SOLUTION ARCHITECTURE AND TECHNICAL OVERVIEW. Decentralized platform for coordination and administration of healthcare and benefits

Transcription

1 SOLUTION ARCHITECTURE AND TECHNICAL OVERVIEW Decentralized platform for coordination and administration of healthcare and benefits

2 ENABLING TECHNOLOGIES Blockchain Distributed ledgers Smart Contracts Relationship logic Data Management Aggregation, linking Cognitive Computing NLP, machine learning Behavioral Analytics Historical, forecasting Cloud Computing Distributed nodes, storage

3 GUIDING DESIGN PRINCIPLES Distributed immutable ledger Used for tracking all events and content Synchronization protocol Real time event based synchronization Inheritance Ensure multi tier inheritance of properties Protocol entity pairs Encapsulate all elements of relationship between two parties Stacking and linking Hyper linking of objects and properties Application container End user application with defined usage Edge applications sync to container Standardized applications that inherit the container and protocol properties Extensible data model Public and private data, event and context Loose coupling Avoid or minimize point to point integration Standards Support for all data and network standards at layer below protocol Interfaces Event, data and security envelope Separation of concerns Encapsulation by function & purpose

4 PLATFORM COMPONENTS Care.Wallet Application container Card Stack Coin Pile Care.Protocol Protocol Pairs Protocol Endpoints Event Ledger Event Handler Identify and Access Management Smart Contract Library Data Model Data Hub Operational Data Store Care.Vault, Care.Cabinet & Care.Record Care.Marketplace Integration layer Distributed Processing nodes Network Topology Manager Open API and services

5 SOLVE.CARE PLATFORM TECHNICAL COMPONENTS

6 SOLVE.CARE ARCHITECTURE Platform is based on event driven architecture Designed to synchronize entities, wallets, cards, coins etc. Requires little to no direct integration Supports integration with 3 rd party systems and entities via loose coupling

7 SOLVE.CARE ARCHITECTURE Solve.Care platform is designed on a hybrid architectural approach Distributed ledger Authorized entity model Event based architecture Stateless transactions Service orientation Loose coupling Stateful relationships Data and protocol encryption

8 SOLVE.CARE ARCHITECTURE Care.Protocol is the foundation for the event based approach Designed to deliver events to all parties to whom event is of interest Entity can read an event By pairing with an entity Subscribing to an event Accessing event ledger Access to events is based on public-private hierarchy Protocol node Paired entity Shared Ledger access All events are stored in blockchain ledger

9 CARE.PROTOCOL.PAIRS Each entity has a 32 digit protocol ID Using the protocol ID, entity registers on the network Forms protocol pairs Two entities form a pair called Care.Protocol.Pair (protocol pair) They sign a contract that binds them to rules of relationship Wallets, cards, coins, endpoints are then governed by pair rules An entity can be part of multiple pairs Protocol pair captures all elements of the relationship Protocol pair definition is kept in blockchain and is contract between parties

10 CARE.PROTOCOL.PAIR DEFINITION Events between the pair Nomenclature Method Timeliness Content accompanying events Format Standards Relationship contracts Rules of relationships Transactional contracts Access contracts Audit contracts Relationship Context Care.Cabinet External data sources Reference data Shared data dictionary Access and delegation Public data Private data Sharing Care.Cabinet Designation, location and access Shared cabinet folders Private cabinet folders

11 CARE.PROTOCOL ENDPOINTS Endpoints are connection points to external systems and entities Endpoints allow for exchange of events without integration Endpoints are SOA integration and service access points Endpoints can be for public use or limited (protocol pair or entity) Endpoints can be configured for different transports SMTP, HTTP, HTTPS, FTP, Web-service, SQL, JMS, others Endpoints can be extended to support new transports Endpoints can inherit and enforce protocol pair contracts Content, format, standards, timeliness, consent etc.

