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From YouTube: A Sustainable Healthcare Ecosystem Based on Blockchain - Diógenes José Firmiano, IASIS
Description
A Sustainable Healthcare Ecosystem Based on Blockchain - Diógenes José Firmiano, IASIS
After more than 2 years of a pandemic, we live in another world. A world where inequality grows dramatically and with it, the difficulties in funding global health. The world has more than $3.5 trillion in annual health waste and as the population ages, the costs are likely to grow. After working on one of the largest healthcare interoperability projects in the world using blockchain (Brazil's National Health Data Network with more than 1.5 billion records), we have advanced in structuring a decentralized health digital wallet using DID and Hyperledger Indy and in the structuring of a dual blockchain model culminating in a DAO (Decentralized Autonomous Organisation) that aims to fund sustainable health projects around the world by reducing health waste spending for the less fortunate.
Sessions Details & Slides (if available): https://sched.co/14H4N
Access All Sessions: https://events.linuxfoundation.org/hyperledger-global-forum/program/schedule/
----
Hyperledger – Open Source Blockchain Technologies
Hyperledger is an open source community focused on developing a suite of stable frameworks, tools and libraries for enterprise-grade blockchain deployments.
It serves as a neutral home for various distributed ledger frameworks including Hyperledger Besu, Fabric, Sawtooth, Indy, as well as tools like Hyperledger Avalon, Cactus and libraries like Hyperledger Aries, Ursa. Learn more about Hyperledger projects: https://www.hyperledger.org/use
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License
Creative Commons Attribution license (reuse allowed)
A
Hello
everybody
good
afternoon,
thank
you
for
your
attention.
Thank
you
for
being
here.
I'm
Georgian
is
the
CEO
of
yazi's
Health.
We
are
from
Brazil,
but
we
what
we
are
doing
not
intended
to
be
only
in
Brazil,
where
we
are
building
a
Healthcare
Community.
The
idea
is
to
bring
everybody
to
help
in
order
to
to
get
help
for
everyone,
not
only
the
the
privilege
of
the
one
but
everybody
in
the
whole
world.
A
A
A
3313
dollars
per
capita
for
a
year,
so
this
is
a
very
big
disparity,
a
very
big
gap
and
the
actual
model
is
not
sustainable.
At
the
moment,
we've
seen
this
with
the
pandemic
that
killed
a
more
than
than
6
million
people
around
the
world,
and
all
of
this
model
is
spending
a
lot
of
waste
in
the
the
healthcare
ecosystem
in
the
world.
The
annual
wait
for
spending
is
around
3.5
trillion
dollars
a
year
this.
A
For
this
we've,
we
believe
that
we
need
to
make
the
sentence
the
CEO
of
his
own
health,
to
facilitate
the
exchange
of
information
between
the
health
providers
between
interpretability,
that
is
when
it
comes
the
blockchain
and
reduce
this
waste
and
focus
on
prevention
and
continuity
of
care,
because,
on
the
end
of
the
day,
what
we
need
is
to
enhance
the
quality
of
life
for
people,
so
we
are
focused
on
three
points.
The
first
pointers
is
the
people
non-community,
and
this
patient
must
be
the
agent
of
this
Home
Health
Care.
A
A
So
what
we
are
doing
is
and
our
our
purpose
is
to
improve
People's
Health
by
providing
more
more
quality
of
life,
well-being
anywhere
on
a
Pepto
on
lejevity,
and
for
this
we
need
to
be
focused
on
a
purpose-driving
strategy,
so
we
are
focused
on
purpose.
We
are
agnostic,
so
the
blockchain
comes
on
this
because
the
healthcare
silos
they
all
of
the
held
their
own
interests.
A
So
with
this,
we
have
to
focus
on
the
primary
scale,
on
the
primary
care
and
empowering
the
citizens
and
reduce
the
health
course.
For
this.
We
have
developed
a
project
in
Brazil
that
I'm
going
to
show
to
you
this
project.
We
had
a
a
structure
that
we
built
it's
a
physical
structure
on
the
on
Healthcare,
so
we
have
a
a
physical
Healthcare
Center
that
combines
the
better
from
the
technology
and
from
the
care
for
the
patients.
