Health Records over Blockchains - Year Two

It is hard to understate the critical role access to a patient's comprehensive medical history plays in diagnosing (and treating) patient illness. For a doctor, knowing the latest prescribed drugs of his patient might, for example, point directly to the cause of an illness -- which might be just a drug side effect. Yet patients often do not know the names of the drugs they take or even the dates of surgeries and other medical procedures.

A Health register covers the entire log of patient medical treatments, from surgeries through periodic health check-ups and other medical interventions.

Health Records over Blockchains

It is hard to understate the critical role access to a patient's comprehensive medical history plays in diagnosing (and treating) patient illness. For a doctor, knowing the latest prescribed drugs of his patient might, for example, point directly to the cause of an illness -- which might be just a drug side effect. Yet patients often do not know the names of the drugs they take or even the dates of surgeries and other medical procedures.

A Health register covers the entire log of patient medical treatments, from surgeries through periodic health check-ups and other medical interventions.

Towards a Theory of Blockchain as a Socio-Informational-Technical System

Blockchains operate as perhaps the most promising system of trust for any type of digital transaction of value -- everything from cryptocurrencies to patient medical records. But a number of barriers -- involving social institutions, data and identity management and technological processes -- stand in the way of broader adoption. These challenges also ultimately speak to fundamental issues of trust and perceived legitimacy on the part of both service providers and their end users.