A COMPREHENSIVE HEALTHCARE ECOSYSTEM - powered by Blockchain JULY 2018 - Copy
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A COMPREHENSIVE HEALTHCARE ECOSYSTEM powered by Blockchain JULY 2018 Version 1.0
The World’s first Token Sale to combine Clinics and Hospital Assets with a Revolutionary Digital Healthcare Platform for the delivery of Healthcare, Wellness and Vitality Services. Healthcare has proven to be relatively recession proof. Token ownership in this Token sale will be underpinned by quality assets in top locations in emerging markets, combining extensive knowledge and experience in Healthcare with the latest in digital health technologies. Visit www.dclinic.io for your opportunity to participate in this exciting Token sale.
DISCLAIMER
Legal Statement
dClinic PTE LTD is a company registered in 6. Investment in DHC holds considerable risk
Singapore. dClinic is the creator of this Token and might involve extraordinary risks that
sale and the dClinic Token (DHC). may perhaps lead to a loss of all or a
significant portion of such investment,
1. The presentation of this whitepaper is
unless the participants completely
solely for informational purposes. The
understand, be aware of and accept the
participants interested in investing in
characteristics of the company and the
dClinic Health Coins (DHC) should analyse
possible risks inbuilt in company, they
and consider various associated risks prior
should not invest in this Token sale.
to making any kind investment decisions in
the dClinic Token sale. 7. Each one of the participant is completely in
charge for ensuring that all characteristics
2. The dClinic whitepaper does not comprise
of dClinic are satisfactory.
of any advice by the Company, the
directors, the investment manager or any 8. There can be no guarantee that the
other person, or recommendation to any investment purpose will be achieved and
receiver, by the virtues of participation in investment consequences may differ
this Token sale. considerably over time.
3. The dClinic whitepaper does not 9. Investment in DHC is in no way be
necessarily identify, or claim to identify, all considered as stock or security, should not
the risk factors connected with company. planned to be a total investment program
All the participants must make their own for any investor. All the participants with
independent evaluation, after making such awareness should think about whether the
investigations as they consider essential, of investment is suitable for their
the merits of participating in this Token circumstances and financial resources.
sale.
10. dClinic makes no representations or
4. There is no guarantee that the dClinic warranties whatsoever and disclaims all
ecosystem will be a success. Similarly, there liability and responsibility to the maximum
is no guarantee that the value of DHC will extent of the law for any statement or
rise. You are advised to thoroughly assess informative material communicated. The
the risks and uncertainties involved before dClinic team takes all reasonable steps to
making any decisions. No promises in terms ensure the integrity and accuracy of
of token value or future performance are information communicated.
made.
11. Some Investors from certain countries are
5. The investor should check with and rely not allowed to participate in this Token
upon their own investment, accounting, sale. Please check your local regulations.
legal and tax representatives and
consultants as such matters concerning IF YOU DO NOT AGREE TO THE dClinic
company and to assess separately the TERMS AND CONDITIONS (AVAILABLE
financial risks, consequences and ON THE dClinic.io WEBSITE), DO NOT
appropriateness of an investment in PURCHASE dClinic TOKENS FROM THE
company, or if in any doubt about the facts COMPANY. BY PURCHASING dClinic
of this presentation. TOKENS FROM THE COMPANY, YOU WILL
BE BOUND BY dClinic’s TERMS AND
CONDITIONS, AND ANY TERMS AND
© 2018 – dClinic PTE LTD – All Rights Reserved 4
Forward Looking Statements
CONDITIONS INCORPORATED BY Certain information set forth in this
REFERENCE. IF YOU HAVE ANY QUESTIONS whitepaper includes forward-looking
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By purchasing dClinic Tokens, and to the "expect", "project", "anticipate", or words of
extent permitted by law in your judiristion, you similar meaning. Such forward-looking
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Company and its respective past, present and available dClinic materials such as videos,
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contractors, consultants, equity holders, contained in this whitepaper constitutes
suppliers, vendors, service providers, parent forward-looking statements and includes, but
companies, subsidiaries, affiliates, agents, is not limited to:
representatives, predecessors, successors and
i) the projected performance of the project;
assigns (dClinic) liable for any losses or any
special, incidental, or consequential damages ii) completion of the campaign;
arising from, or in any way connected, to the
sale of dClinic Tokens, including losses iii) the expected development of the project;
associated with the terms set in our Token’s iv) execution of the project's vision and
Terms and Conditions. strategy;
vii) future liquidity, working capital, and
capital requirements.
