Blockchain: The Future of Healthcare Data?

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1 Blockchain: The Future of Healthcare Data? Dr Robert M. Learney PhD MBBS Centre for Cryptocurrency Research and Engineering Imperial College London

2 Blockchain: The Future of Healthcare Data? Dr Robert M. Learney PhD MBBS Centre for Cryptocurrency Research and Engineering Imperial College London

3 Distributed Ledgers: The Future of Healthcare Data? Dr Robert M. Learney PhD MBBS Centre for Cryptocurrency Research and Engineering Imperial College London

4 Meet the Team Will Knottenbelt Professor of Applied Quant. Analysis Cathy Mulligan Smart Cities Telecoms Government Advisor Rob Learney Bioengineering Future of Medicine Melek Somai Public Health Digital Transformation Iain Stewart Mathematics of Security & Scaling

5 Triple Aims of Healthcare Experience of Care Per Capita Costs Population Health DM Berwick, Health Affairs

6 Core Elements Patient Involvement Local Population Needs Emphasis on Prevention Financial Management Macro-System Integration DM Berwick, Health Affairs

7 How to Connect the Dots?

8 The Integrator Patient Involvement Local Population Needs Emphasis on Prevention Financial Management Macro-System Integration

9 Patient Involvement Local Population Needs Emphasis on Prevention Financial Management Macro-System Integration

10

11

12

13 The Integrator Patient Involvement Local Population Needs Emphasis on Prevention Financial Management Macro-System Integration

14 The Integrator Patient Involvement Local Population Needs Emphasis on Prevention Financial Management Macro-System Integration

15 The Future of Healthcare is Data

16 All Driven By Data Patient Involvement Local Population Needs Emphasis on Prevention Financial Management Macro-System Integration

17 Imagine: Healthcare in 2027 Tony 26 Married 1 Young Child Works at a Supermarket

18 Imagine: Healthcare in 2027 Tony 26 Married 1 Young Child Works at a Supermarket Severe Asthma

19 Tony s Healthcare Journey

20 Tony s Healthcare Journey

21 Tony s Healthcare Journey

22 Tony s Healthcare Journey

23 Tony s Healthcare Journey

24 Tony s Healthcare Journey

25 Tony s Healthcare Journey

26 Tony s Healthcare Journey

27 Tony s Healthcare Journey

28 Millions of Tonys Millions of Journeys

29 Sept. 2016

30 Artificial Intelligences / Expert Systems Healthcare Records Devices & Software

31 Artificial Intelligences / Expert Systems Healthcare Records Devices & Software

32 Roadblocks to Progress Identity Management System Secure Data Storage Secure Backup System Legal Compliance Data Formats Communication Protocols APIs Repetition & Reinvention Opaque/Absent Standards

33 Roadblocks to Progress Identity Management System Secure Data Storage Secure Backup System Legal Compliance Data Formats Communication Protocols APIs Repetition & Reinvention Opaque/Absent Standards

34 N-Squared Problem of APIs A B C D E F G H I A B C D E F G H I

35 Monopoly Pressures

36

37 Permissionless Innovation NHS New Companies Established Companies Patients

38 What is Distributed Ledger Technology?

39

40

41

42

43

44

45 Key Features of DLT: - High availability - Synchronised records - Secure against intrusion - Cryptographic keys - Impossible to alter history

46 Core Components P2P Message Passing DLT Consensus Mechanism Cryptographic Signatures Distributed Copies

47 DLT vs. Blockchain

48 DLT Closed Group Traditional Systems New Systems PAXOS PBFT Hyperledger Bitcoin Blockchains Open Group Ethereum Tangles IOTA

49 DLT Permissions Closed Group Traditional Systems New Systems PAXOS PBFT Hyperledger Bitcoin Blockchains Open Group Ethereum Tangles IOTA

50 One Possible System

51 A Patient Chain

52

53

54

55

56 Time Place Patient Provider

57

58 34AG30gnq94OaF53g

59 34AG30gnq94OaF53g

60 34AG30gnq94OaF53g

61 In Conclusion

62 DLT in Healthcare Continuously available distributed records Access controlled by cryptographic keys Audit trail embedded into system Unable to edit history Standardised message passing Permissionless innovation

63

64 Thank You Dr Robert M. Learney PhD MBBS

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