Healthcare segment is one of the critically acclaimed industries in the global arena. As technology has influenced every segment, healthcare is no different. Blockchain can be considered as a brainchild of technology that is set to transform the medical treatment and transaction processes across the globe. It is the mechanism that removes the geographical boundaries and makes effective healthcare services available to the majority of the patients. This aids in proper treatment and remedies. Blockchain has already found its importance in several other sectors such as Fintech, Insurance and many more. In the healthcare segment, it can be very beneficial in terms of treatment processes and other associated services.
The blockchain is the backbone of the most talked about bitcoin digital currency. Its origin is however not very definite. Its beginning can be traced back through a series of a pseudonymous and unidentified person or group to a man called Satoshi Nakamoto. It has already shown its significant popularity and usage in the finance segment. There is a number of businesses which are already utilizing this technology actively. In fact, such businesses are taking up the global marketplace quite rapidly. Blockchain can be considered as a digital ledger of transactions within a business network that is not controlled by any single or independent entity. The distributed ledger system makes it easier to create cost-efficient commercial relationships where virtually anything of value that can be tracked and traded without the involvement of a central governing entity. Trust and integrity are established without the dependency of the third party intermediaries which is beneficial in all aspects.
Permission-based Blockchain acts as a closed ecosystem. The information related to the recorded history, transactions and such as cannot to accessed or viewed by unauthorized individuals. This type of system can be actively used by centralized organizations who want to have complete control of the network and its related information.
This system can run with the help of specific members of certain fraternities or companies. Only the approved members or specific entities will have the ability to run the nodes on the network. Only these individuals will have the access to validate the transaction blocks, reading the entire or partial transaction history or execute the smart contracts. In other words, it is a controlled functioning system.
Through this kind of system, the members in the network can come to an opinion regarding the amount of decentralization the network should possess. Private Blockchain allows the choice of the algorithm that one wants to prefer for running the platform. It also ensures the level of governance model they want to introduce in the network and so on. This kind of system is generally introduced in the hierarchy oriented business models.
The transparency of this type of system depends upon how the organizations want to maintain it.
The governing structure of the network depends upon how the configuration is done. There is no need for a consensus-based mechanism which the network must approve.
Private Blockchain system can be very effective in case of centralized healthcare systems.
In this type of system, anyone can join the network and can take part in creating a consensus. The ICO startups which are coming up with tokenomics idea mainly make use of this concept. This is mostly used to power up the digital currencies. Any particular node can be run by the associated parties within this system. They can also implement fresh mining protocols that will aid in the verification of transactions.
In this system, the developers do not imply any kind of boundary to add new things. Mostly such networks are smart contract based where only the transaction will execute automatically if the criteria are met.
Mostly the permission fewer networks are decentralized in nature. There are no centralized authorities who can edit the ledger, change any particular protocols, shut down the entire network and so on.
Mostly all the permission-less network follows the digitalized tokens. The value of those tokens can raise and fall within a stipulated time frame.
Mostly all such structures follow an anonymity kind of stuff where the members do not have to submit any of their personal details to create address or submit any kind of transactions.
It can be generally used in the ICO startups that are willing to raise funds through a transparent process.
Symmetric-key algorithms are the ones that use the same cryptographic keys for both the encryption of plaintext and ciphertext description. The key is kept secret while doing the transactions.
The distributed ledger or shared ledger is a platform where all the records are written for blockchain. The distributed ledger is updated in real time and no authority is responsible for the network to update this. The network runs on the consensus like POS (Proof of Stake), POW (Proof of Work), and DPOS (Delegated Proof of Stake) etc. The changes are updated within seconds.
The blocks associated with the network are validated by the consensus and then it is added to the network. Validation and verification are necessary for member addition.
Global health care expenditures are expected to continue to boom as spending is projected to increase at an annual rate of 5.4 percent in the period of 2017 to 2022, from USD 7.724 trillion to USD 10.059 trillion. This poses to be a growing segment and many large scale companies are at work. Blockchain in healthcare can be a profitable technology addition to this segment as it reduces complexities associated with many business segments. Even the consumers of this segment can benefit from this structure.
Tampering of records is one of the issues faced in the healthcare industry. Usually, the patient records get defaced or altered by the middleman. There are thousands of files associated with a single hospital. So when it comes to several hospitals which are located at different geographical locations then the volume of such files increases to a great extent. These have a higher chance of getting interfered by third parties.
