Abstract

Interoperability in healthcare has historically been centered round facts alternate between commercial enterprise entities, for example, special clinic systems. However, there has been a current push in the direction of patientdriven interoperability, in which fitness information trade is patient-mediated and patient-driven. Patient-centered interoperability, however, brings with it new challenges and necessities round safety and privacy, technology, incentives, and governance that ought to be addressed for this kind of statistics sharing to be successful at scale. In this paper, we seem at how blockchain technological know-how may facilitate this transition via 5 mechanisms: (1) digital get right of entry to rules, (2) records aggregation, (3) facts liquidity, (4) affected person identity, and (5) facts immutability. We then seem at limitations to blockchain-enabled patient-driven interoperability; especially scientific records transaction volume, privateness and security, affected person engagement, and incentives. We conclude by means of noting that whilst patient-driving interoperability is an interesting style in healthcare, given these challenges, it stays to be considered whether or not blockchain can facilitate the transition from institution-centric to patient-centric records sharing.