Additional Terms and Conditions are supplied
on the dClinic.io website. Please refer to these The forward-looking statements involve a
Terms and Conditions before purchasing any variety of risks and uncertainties. Should any
dClinic Tokens. of these risks or uncertainties materialise, the
actual performance and progress of dClinic
might differ from expectations set by the
forward-looking statements. These
statements are not guarantees of future
performance and no undue reliance should be
placed on them. dClinic undertakes no
obligation to update forward-looking
statements if circumstances change. By acting
upon forward-looking information received
from the whitepaper, dClinic website and
other materials produced by dClinic, you bear
full responsibility in the case of
forward-looking statements not materialising.
5 © 2018 – dClinic PTE LTD – All Rights Reserved
table of contents . Abstract 8 1. About the industry 9 2. Problem Statement 9 3. Solution Overview 10 4. dClinic the Disruptor 11 . 1. dClinic Use Cases 13 . 2. Why does dClinic need Blockchain 14 . 3. dClinic in a Nutshell 15 5. dClinic Platform Architecture 16 6. dClinic Current Software Asset Register 19 7. dClinic Milestones to date 22 8. dClinic’s Inaugural Partner 23 9. Role of Vital Life Management (VLM) 25 . 1. Key Advantages of partnering with VLM 26 10. Role of Blockchain 28 © 2018 – dClinic PTE LTD – All Rights Reserved 6
11. The dClinic Platform 31 12. Token Sale 33 . 1. Terms of the DHC Token Smart Contract 33 . 2. DHC Token Distribution 34 . 3. Token and Funds Distribution 34 13. dClinic Roadmap 37 14. Our Core Team 41 15. VLM EXPERTS AND dClinic ADVISORY BOARD 43 . Acknowledgments 47 . APPENDIX A – INDONESIAN CLINICS AND HOSPITALS 48 . APPENDIX B – MEDIA RELEASE 59 . APPENDIX C – MEDIA RELEASE 61 . APPENDIX D - MEDIA RELEASE 63 . APPENDIX E - MEDIA RELEASE 65 7 © 2018 – dClinic PTE LTD – All Rights Reserved
ABSTRACT
Most clinics and medical facilities today interactions resulting in patient data that is
follow a one-on-one model of not readily shared or available to other care
patient-provider interaction which puts the providers. The dClinic platform leads to a
provider (clinician) at the centre of a Shared Care model where the patient is at
patient’s care. The problem with this model the centre of their care and the care is
is that it does not always easily allow provided by care team members who could
providers to consult with other healthcare be providers, clinicians, specialists,
givers and then follow the patient’s progress organisations and even family members.
as part of a holistic shared care plan. This
model is rigid and creates the data silos dClinic puts the patient at the centre of their
which prevent collaborative efforts for care and does not allow brick walls to
positive healthcare outcomes. constrain their access to care. dClinic uses
blockchain to assist and reward consumers
dClinic and its experts, after working for for their participation and adherence to their
many years with providers, governments care plans. Thus, dClinic is poised to disrupt
and healthcare organisations, recognize the healthcare industry by introducing a new
that a more forward-thinking healthcare model of healthcare which encourages
platform needs to be established to break collaborative efforts for positive healthcare
down the traditional barriers of one-on-one outcomes.