Insurance fraud is another critical factor that is hampering the process flow of the healthcare sector a lot. Many people are dependent on health insurance to bear the expenses of the hospitals and nursing homes. There is a lot of hassle associated with the identity verification process. The problem from the user perspective is that the insurance sometimes get stuck and it leads their life to unforeseen circumstances.
It is seen in several circumstances that the data gets stolen from the database of the hospitals. These records and information are easy targets for the hackers to steal. They get the key to all the private information of the patient history which can be very challenging not only for a user perspective but also from an authority perspective.
It is seen quite often that if a small healthcare system gets hacked and it is not investigated properly. However, in most cases, it is observed that smaller healthcare systems have the link to the larger setups. The healthcare systems are interconnected with each other. So a hacker breaks the code of the smaller system he or she has the key to unlock the larger system. This opens a huge scope for data theft. The interdependency of the small healthcare systems with the larger setups make the entire system vulnerable to attacks.
It is seen quite often that a lot of people working in healthcare don’t have ample amount of knowledge in cybersecurity. Due to inadequate knowledge in this regard, the users who hold top positions in the healthcare industry sometimes put the process in an unorthodox position. This situation can be effectively managed through blockchain based medical records.
People belonging to the developing countries tend not to give proper importance to the healthcare data. The value and prospects of this data type are not fully understood by the authorities. The extended lifetime of medical records which is generally 20 years makes them a valuable asset for the hackers around the globe.
There are many unethical people who pose themselves as doctors. They mislead people while providing an unauthenticated prescription. These fraud people get away as there is no way to verify the originality of their prescription. Blockchain medical records in healthcare can be useful towards verification of such prescriptions.
It is seen in many cases that the patient payments associated with the traditional healthcare system often face troubles. Only in the United States, a total of 30 million frauds have been detected. The difficulty lies with the verification and authentication processes.
It is seen that in last few decades some dishonest businessmen have put the entire healthcare sector in jeopardy through the manufacture of improper drugs. There is no way to discover whether the drug is authentic or not. This can be a critical error which can lead to many fatalities.
In this segment, a lot of healthcare institutions add duplicate payments in the patient’s bill as a part of covered services which they didn’t cover at all. This type of unethical practices is quite common nowadays that are not traceable easily.
The blockchain in healthcare is the technology that has the ability to revolutionize healthcare segment. It can aid in maintaining the privacy of the individuals, enhance security and effectively manage the interoperability of information. It can be instrumental towards building and implementation of a reformed model for health information exchanges (HIE). Through this system, electronic medical records can be created and maintained more efficiently. In later years it can be predicted that this technology can provide secure ground for experimentation, investments and proof-of-concept testing.
Through this system, various healthcare providers like doctors, pharmacies, and insurance companies will be on the same platform and register themselves in the blockchain healthcare ecosystem. After registration, the independent authority will verify it. After scrutiny and validation, the details will be listed on the distributed ledger of the system. A particular hash value will be generated through this process. Verifying the legitimacy of every entity will become absolutely easy and healthcare blockchain medical records will come into play. Through this usage process in healthcare, there can be a significant reduction in the international fraudulent activity related to verifying the legitimacy of the prescription or a doctor certificate. It can eradicate a major loophole in this segment.
Let us explore a use case for healthcare blockchain medical records where all the details related to patients such as prescriptions, medical reports (blood test, MRI results, X-Rays, echocardiograms) will be updated on time to time basis. If any doctor wants to check the details associated some particular patient when they are taking some kind of online consultation they can easily do so without hassle. They can send their all-important consultation with ease and confidence. It will save time and money in a drastic way. The best way to determine treatment for a person is to look at and analyze what has worked in the past and for whom it has worked.
Let us explore the blockchain in healthcare technology related use cases. We consider this entire system as a permission-based system where the patients can share the intended medical records to the proposed recipients in a channelized manner. So it can be said that the users will be able to share the details of their medical record to the relevant recipients such as pharmacies, insurance companies, and doctors. The recipients, on the other hand, will be able to use this vital information for various medical procedures. In this manner, the clerical mistake can be avoided. The patient also can share the right amount of information as per their motive to the organizations and personnel according to the requirement. Through this kind of system, the user can set how much of his or her history can be seen by any other party. Through the third party API, the users will be able to share their record with any insurance or healthcare companies. Thus this scenario shows an important use for blockchain based healthcare processes.
