Decentralized Intelligence Health Network (DIHN)

Abstract

Decentralized Intelligence Health Network (DIHN) is a theoretical framework addressing significant challenges of health data sovereignty and AI utilization in healthcare caused by data fragmentation across providers and institutions. It establishes a sovereign architecture for healthcare provision as a prerequisite to a sovereign health network, then facilitates effective AI utilization by overcoming barriers to accessing diverse medical data sources. This comprehensive framework leverages: 1) self-sovereign identity architecture coupled with a personal health record (PHR) as a prerequisite for health data sovereignty; 2) a scalable federated learning (FL) protocol implemented on a public blockchain for decentralized AI training in healthcare, where health data remains with participants and only model parameter updates are shared; and 3) a scalable, trustless rewards mechanism to incentivize participation and ensure fair reward distribution. This framework ensures that no entity can prevent or control access to training on health data offered by participants or determine financial benefits, as these processes operate on a public blockchain with an immutable record and without a third party. It supports effective AI training in healthcare, allowing patients to maintain control over their health data, benefit financially, and contribute to a decentralized, scalable ecosystem that leverages collective AI to develop beneficial healthcare algorithms. Patients receive rewards into their digital wallets as an incentive to opt-in to the FL protocol, with a long-term roadmap to funding decentralized insurance solutions. This approach introduces a novel, self-financed healthcare model that adapts to individual needs, complements existing systems, and redefines universal coverage. It highlights the potential to transform healthcare data management and AI utilization while empowering patients.