12 PROTOCOL EVENT HIERARCHY Organized into event hierarchy Protocol events published to all nodes Pair events published to all entity pairs of a kind Pair entity events published to specific entity you are paired with Delegated events event authorized for publishing to a delegation (non-pair) Subscribed events events can be read from the distributed ledger directly Primary and multiple secondary tags Access Transaction Control Query-Response Admin Additional event tags can be defined and visible to protocol pair entities

13 CARE.PROTOCOL EVENT TYPES

14 CARE.PROTOCOL EVENT FLOW

15 CARE.WALLET FRAMEWORK Care.Wallet is the end user application container Designed for ease of usage Contains cards and coins Hold user profile and preferences Pairs with other entities (wallets) Publishes local services for cards and coins to access Provides access to device features Creates uniformity of user experience Syncs with Care.Protocol Processes incoming events Enforces access control

16 CARE.WALLET SERVICES Care.Wallet publishes a number of micro services Identity services Protocol services Data services Device services Subscription services Personalization services Services are abstracted for ease to use and compatibility Community and clients can use services to publish smart cards, coins, protocol pairs, endpoints etc.

17 CARE.WALLET SUPPORTS MACHINE LEARNING Care.Wallet captures all necessary data for Care.Cards to use machine learning algorithms Available data (strictly subject to wallet holder permissions) Behavioral Utilization Demographic Access and sharing Device and GIS Data is completely anonymized, all personal, device and identification information is removed Care.Community can use the data to implement machine learning for Care.Cards and protocol pairs

18 CARE.CARD IS A SMART APPLICATION Can be informational and actionable Lives in Care.Wallet Inherits all wallet properties Has access to all wallet services Has 4 edges, 4 corners and 2 sides Is designed to create a uniform user experience Can be grouped and stacked with cards in the wallet Can be linked with cards in other wallets Can be read by other wallets (access control) Can be published to marketplace and subscribed Automatically updated

19 CARE.CARD STRUCTURE Two sides Public Side Private Side Four edges Control: publisher, subscriber, purpose, cost, metadata Security: Encryption, access control, privacy and permissions Intelligence: Context, logic, rules, contracts Sync: Link, stack, group and synchronization parameters Edges can be configured differently for two sides of the card

20 CARE.CARD ACTIONS Four corners can be used to configure user actions for the card Each corner can be associated with following actions Link card to other cards Flip between public and private side Shuffle through a deck of cards Share card with another entity/wallet Control permissions and access Search card or deck Custom action defined by card developer

21 CONSENT CARDS Consent in healthcare has special regulatory and legal meaning Consent cards are a specific type of card, standard in all Care.Wallets Consent cards are designed to manage and store all consents Data capture Receive clinical services Record sharing Behavioral analytics Directives and wills And many more uses Consent cards will be reviewed, published or commented by legal experts Care.Community can easily link appropriate consent card to their Care.Card Solve.Care foundation will invest in and manage consent cards Protect all consumers Enable Care.Community to be compliant with appropriate laws

22 DISTRIBUTED LEDGER TECHNOLOGY (BLOCKCHAIN) Solve.Care platform uses Hyperledger as a framework for building building and managing distributed ledger Permissioned blockchain with a Certificate Authority for granting access to the network Voting-based consensus model for high performance and fault tolerance Endorsement Ordering Validation

23 BLOCKCHAIN BUSINESS NETWORK LAYERS Consensus Layer confirming validity of transactions included into a block Identity Services enables registration of system entities during network setup and operation Smart Contract Layer responsible for transaction processing Data Mart unified interface for accessing data sources Communication Layer enabling communication channels for peer-to-peer message interchange Policy Layer system policy management for consensus, groups and other Gateway provides interaction between multiple blockchains

24 TRANSACTION FLOW Multilateral transaction nature, typical for complex domains is represented as a set of bilateral transactions Set of transactions is determined by smart contract logic Transaction stages Transaction request initiated by a client Signature verification, transaction proposal check, ensure submitted for first time, verification signature and client authorization Verification of proposal responses, comparing proposal responses and execution of endorsement policy Ordering publishing of transaction proposals to the Ordering Service Transaction validation validation of transactions within the block Ledger update channel chain being updated with the block

25 USE OF SMART CONTRACTS Solve.Care platform uses Smart contracts to implement business logic specific to Care.Protocol pairs Pair-specific business logic defined by smart contracts Each smart contract has it s exclusively scoped state, which can t be accesses directly by another smart contract Smart contract can invoke another smart contract in order to access it s state

26 SMART CONTRACTS INTERACTION WITH THE LEDGER

27 PLATFORM SMART CONTRACT LIBRARY Access contracts Data collection and use contracts Privacy and security contracts Consent contracts Compliance contracts Subscription contracts License contracts Permitted use contracts