So
we
have
this
health,
health,
digital
Center.
A
This
one
is
on
a
poor
part
of
belarzonte
Brazil
and
we
have
been
to
them
all
the
information
they
have
assessments,
although
the
the
triage
that
we
need
to
get
from
the
patients
all
the
signs
from
the
patient,
the
the
healthcare
exam
with
a
nurse,
and
then
we
bring
them
down
this
capsule
the
telemedicine.
So
we
have
a
capsule
that
deliver
doctors
to
areas
that
don't
have
enough
doctors
to
to
assist
them.
So
this
capsule
was
built
for
mental
health,
but
we
have
a
surprise,
a
big
surprise
to
use
it
on
the
telemedicine
too.
A
So
is
this
project
we've
done
on
the
on
the
January
February
in
belarusante,
and
this
is
only
the
initiator
of
the
the
structure
from
the
digital
Healthcare
ecosystem.
So
one
of
the
biggest
challenge
that
we
have
is
to
have
the
digital
twins
representing
the
health
data
for
our
lives.
In
one
place.
For
this
we
have
used
blockchain
on
a
structure
of
terms.
That's
our
interoperability
on
the
a
lot
of
players
from
Brazil
and
just
to
show
to
you
this
a
little
bit
of
the
healthcare
ecosystem
in
Brazil.
A
We
have
private
care,
we
have
Public
Health
Care.
The
public
health
care
in
Brazil
is
inspired
on
the
NHS
from
Britain
and
by
the
way
we
have
a
clinics
hospitals.
There
are
public,
we
have
the
same
on
on
health
insurance
plans
and
we
have
the
same
own
private
plans.
So
we
have
a
an
ecosystem.
There
is
very,
very
big,
and
what
we
have
done
to
Ministry
of
Health
is
the
national
Healthcare
doctor
network,
this
network.
A
We
we
get
get
it
on
production,
on
2020,
on
May
2020
I
presented
this
on
the
hypoallergic
global
forum
in
Phoenix
on
March,
and
then
on
my
as
we
get
the
pandemic,
they
Garner
production
and
we
have
all
of
all
of
these
structure
connecting
with
blockchain
get
interest,
distributed
placement
and
all
of
this
trackable.
So
what
we've
got?
A
We
got
this
a
lot
of
blockchain
notes
from
the
city
from
the
hospitals,
from
the
clinics,
from
the
labs,
from
the
pharmacies
from
the
hospitals
and
and
connected
with
the
national
Health
Data
Network.
All
of
this
providing
the
timeline
for
the
patient.
So
with
this
we
have
our
health
digital
wallet
with
all
the
information
that
comes
from
any
of
the
notes
from
the
blockchain.
So
we
have
stretchers.
A
There
are
private,
for
example,
for
a
health
share
explains
they
have
the
Private
blockchain
Structure,
and
this
is
connected
with
a
big
structure
that
is
based
on
the
health
digital
wallet
from
the
patient.
This
health
touch,
the
wallet
is
enabled
we've
have
a
hyperledger
Indie
and
all
the
structure
on
the
blockchain
the
timeline
is,
is
based
on
hyperledger
fabric.
A
A
So
what
we
have
on
the
end
of
the
day
is
the
timeline
for
the
patient,
with
all
of
the
information
from
hostels
from
clinics,
from
Laboratories
independent
on
where
I've
been
I've,
been
on
a
hospital
here
in
Dublin,
and
then
when
I
go
to
London,
for
example.
Although
this
data
is
stored
on
my
health,
digital
wallet
and
all
of
this
notes,
they
connect
with
with
each
other
in
blockchain
and
our
main
goals
for
this
is
to
break
the
sick
care
logic.
A
This
timeline
is
to
empower
the
healthcare
professionals,
empower
the
patient
to
build
lifelong
Wellness
to
construct
a
Perpetual
longevity.