© 2018 – dClinic PTE LTD – All Rights Reserved 8
01 02
About Problem
the Industry Statement
The global blockchain-in-the-healthcare Most healthcare technology systems start a
market is expected to grow at a compound patient’s healthcare journey from a
annual growth rate of 63.8% and reach a one-on-one visit to the doctor or a hospital
value of $5.61 billion by 2025. The use of where the patient is registered into their local
blockchain for healthcare data management clinical system, such as an EMR (Electronic
and exchange will contribute significantly to Medical Record), PAS (Patient Registration
the market share throughout the forecast System) or GP (General Practice) System. The
period, reaching a value of $1.89 billion by reality is that patients are consumers, and
20251. their healthcare journey often involves many
people and services, who are unable to
contribute to the healthcare service delivery
process effectively because the processes of
healthcare service delivery are broken and
fragmented. In fact, it is becoming more
recognised that wellness and vitality services
Figure 1
The current ridged
on-on-one patient-provider
interaction model within
clinics
1:https://www.prnewswire.com/news-releases/global-blockchain-in-healthcare-market-2018-2025-market-is-expected-t
o-grow-at-a-cagr-of-70-2-to-reach-5-6-billion-300636253.html
9 © 2018 – dClinic PTE LTD – All Rights Reservedcan also play a significant role in patients’ Now, with the introduction of blockchain in
healthcare outcomes. However, in the existing Shared Care Planning (dClinic’s platform),
traditional healthcare systems, organizations, which will enable all care providers, including
individuals and service providers work in silos the patient themselves, to contribute, follow
with fragmented data around a single patient and update their healthcare progress, the
derived from interactions compounded by healthcare delivery system will become
one-on-one encounters between patients and significantly more effective and rewarding.
their care providers. Globally, we lack a Communication amongst all stakeholders with
one-stop platform where instead of data silos, the patient at the centre of their care will
a patient’s information is collected, shared and contribute significantly to improving service
utilized with a consortium of doctors and delivery. The industry, we believe, will witness
service providers. A full history and journey of a paradigm shift from disparate data chunks
the patient’s Electronic Health Records (EHR) of health records to a single, decentralized
could help bridge the gap that exists in the shareable ledger (dClinic EHR or dEHR). A
healthcare sector while providing incentives Shared Care platform will facilitate
for all persons to strive towards making cross-sharing of the recorded history of the
caregiving more cost-effective. patient’s health for devising a meaningful
longitudinal healthcare plan.
03 dClinic’s position as a one stop platform can
bring the much-needed transformation in the
Solution healthcare sector. An array of clinicians,
Overview service providers, caregivers, thought leaders,
and governments, through dClinic’s platform,
Blockchain in healthcare will help connect
can work together to enable the fulfillment of a
individuals, care providers and anyone
patient-centred healthcare delivery system.
involved in the caregiving process seamlessly
dClinic aims to demonstrate this in emerging
and in real-time. KYC and Secure Messaging
markets in partnership with local providers
will ensure security and transparency of
and government bodies.
communications. The services availed, medical
routine and vital body stats would be stored as
secure data points on Blockchain that cannot
be tampered with.
© 2018 – dClinic PTE LTD – All Rights Reserved 1004
dClinic
the Disruptor
Our team has many years of experience in the healthcare sector and it is
clear from our numerous worldwide implementations that the patient (or
consumer) should be at the centre of their care. Our thesis is, that by
making the Shared Care Plan the main consumer and clinician (provider)
portal for accessing a consumer’s clinical and non-clinical data, dClinic will
considerably assist the healthcare sector by giving the Care Team
accurate and real-time data that holistically relates to the patient,
therefore driving better healthcare outcomes.
dClinic is going to be a game-changer for - Consumers can meaningfully interact with
the healthcare industry because; their Care Plans because the Care Plans are
represented in consumer friendly terms and
- dClinic Health Coins have value from day (non-clinical) language. Our choice for clinical
one. The consumer can help drive this dClinic modelling also allows language agnostic Care
Healthcare value proposition and be rewarded Plans.
by engaging with dClinic.
