HealthTAG / Consent, trust & access

Patients own their health data. Hospitals steward the records.

Patients decide whether and how their health data may be used. Hospitals store and safeguard clinical records in their source systems. HealthTAG links identities, checks access, supports authorized exchange, and records events for later review.

01 / OWNERSHIP & CUSTODY

Patients own the data. Hospitals hold the records.

Health data belongs to the patient. The hospital stores and stewards the clinical record in its source FHIR system. After authorization is checked, that source system can return the permitted response.

02 / IDENTITY

Identity linkage connects local patient identifiers

The identity linkage service connects the patient identifier used by each hospital to a common identity reference.

03 / CURRENT ACCESS CHECK
15min

The authorization service checks the access window

The authorization service checks a 15-minute access window defined from blockchain state before the source system returns the permitted information.

04 / API

The API Gateway protects the FHIR API

The API Gateway provides the TLS gateway and authentication boundary. Credentials, firewall rules, encryption, and hospital operations provide the other safeguards.

05 / AUDIT

Blockchain keeps the access history

Blockchain records consent and access events in a history that is difficult to alter. Clinical records stay in hospital systems.

TRUST BEFORE INTELLIGENCE

Set the rules before medical AI uses health data

Before medical AI uses health data, the data source, patient consent, authorization, and access history must be clear. HealthTAG uses this principle to guide future development. Current systems do not train AI or run a clinical AI pipeline.

What blockchain records

Blockchain stores the history of consent and access. Clinical records remain in hospital FHIR systems, while authentication, encryption, API configuration, and hospital operations are handled outside blockchain.

Recorded on blockchain

  • Consent events
  • Access events for later review

Handled by other systems

  • Clinical records in hospital FHIR systems
  • Authentication, encryption, API configuration, and hospital operations

See how these systems work together on How it works →