Electrophysiological Authentication and the Decenteralized Internet: Solution for an autonomous decentralized personal controlled electronic health record

Hippocratic Oath


It is self-evident that the modern medical model is all about information and knowledge. (Proctor P. Reid 2005) As a health care provider it is easy to see the potential of electronic health records (EHR) or electronic medical record (EMR).(Bloice )(Bouri )(Griffith ) In 2005 President George W. Bush called for nationwide use of electronic medical records by 2014, which is fitting for this article because implementation of a national electronic medical record has been an utter failure.(GREENHALGH 2009)(Himmelstein 2010) A potential core disrupter to the ultimate success of EMR/EHR’s is the progressive centralizing-corporatization and proprietization of health care innovation and patient’s personal health information.(Salmon )(Jacobs )(Culhane ) There are many examples of this in other industries like journalism, pharmaceuticals, software development, entertainment industry where the medium or centralized authority created to provide the bridge between creator(Developer) and consumer(User) ultimately becomes antagonistic opposition.

There are serous liability risks for the clinicians and institutions who are the creator and custodians of personal health information (PHI), which results in further expense (IT, Legal) and liability exposure. Since the creation of the federal mandate requiring the reporting of data breaches involving 500 people or more, by the US Department of Health and Human Services (HHS) in 2006, there has been over 120 million individuals who have had their PHI breached.(Breaches Affecting 50...)

Open source or open collaboration movement, defined by

“any system of innovation or production that relies on goal-oriented yet loosely coordinated participants, who interact to create a product (or service) of economic value, which they make available to contributors and non-contributors alike”(Levine 2013)

and decentralization,

the process of redistributing or dispersing functions, powers, people or things away from a central location or authority,

are paramount for preserving patient privacy and the sacred trust inherent with the practice of medicine. The points of failure in building a universal EHR network is scalability, security and accessibility of data. Client side (Accessibility) open-source and proprietor EHR software development has seen the most benefit of the United States 600 billion dollar investment thus far and will not be the focus of this article; except the novel use of a universal biomarker that everyone has and is also very difficult to use for mass surveillance. Our greatest exposure, as health care providers with no real definitive solution, is network function, data storage, and true ownership of patient information.