 Hello everybody, welcome to the hyper ledger healthcare special interest group meeting for December 21, 2022. Happy solstice day everybody. This meeting is recorded and will be shared on YouTube. So, please make sure that you are complying with the antitrust policy by the Linux foundation. You can find that here on this link in the show note are in the agenda notes which you can find. Publicly available as well. So, before getting started, there's a few people on the call. I just want to give them a second to see if there's any community announcements. If not, I'll just get started with the remainder of the agenda. Hello everyone, Pete Harris haven't been on this call for a while, but I will be probably more in the future, as I'm kind of getting back into the healthcare space involving AI and blockchain. So, looking forward again. Thanks Pete. Alright, so we could first I wanted to start off by saying, you know, first of all, thanks for joining and and thanks for taking time to listen in. What we typically do here is we go through some upcoming events that might be going on in the blockchain healthcare technology space, as well as go over some industry news and articles related to the industry. And some additional educational nuggets that we've we found over the last couple weeks. Now there's a lot of events going on next year. I'm not going to go ahead and click on each of them but as you can see here you have the digital health summit, which is going to be at the consumer electronic show or trade show so this is CES very big show. So, if you're attending, take a look at the digital health summit is happening there. The innovator MD global summit 2023. That's happening January 11 to the 13th. The world crypto conference in Zurich is happening January 13 through the 15th. These are London, which is going to be an interesting event in London actually, where people from the decentralized science community are going to come and speak about, you know what's happening and updates in that space as well. And there's also a hackathon a couple days before that on the 13th and 14th, I believe so check out their website if you're interested. And excuse me if I cough I'm going to I had a recently getting over a flu so February 15 17 the European blockchain convention is happening in Barcelona. That'll be a big event as well. Paris blockchain week will be March 20 to the 24th. Vive, which is a relatively newer healthcare conference is happening March 26 to the 29th as well. I think it's like, I don't know what year they're on but should be an exciting time as well lots of great speakers so Oracle health, etc. HIMS classic healthcare conference for IT technology healthcare management stuff. That's happening in Chicago April 17 2023 as well. This is 2023 a major blockchain event hosted by coin desk is happening in Austin next year in April, and then Bitcoin 2023. It's a famous conference for Bitcoiners in Miami happening May 18 to the 20th. And then there's later in the year September 2023 the con v2x global blockchain and healthcare 2023 happening in New Orleans as well. So, check out the links the sites if you have any questions, leave them in the YouTube or reach out to the organizers happy to help make any connections if you're interested as well. So, before we are now, you know, without any further ado, let's dive into some recent, you know, happenings here in the industry. So, two things from hyper ledger I wanted to share with everybody, just so that you're all aware. This is hyper ledger meeting. So hyper ledger so long was released. And it's a new an update to an existing application here with the Berlin release hyper ledger so long substantially improved its capability with many existing Ethereum dApps and concepts within the polka dot and Kusama ecosystem. So porting from Ethereum to a substrate parachain is now easier since the complier supports almost all language constructs as Ethereum Solidity 0.8. This release represents just the beginning of a series of upcoming achievements yet to unlock for the substrate compilation target. So some more information in here if you're developer. Definitely check this out if you're interested. Congrats to that team for this release. That's that's an interesting development, sort of bracing the polka dot world. Yeah, definitely. And the Kusama ecosystem too. Yeah, which is kind of all part of that. Interesting. Had no clue that was going to be happening. Yeah. So the hyper ledger announcement I wanted to share was that there are five new members who have joined the consortium or the foundation really, and they are energy web, the European Blockchain Association, how is instant integral ledger. Those are the five right there and they go into detail about who they are. So it's been interesting to see, you know, the number of members of this foundation continue to grow. Yeah, so if you're interested in learning more about that. And if you're interested in becoming a member as well. You know, either you can reach out to me or you can find more information on the website as well. I did find one of the things interesting in this article, hyper ledger foundation continue to add to its project landscape with the introduction of hyper ledger and on creds a widely used verifiable credential format. So, you know, I've heard and on credit before so should be interesting to see how, you know, that collaboration will unfold. And just to give you some numbers here in 2022 hyper ledger total code contributor community grew more than 18% with an average of almost 800 individuals, actively contributing in each month. Pretty significant for this still nascent industry. All right. Excuse me. So lots of things have happened since our last meeting, which was about a month ago. The future of NLP in health