The panelists were surprised by this question. All the experts were clear that this early days. Caution, but excitement. They were all full of encouragement to try stuff out. All recognized that there is much misinformation and hype. All recognized anyone using blockchain is taking a big risk. None would state any prediction of the future. They also all recognized that those that have succeeded have reaped great rewards. They are all fully committed and excited...
There was not much questions from the audience so I asked
Given that the use of Blockchain will be use-case specific, has there been Healthcare use-cases brought before the Blockchain community that were determined to be a poor use of Blockchain?Their answer: Do not put healthcare data onto the blockchain, no matter how it is protected (e.g. permissioned chains, or encrypted, etc) . It is better to put pointers (to FHIR Servers) onto the chain. So pointers are good, data are bad.
To emphasize a Good use-case is where the data are already public, thus the blockchain is there to support it, validate it, confirm it, or trigger off of it.
What should Healthcare do with blockchain?
- Upfront payment for the access (some micro-payment)
- Requirement for escrow of coin to be unlocked to the Patient if other terms are violated
- Terms of protection of the data
- Kind of clinical trial allowed (heart conditions, but not brain)
- Agreement to keep all research public
- Agreement to contact patient if the patient could benefit from new treatment detected
- Agreement to contact patient if some treatable medical condition not previously known is discovered
- Agreement to not contact patient if terminal condition is detected
#FHIR and Bulk De-Identification