National Health Data Repository

Submitting data to the NHDR

Who are going to submit data to the NHDR?+

Health-related entities include but are not limited to, health care facilities, national and local government agencies involved in the provision of health services, and agencies involved in the collection of health data. Stakeholders/agencies involved in the provision of health services and/or processing and submission of health and health-related data, and those identified by the DOH and PhilHealth. Infographic lists: health facilities/health care facilities, health care professionals, laboratories and diagnostic clinics, pharmacies or drug outlets, community-based health care organizations, insurers, academic and research institutions, medical societies, health professional associations, national and local government agencies, civil society, non-government organizations, donor or funding agencies, development partners, and local and international ICT entities.

What kind of data are to be submitted to the NHDR?+

Health and health-related data collectively refers to a set of specific variables or parameters that relates to individual and population health and well-being, including but not limited to administrative, public health, medical, pharmaceutical and health financing data. This includes: Administrative data: information related to the operations and management of health facilities, such as patient demographics, service utilization, and financial transactions. Public health data: data on disease occurrence, prevalence, and distribution within the population. Medical data: clinical information about patient diagnoses, treatments, and outcomes. Pharmaceutical data: data on drug prescriptions, dispensing, and consumption. Health financing data: information related to health insurance coverage, claims, and payments.

What data standards are to be used?+

All health and health-related data that will be submitted and processed through the NHDR shall conform to the standards and rules set forth under the DOH and PhilHealth Joint Administrative Order No. 2021-0002 on the Mandatory Adoption and Use of National Health Data Standards for Interoperability, and other subsequent issuances.

How will the data be submitted to the NHDR?+

Section 36 of RA 11223 states that all health service providers and insurers shall each maintain a health information system consisting of enterprise resource planning, human resource information, electronic health records, and an electronic prescription log consistent with DOH standards, which shall be electronically uploaded on a regular basis through interoperable systems. Use a validated health information system like electronic medical record, hospital information system, or clinic information system.

NHDR overview

Republic Act (RA) 11223 (An Act Instituting Universal Health Care (UHC) for All Filipinos, Prescribing Reforms in the Health Care System, and Appropriating Funds Therefor), also known as the Universal Health Care Act, provides the legal basis for health reforms in the country. Health reforms are guided by the principles of whole-of-government, whole-of-society, and whole-of-system approach to ensure that health funds are spent judiciously, address the increasing demand for better health services, and increased accountability for results or outcomes.

Section 31 of the Universal Health Care Act mandates that all public and private, national and local health-related entities shall be required to submit health and health-related data to PhilHealth including, among others, administrative, public health, medical, pharmaceutical and health financing data. The health and health-related data shall be submitted to PhilHealth by all health-related entities through a National Health Data Repository, in compliance with Implementing Rules and Regulations (IRR) Section 31.1 of RA 11223 as well as the guidelines that shall be jointly developed by Department of Health (DOH) and PhilHealth, in consultation with the Department of Information and Communications Technology (DICT) and the National Privacy Commission (NPC).

There are four (4) approved policies that support the establishment of the National Health Data Repository (NHDR), namely:

DOH and PhilHealth Joint Administrative Order No. 2021-0002 - Mandatory Adoption and Use of National Health Data Standards for Interoperability
DOH and PhilHealth Joint Administrative Order No. 2021-0001 - Implementation and Maintenance of an Integrated Health Information System
DOH, PhilHealth, and DICT Joint Administrative Order No. 2021-0001 - Implementation of the Standards Conformance and Interoperability Validation
DOH and PhilHealth Joint Memorandum Circular No. 2021-0001 - Implementation Guidelines on the Processing and Submission of Health Data

PhilHealth shall establish and maintain the NHDR for all health and health-related data submitted by health care providers, insurers, and health-related entities; considered as the overall Data Controller insofar as it controls the processing of health and health-related data; and assume full responsibility in complying with existing and applicable laws, rules, and other relevant issuances relating to the submission and processing of health and health-related data, including data protection.

Seven building blocks of NHDR

Leadership and governance
Legislation, ethics, policy and compliance
Investment strategy and sustainability
Standards and interoperability
Human resource
Services and applications
Digital infrastructure

NHDR building blocks diagram

Diagram shows the seven building blocks arranged around the system. Top: Investment Strategy and Sustainability, Leadership and Governance, Human Resource. Left side vertical: Legislation, Ethics, Policy and Compliance. Right side vertical: Standards and Interoperability. Center: Client Services Component (Philippine Health Services and Data Access System), Compute Services Component, and Data Storage Component, including dataset submission, business intelligence and analytics, data access request, open data, and eHealth services and applications. Bottom: Services and Applications, Digital Infrastructure.

