Post #31764

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[Sphereon BV] Niels Klomp
In order to create visibility and improve our reputation we need to become more relevant. We (Sphereon, including myself) believe that this can best be done through actual use cases with a great story and high impact. This could be done by developing and launching some impactful applications for instance. Below are just some examples and obviously we need to come up with something together. I am just listing 3 below as for each of these use cases I and Sphereon already has the network to make inroads into making it highly likely to work for instance. These are not projects that need to be driven by Sphereon at all, it simply needs to happen collaboratively, out in the open as open-source, with contributions from everyone willing to put in work (obviously we would need to provide remunerations).

3 examples we could do in co-creation with highly visible organizations, the community and external developers:
[*]Tokenization for National Health Insurance Systems
[*]Education and Accreditation for Healthcare Providers
[*]Immutable Evidence of Human Rights Abuses

This idea reaches back to the earlier years of the protocol when Factom was able to team with highly visible and reputable organizations, such as DHS and the Bill and Melinda Gates Foundation (although a dud, the Honduras Land registry).

The big difference with then is that we now actually have a lot of the required open-source technology needed to create great applications and make them work!

The below text is mostly [USER=106]@mboender[/USER] 's work. That also highlights that if I would be elected director, the management team of Sphereon would also chime in and we would better align Sphereon with the protocol. These are just some examples, obviously it needs to be aligned with the outcome of the strategy, vision and resulting plans.

Besides these 3 examples, one could also think about social media proofs, inbound/outbound e-mail proofs in mailservers, digital mailroom audit trails, website proofs, authentication/authorization/capabilities, workflow and smart contract solutions to name a few.

[B]Tokenization for National Health Insurance Systems in Low-and Middle-income Countries [/B]

All eyes are on the COVID-19 pandemic virus. However, among specialists there is consensus that Antimicrobial Resistance (AMR) poses a far bigger threat to humans and animals than a new virus. Drug-resistant microorganisms already account for an estimated 700,000 deaths a year globally, a figure that could rapidly increase to 10 million deaths each year if no action is taken.

AMR is mainly the result of inappropriate prescription and use of antibiotics, caused by various perverse drivers, such as greed, poverty, and poor knowledge.

Sphereon is part of AMR Global ([URL=''][/URL]), a public-private partnership that brings together experts in various fields in the fight against AMR. One of the spearhead policies in AMR Global is Better Antimicrobial Stewardship.

One of the sub-projects is creating a Tokenization module for National Health Insurance Systems (NHIS), enabling the issuing, exchange and settlement of medicine or other treatments. Such as system is expected to solve several problems:
[*]Lower the administrative burdens of healthcare payers (governments, insurers) and healthcare providers

[*]Payments for actual use, rather than funding up-front.

[*]Patients do not have to pay the healthcare provider

[*]Healthcare providers can be paid immediately (trusted transaction for actual use, no verification necessary).

[*]Enable incentives for patients to complete a treatment

[*]Enable incentives for healthcare providers to follow best practices in treatments
[*]Real-time data collection and monitoring: hotspots, trends, JIT supply-chain, etc.·  


In this use case that are three parties:
[*]the healthcare payer, a government agency or insurer that will pay for the treatment
[*]the healthcare provider, the doctor or nurse that will provide the treatment, and who will need to be paid
[*]the patient that will need to receive the treatment

Current procedures to manage and administer this differ very much from country to country, and even from payer to payer and provider to provider. And almost always are paper- and labor intensive and messy.

Using FAT tokenization, we can greatly improve this. The Healthcare Payer can issue various digital tokens, each with their own rules, for example:

Tokens testing, diagnostics and treatment, for example for Tuberculosis 

[*]The patient would receive such a token in their digital wallet, which can be on a phone or a card, once every year

[*]The token would have a validity of, f.i. one or two years

[*]Using the token would also entitle them to a bonus token or tokens for an extra benefit, f.i. to a free meal for two

[*]When the patient visits the healthcare provider, he “pays” with this token, which gets transferred to the wallet of the healthcare provider

[*]And the patient automatically receives the bonus tokens for the meals

[*]When the patient visits the cafeteria of the healthcare provider, he “pays” with this token for the meals, which gets transferred to the wallet of the person, NGO or other that runs the cafeteria and provides the meal.


This greatly reduces the administrative burden for the payer and gets the provider paid quickly. It reduces fraud and enforces rules and can incentivize parties.

The healthcare provider can also arrange with a donor to pay for the treatment based on real use. So, no payment of grants upfront, based on estimations, but on actual data that can be trusted.


Through AMR Global we have a very strong international network for realization and implementation. They will contribute knowledge and experience, but also funding for the project.


KNCV Tuberculosis Foundation was established in 1903 and works in over 20 countries in Africa, Asia and Eastern Europe.

The Amsterdam Institute for Global Health and Development (AIGHD) is an international research and education institute that works to develop sustainable solutions to major health problems. AIGHD was initiated as a partnership between the Amsterdam University Medical Centers (AUMC), the University of Amsterdam (UvA) and the Vrije Universiteit Amsterdam (VU).

[B]Education and Accreditation for Healthcare Providers in Low- and Middle-income Countries [/B]

Most highly developed countries have a strong system for education and regulating medical personnel, such as nurses, doctors, specialists, etc. With accredited educational institutes and curricula, registers, medical boards, to provide and monitor the quality of care given by these professionals.

Unfortunately, many low- and middle-income countries (LMICs) do not have the same level for such systems, often even lagging far behind.

National and international donor organizations and NGOs are looking at ways to improve this through methods and systems for remote learning and education.

Medical schools and universities have built a lot of online courses and created protocols for education of medical professionals. They are willing – and actively exploring this together with AMR Global – how they can provide these materials to students and professionals in LMICs to improve the level of knowledge in these countries.

[B]Factom Educational Badges application [/B]

Sphereon is also developing a solution to issue, manage and verify so-called educational badges and verifiable credentials. This solution can be used by trusted parties, like a university, NGO or government to issue a “digital badge” as a form of accreditation to the person or entity that qualified for such an accreditation. The holder can then proof that they hold a certain accreditation and the entity that receives this digital badge can automatically verify that the accreditation has not been tampered with and was issued by the trusted party.

We believe this is a great basis for use in healthcare in LIMCs to start a robust accreditation system as a fraction of the costs of the centralized systems that are considered today.

We would work with more or less the same partners as the previous application and use the same method to have the community come together and make this happen.

Sphereon is working in the next European Self Sovereign Identity Framework call to bridge the gap between different Verifiable Credentials systems like the W3C/DIF standards based solutions and the Hyperledger Aries/Soverign projects, by creating integration libraries for so called Presentation Exchanges, as well as creating bridges between the products. That means in the future SSI systems can start working together to verify credentials from holder wallets across different technologies, making a project like this immediately future proof.

[B]Immutable Evidence of Human Rights Abuses [/B]

Another highly visible and high-impact application we’re considering is an application that would enable investigators, as well as the common public, to record and publish evidence of human rights and other abuses in such a manner that they can be proven, beyond any doubt, to have taken place at a certain place and certain time and are authentic.

We’ve already been in contact with Amnesty International and the International Criminal Court (ICC), who have shown an interest, but lack funding at this time.

If we as a community would adopt this project and make it into a product, they are interested to pick this up. We’re sure this will also create quite a bit of visibility and interest in the Factom technologies. It is something that is already very close to the core of the protocol.
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