Blockchain Match-Cohort Identification Using Hashed Patient Data

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Solution Overview

Problem

Existing healthcare entity systems face challenges in determining a match-cohort of patient data from multiple entities without exposing sensitive information and in coordinating effective communications with patients, as they require extensive agreements and security reviews, and lack efficient methods for continuous updates and rule-based communication management.

Innovation Solution

The method involves applying a hash function to sensitive information to produce non-reversible hash values, which are stored in a blockchain database accessible to multiple entity systems, allowing for the determination of match-cohorts without exposing sensitive data and enabling encrypted data exchange with only intended recipients, along with rule-based coordination of communications.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Loss of information

If healthcare entities exchange protected healthcare information (PHI) to determine match-cohort, then the match-cohort can be identified, but sensitive patient information is exposed

Engineering Contradiction:
Improvematch-cohort identificationVSAvoidPHI exposure
Core Design Contradiction:
Loss of informationVSObject-affected harmful factors

Solution Approach 1:

The patent extracts only the essential identifying elements (hash values of patient data) from the full PHI, allowing match-cohort identification without exposing actual patient information. Entities exchange hashed identifiers rather than complete PHI records, separating the identification function from the sensitive data.

Inventive Principle:
Principle #2Taking out (Extraction)

Solution Approach 2:

The patent introduces a blockchain-based intermediary system that mediates the match-cohort determination process. The blockchain stores and verifies hashed patient identifiers without exposing underlying PHI, acting as a trusted intermediary that enables collaboration while maintaining privacy through cryptographic protection.

Inventive Principle:
Principle #24Intermediary (Mediator)

2Reliability

If healthcare entities conduct security reviews and enter agreements before data sharing, then data security is improved, but the process complexity and time required increase

Engineering Contradiction:
Improvedata securityVSAvoidprocess complexity
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The patent implements preliminary cryptographic preparation by pre-hashing patient identifiers and pre-establishing blockchain-based trust mechanisms before any data exchange occurs. This preliminary action creates a secure framework that eliminates the need for extensive runtime security reviews and agreements.

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The patent replaces the mechanical system of manual security reviews, legal agreements, and administrative coordination with an automated cryptographic and blockchain-based system. Trust is established through mathematical proofs and distributed ledger verification rather than human review processes.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

3Adaptability or versatility

If healthcare entities periodically repeat the match-cohort determination process, then updated match-cohorts are identified, but time and computational resources are consumed

Engineering Contradiction:
Improvematch-cohort updatesVSAvoidprocessing time
Core Design Contradiction:
Adaptability or versatilityVSLoss of time

Solution Approach 1:

The patent establishes a continuous blockchain-based system where hashed patient identifiers are continuously available and can be queried at any time. Rather than periodic batch processing, the system maintains an always-on, continuously updateable match-cohort determination capability through the immutable ledger.

Inventive Principle:
Principle #20Continuity of useful action

Solution Approach 2:

The patent performs preliminary hashing and storage of patient identifiers in the blockchain in advance, so that future match-cohort determinations can be performed by simply querying existing hashes rather than reprocessing raw data. This preliminary preparation enables rapid, repeated queries without redundant computation.

Inventive Principle:
Principle #10Preliminary action

4Ease of operation

If healthcare entities coordinate communications with match-cohort patients, then communication effectiveness improves, but system complexity increases

Engineering Contradiction:
Improvecommunication coordinationVSAvoidsystem complexity
Core Design Contradiction:
Ease of operationVSDevice complexity

Solution Approach 1:

The patent creates a universal blockchain-based coordination layer that serves multiple functions: match-cohort identification, communication coordination, and rule-based decision making. This single multi-functional system replaces multiple separate coordination mechanisms, reducing overall system complexity despite the enhanced capabilities.

Inventive Principle:
Principle #6Universality (Multi-functionality)

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

This approach allows for the determination of match-cohorts and secure, rule-based communication coordination among healthcare entities without exposing sensitive information, reducing the need for business agreements and security reviews, and enabling continuous updates and efficient data exchange.

Implementation Method 1

applying a hash function to sensitive information to produce non-reversible hash values

Methodology Applied
Scientific EffectHash function:

Implementation Method 2

blockchain database is accessible to the multiple entity systems that have different information for at least some of the same served entities

Methodology Applied
Scientific EffectBlockchain:

Data Source

PatentEP3619887B1Creating match cohorts and exchanging protected data using blockchain
Publication Date: 2024.03.13 INTERNATIONAL BUSINESS MACHINE CORPORATION
  • EP3619887B1 patent drawingFigure 1
  • EP3619887B1 patent drawingFigure 2
  • EP3619887B1 patent drawingFigure 3

AI summary

A method, computing system and computer program product are provided. A first entity system that stores sensitive information associated with different entities applies a hash function a portion of the sensitive information to produce hash values. Transaction information pertaining to transactions performed on entity systems are stored within a blockchain database accessible to the entity systems. The transaction information includes hash values corresponding to associated entities from the entity systems. The hash values of the first entity system are compared to the hash values from others of the entity systems to determine entity systems containing information pertaining to same entities. The sensitive information for an entity of the first entity system is exchanged with the determined entity systems containing information for that entity.