The current approach to patient health records frustrates clinicians and does not serve the needs of a diverse patient population.

Many of these problems are due to a lack of direct control by physicians and patients over the technology that serves them. Public blockchains such as Bitcoin and Ethereum have been shown to remove institutional control and decentralize technology with benefits to innovation and censorship-resistance. As these technologies enable secure credentialing of licensed practitioners and audit of clinical transactions without the participation of a hospital or state intermediary, we have implemented health information technology that is purchased and controlled by the individuals in the clinical relationship.

Our solution is a patient-centered approach to privacy protection in cloud computing and information based on digital consent standards, blockchain identity, and blockchain audit. This enables each patient and each licensed practitioner to own and completely control their open source connected health records within a secure environment.

HIE of One (Health Information Exchange of One) is a volunteer-driven open source project to combine emerging standards for access authorization (Kantara UMA) and emerging standards for blockchain-based self-sovereign identity (DID) into a patient-centered health record infrastructure.

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