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Health	Science	Data	
&	
Blockchain	Technology
Nicole	Tay,	MPH
How	can	we	use	blockchain as	a	tool	for	
better	health	science?
GOOD	FOR NOT GOOD	FOR
• Immutable real-time	record	of	events
• Highly	sensitive	information	(security)
• Small	data	(like	transactions)	on-chain
• “Mediator”	in	network	of	disparate	parties
• Automating	certain	processes
• Storing	large	data	on-chain
• MOST	PROBLEMS
Multi-site	Study	Design
• Multiple	PIs	working	from	multiple	
respective	sites,	running	the	same	study
• Good:	Enrollment	#s,	diverse	locations	&	
diverse	populations	à external	validity
• Bad:	Coordination/	administrative	lag,	
Human	error
Blockchain for	Pre-data	Collection
• IRB	approval	process
• Multiple	IRB	approvals	required	for	
each	site
• Changes	to	study	materials	introduces	
error	and	inconsistencies
• Same	study	reviewed	at	different	levels
Blockchain	for	Data	Collection
• Multi-site	research
• Real-time	bio-surveillance
• Estonian	government
• The	power	of	aggregate	health	data	without	
compromising	patient	privacy
• Possibilities	for	clinical	trial	recruitment
• Sourcing	patient	data	directly	from	patients!
Blockchain	for	data	sharing
• $200	BN	annually	on	redundant	and	poorly	designed	research
• Off-chain	databases,	immutable	record	of	peer-to-peer	transactions
• Scientists	retain	ownership	of	data	with	full	transparency
• Can	also	use	blockchain as	a	record	of	corroborated/added	findings	
Sharing is difficult!
• Security Risks
• Trust “Lost” Science
Redundant Science;
Inefficient Spending
Greenspan’s	Rules	for	
“Avoiding	a	Pointless	Blockchain	Project”
• Shared	database
• Multiple	writers
• Absence	of	trust
• Disintermediation
• Transaction	interaction
• Set	the	rules
• Pick	your	validators
• Back	your	assets
Big	Take-aways
• Better	methods	make	for	better	science
• Blockchain	as	a	tool	for	better	science
• --but	is	NOT	a	silver	bullet
• Big	data	on	the	blockchain makes	it	slow
• Storage	of	research	off-chain,	Transactions	recorded	on-chain
• Collaboration	within	and	across	disciplines	is	crucial!

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