The multi-dimensional complexity the COVID situation has brought impacting the world globally. It has hit states and nations in many fronts - health, financial and mental health and general confidence.
In the initial stages, the challenge was equipments and supplies which is slowly improving. But from day 1, the accessibility and safety of testing has been and continues to be a challenge.
There has been mistrust and inadequacies in centralized systems reported in many countries in many aspects including transparency and integrity in reporting of covid related impact numbers, adequacy of testing, tracking provenance of testing including quality of test kits, and time lags in reporting of results due to technology and process limitations of existing enterprise systems.
The emerging technologies in blockchains and AI for patient-initiated platform for testing that enhances safety for everyone ( patients , doctors, other patients ), provenance for non-repudiation, re-imbursement and a privacy-protected pass for businesses and communities for overall safety.
What it does
FlexiTestPort is a platform that
For consumers, provides options for At-Home testing At Home collection and Execution at the Lab At Home collection and Execution at home based on providers providing instructions over tele-test to perform the sample collection and infer the results. increases the safety for the patients by considerably reducing infection risk. standards - FHIR based interface for patient mediated data transfer For the Providers ( Doctors / Labs ) A tele-test platform for covid related testing increases doctor/ healthworker safety helps reduce the chances of infection and helps them with patient base confidence and overall patient appointments provenance for their tele - test activities in the recently changing regulatory environment with new rules around tele health including audit, re-imbursements a more robust system of security for off-chain test data storage in IPFSvand location pointer transactions on-chain a way to quickly share results with patients and potential immunity certificate passes provenance for test-kits and for recalls should there be a need if there are inconsistencies in test kit accuracies, as the testing still matures
For a verifier - checker role < An abstract role - could be employers , event planners, community groups, law enforcement, small business owners>
a patient / consumer initiated privacy-protected mechanism that is secured by minimalistic data sharing data minimalized data aggregation minimizing chances for re-identification
How I built it
by leveraging decentralization based technologies including IPFS, the ethereum blockchain to prove existence of key data and metadata across organizations for an audit-ready yet privacy protected designs based on the ethereum stack by leveraging DID specifications and components, secure distributed file storage systems by incorporating Zero knowledge proofs for minimalistic proof sharing by designing to FHIR API standards ( Encounter, Observation, Patient, Provider resources etc ) for patient mediated interoperable data transfer by researching in to the FDA EURs, CLIA standards and recent government policy decisions
Challenges I ran into
tracking the labs that are working on At-Home testing understanding the healthcare regulatory framework (and yet there are the new opportunities after covid 19)
Accomplishments that I'm proud of
quick clinical validations working with many doctors, and academic institutions that are working on covid testing quick implementation of privacy-protection features learning and mentoring
What I learned
the realization that re-opening of the economy and wide- spread high scale SAFE testing are 2 sides of the same coin there is considerable interest from employers and small businesses and could increase as testing maturity and understanding of the disease and the antibodies keep increasing people are realizing the use of tele-health and the demand is likely to increase, but the security , auditability infrastructure needs to improve.
What's next for FlexiTestPort
continue to partner with labs continue business development - employers, small businesses, local governments further functional enhancements and standards FHIR based integrations