care. So, I'm sure many of you have heard of open ai's chat GP T AI system. Basically it's a natural language processing tool. And sort of like a chat bot, but that's much more effective and has a lot more capabilities. And you sound like you're talking to, you know, maybe a high school student, or even an undergrad to some degree. For some questions. So this article here, published December 10 by Jared dash of Eski basically talks about how this can be used in health care and talks about the many different applications. That has potential. So, you know, here he's asking the chat GP T how health care will, or how we will ever fix this broken health care system. And I can see the chat GP T saying it's difficult to predict the future, but I believe that with the right efforts, it is possible to improve the health care system and make it more effective and accessible for everyone. Great. That's great. So some specific examples that are mentioned here. One is patient care and delivery delivery research diagnostics and treatment. Clinical and non clinical workflows. So, and then it goes into more details about how that's possible, how that could do that. Yeah, I mean, I think this tool is really interesting. Open chat. I think the fact that they made this publicly available is really good too. It's not just like, you know, for people who could pay for it. A lot of issues with new technology are about how, you know, only some people can access it so increasing that accessibility is really, I think a good move by open AI. Um, yeah. Hey, Pat, wondering, Pete, wondering if you actually tried to use Chai GP T at all if you had any thoughts on it. I've not yet I plan to. Yeah, I've, you know, heard various people say it's great to it's awful. So I don't know. But sometimes over the holidays, I'll probably have a chat to it and see, see what happens. Sure. Yeah, one of the examples I saw online as well as somebody, a physician actually asking the chat GPT to write a letter to a patient's insurance company for a approval for a drug. So prior authorization. So it's kind of an interesting tool. Yeah, doctor sometime. Again, it's still pretty new. So I wouldn't use this in your day to day work, obviously. But the fact that this is here now and we're, you know, dealing with it is something to just consider because yeah, definitely worth knowing about all that stuff. Definitely. So the next article I have here is related to a discovery through an investigation. Many telehealth startups, yeah, actually sending sensitive information to big tech companies. So the markup did this and they found that out of the 50 telehealth websites that they tried out 49 were sharing health data with big tech companies like Google, Amazon, Facebook. So that's pretty significant amount. I did take a look at the list of. So here you can even see out of those 50 telehealth sites, 47 sites sent to Google. I also sent information to Facebook. 27 to being tick tock Snapchat Pinterest, LinkedIn and Twitter as well. Surprisingly, Twitter had the least amount shared but yeah, this is just another red flag being raised here that we need to be able to safeguard patients and consumers overall because I think there's still a lot of misunderstanding about how their data is being used. They did also say that one company that did not share data was Amazon clinic, and they talked about how maybe that's because they're still so new so there wasn't really much data to share. But, and they also did close. They're not really Amazon clinic is not right available anymore. But yeah, you can see the list of all companies here. It is but I want to mention a caveat here because I think it's. I thought it was interesting that they didn't include some of the major telehealth companies like doctors on demand is not listed and while it's not listed at all. What else is there. There's a bunch of telehealth companies that are larger and they have more footprint actually in the United States, but they're not listed here. They do specifically say that they try to go after not go after but they were targeting. So telehealth companies that were were specifically marketing, like, what is it, lifestyle drugs. So, right. So that's what, like, you know, row. Hems and hers. So, yeah, I mean there's a lot of good details articles well. It does seem deceptive cerebral cerebrals been prescribing a lot of drugs for ADHD, pretty liberally from what I understand. So I think that's why this investigation targeted those companies instead of the larger companies that are more urgent care type of, you know, patients. Yeah. Actually, they do a lot more than urgent care, but they're not just targeting specific types of individuals. It's broadly used and the many health systems use them so it's different than the consumer facing only telehealth applications. I mentioned this because I have worked at animal before and they do. When I was there they did a great job making sure that there weren't abusers of the program, meaning that they weren't people trying to game the system to get prescription drugs which is a really big deal in the telehealth industry so especially, you know, substance abuse disorders galore. So that's that. And I was thinking about ways blockchain or decentralized technology can mitigate this and I think the fact that, you know, patients here aren't owning their own data and the data is being owned and controlled basically by these companies and they're able to get away with laws because technically it mentions here how they're able to do this. Right so they emphasize that privacy regulations like health and for health insurance portability and accountability act HIPAA we're not built for telehealth. Right so there's a lot of ethical and moral gray areas that allow for the legal sharing of