Healthcare Data and Databases AIMed 2016
E. Kevin Hall, M.D.
Yale University
Digital: No. Accessible: No
Digital: Yes. Accessible: Still No
Our next problem.
The promise of digital health data is more than this.
It's greater than isolated medical records on some hard disk.
The promise is accessibility and interoperability. Our data should work for us; our patients' data should work for them.
And no preventable disease should lead to death.
Accessible | Interoperable | Canonical | Patient "Owns" | |
---|---|---|---|---|
EHRs | + (Locally) | + (Locally) | + (Locally) | - |
USB Drives | + | +/- | -- | + |
"Independent" Cloud | +/- | +/- | +/- | - |
A shared, distributed, immutable ledger for transactional data that establishes accountability and transparency.
On Distributed Communications, Paul Baran 1964
Interoperability with FHIR Profiles
Miner election is distributed evenly.
It is likely that blockchains can answer these limitations.