We visualize a system where blockchain medical records will come into play with the help of the PHI (Protected Health Information). In this, the anonymous medical data whether it be a blood test, MRI results, X-Rays, echocardiograms, biopsy reports or any records will be fed into the blockchain based network. This will leverage to help medical professionals quickly diagnose and recommend proper treatment plans for individuals, contribute to medical research. These medical records will be helpful to the medical professionals in prescribing the medication to the patients as per the records which have worked in the past for the other patients.
Blockchain healthcare technology creates a hash for each PHI (Protected Health Information) block, together with a patient ID. Covered entities can receive the essential information without revealing a patient’s identity with the usage of an API. This mechanism helps in effective diagnosis of other patients with the same kind of disease or symptoms. Thus healthcare technology advances to a new horizon.
Medical Institution can share the patient records with other clinics and other medical institution at the time of emergency with the assistance of this system. We can assume a scenario with two clinics. The admittance to a precise fraction of medical information is done with the approval of both the authorities. Any personal and confidential information related to the patient is not disclosed. In other words, a patient’s entire record would not be unlocked. The only information that would be vital in perspective with the emergency medical situation will be shared.
A blockchain-based healthcare system is certainly a new technology. This kind of system will promote borderless transactions. Since there is no manual paperwork involved in the system, the users will be able to use the data with the permission-based system under the network. This helps in enhancing the entire system of transactions with minimal errors.
The insurance companies can receive verified patient data with the help of this kind of system. This procedure helps the insurance companies to reduce manual assistance for the verification of the claims and other processes. They can also verify the claims of the users quite easily hassle free.
It is very easy to receive and authenticate the payment data using the crypto payments. Through this procedure, the authorities can verify and validate the payments by the blocks which are convenient. It can reduce the fraud occurrences to a massive extent. Through this system, even the smallest payment details can be traced, tracked and verified.
One of the main features of blockchain in healthcare is to track the authenticity of the drugs in the healthcare industry. Every new transaction will be added to the block which makes it immutable for anyone in the ecosystem. This will be helpful to track the product in real time. The manufacturers need to be reputed since they will update the record initially. Through this way, every detail of the medicine will be updated on the ledger and the authenticity can be tracked.
Let us assume a condition where a particular manufacturer company has done research on a product. It needs to be shared on different geographical locations so as to check the authenticity of the clinical data; a larger data set is required from different health samples. For maintaining the authenticity of the data those particular records are being time stamped through blockchain based ledger. There cannot be any alterations to the data. Hence they can’t change the outcome of the result as well.
This technology would add to the authenticity of the clinical trial. The documents will be stored on the ledger as hash values. This will reduce the audit costs to a radical level along with reviewing the documents, frauds etc.
Through the blockchain in healthcare facility, one medical institution cannot give fake bills for the services which they did not cover at all or which is not necessary from the patient perspective. All the medical records and the details will be updated on the ledger in a periodical manner making it impossible for duplication or any type of forgery.
Health Management of a demographic group can be easily managed by the blockchain based healthcare system. Presume there has been a situation where the users of a specific age group are suffering from the possibility of heart disease. Now to confirm this and making particular data shareable, the blockchain provides a reliable solution with the authenticity. If it is applied correctly the blockchain will allow best in the class security with data integrity and real-time update with access to the validator nodes across the world.
This will allow more people to participate in health studies making data sharing easy across diverse populations. People can approach the target more easily by getting more data sets. Involving the blockchain with artificial intelligence and machine learning will take it to another level.
Healthcare system follows a large number of compliances. The data centers which the blockchain technology recommends and promotes must be HIPPA compliant.
The Health Insurance Portability and Accountability Act (HIPAA) set the standard for sensitive patient data protection. Companies that deal with protected health information (PHI) must have a physical, network, appropriate security procedures in place and follow them to guarantee HIPAA Compliance.
Each interaction of the medical data is auditable, transparent and secure because each transaction will be recorded on the platform as a distributed ledger. This positively promotes blockchain within healthcare system.