28 PAIR SMART CONTRACT LIBRARY Insurer <-> Provider Pair Credentialing contracts Pricing contracts Performance contracts Payment contracts Insurer <-> Insured Pair Eligibility contracts Enrollment contracts Utilization contracts Payment contracts

29 CARE.VAULT Care.Vault is internal content repository with ability to link and aggregate payload, structured data and blockchain ledgers Care.Vault is instantiated for a protocol pair and is governed by rules of the pair relationship

30 CARE.VAULT

31 EXTENSIBILITY AND CONFIGURABILITY Data model Entity pairs End points End user application container Container applications Security and access control

32 EXTENSIBLE DATA MODEL Solve.Care data model is a key determinant in achieving a flexible, expandable and evolving platform for benefit administration across the globe The data model follows the decentralized design of the overall solution approach and is expandable by the community The data model is decomposed into protocol pairs, smart cards, tokens and shared entities such as identity and events A true innovation of the Solve.Care data model is that it supports decentralized entities that publish data to remain in sync Each object in Solve.Care has a defined linking and data syncing definition This approach makes it very flexible, powerful and expandable: Protocol pairs encapsulation of pair intelligence and transactions Linking and syncing of pair entities Stacked cards and linked stacks to handle complex data relationships Audit log of every event, transaction and interaction Open, published, expandable and peer approved

33 DATA HUB Data Hub is a data aggregation and integration layer Data Hub offers standardized data services Data quality Data de-duplication Data conversion Data hub is a data switch and not an operational data store Data hub is designed to abstract services independent of underlying stack Can use any data technology that client or community prefers ETL engine DQ engine MDM framework

34 SECURITY AND PRIVACY Encrypted protocol Separately configurable encryption standard for event and content Compliant with VPN, tunneling and data packet encryption Encrypted cards Separately configurable encryption standard for public and private data Encrypted wallet Access control Two factor authentication Non transferable Encrypted cloud backup and restore (optional) Comprehensive audit Events, access, content, users, devices, location Designed to exceed security standards for federal and state agencies

35 ENTITY, EVENT AND CONTENT SECURITY Event security Protocol Pair Entity Event Entity security Access control Protocol ID Pair Type Pair ID Event subscription Event ledger Content security Encryption Public content Private content Delegated content

36 DISTRIBUTED PROCESSING NODES Different types of processing nodes Processing nodes management Authorization Graduation Minimum volume guarantee Service Level Agreements Concept of gas applied to healthcare transactions

37 INNOVATIVE USE OF TECHNOLOGIES Innovative synchronization protocol Linking, stacking, grouping and synchronization of entities and wallets Cutting edge technologies Distributed ledgers, smart contracts, blockchain Domain extensions Ability to inject domain context into protocol, card, coin and wallet Cognitive and learning Behavioral and utilization analytics built into application container Machine learning services Standardized user experience Care.Card behavior is pre-defined and optimized through behavioral analytics Extensibility of protocol, card, coin and wallet Every element of platform is designed to be community extensible and configurable Encapsulated pair relationships Smart contracts enforce relationship rules Embedded capabilities Data management, identity and access management, machine learning & behavioral analytics

38 TECHNICAL GOVERNANCE Platform Architecture Council (PAC) is responsible for overall platform architecture Governs 7 architectural layers Infrastructure Security Blockchain Event Information Component Business Business Component Information Event Blockchain Security Infrastructure

39 PRODUCT MANAGEMENT COUNCIL (PMC) Charter - Responsible for roadmap creation, review, approval and changes Chaired by company CEO and CTO Members Sales Marketing Development Community Support and Dev-ops Professional services, delivery and integration Community representation is nominated via online community forum Meets monthly or as needed

40 PLATFORM ARCHITECTURE COUNCIL (PAC) Charter Platform Architecture Council (PAC) is responsible for the architecture and design of the platform in terms of sustainability, scalability, security, extensibility and ease of usage Function Approve technical design and specification all 7 layers of architecture Conduct market research and proof of concept projects on new technologies Approve adoption of new technologies PAC is chaired by CTO and composed of following representatives: Development Community Support and Dev-ops Professional services, delivery and integration PMC Meets monthly All meeting decisions are published to community

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