health related data. Right so there's a lot of ethical and moral gray areas from a former investigator of the US Department of Health and Human Services office for civil rights. Yeah, so I thought that was interesting wondering what you guys think leave a comment in the notes in the YouTube. Okay, next here is an article from coin desk about Apple and that this was an interesting opinion article about how Apple's new encryption policy is actually good for crypto. So it goes on to talk about here. You know, Apple made this announcement that their, their cloud I cloud storage service will now offer end to end encryption. And this is something that I think a lot of users have been asking for for a long time. So that means only a user with an authorized device will be able to access the contents of their cloud storage in much the same way only the holder of a private key can control a Bitcoin wallet. So the new feature will protect photos notes and other files for users who choose to activate it. And this says here email counter and contacts material are not included because they need to interact with multiple services, which makes sense. But this is definitely definitely in line with Apple's privacy leaning policies. And I think it's interesting to just see how the crypto industry will react to this in the future as well. Apple has some tweets reporting from Reuters claim that the FB had leaned on Apple not to enable this feature, which also makes a lot of sense. So you do have some government officials, or at least government departments not really happy about this. So I think, you know, we'll be watching to see how that plays out in the end. Well, not personally, but I know that Tim Cook thinks that privacy is very important. And the US government and Apple have always been in this sort of not battle but, you know, conflict in terms of privacy and data sharing. So we'll see how that turns out. I think it's personally a good thing for the industry and for humanity in general. So it says here hundreds of thousands of users are about to be introduced to private key management by the most respected name and computing. So from there crypto is just a hop and a skip away. So I think that's the takeaway here. Okay, next here is an article from fierce healthcare. It's about AWS and talks about their release or their launch of their new genomics data service for life sciences and healthcare companies. Amazon's in genetics now so this is a big deal I think, and the fact that they're probably doing it for a lot cheaper than everybody else is probably a big deal as well. So I'm curious to see how this plays out here it says more than 98% of medical records are now in digital form, and the digitization, digitalization and sharing of medical data is driving the demand for precise or precision medicine technologies. And it's obvious here that there's also been a steep decline in the cost of sequencing with a hundred thousand fold reduction in cost since the human genome, which was first sequence in 2001, reaching an all time low of approximately $200. That's amazing just in general as a technology. This is by far one of the most impressive things I think humans have done in the last 20 years or so. And I think we still haven't really felt the effects of this in the application of medicine yet. I mean if you go to your doctor now they're not going to typically give you a whole genome sequence test. Although it's relatively cheap. It's just not part of the protocol now but I think that is starting to slowly seep into the standards of care. And that's an exciting thing because I think it's going to reveal a lot about our ourselves. Here says AWS built Amazon omics to support large scale analysis and collaborative research without healthcare companies needing to worry about provisioning the underlying infrastructure. Customers can bring their own bioinformatics workflows and Amazon omics manages the infrastructure to run it according to AWS executives. So this further reduces undifferentiated heavy lifting enables customers to operate in a secure environment with built in access control logging and audit trails while still complying with HIPAA GDPR and other regulations. So yeah I'm curious to see how this will unfold. I don't think blockchain is used to at any part or any component of the stack but yeah so it'll be interesting to see if there's any privacy gaps or security gaps that are identified in the future with this new service. I hope there isn't but you know with any centralized system there's there's some risk there. Okay, so coin desk article about MetaMask which is one of the most popular browser wallets crypto wallets out there. There was a claim out there that MetaMask is privacy and settings were really not that great in terms of data sharing practices and there were concerns raised and then MetaMask responded here in a statement the company explained how and why it was sharing MetaMask user internet protocol information IP information with infura, which is the consensus made RPC remote procedure call service for reading and writing data to the Ethereum blockchain. So I change specifically a change in wording to the consensus user agreement last month revealed that MetaMask by default. Key here shared users transaction data with infura alongside their IP addresses. So, like I said this revelation sparked outrage in a vocal corner of the crypto community with some users worrying out loud about that their transaction data wasn't private, as they assumed. So, it's good to see that consensus and MetaMask are addressing this head on and what they said in the statement consensus clarified that it would only collect wallet and IP address information in connection with right requests, also known as transactions through infura as RPC