In
order
that
we
have
all
the
data
stored
on
the
on
a
timeline
and
delivered
it
to
the
patients,
he
can't
send
it
to
the
doctors
because
he
can
deliver
it
to
the
nurse
that
he
is
in
care
with
their
treatments.
So
it's
better
for
him
and
to
to
get
a
path
to
launch
every
for
him.
So
for
this
we're
gonna
break
on
this.
A
Stop
in
this
step,
the
first
to
break
the
sticker
logic,
we
have
to
have
all
the
personal
health
records
of
the
patient
in
one
place.
For
this,
this
is
our
health
digital
wallet.
All
of
the
information
from
the
patient
are
on
the
same
place
in
the
informations
that
are
here,
informations
that
came
from
the
the
players
from
the
healthcare
system
and
information,
for
example,
from
The
Watch
informations
from
devices
from
wearables
all
in
one
point
and
all
of
these
protected
with
ddpr
on
the
smart
project.
A
So
we
have
a
protected
Health
digital
wallet
that
delivered
to
the
to
the
doctor,
for
example,
when
the
patient
adds
it,
when
the
patients
had
all
the
control
of
his
data
and
he
can
do
whatever
he
wants.
With
this
data.
Just
to
mention
here
a
photo
from
March,
4
2020
and
what
we
have
done
from
since
then.
From
from
now,
we
have
more
than
1.5
billion
transactions
that
we
have
done
on
the
National
Health
Data
Network
on
high
for
Library
fabric,
the
healthcare
timeline
2000
transactions
per
second,
on
the
on
the
on
this
environment.
A
We
are
now
enabled
to
connect
with
the
centralized
identity
on
Edie.
The
main
Network
and
super
networks
can
be
done,
so
we
have
private
networks.
We
have
connected
with
this
main
networks
that
have
this
timeline
and
we
have
interoperability
on
public
and
private
sector.
This
is
a
case
that
we
just
launched
it
on
the
last
month
with
public
hospitals,
private
hospitals,
philanthropic
coasters,
clinical
and
Laboratories.
All
of
this
timeline
on
the
same
place
and
distributed
on
blockchain.
A
So
what
we
believe
is
that
we
need
to
get
a
healthcare
Instagram
there,
your
entire
timeline
in
one
place
and
get
all
this
portability,
this
breaking
the
silos
federalization
of
the
distributed
data,
blockchain
security
and
gdpr,
building
their
own
design
and
all
of
this
information
from
the
timeline.
They
need
to
go
to
the
right
hands
the
right
hands
when
we
put
it
on
the
healthcare
professionals.
What
we
have
is
a
continue
analysis.
A
We
have
now
a
treatment
analysis,
quite
a
fine
quality
of
flight
analysis,
a
healthcare
Avatar
that
empowers
the
healthcare
professional
in
order
to
get
all
this
care
done,
and
this
is
what
we
call
with
my
smart
Healthcare
with
all
this
avatar
on
the
same
place
on
the
distributed
timeline
and
a
smart
EMR
with
RPA
interoperability.
Clinical
decisions
prognosis
all
of
this
on
the
same
place
in
order
to
empower
the
professionals
and
and
to
reduce
the
wasteful
spend.
A
When
we
use
all
of
this
information,
we
can
reduce
all
of
the
ways
of
the
3.5
trillion
that
I
mentioned
before
on
the
on
the
on
the
initial
of
the
presentation,
and
this
could
be
delivered
to
the
hospital
with
Care
Management.
All
of
this
could
be
delivered
to
a
drg
analysis
and
Empower
internet
hospitals,
for
example,
with
this
technology,
and
have
a
continuity
of
care
for
the
patient
too,
with
the
concept
of
Blended,
Healthcare
and
and
connected
with
fashion
with
Cloud
code
output,
outcomes,
measurements
and
personalized
treatment
plans.
A
All
of
this
enables
us
to
think
about
lifelong
Wellness,
a
really
value-based
Healthcare
that
can
deliver
the
monitor
from
the
patients
and
connected
the
patient
inside
his
treatment.
So
the
information
can
now
flow
between
the
the
treatment
that
the
patient
is
having,
for
example,
with
a
cancer
with
a
something
that
he
is
passing
through.
