Development Update: The road ahead

Date Published: 9/20/2018

There are approximately 20,000 hospitals and hundreds of electronic medical record systems being used in the world.

Will these profit seeking health systems agree to share the data when they have no economic incentive to do so?

In the end, it's the patients who suffer the consequences.

If a patient had portability with their data, they would no longer be locked into these organizations that hinder innovation.

It's time to put patients at the center of their own data. It's time to throw away perplexed and vendor-manipulated API working groups favoring the data-prison mindset of electronic medical records that prioritize profits over the care of consumer and public health. Why shouldn't we consumers help create and manage our health data portability? We need to take it out of the hands of powerful vendors and instead channel healthcare data flow through patients

MediBit EHI Market Research: Entering the $68.75 billion industry

According to a new market intelligence report by BIS Research, titled "Global Big Data in Healthcare Market- Analysis and Forecast, 2017-2025", the big data in healthcare was estimated $14.25 billion in 2017, and is estimated to grow over $68.75 billion by the end of 2025.

In the current healthcare data market, patients(the data producers) do not have a role in the market once data leaves their hands. However, patients can now be sellers of their own data using MediBit EHI. The MediBit platform connects the buyers and the sellers of data directly and ensures all transactions with cutting-edge, advanced encryption. MediBit strives to provide the healthcare industry with privacy, ownership, and economic freedom.

The ecosystem cycle:

Medical Institutions purchase Medibit tokens

from the market.

Medical Institutions use the tokens to request

data from MediBit EHI

EHI sends data to the Medical Institution and shares the received tokens to the users.

Users can use the MediBit tokens for EHI Premium features or sell it back to the market. 

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The MediBit EHI: Electronic Health Information(EHI)

MediBit EHI users can easily and securely import and export their medical data to an institution of their choice. 

  • Platform can be used to store scanned images of the medical data and as well as popular electric format such as CDA / CCD / CCDA files.

  • Access to data 24/7.

  • Requesting data can take anywhere from few days to a month. In situations where every bit of data is crucial, this is unacceptable. Few clicks and medical institution will receive user's data in minutes.

  • No more paying fees to the hospitals and clinics for requesting a copy of medical data.

Next level security for sensitive data

Unlike public blockchains healthcare platforms, MediBit EHI(powered by Hyperledger Fabric) employs an endorsement policy that defines the necessary conditions for sending a transaction. A transaction is approved only when a client app receives endorsement signatures from designated peers, as defined in the policy. When a client invokes a transaction request, the message is broadcast to all peers. On receiving signature from all the endorsers, the orderer broadcasts a message to all peers to update their copy of ledger.

Hyperledger Fabric provides an additional layer of security by creating private channels between members of the network. Each channel maintains a ledger that can only be accessed by the members of that channel. Since it does not rely on the compute-intensive Proof of Work protocol to attain consensus, the overhead of transactions is significantly reduced. This helps the system to be scalable when increasing the workload or adding users.

A Closer Look at MediBit EHI Tech: In-depth look at the network

Due to the nature of the distributed ledger, data is replicated on multiple nodes in a channel. This can cause an issue when storing medical data containing large image files on the ledge. To address this challenge, MediBit store the high-volume data collected during the study in a secure database. Access to this database is restricted by an access-control server.

 

MediBit values the privacy of its user identity. Thus depending on the type of consent, identifiable information from the data is removed prior to storing it in the database or repository. MediBit EHI generates a unique key for each user and stores it on the ledger. Before transferring data to the database, each record is purged and identity is replaced by the unique key, making the data anonymized for downstream analysis.In some studies, certain types of data may raise an additional risk of privacy. For such cases, we use an intermediate step of

de-identification to obfuscate identifiable traits before storing the data. Pre-processing may require one-step or two-step de-identification.

Once data are collected and stored in a database, a third-party research organization may request access to these data through the access-control server. Once a request is made, access-control server conveys the request to the consent server, which verifies the access rights stored on the ledger for authentication. For valid requests, the access-control server queries the database to retrieve data of consented subjects, thereby sharing the data only with intended research organizations while maintaining a strict consent system.

Future of MediBit

  • HL7 Compatible Platform

  • Establishment of MediBit EMR

Today, more than 90% of healthcare facilities in the United States use HL7. There are HL7 organizations in 27 countries, making it a truly global standard.

Founded in 1987, Health Level Seven International (HL7) is a not-for-profit, ANSI-accredited standards developing organization dedicated to providing a comprehensive framework and related standards for the exchange, integration, sharing, and retrieval of electronic health information that supports clinical practice and the management, delivery and evaluation of health services. HL7 is supported by more than 1,600 members from over 50 countries, including 500+ corporate members representing healthcare providers, government stakeholders, payers, pharmaceutical companies, vendors/suppliers, and consulting firms.

Incorporating HL7 won't be an easy task. But once achieved, MediBit will communicate directly with majority of the medical institutions. This is a necessary step for MediBit toward truly global healthcare platform. With established database that is compatible with HL7, next in MediBit's roadmap is to build the MediBit EMR. Already established ecosystem allows MediBit to integrate its EMR into the medical institutions. Powered by blockchain technology, MediBit EMR aims to repair the inefficient healthcare system we have today and promote higher level of care to medical industry.

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