© Bloq, Inc. Strictly Private and Confidential. All Rights Reserved. bloq.com
Distributed:Health — October 2016
B L O C K C H A I N 1 0 1
www.bloq.com
© Bloq, Inc. Strictly Private and Confidential. All Rights Reserved. bloq.com
BLOCKCHAIN
101
© Bloq, Inc. Strictly Private and Confidential. All Rights Reserved. bloq.com
WHAT ARE BLOCKCHAINS?
HOW DO THEY WORK?
9 FACTORS OF BLOCKCHAIN
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Trust Shifting Decentralization Automation
Cryptography Permission-less Validity
Immutability Uniqueness Authentication
MACHINE TO MACHINE
PKI LIKE THE INTERNET CONTINUAL SYSTEM SELF
& CROSS CHECKING
NO REWRITES NO DOUBLE SPENDING EVERY ACTION IS 

AUTHENTICATED
© Bloq, Inc. Strictly Private and Confidential. All Rights Reserved. bloq.com
BLOCKCHAINS ARE
NETWORKS
Like the Internet, blockchain value

derives from network participants.
bloq.com
© Bloq, Inc. Strictly Private and Confidential. All Rights Reserved. bloq.com
BLOCKCHAINS ARE
DISTRIBUTED, IMMUTABLE
DATABASES
They are technological infrastructure.
bloq.com
© Bloq, Inc. Strictly Private and Confidential. All Rights Reserved. bloq.com
They contain an historic
record of every transaction
and are easily auditable
bloq.com
© Bloq, Inc. Strictly Private and Confidential. All Rights Reserved. bloq.com
They are resilient due to network
power and cryptographic integrity
bloq.com
© Bloq, Inc. Strictly Private and Confidential. All Rights Reserved. bloq.com
The distributed computing power provides
certainty (via proof of work) to the data via
“confirmations” of transactions and a large
economic disincentive for malicious actors
bloq.com
© Bloq, Inc. Strictly Private and Confidential. All Rights Reserved. bloq.com
PERMISSIONED CHAINS =

SYNDICATE
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PUBLIC BLOCKCHAINS =
THE INTERNET
PRIVATE CHAINS =
AN INTRANET
© Bloq, Inc. Strictly Private and Confidential. All Rights Reserved. bloq.com
WHAT PROBLEMS CAN
BLOCKCHAINS SOLVE?
HOW DO THEY SOLVE THEM?
© Bloq, Inc. Strictly Private and Confidential. All Rights Reserved. bloq.com
Creating “Digital Scarcity”: making it extremely
difficult (practically impossible) to double spend
Creating immutability: blockchains are
unalterable historic records
DIGITAL UNCERTAINTY / DUPLICITY
– THE “DOUBLE SPEND” PROBLEM –
bloq.com
© Bloq, Inc. Strictly Private and Confidential. All Rights Reserved. bloq.com
Civics 101: Neutral ground, a level playing field.
A “trust-shifted” system: removing the
requirement for an arbitrator for settlement.



No need to trust owner of the remote computer

(such as a clearinghouse).
3RD PARTY & COUNTERPARTY DEPENDENCY
– THE “TRUST” PROBLEM –
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© Bloq, Inc. Strictly Private and Confidential. All Rights Reserved. bloq.com
OPPORTUNITIES THAT ARISE
FROM THIS TECHNOLOGY
© Bloq, Inc. Strictly Private and Confidential. All Rights Reserved. bloq.com
Blockchains as public
technology infrastructure: a
greenfield platform for
innovation. 

Blockchain technology allows for
the creation of notarised
unalterable “fingerprints” of files,
which is a great tool for open,
secure and permanent record
keeping, with real-time auditing.
bloq.com
Blockchain digital currencies can
be used as secure tokens for
any asset 

Programmable contracts (smart
contracts) that can interact with
blockchains, or even run on
them (eg: Ethereum), allow you
to combine record keeping and
asset transfer in one application. 

And More....
© Bloq, Inc. Strictly Private and Confidential. All Rights Reserved. bloq.com
Patient-centric data (self sovereign)
Paradox:

Transparency and data access vs.
privacy (HIPAA)
Claims processing- months!
Secure, multi-party write access
Multi-party, multi-step payouts
bloq.com
Interoperability - EHR/EMR
Provider credentialing and
enrollment
Transferring provider from state-
to-state:
Slow, painful (DEA numbers)
Audit trails
© Bloq, Inc. Strictly Private and Confidential. All Rights Reserved. bloq.com
WHAT PROBLEMS DO

BLOCKCHAINS CREATE?
© Bloq, Inc. Strictly Private and Confidential. All Rights Reserved. bloq.com
No real world identity: information only
Ownership becomes a matter of what you know, not what
you have
Novel asset forms
are bitcoins a security, commodity, money, etc? 

What does this mean for regulators/audit/etc
ubiquitous liquidity: fixed assets embodied in divisible
crypto-tokens
Crypto-tokens are superseding
traditional regulatory frameworks
Legal sovereignty no longer a necessary requirement to
produce a currency
Borderless asset transfer
Smart contracts are incoercible
potentially in contempt of court
a new legal infrastructure
bloq.com
© Bloq, Inc. Strictly Private and Confidential. All Rights Reserved. bloq.com
QUESTIONS?
© Bloq, Inc. Strictly Private and Confidential. All Rights Reserved. bloq.com
Thank You!
Jeff Garzik
Co-Founder | jeff@bloq.com
WeChat/Twitter | @JGarzik
Matthew Roszak
Co-Founder | matt@bloq.com
WeChat/Twitter | @MatthewRoszak
Enterprise Grade Blockchain