His
life,
some
chronic
disease
and
then
other
Healthcare
professionals
can
monitor
this
and
deliver
actions
in
real
time,
and
this
is
what
we
call
it.
A
B
C
C
C
A
So
with
this
Marketplace,
the
patient
can
deliver
Anonymous
data
to
the
pharmaceutical
industry,
but
he
receives
the
tokens,
not
only
the
hostos,
not
really
the
the
structure.
We
are
delivering
power
to
the
patient
to
do
whatever
he
wants
with
his
data.
So
he
gets
all
the
information
and
get
the
the
offer
for
him
and
he
can
do
whatever
he
wants,
but
not
not
only
this
the
sustainable
Health
Care
ecosystem-
that
is
what
we
bring
us
to
here
now,
is
a
centralized
autonomous
organization.
A
So
what
we
have
we,
we
have
a
fundings
from
a
lot
of
sources,
for
example
from
donations,
for
example,
from
the
the
selling
of
the
tokens
with
the
community,
with
the
the
enhancement
of
the
the
healthcare
ecosystem
that
we
have
built,
for
example,
in
blockchain.
We
delivered
this
to
the
Dow
and
the
Dow
reinvest
this
on
sustainable
Healthcare
projects.
So
what
we
are
doing
is
a
defy
platform
that
connects
with
the
blockchain
Private
Structure
and
the
permission
instructor,
and
we
all
of
these.
We
have
tokens
that
can
exchange
all
the
information.
A
So
the
the
data
from
the
patient
is
stored
on
the
on
the
Private
Structure
and
connected
with
the
health
digital
wallet
from
the
patient.
But
what
the
patients
monetize
is
his
view
of
the
so-bound
token,
for
example,
and
for
this
we
are
building
a
refi
funding
for
sdg
healthcare
projects,
a
game
fight
care
based
on
on
data,
new
pharmaceutical
r
d
based
distributed
data.
So
we
can
deliver
performance,
Healthcare
Industries
for,
for
example,
new
models
in
order
to
buy
all
this
data.
A
C
A
Nothing
creates
have
a
exponential
forever.
So
what
we
are
having
today
is
inflated
valuations
or
superlink
plated
valuations
based
on
Amazon
scam,
some
companies.
They
go
on
an
ass
curve,
but
some
companies
they
have
a
a
big
growth,
but
they're
not
ESG.
What
yet
we
are
doing
is
a
purpose-based
fundraiser
with
Investments
focused
on
the
sdg
projects.
A
This
projects
are
based
on
New
valuations
on
new
metrics,
for
example,
social
impacts,
Life
Savers,
queries
of
life,
life,
lifespan,
queries,
and
all
of
this
is
based
on
any
of
these
metric
system
to
reduce
it
weights.
Token
value,
reduced
costs,
treatment
on
optimization
field
transaction,
but
all
of
this
is
monitored
based
on
ecological
ceiling
and
can
create
new
projects
bias
based
on
a
sustainable
ecosystem.
A
So
we
don't
only
growth
from
on
a
vertical
side,
we
can
grow
on
the
on
a
horizontal
side,
with
new
initiatives
being
invested,
which
can
be
spin-offs
even
in
other
sdgs.
So
we
have
a
project.
Now
there
is
sustainable,
Healthcare
existence,
Finance
based
on
cleaner
and
energy,
so
we
are
building
Farms
of
solar
energy.
This
solar
energy
is
solid
in
the
market
and
part
of
this
of
this
profit
reverse
to
health
care.
So
with
this
money
we
can,
for
example,
have
humanitarian
dchs
on
other
places,
so
it's
the
sun
financing
Healthcare.
A
This
could
be
a
new
model
for
for
the
planet
and
based
on
new
forms
of
sustainability
structure,
and
all
of
this
is
governance
by
the
doubt
and
the
here's
a
little
bit
about
our
timeline.