endpoints is going to say we do not store wallet account address information when a MetaMask user makes a read request through infura, for example in order to check their account balances. So, yeah, I mean I think it's good to see that the voices of the crypto community were heard in this case. And it looks like MetaMask is working to address them. I haven't go too deep into this so if there are some caveats, share them in the comments. I'm curious to know about that. One more quote here we think this was overly cautious and we are not intending to scare anyone away from choosing their chosen provider the company adds. Yeah, so obviously it's still developing space but glad to see that there's some activity in the positive direction. All right, so next article or actually this is sort of like an announcement and there was a hackathon events. So, Partizia blockchain, which is relatively newer blockchain teamed up with the International Committee of the Red Cross, and presented a prototype to support victims of armed conflict. I thought this was interesting because what I had learned through watching some of the video here is that the International Committee of the Red Cross and the Red Cross, I believe, do not actually have to comply with many international laws related to privacy of data, because they are such a emergency group, they don't have to to comply with some of that, which is, I thought kind of interesting. But they also said that they want to be able to comply with and they want to be able to provide privacy in a way that is still efficient and fast and effective. Building a platform that maintains privacy is a bit more complex, but with blockchain they are saying that it might be easier to do. During the video I actually learned that a lot of the ways that these organizations like the Red Cross and other humanitarian efforts, the way that they share and provide money to people in need is through cash, like paper money, because that's the simplest way to do it, apparently. And that makes sense, like if you need to give people money who don't even have bank accounts in a war-ridden country, cash makes sense. The issue there is they can use it for anything, so I think the purpose of this is to try to ensure that the money that the humanitarian tokens or the Red Cross or other organizations go to is to make sure that it's being used not to, you know, fund terrorism, for example. So there's a lot of concerns about that. So being able to put on a blockchain in a way that still protects the privacy, but also ensures that it doesn't end up in the hands of nefarious actors, I think is an interesting thing. And, you know, this is a prototype still they're using Partizia, so check it out if you're interested. This event happened just last week, so pretty cool. All right. That's all I had for news and articles. I'm sure there's much more to share but this is what I pulled up. In terms of educational nuggets, there was one lengthy blog from the town butyric talking about what he's excited about in the sector in the industry, as well as an interesting breakdown of decentralization. And specifically how, you know, he differentiated between a decentralization for governance sake and decentralization for implementation sake. Something that we're all sort of interested in learning about is what is decentralization. So part of that learning includes understanding the nuances and different concepts behind decentralization. So really great article I'm not going to dive too deep into it right now. He talks about, you know, UNS, Po-Apps, proof of humanity, things like that. This section, section four I thought was most interesting, talking about, you know, the distinction of decentralization for robustness and for efficiency. So if you want to dive deep into decentralization, definitely read this article. Again, decentralization for interoperability so and how that breaks down into either governance structure or implementation. So, yeah, definitely a good article here so check this out if you're interested. And finally, I published on my Health and Chain podcast my 107th episode with the leaders of a pharma ledger association. So I'm not going to get too much detail about pharma ledger is a consortium in Europe, trying to devise ways to use blockchain to help improve the healthcare ecosystem overall and increase trust as well. And with their, their main use case now is the electronic product information app and tool so if you're interested, check that out. Great conversation, both Dan and Marco are amazing and they've been really leading that space. Among many others as well in pharma ledger to kind of help explain help experiment with with DLT for healthcare so really, really proud of that team. That's what I had on the agenda today. So quite short, I hope you all have a happy winter solstice day and good holiday as well. Pete thanks for joining. Do you have any comments on the content here anything you wanted to share anything you found recently? I thought it was great there are probably at least three or probably four things on your on your list there that you sort of highlighted that are things that either I'd heard of and not ready yet, but or are completely new to me, and I need to read it out so this has been a thoroughly useful 38 minutes. Awesome. Thank you. And did you have you really done 107 podcasts. Yeah, 107 I've been doing it for years now. Yeah, so. Wow. And to be honest when I first started I didn't think there would be that many people doing healthcare with blockchain but thankfully, there's a lot more actually I could probably do like 500 if I really, really had to. All right. Yeah. Thank you. Oh, thanks everybody for listening and leave a comment, like, subscribe. Appreciate it. Thank you. See you. You take care.