2023
The DPDP Act is the most significant legislation on personal data in India. It is required of any hospital to have digital patient information. The Act classifies medical records as personal information and requires hospitals to obtain clear consent from individuals before processing the data.
Key mandates include:
- Use limitation: Only the purpose for which consent was given can data be utilised.
- Data minimisation: Hospitals must keep only the data absolutely needed.
- Constitutional obligations to obtain consent: Patients need to understand how their data will be used.
- Reporting of breach: Data breaches should be reported to the Data Protection Board.
In terms of healthcare providers, the DPDP Act establishes a floor barring individuals seeking well-being care institutions from passing digital well-being records to transmit affected person Non-public Data and requiring robust governance construction.
2. Clinical Establishments (Central) Act, 2010
While the Act is not limited to digital records, it does require hospitals to keep accurate and confidential records of patients. With digital becoming the new norm, the responsibility extends to reliable storing and safe finding of digital information.
3. IT Act, 2000 & IT (Reasonable Security Practices) Rules, 2011
These rules mandate that hospitals adopt reasonable security practices, such as:
- Secure authentication
- Access controls
- Audit trails
- Encryption of sensitive personal data
Medical records are considered “sensitive personal data,” which means hospitals need to take special steps to keep them from being accessed without authorisation.
4. ABDM Policies & Standards
The Ayushman Bharat Digital Mission mandates the requirement of interoperability, a common format and secure sharing of data standards. Hospitals joining ABDM must adopt:
- Health Information Exchange (HIE) standards
- Consent-based data sharing systems
- Unique health IDs and universal coding models
In 2025, these frameworks together determine how Digital Health Records & Patient Privacy need to be managed in Indian Hospitals.
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