We
are
on
testnet
at
the
moment
with
the
SBT,
the
Dows,
by
the
way,
I
have
already
some
projects,
but
we,
what
we
are
aiming
is
the
longevity
case
scale
focus
on
health
maintenance,
on
prognosis,
on
prevention,
one
that
you
have
a
patient
conducted
as
manager,
and
we
know
that
we
can
do
it
by
ourselves.
A
B
D
B
The
second
one
is:
what
what
can
you
do
in
case
that
the
patient
or
the
end
user
lost
their
keys
to
the
wallet
or
the
information
yeah
I
had
another
one,
a
second
sorry
yeah.
How
do
you
overcome
legal
problems?
Like
did
you
head
in
Brazil
some
legal
issues?
If
you
wanted
to
implement
those
technology,
yeah.
A
A
A
But
there
are
a
lot
that
don't
so
in
Brazil
we
have
the
the
gdpr
law
there
and
it's
just
like
here
in
Europe,
and
what
we
are
doing
then
is
enforcing
them
to
deliver
the
data
to
the
patient,
not
for
me
to
the
patient
and
I
now
representing
the
patient,
asking
him
to
deliver
it
to
me.
So
this
is
a
new
model
that
we
we
don't
want
the
data
for
ourselves
and
we
don't
want
to
open
the
data
for
ourselves.
A
It
helps
a
lot,
but
I
think
this
is
a
a
Consciousness
that
can
be
done
and
when
we
anchor
this
on
sdg
and
anchor
this
on
the
purpose,
not
on
the
The
Profit,
we
don't
know,
we
don't
want
the
profit.
We
want
to
help
people
to
get
their
information
and
delivered
it
and
to
to
to
have
empowerment
for
them.
So,
with
this
movement,
I
think
it's
more
legitimate
that
we
we
can
convince
them
with
in
a
better
way.
E
Hi
everyone.
Thank
you
very
much
for
the
presentation.
It
was
really
rich
in
terms
of
new
information.
I
have
a
following
question.
You
said
that
it's
very
important
to
have
an
ecosystem,
because
you
as
an
individual
company,
you
cannot
change
the
world
for
better.
So
the
question
is:
do
you
feel,
like
you,
have
a
responsibility
to
educate
the
participants
in
your
ecosystem
in
relation
to
blockchain
or
if
you
feel
this
responsibility?
If,
yes,
if
you
do
that
and
how.
B
A
For
that,
okay,
absolutely
I
think
we
need
to
educate
the
the
patients,
but
we
need
to
maybe
do
something
like
an
user
experience
for
them.
They
not
know
what's
blockchain
at
all
aim,
maybe
they
will
not
want
to
know
what's
blockchain,
so
what
we
need
to
to
deliver
to
them
is
information
that
they
can
are.
They
are
protected
that
they
can
do
whatever
they
want
the
and
do
it
on
a
on
a
on
an
easy
way.
This
is
very
difficult
to
do.
A
We
think
it
need
to
be
done
and-
and
we
are
part
of
it
in
teaching
them
how
this
technology
all
of
this
stuff.
That's
why
I
just
showed
you
think
some
things
that
is
not
that
is
not
technology.
For
example,
when
you
put
the
patient
on
the
front
of
a
doctor,
there
is
technology
involved
with
that,
but
the
patient
don't
know
if
it's
blockchain
on
the
on
that
on
the
infrastructure
or
not.
A
E
A
Yes,
we
have
a
lot
of
Partners
on
our
structure
in
order
to
talk
with
hospitals,
for
example.
So,
for
example,
we
have
some
health
insurance
companies
that
want
to
do
all
of
their
continuity
of
care
for
the
patients.
They
get
a
lot
of
money
with
this,
they
can
have
a
lot
of
reduced
waste,
so
we
use
them
as
the
the
speakers
with
the
the
hospitals
as
they
have
the
contracts
they
have
the
the
effort
to
to
get
the
data
in
order
to
treat
the
patients
the
patients.
E
B
Just
to
make
sure
to
double
check,
please!
So
when
you
want
to
start
a
project,
that's
related
to
healthcare
and
you
are
using
like
Cutting
Edge
like
emerging
technology
blockchain.