Each data is controllable as per the user’s perspective. The users will be in full control of the data sharing process. Hence only the permitted section of information will be shared with the service providers.
The data which will be used in the system is smart contract controlled data. It implies that the data will only execute if the predefined condition is satisfied.
A computer protocol named the smart contract is planned to digitally assist, confirm, or implement the negotiation or presentation of a contract. They are responsible for the performance of credible transactions without the involvement of third parties. These transactions can be traced and are irreversible in nature.
The primary concern in working with healthcare data at a patient level is protecting in the personal health information (PHI). The blockchain is predicted to establish a success record in securely managing healthcare data services and it is likely to be considered a preferred transactional process to be used in the system.
The Data Use Agreements dictate to business partners how the medical data can be managed, stored, moved and manipulated. It also dictates that PHI is secured in specific locations with access limited to specific individuals or authorities. This depicts who must access the data to perform certain medical activities charted in contractual arrangements. The dispersed nature of data storage in this technology would require a major change in existing practices of data security in healthcare. It can be significant in promoting this system in healthcare.
In the existing healthcare system, it is very difficult and tedious to link various electronic databases sourced from different locations. Even in the case of healthcare claims from insurance companies, electronic medical records, social services systems, personal monitoring devices, consumer purchasing databases and such like requires perfect identification of the patient. Blockchain system will bring in uniformity and correlation of such data and verification process. This will aid in reducing errors and increasing efficiency.
One of the setbacks in such type of system is reduced speed. The system becomes slow since each and every transaction associated with the system gets updated in the digital ledger. However, it is not utterly true. The speed depends upon the model used in the process.
The scope is to build a proper market place where the users will be able to register with the required information. They will be able to get an entire set of services that includes getting the consultation of certified doctors and getting different services from various service providers present in the ecosystem. The blockchain based consensus will be able to provide the above-mentioned services.
As per the client requirements, a particular platform will be built with the help of this technology. In this blockchain based platform, all the appropriate medical details of the patients will be reserved in the nodes of the system. The access will not be provided to any other individual or institution.
The patients will be able the in-charge of their own records. Only particular doctors and relatives will be able to view. Only these sanctioned individuals will be able to observe and inspect the records. The system will allow personnel to view the medical information that is designated for him or her.
The system will have a wallet included with it. It would be compatible with several cryptocurrencies. These cryptocurrencies can be used the individuals and it can be purchased through the platform only. The users will be able to do any transaction type associated with the system with a specific token only.
The users who will be registered into the system can deposit the formal proposition of their countries. After that, they will be able to buy the respective crypto token. Also after getting designated services, they can transfer the crypto token with the equivalent fiat of the respective currencies.
A universal system is created in which different vendors will be interconnected through the ecosystem.
• This platform will support multiple vendor type registration and will contain different service listing types like hospitals, pharmacies, diagnostics, tourism service provider and travel agencies.
• There will be only one coin which will be used in the system and all kinds of transactions will be done through this particular coin. This particular coin can be brought through the system wallet and through pre-listed cryptocurrencies. It will be exclusive to the platform only.
• This particular system will also provide all kinds of cost analysis and comparative services and will list out the best price of the product which the patient is searching.
The power of blockchain comes to play in the EHR (Electronic Health Record) section where all the patient record will be stored using in this technology and no one can delete any kind of record from the system.
1. System Admin
2. Patient or the End User
1. Deactivation and reactivation of users.
2. Modification of System Preferences or Settings.
3. Force sending of a new password to a user via email.
4. View Reports or Dashboards.
5. See the total finance details associated with the ecosystem.
6. Addition and management of news.
7. Addition and management of FAQ.
8. CMS management. (This would be used for management of the static pages)
9. Observation of Two Factor authentication details.
10. Appointment details view of the doctors in the system.
11. View of the listing of the vendors with the system.
1. Registration of the basic information.
2. Alteration of the general information from the “settings” section.
3. Viewing of the patient records under the specific doctor. In this case, the permission of the patient needs to be there to access the medical records.
4. Smart tracking of the scheduled appointments of the respective doctor.
5. Submission of the hospital request.
6. Provision of online consultation to the patients.
7. Providing the online medicine prescription to the pharmacies.
1. Registration of the fundamental information.
2. Updating the family information with any doctor.
3. Viewing of the list of physicians in the specific area.
4. Viewing of the list of medical centers in the specific area.
5. Ability to schedule any particular appointment.
6. Information related to a specific physician in the area.
7. Ability to schedule any particular appointment with a particular physician.
8. Access to information on all the related topics in the blog section as per their selection at the time of registration.
