Myjeeni - Decentralized Healthcare

To help understand the problem, see the attached image for an example of a medical protocol for management of post-partum haemorrhage.

As can be seen, a medical protocol has logical structure that can easily be modelled using a domain specific language embedded in a programming language like Haskell.

Furthermore, it can be given a drag and drop frontend like Marlowe to make it easy for non programming experts in Healthcare to create protocols.

Part of MyJeeni's essence and inspiration lies in doing what Marlowe did for financial contracts, to healthcare protocols. And this can greatly benefit future healthcare projects on Cardano.

This protocol needs to be collaboratively modified and updated by a team of healthcare and other bioscience experts.

A blockchain not only makes the availability of these protocols ubiquitous and accessible, but can add a lot of interactivity to this.

In addition to that, a blockchain can incentivize the creation and peer review process of such protocols in such a way as to keep protocols evidence based and up to date.

We feel Cardano and Haskell are best suited for this and are building the MyJeeni Healthcare dApp using these technologies.

There is a growing need for converting latest healthcare research into actionable protocols in first world as well as third world countries.

Current healthcare protocols lag behind latest research and end up being outdated and confusing. Healthcare resources also vary between countries (i.e. first world and third world countries). This forces healthcare professionals in third world countries to use healthcare protocols from first world countries, that are not suitable for their practice areas due to resource differences.

These problems can easily be solved if we have a common repository of healthcare protocols that are created by healthcare professionals from several countries. Furthermore, these protocols can be version controlled and even forked by healthcare teams to meet their local needs.

We are using Cardano to tokenize the peer review as well as the healthcare protocol creation process, to give participating healthcare professionals an incentive to actively participate and keep the healthcare protocols up to date with the latest research.

The tokenization system will be designed in such a way as to reward contributions that are evidence based and up to date.

The tokenization system will also be designed to remove spam and misinformation.

There will be 3 tokens for this purpose:

1. Jeeni token - a governance token mined by running healthcare protocols and rewarded to the participants of the protocol.

2. Evidence token - a token used by participants to provide weight to each protocol by providing peer-reviewed evidence. This provides Proof of Medical Evidence.

3. Endorsement NFTs - given to healthcare organizations like the American Heart Association or South African Society of Obstetrics. These will uniquely identify these organizations on the system (blockchain) and give them the ability to delegate themselves to protocols they have approved.

We have divided our project into 3 phases:
1. Create a Healthcare DSL (similar to Marlowe) in Haskell. (6 months)
2. Design and formalize the tokenization system and smart contracts using Plutus. (12 months)
3. Onboard healthcare professionals onto the MyJeeni App. (ongoing after launch).

The current team consists of:

1. Suneej Surendran-Nair (Medical Doctor, computer programmer).
Been a practicing physician for the last 9 years, focusing on Rural Maternal Health in South Africa. This project started due to frustrations with access to healthcare protocols in these settings.
Been programming with keen interest in functional programming for 15 years. Created several side projects in Haskell and Rust programming language.
Created an open source bioinformatics library in Rust:
https://github.com/Zenleaf/entrez-rs
Also created the MyJeeni AI Chatbot mobile app for YCombinator Startup School in 2019 using Python and Dart (Flutter),
https://www.startupschool.org/companies/mtq16ftsYAIKuA.

2. Group of medical doctors at our hospital who will also form the initial MyJeeni community.

Funding:
The funding from Project Catalyst will go towards, building a team of extra developers for the project as well as initial running costs of the dApp.

Will need to hire 2 extra Devs to help with the development.

Hosting of the dApp backend API until the MyJeeni community will be able to sustain and bring in revenue through the tokenization system.

KPIs used by the project will be:
1. MAU (monthly active users).
2. Monthly new healthcare protocols, created by the community.

What success will look like for us:

1. Successfully develop the Healthcare DSL within next 6 months and gets reviewed and tested by healthcare professionals. Will be developing it using agile techniques in tandem with my colleagues at work.

2. Once Alonzo hard fork is complete will launch the tokenization system built using Plutus. Already proficient in Plutus and Haskell so this should go fast if the DSL is ready.

3. If we can get atleast 1000 healthcare providers within 12 months with atleast 100 protocols on the blockchain within 12months after launch that will definitely be enough to create momentum and growth in Healthcare communities.

4.Will also publish a report in South African Medical Journal after launch.

5. Another measure of success will be the usage of the protocols with other Cardano healthcare projects.

Challenges :
Biggest challenge will be creation of the healthcare DSL. This is an essential step and will be done in stages to manage complexity.

Second challenge will be co-operation from healthcare organizations with approval of protocols. To mitigate this risk our current solution is to add healthcare organizations onto the blockchain using NFTs identifying them which also has the utility of being used by them to delegate to protocols they approve.

We will also train them to become our first cohort of MyJeeni protocol creators since most of these organizations consist of public health professionals and other Healthcare experts, MyJeeni can become an excellent tool of communication and protocol creation for them.

Why Cardano? :

Cardano is chosen for this project in healthcare due to the security guarantees provided by its Plutus programming language as well as its support for native multi-assets and Metadata (needed for this project).

A lot of the Covid-19 problems arose due to poor collaboration and consensus on treatment modalities among healthcare professionals.
If this project becomes successful, we could expand on it to apply in automated Internet of Medical Things (IOMT) and integrate with automated diagnosis systems etc after researching methods to make it more safe and secure.

Value for Cardano community :

Having this built on Cardano can also onboard a lot of value to the Cardano Ecosystem as it will bring a lot of involvement from the healthcare communities which could jumpstart and spark the creation of other healthcare dApps on Cardano.