Image on the original site · transcribed

NHDR framework

The NHDR Framework is built on components derived from the WHO eHealth Toolkit, organized into two key dimensions: the enabling environment and the ICT environment. The enabling environment encompasses the policies, practices, and actions that ensure the efficient and effective operation of the NHDR. Meanwhile, the ICT environment focuses on the technological infrastructure, including hardware, networks, services, and applications, which facilitate the implementation of digital health interventions.

NHDR architectural components diagram

Diagram shows three layers: Client Services Component (Philippine Health Services and Data Access System) with Dataset Submission, Business Intelligence and Analytics, Data Access Request (Health Information Exchange), eHealth Services and Applications, and Open Data; Compute Services Component with application management, BIA management, security management, users account management, data management, data warehouse management, identification and authentication, standard registries and code management, network/connectivity management, operational database management, storage management, and server/virtualization management; and Data Storage Component for physical storage of health and health-related data.

Image on the original site · transcribed

Architectural components

These are the architectural components that make up the NHDR in order to achieve integration and interoperability of all data processing systems. The architectural components that make up the NHDR are the Data Storage Component, Compute Services Component, and Client Services Component.

Client services component: initial systems

The Client Services Component shall include the following initial systems:

1. Dataset submission — Through the dataset submission system, health care providers, insurers and health-related entities with certified or validated information systems or applications can submit health and health-related data to the NHDR using centralized or decentralized model of submission.
2. Business intelligence and analytics — This is where all health and health-related data (whether restricted, private, or public) shall be integrated, processed, and analyzed for insights to support the operational, tactical, and strategic planning of the DOH and PhilHealth.
3. Data access request — Through this, health and health-related data will be made available and accessible to every stakeholder in the right way, and processed in a lawful, ethical, secure, consistent, and efficient manner at all levels of health care utilization.
4. eHealth services and applications — eHealth services, applications or solutions using the NHDR shall be designed and developed to support systems that can benefit even the general public. Examples include frontline applications like finding a doctor, health service, drug/medicine, etc.
5. Open data — NHDR's Open Data will include the presentation of statistical data with visualizations, and its metadata. Open Data will allow the DOH and PhilHealth to share data under an open data license where data can be freely used, re-used and redistributed by anyone without restrictions other than proper source attribution.

Submitting data to the NHDR

Who are going to submit data to the NHDR?+

What kind of data are to be submitted to the NHDR?+

What data standards are to be used?+

Submission models

Centralized submission to NHDR: The centralized dataset submission model shows how health care providers, insurers, and health-related entities are to submit health and health-related data directly to the NHDR.

Decentralized submission to NHDR: The NHDR shall also collect data through a decentralized data submission model. National and local government units that collect and process health-related data, such as licensing information from the DOH and census data from the PSA shall also submit to NHDR. The DOH and PhilHealth shall review and select which processed data are to be submitted to the NHDR to ensure quality and relevance.

Mandatory national health data standards

Mandatory national health data standards - health record:

Health care institution - refers to health facilities that are accredited with PhilHealth which includes, among others, hospitals, ambulatory surgical clinics, TB-DOTS, freestanding dialysis clinics, primary care benefits facilities, and maternity care package providers.

Health information systems - like hospital information systems, electronic medical record systems, clinic information systems, and others.

What are some of the expected benefits of the NHDR?

Clients/patients:

Improve the ability of clients to access health care services
Enable management of one's complete health record
Support early detection and treatment of preventable communicable and non-communicable diseases
Improve care coordination
Reduce costs like repeated laboratory tests

Healthcare providers:

Improve access to health information at the point of care
Improve exchange of patient information with other healthcare providers
Monitor and track their patients more effectively, reduce paperwork

Researchers/academe:

Greater access to evidence-based information
Improve access to networks and resources

Health-related business entities:

Provide health content as a commodity
Facilitate research and development
Enable broad and cost-effective marketing for health products and services

Government:

Improve determination on health action plans, issues, and challenges
Make informed decisions
Enhance analysis of disease patterns and trends
Deliver more reliable, responsive, and timely health reporting

NHDR overview

Seven building blocks of NHDR

NHDR framework

Architectural components

Client services component: initial systems

Submitting data to the NHDR

Submission models

Mandatory national health data standards

What are some of the expected benefits of the NHDR?

References and downloads

Government

Citizen tools · BetterGov.ph

National Health Data Repository

NHDR overview

Seven building blocks of NHDR

NHDR framework

Architectural components

Client services component: initial systems

Submitting data to the NHDR

Submission models

Mandatory national health data standards

What are some of the expected benefits of the NHDR?

References and downloads