9. Addition of certain relatives to view medical history.
10. Granting permission to access information to specific individuals.
1. The vendors will be able to register into the system and will be able to list the medical equipment and medicines.
2. The vendor can receive the tokens and will be able to transfer the goods to the respected client.
Not only the technology but also we are also integrating the IBM Watson 500 engine with the system. This will enable the user will get prediction regarding the particular medicine. It will also ensure comparative pricing of the particular product if it is available at a lower rate.
We are on the verge of developing the permission-based blockchain powered market place with unique artificial intelligence quotient.
Every client prefers a complete and comprehensive global ecosystem committed to advanced and sophisticated technology and transparency in the form of a global decentralized autonomous organization (DAO). This system should preferably be administered by the token holders of the ecosystem. As per the client, there will be a global ICO (Initial Coin Offering) listing platform where all of them can get listed. There will be a decentralized exchange system which will list all the medical ICO tokens. The traders will be able to trade with those entities. In the token listing platform, all the ICOs will be getting listed. The DAO will give the rating to those ICOs based on the input they are providing.
We are building the ICO listing platform where all of them will be listed. The main motive of this approach is to operate a worldwide ICO fundraising platform and cryptographic exchange services. We will also provide comprehensive advertising, planning and consulting services to support the ICO projects and start-ups that have entered into cooperation agreements with the system. It is also essential to aid in identification, fostering, growth and development of such and related start-ups. There is a proposition to build a number of meticulous verification standards that enhance the transparency and reliability of this technology and segment as a whole. The focus is also laid on making this technology a safe and pivotal part of the industry growth. We will be able to actively cooperate with financial, securities, and regulatory agencies around the world.
Through this blockchain system in healthcare, all the ICO will receive a detailed marketing plan based on their input. The marketing plan will be classified as Silver, Gold, and Platinum accordingly.
The exchange will be decentralized and it will run on the off chain matching engine. An off-chain matching engine will allow it to benefit from the performance characteristics of the centralized exchanges. Orders are signed and sent from the user addresses to the matching engine, where they are swiftly and deterministically processed with the help of highly sophisticated and efficient hardware. The matched orders are then signed off-chain and committed back to the user accounts that are on the exchange.
This would be the first of its kind blockchain system where the healthcare ICOs can list their tokens and the traders can trade with them. The system will aid in channeling provision for the startups by laying out proper marketing plans.
Through the blockchain system, the ICOs can promote themselves with top-notch marketing plans. It will also promote blockchain healthcare with first of its decentralized exchange that is powered with the medical tokens.
The client wants to have a platform where there will be a valuable recommendation regarding the medicine for children that will be helpful towards leading a healthy life. The platform will also recommend the daily routine for children based upon input from their parents. This input can be provided during the registration.
We are creating a healthcare platform based on blockchain where the parents will be able to register with their child name and provide necessary details related to health and physic such as gender, height weight, medical conditions etc. The details will be stored in the system with a particular hash value. With the active usage of the Artificial Intelligence, the children will be recommended with a proper diet plan and medical chart. All the medical reports of the children will be updated on a periodical manner in the system. As the on-chain technology is being used so all the records will be version controlled.
Esteemed child professionals around the globe can register in this blockchain based healthcare platform and guardians will be able to take all important consultations from them. The proven records of the children can be sent over the boundaries. This entire process of exchange will take place with the approval of validator nodes that lies in the hand of admin.
With the effective combination of artificial intelligence and permission-based blockchain, it will help in better management of child healthcare system.
Blockchain on the healthcare economy will have an enduring impact. It will make sure that every detail associated with a patient must be dealt with utmost care. It will also guarantee that the data is never accessible to the third parties who do not have authorized access. There are several instances where it is seen in case of normal hospital websites where hackers pry on. This can put the entire system in a total peril. However, with the introduction of the blockchain, this scenario can be changed. But introduction, implementation and active usage of this sophisticated technology will take some time. Blockchain will surely open new doors to make the healthcare industry more successful in the future.
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