So
what
is
like
the
first,
of
course,
that
it
depends
like
where
you
want
to
operate
in,
but
do
you
think,
like
the
first
step,
would
be
to
validate
like
the
legal
issues
or
to
try
to
get
I
mean
to
go
to
talk
to
customers
like
what
is
the
first
first.
A
B
A
In
Brazil,
we
started
with
the
the
problem
itself
how
to
solve
the
problem
itself
and
then
the
Lego
issues
come
came.
You
know
in
the
those
moments
that
it
should
be
done,
so
the
the
first
part
of
the
legal
issue
that
we
have
to
others
was
the
dgpr.
This
is
the
the
core
of
the
system.
So
this
part
it
comes
on
the
on
the
very
first
moment,
but
the
other
legal
structure
they
came
on
the
the
rest
of
the
project.
A
D
First
thanks
thanks
again
for
the
presentation
and
unfortunately,
I
lost
the
first
five
to
ten
minutes,
but
I
I
was
amazed
by
the
amount
of
Let's
see
different
aspects
that
you've
been
focusing
on
both
within.
Let's
say
we
didn't
Kali
health
and
especially
I,
was
interested
in
understanding
if
there
might
be
some
issues
in
balancing,
for
example,
the
energy
sides
of
the
organization
and
understanding
to
what
extent
the
profits
made
from
one
side
of
the
organization
might
be
transferred
to
another
side
of
the
organization.
A
Of
course,
there
are
some
interests
that
we
have
a:
we
have
yasis,
that
is
our
technological
side
that
builds
the
Health
digital
wallet.
That
builds
the
EMR
system
that
views
the
the
blockchain
from
The
Cooperative
side,
and
we
have
Kali
that
has
the
the
efforts
to
deliver
purpose
itself
to
the
the
the
one
who
need
it
and
there
there
is
the
the
worry
about
building
it
on
a
dow.
That
is
because
it's
not
ours,
structure.
It's
a
structure
that
we
want
to
deliver
to
the
world,
so
that
is
the
main.
A
The
main
structure
that
building
it
in
a
Dao
is
that
that
it
can
be
controlled
converted
by
not
only
us
but
by
everybody
that
wants
to
be
on
the
ecosystem.
So
there
is
on
the
main
structure
in
the
both
of
the
companies.
There
is
one
thing
that
does
not
change:
we
are
purpose-based,
so
what
we
believe
and
what
we
do
is
to
deliver
purpose.
A
The
prophet
came
after
the
purpose
came
before,
so
this
is
the
main
structure
that
we
built
so
with
this.
Of
course,
there
is
a
lot
of
money
in
the
industry
that
is
waste
and
can
be
reverted
in
order
to
have
profit
for
yaziz
to
have
profit
to
the
Dow,
but
when
we
delivered
this
to
the
Dao,
for
example,
where
the
living
to
finance
new
projects
new
healthcare
projects
in
order
to
give
a
legacy
to
the
humanity,
this
is
the
main
division
between
the
two
companies
and
how
we
we
deliver.
D
A
Yes,
for
example,
there
is
something,
for
example,
it
can
be
five
percent
ten
percent.
It
depends
on
the
impact
that
you
want
to
generate,
for
example,
can
do
a
very
small
farm
from
solar
energy
and
with
this
structure,
I
can
only
delivers
five
percent,
for
example,
for
a
community
that
could
be
done
only
one
humanitarian,
DCH
or
two
or
five
or
ten.
It
depends
on
the
partners
that
are
involved
on
the
on
the
specific
project
that
we
have.
There
is
some
projects
that
we
have
the
cities
now,
the
Mayors.
A
B
F
A
There
is
some
partners,
for
example,
that
they
are
having
a
lot
of
a
lot
of
benefits
with
the
system,
for
example,
health
insurance
plans.
They
are
benefit
with
all
the
exercises,
so
they
pays
now,
for
example,
on
a
on
a
structure
or
an
old
by
themselves,
the
cities
faced
by
themselves,
but
there
is
some
structure
that
we
have
funded
from
ourselves
in
order
to
to
have
it
bigger
and
to
to
have
a
lot
of
structure.