As part of the President’s Precision Medicine Initiative (PMI), in August the Office of the National Coordinator for Health Information Technology (ONC) and the National Institute of Standards and TechnologyNational Institute of Standards and Technology The National Institute of Standards and Technology promotes innovation through its physical sciences laboratory. It is a non-regulatory agency of the United States Department of Commerce. (NIST) began their “Blockchain Challenge.” The ONC challenge solicited proposals on how blockchain may be utilized to improve healthcare IT and to enable a “new era of clinical care through research, technology, and policies that empower patients, researchers, and providers to work together toward the development of individualized care.”
ONC Blockchain Challenge Winner
Of the more than 70 proposals received, 15 were selected as finalists. Among those selected was Blockchain and Health IT: Algorithms, Privacy, and DataProject, a whitepaper by less succinctly named PharmOrchard of MIT’s Experimental Learning “MIT FinTech: Future Commerce.”
MIT’s proposal explored threats PMI data’s security, confidentiality, integrity and availability and presented he OPAL/Enigma project3 as a strategy towards mitigating those challenges. The OPAL/Enigma project3 creates a peer-to-peerPrivate Key A private key is a string of data that shows you have access to cryptocurrency in a specific wallet. Private keys enable a user to spend from the wallet through a cryptographic signature. network based on highly optimized multi-party computation and secret-sharing via a permissioned blockchain that records and controls access through smart contractsDigital Commodity A digital commodity is a scarce, electronically transferrable product or service. and digital identities. OPAL thereby enabling complete privacy in analyzing jointly stored data, increasing interoperability. In sum, the OPAL/Enigma project3 uses blockchainBlockchain Computing System A Blockchain computing system treats the Blockchain as a secure computation platform that can be shared among multiple vendors. technology to resolve the tension between the creation of a secure environment for stakeholder Electronic Health Information (EHI) and the necessity of efficiency in sharing that sensitive information. And, as a secure infrastructure that doesn’t sacrifice the ability of exchangeability of data, OPAL would be a potential tool providing:
- resolution of infrastructural matters, such as time and cost related to the analysis, storage and manipulation of health information;
- a better framework for precision medicinePrecision Medicine Precision medicine is the emerging field of medical treatment that addresses disease and physical ailments at the molecular level- meaning treatment plans and procedures are more often than not tailored to a patients genetic code. Overall, precision medicine encompasses areas such as clinical informatics, electronic health records, clinical trials, public health informatics to improve the outcome of patient care. It utilizes advanced technologies such as biomarkers and translational bioinformatics as key component to execute intended care models. ... trials;
- the development of more comparative trials;
- a more cost-effective development of drugs; and
- the development of more effective treatments to patients.
The proposal focuses on the OPAL system as a platform for the creation of accessible (yet confidential) databases of patient information at scale, and the ability to utilize information for expansive and nuanced adaptive clinical medical trials. However, it also notes that the system would, on an individual level, allow for a more holistic treatment of patients via a shared medical history.

Brennan is a blockchainBlockchain Computing System A Blockchain computing system treats the Blockchain as a secure computation platform that can be shared among multiple vendors. technical adviser in the healthcare sector and blockchainBlockchain Computing System A Blockchain computing system treats the Blockchain as a secure computation platform that can be shared among multiple vendors. entrepreneur who has worked on developing proprietary concepts for both artificial intelligence and enterprise blockchainBlockchain Computing System A Blockchain computing system treats the Blockchain as a secure computation platform that can be shared among multiple vendors.. He is a graduate of Rutgers University School of Health Professions where he earned a M.S. in biomedical informaticsNational Institute of Health The National Institutes of Health (NIH) is a biomedical research facility and is an intregal part of the United States Department of Health and Human Services. It serves as the foremost biomedical and health-related research facility for the Unites States and provides research funding to non-NIH research facilities. The NIH also conducts primary research through its Intramural Research Program (IRP).....