- Contributors to the Shared Care Plan (and
- dClinic puts the consumer at the centre of therefore potential Health Coin recipients) will
their healthcare by driving all transactions via include consumers, clinicians, care givers and
their Shared Care Plan. family members. Contributors to the
consumer’s care plan will get financial and
- dClinic empowers the clinicians and care healthcare rewards. dClinic’s platform is
team members by allowing them access to the blockchain enabled and rewards all actors.
correct consumer data. Everyone benefits by participation and
adherence to the Care Plans.
11 © 2018 – dClinic PTE LTD – All Rights Reserved- The Care Plan will be inclusive and not dClinic overcomes the following current
exclusive to only traditional clinical system inhibitors in the Healthcare Industry -
data. Wellness and Vitality will also play a
major role in a consumer’s Care Plan. 3rd - Most EMR (Electronic Medical Record)
parties running other clinical systems and systems are data silos, often not easy to
devices can also integrate into the dClinic integrate with. dClinic’s interoperability
platform. through Blockchain overcomes this major
barrier to aid care team members.
- dClinic will drive this model of care by
owning the clinics and hospitals that will - Most hospital and clinical systems follow a
holistically implement the dClinic platform. one-to-one system. dClinic opens the
healthcare service interactions to a care team,
- dClinic’s platform will be interoperable with putting the patient at the centre of their
as many devices as possible to truly allow the treatment.
consumer and clinician to interact with the
consumer’s Care Plan. - Most clinical systems only offer minimal
patient feedback, if any. dClinic encourages
All dClinic token owners, including those this feedback loop, and allows the patient to
who subscribe to our Token Sale, will share their data so other care team members
automatically be registered as part of the can contribute to their healthcare outcomes.
dClinic Loyalty and Rewards program. And for care team members who don’t have
clinical portals, dClinic allows sharing within
Figure 2
dClinic breaking
down the barriers
and promoting
Care Teams
© 2018 – dClinic PTE LTD – All Rights Reserved 12the Care Team through any Internet browser. stored in the dClinic blockchain.
dClinic’s blockchain breaks down the software
barriers to allow care team members to - Patient reward is not often part of existing
contribute effectively. clinical systems. Rewards for participation
and adherence to Care Plans is a core
- In fact, dClinic will also provide secure APIs component of focus for dClinic.
(FHIR) to allow others to contribute to a
Shared Care Plan. To set this revolution in motion, dClinic will
empower its own facilities, and then based on
- Where most clinical systems start with a consumer engagement, we will move to
Patient Administration System (PAS), dClinic’s empower other non-dClinic facilities.
focus is the Care Plan, where data is securely
04.1 dClinic Use Cases
Scenario Example
As a consumer, if I adhere to my Care My Care Plan is a Type 2 Diabetes Care
Plan, I will be rewarded with dClinic Plan and my doctor has recommended I
tokens. complete 20 minutes of exercise per day
which includes walking.
Healthcare Outcomes
through Rewards:
01 02
Consumer Reward Consumer and Provider Reward
As a patient, every time I complete my daily If I forget to complete my task, any member of
exercise task and report my participation and my Care Team (including a family member or
adherence to my doctor, I will receive a dClinic friend carer) can remind me the next day and if
Health Coin. I complete this task, then I will receive portion
of a dClinic Health Coin, and so will the care
team member that reminded me.
03 04
Provider and Consumer Reward Provider Reward
As a care team member, if I note the patient is Similarly, for every referral that makes a
struggling to adhere to their Care Plan difference to the patient in terms of their
schedules, I can encourage the patient using adherence, the referrer will receive dClinic
the dClinic Telemedicine App, for which I and Health Coin rewards.
the patient will receive portion of dClinic
Health Coin as reward.
