dHealthNetwork.ioIvan Jasenovic - Founder - CEO of Sicoor.com

Trust

Paradigms and tools change

Leveraging the power of Blockchain

Decentralised

Secure - immutable - verifiable bioinformatic and

financial information

Decentralised

Secure - immutable - verifiable bioinformatic and

financial information

Quotes

“As revolutionary as it sounds, Blockchain truly is a mechanism to bring everyone to the highest

degree of accountability. No more missed transactions, human or machine errors, or even an

exchange that was not done with the consent of the parties involved. Above anything else, the most

critical area where Blockchain helps is to guarantee the validity of a transaction by recording it not

only on a main register but a connected distributed system of registers, all of which are connected

through a secure validation mechanism.”

Ian Khan, TEDx Speaker | Author | Technology Futurist

Quotes

“Blockchain solves the problem of manipulation. When I speak about it in the West, people say

they trust Google, Facebook, or their banks. But the rest of the world doesn’t trust organizations and

corporations that much — I mean Africa, India, the Eastern Europe, or Russia. It’s not about the

places where people are really rich. Blockchain’s opportunities are the highest in the countries that

haven’t reached that level yet.”

Vitalik Buterin, inventor of Ethereum

dHealthNetwork.ioIvan Jasenovic - Founder - CEO of Sicoor.com

Avionics Engineer - Entrepreneur

Steve is a serial entrepreneur, investor, business owner and engineer. He has

sourced start-up financing for companies such as Cyberdefender, International

Silver and Playsino. He is co-founder of Sicoor.

He is also co-founder and Managing Member of Dilato Point Capital, Founder and

President of SEBA Ventures and Ancillatech. As a business owner, he is a partner

at Kona Beri Frozen Yogurt.

As an Electrical/Mechanical Engineer, Steve consults for companies in the

aerospace/defense industry, such as Lockheed-Martin, Rocketdyne, Raytheon and

Northrop-Grumman.

Steve Asetre

Trusted Friends

History

Trusted Friends

History

Trust Me Yet?

Stennis Space Center Director

Richard J. Gilbrech serves as director of NASA’s John C. Stennis Space Center

near Bay St. Louis, MS, since his appointment to the position in 2012. As director,

he provides executive leadership, overall direction and management of the center.

He is responsible for implementing NASA's mission in the area of rocket propulsion

testing, developing and maintaining NASA's world-class rocket propulsion test

facilities. He serves as a federal manager hosting an integrated multi-agency

federal laboratory.

Stennis is a unique federal city that is home to more than 40 federal, state,

academic and private organizations and numerous technology-based companies.

Dr. Richard J. Gilbrech

Professor, Astronaut, PhD

Gregory Errol Chamitoff born 6 August 1962 in Montreal, Quebec, Canada is an

engineer and NASA astronaut. He was assigned to Expedition 17 and flew to the

International Space Station on STS-124, launching 31 May 2008.

He was in space 198 days, joining Expedition 18 after Expedition 17 left the station,

and returned to Earth 30 November 2008 on STS-126. Chamitoff served as a

mission specialist on the STS-134 mission, which was the last flight of Space

Shuttle Endeavour and delivered the Alpha Magnetic Spectrometer.

Now with over 200 days in space, Professor Chamitoff spends half the year in

Australia and the other half in Texas teaching Aeronautical and engineering

students.

Gregory Chamitoff

What does the blockchain do?

Functionally, blockchains are..

● A database (Ledger)

○ Record of transactions

● A compute platform

○ “Smart Contracts”

● Distributed, and no central owner

Central Trust Using a

Third-Party

Distributed Trust

Using a Blockchain

Network Blockchain

Proof of Work - dHt -Identity

Proof of Stake - Storage Keys

Side Chain - Voting Tokens

Proof of Stake - Research Data

Membership - Ledger

A Network of Nodes

A network of so-called computing

“nodes” make up the blockchain.

Node

(computer connected to the blockchain

network using a client that performs

the task of validating and relaying

transactions) gets a copy of the

blockchain, which gets downloaded

automatically upon joining the

blockchain network.

A GLOBAL CONCERN

OUR HEALTH

AND

THE HEALTH OF OUR FAMILIES

Who will use the Blockchain

Membership

Investment

Services

Research

Blockchain & Conventional Medicine

Health Record Keeping - EMR

EMR - Bioinformatics - History

Flat Earth Payment

The Payment Problem:

All the players in the

healthcare universe

communicating and

getting paid

Global Health Jurisdiction

Consumers

Medical Service

Providers

Researchers

Investors

Action Projects

Action Projects

Action Projects = Taxi Hires

dHealthNetwork app

Proof of Stake

Proof of Stake (PoS) happens by a miner putting up a stake, or locking up an

amount of their coins, to verify a block of transactions. The cryptographic

calculations in PoS are much simpler for computers to solve: you only need to

prove you own a certain percentage of all coins available in a given currency. For

example, if you somehow owned 2% of all Ether (ETH), you’d be able to mine 2%

of all transactions across Ethereum.

Proof of Work

Proof of Work happens through miners trying to solve exceptionally difficult math

problems. Finding a solution is basically a guessing game, but checking if a

solution is correct is easy. Miners aren’t able to cheat the system because it takes

real-world resources to work out these solutions.

Hyperledger

Hyperledger Fabric is a platform for distributed ledger solutions, underpinned by a

modular architecture delivering high degrees of confidentiality, resiliency, flexibility

and scalability. It is designed to support pluggable implementations of different

components, and accommodate the complexity and intricacies that exist across

the economic ecosystem.