Blockchain 101 - Distributed:Health

  • 1.
    © Bloq, Inc.Strictly Private and Confidential. All Rights Reserved. bloq.com Distributed:Health — October 2016 B L O C K C H A I N 1 0 1 www.bloq.com
  • 2.
    © Bloq, Inc.Strictly Private and Confidential. All Rights Reserved. bloq.com BLOCKCHAIN 101
  • 3.
    © Bloq, Inc.Strictly Private and Confidential. All Rights Reserved. bloq.com WHAT ARE BLOCKCHAINS? HOW DO THEY WORK?
  • 4.
    9 FACTORS OFBLOCKCHAIN bloq.com Trust Shifting Decentralization Automation Cryptography Permission-less Validity Immutability Uniqueness Authentication MACHINE TO MACHINE PKI LIKE THE INTERNET CONTINUAL SYSTEM SELF & CROSS CHECKING NO REWRITES NO DOUBLE SPENDING EVERY ACTION IS 
 AUTHENTICATED
  • 5.
    © Bloq, Inc.Strictly Private and Confidential. All Rights Reserved. bloq.com BLOCKCHAINS ARE NETWORKS Like the Internet, blockchain value
 derives from network participants. bloq.com
  • 6.
    © Bloq, Inc.Strictly Private and Confidential. All Rights Reserved. bloq.com BLOCKCHAINS ARE DISTRIBUTED, IMMUTABLE DATABASES They are technological infrastructure. bloq.com
  • 7.
    © Bloq, Inc.Strictly Private and Confidential. All Rights Reserved. bloq.com They contain an historic record of every transaction and are easily auditable bloq.com
  • 8.
    © Bloq, Inc.Strictly Private and Confidential. All Rights Reserved. bloq.com They are resilient due to network power and cryptographic integrity bloq.com
  • 9.
    © Bloq, Inc.Strictly Private and Confidential. All Rights Reserved. bloq.com The distributed computing power provides certainty (via proof of work) to the data via “confirmations” of transactions and a large economic disincentive for malicious actors bloq.com
  • 10.
    © Bloq, Inc.Strictly Private and Confidential. All Rights Reserved. bloq.com PERMISSIONED CHAINS =
 SYNDICATE bloq.com PUBLIC BLOCKCHAINS = THE INTERNET PRIVATE CHAINS = AN INTRANET
  • 11.
    © Bloq, Inc.Strictly Private and Confidential. All Rights Reserved. bloq.com WHAT PROBLEMS CAN BLOCKCHAINS SOLVE? HOW DO THEY SOLVE THEM?
  • 12.
    © Bloq, Inc.Strictly Private and Confidential. All Rights Reserved. bloq.com Creating “Digital Scarcity”: making it extremely difficult (practically impossible) to double spend Creating immutability: blockchains are unalterable historic records DIGITAL UNCERTAINTY / DUPLICITY – THE “DOUBLE SPEND” PROBLEM – bloq.com
  • 13.
    © Bloq, Inc.Strictly Private and Confidential. All Rights Reserved. bloq.com Civics 101: Neutral ground, a level playing field. A “trust-shifted” system: removing the requirement for an arbitrator for settlement.
 
 No need to trust owner of the remote computer
 (such as a clearinghouse). 3RD PARTY & COUNTERPARTY DEPENDENCY – THE “TRUST” PROBLEM – bloq.com
  • 14.
    © Bloq, Inc.Strictly Private and Confidential. All Rights Reserved. bloq.com OPPORTUNITIES THAT ARISE FROM THIS TECHNOLOGY
  • 15.
    © Bloq, Inc.Strictly Private and Confidential. All Rights Reserved. bloq.com Blockchains as public technology infrastructure: a greenfield platform for innovation. 
 Blockchain technology allows for the creation of notarised unalterable “fingerprints” of files, which is a great tool for open, secure and permanent record keeping, with real-time auditing. bloq.com Blockchain digital currencies can be used as secure tokens for any asset 
 Programmable contracts (smart contracts) that can interact with blockchains, or even run on them (eg: Ethereum), allow you to combine record keeping and asset transfer in one application. 
 And More....
  • 16.
    © Bloq, Inc.Strictly Private and Confidential. All Rights Reserved. bloq.com Patient-centric data (self sovereign) Paradox:
 Transparency and data access vs. privacy (HIPAA) Claims processing- months! Secure, multi-party write access Multi-party, multi-step payouts bloq.com Interoperability - EHR/EMR Provider credentialing and enrollment Transferring provider from state- to-state: Slow, painful (DEA numbers) Audit trails
  • 17.
    © Bloq, Inc.Strictly Private and Confidential. All Rights Reserved. bloq.com WHAT PROBLEMS DO
 BLOCKCHAINS CREATE?
  • 18.
    © Bloq, Inc.Strictly Private and Confidential. All Rights Reserved. bloq.com No real world identity: information only Ownership becomes a matter of what you know, not what you have Novel asset forms are bitcoins a security, commodity, money, etc? 
 What does this mean for regulators/audit/etc ubiquitous liquidity: fixed assets embodied in divisible crypto-tokens Crypto-tokens are superseding traditional regulatory frameworks Legal sovereignty no longer a necessary requirement to produce a currency Borderless asset transfer Smart contracts are incoercible potentially in contempt of court a new legal infrastructure bloq.com
  • 19.
    © Bloq, Inc.Strictly Private and Confidential. All Rights Reserved. bloq.com QUESTIONS?
  • 20.
    © Bloq, Inc.Strictly Private and Confidential. All Rights Reserved. bloq.com Thank You! Jeff Garzik Co-Founder | jeff@bloq.com WeChat/Twitter | @JGarzik Matthew Roszak Co-Founder | matt@bloq.com WeChat/Twitter | @MatthewRoszak Enterprise Grade Blockchain