Inspiration

4.5 billion patient records are locked under paper consents signed once, forgotten forever. Patients have zero control over who uses their medical data and receive no compensation for it.

What it does

ReConsent gives patients real-time, granular, AI-assisted control over their medical data consent. Patients toggle consent for 12 data types, get AI-powered explanations of research requests, earn RCT tokens when their data is accessed, and redeem tokens for healthcare benefits like copays, telehealth, and lab fee waivers.

How we built it

React 19 with Vite 6 for the frontend SPA Anthropic Claude API for AI ethics scoring and plain-language request explanations localStorage for persistent state (patients, researchers, ledger) Simulated blockchain layer (wallet addresses, transaction hashes, block numbers, on-chain ledger) CSS-in-JS with a custom design system using Google Fonts (DM Sans, DM Mono, Instrument Serif)

Challenges we ran into

Simulating a realistic blockchain experience without deploying actual smart contracts Designing granular consent controls for 12 medical data types that are intuitive, not overwhelming Integrating AI ethics review into the researcher workflow in a way that feels trustworthy and transparent

Accomplishments that we're proud of

Full token economy with earning and redemption (copays, telehealth, pharmacy discounts, clinical trial priority) AI-powered consent patients can ask Claude to explain any research request in plain English before deciding Smart auto-consent policies so patients can set rules and automate approvals Clinical trial matching based on patient conditions Persistent on-chain ledger that survives page refreshes

What we learned

Consent is not a one-time event it needs to be dynamic, revocable, and compensated AI can bridge the gap between complex research language and patient understanding Token-based incentive models can align the interests of patients and researchers.

What's next for ReConsent

Deploy real smart contracts on Ethereum/Polygon for true on-chain consent Integrate with EHR systems (Epic, Cerner) for real medical data Build a real data marketplace connecting research institutions with consented patient cohorts Mobile app for consent management on the go DAO governance so patients collectively decide platform policies

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