Token Release

Key Considerations

1. What are the pain points in the current system?

2. What do you want to achieve?

3. Who are the key stakeholders?

4. What are the key relationships?

5. Are there other “smart” initiatives?

6. What are the logic paths?

7. How can the blockchain architecture be built into the existing transaction

framework?

CIA Information Security Properties

● Confidentiality

○ Only Disclosed to authorised parties (Control Reading)

● Integrity

○ Only updated by authorised parties: accurate, well-formed (Control writing)

● Availability

○ Can access when required

● Etc (Anonymity, Privacy, Non-repudiation, ...)

Many Kinds of “Healthcare” Systems

● Overall national system of hospitals, government, professionals,

supply/suppliers, insurers, etc

● Hospital management systems

● Practice management systems

● Pharmaceutical supply chain systems

● Adverse event reporting and management systems

● Medical insurance and payment systems

● Complex medical devices

Security for Health Information?

● Threat model

■ “The main threat the medical privacy is abuse of authorised access by insiders, and the

most common threat vector is social engineering.” (Anderson, 2008)

○ Centralised data increases both value and number of people with access

○ Reidentification attacks won’t stop just because they are illegal

● What Security Properties are Key for Clinical Information Systems

○ Privacy? Consent?

● What is a good Security Policy Model?

Generic Privacy Policies Are Not Enough?

● Lots of the people think they have the right to access your medical data

○ Public health benefit from the access to data by medical researchers

○ Public economic benefit from access to date by government, admin, (insurers?)

○ BUT there are public health harms if patients lose trust in privacy of data

● Healthcare is complex, and is held to higher ethical standards

○ “The Collection, linking and use of data in biomedical research and health care: ethical issues”

(Nuffield Council on Bioethics,2015)

○ “Donation” of data may be limited to purposes

○ Consent is complicated by shared genetics/family history

Blockchain Non-Functional Trade-Offs

● Compared to conventional database & script engines, blockchains have:

○ (+) Integrity, Non-repudiation

○ (-) Confidentiality, Privacy

○ (-) Modifiability

○ (-) Throughput/ Scalability/ Big Data

○ (+/ -) Availability/ Latency

Potential Blockchain Use Cases

● Financial Services

○ Digital Currency

○ (International)

Payment

○ Reconciliation

○ Settlement

○ Markets

○ Trade finance

● Government Services

○ Registry & Identity

○ Grants & Social

security

○ Quota management

○ Taxation

● Enterprise and

Industry

○ Supply chain

○ IoT

○ Metered access

○ Digital rights and IP

○ Data management

○ Attesation

○ Inter-divisional

accounting

When to Use a Blockchain?

● You’ll use a blockchain as part of a broader solution, for data storage,

compute, and/or communication

● Benefit from blockchain’s advantages

○ Logically-centralised, but administratively and physically distributed

● Deal with blockchain’s limitations

○ Work around limitations with other mechanisms

○ Choose a use case where limitations don’t matter

Building a blockchain in the Health Industry

● Design Issues

○ How is the blockchain being used?

○ Is this use efficient?

● Tech issues

○ What blockchain is being used?

○ Is this type of blockchain safe?

● Data issues

○ How does the blockchain use data?

○ Is it using data properly?

● Governance issues

○ How is the blockchain run?

○ Is the operation fair

● Legal issues

○ Is the blockchain’s operation supported

by law

● Systemic issues

○ Will the blockchain affect others?

○ Will it affect system stability?

Blockchain

Efficient

Fair

SafeStable

ProperLawful

● Design Issues

○ How is the blockchain

being used?

○ Is this use efficient?

● Tech issues

○ What blockchain is

being used?

○ Is this type of

blockchain safe?

● Data issues

● Governance issues

○ How is the

blockchain run?

○ Is the operation fair

● Legal issues

○ Is the blockchain’s

operation supported

by law

● Systemic issues

○ Will the blockchain King & Wood Mallesons / www.kwm.com

The code is not law. Really.

● Contract

● Property

● Privacy

● Regulation

● Public Law

● Private Law

● International Law

Legal Issues Legal FrameworkLegal

Landscape

King & Wood Mallesons / www.kwm.com

Standards of care

Public, Private &

International Law

BCBS ISDACPSS-

IOSCO

UNIDROIT UNCITRAL FSB ICMA AFMA

Identification

Recognition

Harmonisation

● Identifying

the actions

which need to

work with laws.

● Recognizing

those actions

under local

laws.

● Harmonizing

those local laws

so that actions

can be taken

across borders.

King & Wood Mallesons / www.kwm.com

The Blockchain & Enhanced security

By storing data across its network, the blockchain eliminates the risks that come with data being held centrally.

Its network lacks centralized points of vulnerability that computer hackers can exploit. Today’s internet has security

problems that are familiar to everyone. We all rely on the “username/password” system to protect our identity and assets

online. Blockchain security methods use encryption technology.

The basis for this are the so-called public and private “keys”. A “public key” (a long, randomly-generated string of numbers)

is a users’ address on the blockchain. Bitcoins sent across the network gets recorded as belonging to that address. The

“private key” is like a password that gives its owner access to their Bitcoin or other digital assets. Store your data on the

blockchain and it is incorruptible. This is true, although protecting your digital assets will also require safeguarding of your

private key by printing it out, creating what’s referred to as a paper wallet.

Centralized Decentralized Distributed Ledgers

Distributed ledgers can be public or private and vary in their

structure and size

Public blockchains

Require computer processing power to confirm transactions

(“Mining”)

The New Networks

● Users are anonymous

● Each user has a copy

of the ledger and

participates in

confirming

transactions

independently

● Users are not anonymous

● Permission is required for

users to have a copy of the

ledger and participate in

confirming transactions

tokenrelease.dhealthnetwork.io/pledge