This blockchain model rewards all contributors including the consumer to meet their
participation and adherence levels. dClinic, therefore, drives good healthcare outcomes
through these collaborative healthcare initiatives.
13 © 2018 – dClinic PTE LTD – All Rights ReservedAs a consumer or care team member, I - Each contributor (care team member) can
accumulate dClinic Health Care coins which I provide appropriate and targeted healthcare,
can use for other dClinic services such as, wellness and vitality services regardless of
where they may be in the world.
- Premium access (shorter waiting times) to
see worldwide dClinic practitioners - Care Team members can make correct
evaluations and recommendations based on
- Access to additional wellness and vitality the knowledge of the consumer’s allergies,
services Care Plan tasks, social issues, Drugs and
Alcohol dependencies, medications and
- Access to premium one-on-one ailments (such as diabetes, chronic disease,
Telemedicine consultations etc).
- dClinic Loyalty program services items - Care Team members (existing and new)
making value decisions in the event the
- dClinic upgrades such as premium rooms at
consumer is unable to respond for whatever
worldwide dClinics, and
reasons, such as being in a coma.
- Benefits, such as cost savings, at
- Saving costs and delays through
diagnostics labs and pharmacies owned
interoperability with Emergency, Laboratory,
and/or authorized by dClinic (i.e. using the
Pharmacy, Radiology and Pathology to
dClinic platform).
provide instant patient-centred diagnosis.
Refer to the DHC Benefits Document.
- Preventative focused healthcare outcomes.
For example, NCDs (Non-Communicable
Diseases) are increasing tremendously all over
04.1 the world and affect people in many
Why does dClinic communities. Together, with incidents of
obesity, stroke, MI (Myocardial Infarction),
need Blockchain? diabetes, hypertension and cancer, all the
The dClinic Blockchain encourages healthcare diseases most people normally identify with,
outcomes. Blockchain allows the consumer’s awareness of a person’s Care Plan can greatly
health data (in the form of Care Plans) to be increase effective prevention by quick
secure, and the consumer in cooperation with intervention. Prevention is the most
their care team, allows access to this data to appropriate answer and dClinic’s Blockchain
relevant parties, which can provide benefits is a solution towards this goal. Trillions of
such as. dollars are spent on the consequences of NCD
“ “The advanced dClinic Health Platform with its
focus around a, “patient-centred care model”, will
truly transform health service delivery as we know
it today and make a real difference in improving
people’s health and well-being.”
Dr. Richard Satur, CEO dClinic
© 2018 – dClinic PTE LTD – All Rights Reserved 12
14while preventive actions, such as, excellent 04.2
ER, telemedicine, latest electronic diagnostics
based on dClinic’s blockchain make all these
dClinic
tools patient-centred and focused on positive in a Nutshell
health outcomes. dClinic’s blockchain allows
access to relevant and accurate patient data dClinic’s platform strength is its ability to
regardless of geography, and allows integrate. Interoperability is our mantra and
healthcare professionals to communicate we aim to integrate with all clinical and
efficiently, therefore, benefiting the patient. consumer-based systems. Our platform is
going to be a blockchain-assisted healthcare
- Being able to suggest a balanced diet, daily data capturing, management and exchange
physical exercise, balanced mental health by framework that allows care providers the
awareness exercise, balanced work and means to develop and track the progress of a
family life can play a significant role in patient’s care plan.
avoiding stress. These are relatively easy
intervention tasks to help reduce incidents of
MI and stroke. The key is be familiar with the
consumer’s Care Plan (via secure Blockchain)
in order to be able to make these
assessments. Silent killers such as obesity,
hypertension and Diabetes type 2 can also be
effectively tackled if the care team is aware of
it.
15 © 2018 – dClinic PTE LTD – All Rights Reserved
1205
dClinic
Platform
Architecture
The platform is designed from the ground up to be modular so that
added functionalities, as they are developed, can be incorporated into
the platform without disrupting the existing ecosystem.
