Bert, in particular, might find the collection of technologies around
OpenBazaar[1][2] interesting.

It relies on DHT for it's P2P marketplace framework and implementation,
Ricardian contracts[3] for agreements, 2-of-3 multi-sig for escrow, BTC for
remittance and IPFS for distributed file storage.


[1] https://www.openbazaar.org/
[2] https://en.wikipedia.org/wiki/OpenBazaar
[3] https://en.wikipedia.org/wiki/Ricardian_contract



On Mon, Nov 13, 2017 at 7:47 AM, Bert Verhees <[email protected]> wrote:

> I understand, I take that as an authoritative answer to my question why it
> hasn't been discussed in OpenEhr context.
> The answer is also supported by Grahame. So what can I say ;-)
>
> Thank you both for that.
>
> I think that both of you will discuss within two years if and maybe how to
> implement blockchain in OpenEhr and in FHIR.
>
> In FHIR I think that discussion will come very sooner, because, it is
> about messaging, and also, it describes technical layers.
> In OpenEhr maybe in that discussion it will be rejected as something
> because it will be regarded as not belonging to the non-technical character
> of the Openehr-specification.
>
> Best regards and thanks for the considerations
> Bert
>
>
>
> On 13-11-17 14:35, Thomas Beale wrote:
>
>>
>> There may be applications such as 'digital notary' that blockchain might
>> be useful for, which is a trusted third party notary that accumulates
>> signed hashes of content transactions to the main EHR; if it is thought
>> that the EHR was hacked or integrity was in question, the digital notary
>> can be used to check. There was even a gNotary project in gnu health years
>> ago. But as Grahame says, protecting against transaction errors / hacking
>> isn't a burning problem to date. However, if you want to accumulate the
>> whole contents of transactions, blockchain is unlikely to be be scalable.
>>
>> Maybe this will change and blockchain will find use there.
>>
>> - thomas
>>
>>
>> On 13/11/2017 13:15, Bert Verhees wrote:
>>
>>> On 13-11-17 14:02, Thomas Beale wrote:
>>>
>>>>
>>>> ...
>>>> What openEHR has as an underlying data management paradigm is
>>>> distributed version control - each EHR is like a little git repo. This is
>>>> no longer new or interesting (in fact, I was exposed to it from 1988, so
>>>> really not new), but it's just as applicable today as it was then. Re-doing
>>>> all that in blockchain seems sort of pointless. Yes, health systems can be
>>>> hacked, but mainly to break privacy, not to fake transactions. Not what
>>>> blockchain was designed for (and it's more or less the opposite regarding
>>>> privacy).
>>>>
>>>>
>>> It is not about hacking why blockchain is interesting, although, that
>>> can happen too. But it is about having trustworthy computing without a
>>> trusted third party. Not only protecting against bad intentions but also
>>> against errors, for example, system which not run synchronous or have
>>> date/time(zone) not well configured. Not a trusted party ensures delivery
>>> and time of delivery and contents of delivery, but blockchain as a
>>> mechanism does.
>>> I have given already a few examples.
>>>
>>> Remember, computers make no errors, but people do, and it are people
>>> which configure computers and use them, and their responsibility must be
>>> able to transparently replayed afterwards.
>>>
>>
>>
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>>
>
>
>
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