It is also optimized for an easy rollout at both 1. dClinic Data eXchange Layer
the enterprise and individual levels, making it
suitable for use in large, well-established This makes use of the latest in healthcare data
institutions as well as small, independent technologies like openEHR data archetypes
clinics. (which also allows the Care Plan to be
represented in Patient/Consumer friendly
dClinic’s Platform will comprise of language and terms), FHIR2 APIs and AI
(dClinic Artificial Intelligence engine) and
dClinic is currently expanding its two core integrates these onto a blockchain-powered
applications to work alongside the platform; a data governance protocol that enables secure
Care Team-to-Patient telemedicine cross-communication and interoperability of
application and blockchain driven Shared all platform functionalities in real-time.
Care Planning application (BC-ShCP).
2. dClinic Blockchain APIs
The telemedicine application will enable users
to consult with their Care Team remotely (for - Various APIs like Contracts, Certificates,
example, on their phone) for a small, possibly Chain Code registry APIs will be exposed.
even reimbursable, fee.
- Smart contracts on blockchain will govern
transactions between different parties. These
2: https://www.hl7.org/fhir/overview.html
© 2018 – dClinic PTE LTD – All Rights Reserved 16Figure 3 - dClinic High-Level Platform Architecture
will be available to developers to build apps by a patient’s healthcare, social and family
leveraging dClinic data eXchange Layer history, stored on an openEHR4 layer and use
it to develop effective care plans. This
3. dClinic Datalake dashboard also allows care members to
create and update care plans in the form of
- Datalake makes representing dClinic unique. daily tasks, track progress, access current
Datalake will represent an enterprise solution medical records and refer any patient’s
that holds all the data from all the involved records to another provider in real-time.
parties and shall be used for analytics
purposes. - A patient dashboard that provides patients
with reminders for the daily tasks included in
4. dClinic App Store (DAS) their care plans, access to a lifetime of their
medical history, follow-up schedules and the
- DAS opens up the whole platform to the
ability to communicate with different care
world to expand and evolve dClinic platform
providers.
with new features and possibilities.
6. Platform Intelligence
- DAS provides native applications to support
the platform like telemedicine, BC-ShCP, - Artificial intelligence, Natural language
PROMs/PREMs (Patient Reported Outcome processing, Machine learning to enhance
Measures, and Patient Reported Experience
healthcare models.
Measures3 ).
5. dClinic Dashboards - NLP caters to people of any age to
interact with the system and recommend
- A provider dashboard to retrieve and update support to patients based on their specific
needs.
3:http://www.ichom.org
4:https://www.openehr.org
17 © 2018 – dClinic PTE LTD – All Rights ReservedFigure 4
dClinic aims to integrate with all
clinical and consumer-based systems
for maximum interoperability
7. Analytical Engine care providers through a
blockchain-powered eReferral (Electronic
- Data Analytics plays a crucial role to Referral) program.
understand patient behaviours. Analytics
APIs will be exposed to developers in a 9. dClinic Feedback System
controlled environment for building apps
for solving specific problems. - This is to check on the the quality of
services offered by institutions, clinics,
8. dClinic Reward System doctors, and clinicians using PROMs and
PREMs (Patient Reported Outcome and
- This incentivizes the adherence of Experience Measures).
patients to their care plans and rewards
© 2018 – dClinic PTE LTD – All Rights Reserved 1806
dClinic
dClinic Current
Software Asset
Register
dClinic’s platform (V1.0) has been a product of over 2 years in development.
It is presently being demonstrated in Australia, Indonesia, Brazil, US and
Singapore. The aim is to develop a platform that can deliver the dClinic
vision. This Token Sale is to take the current infrastructure to a fully block-
chain enabled platform for true patient-centric care and to officially launch
in Indonesia, a major emerging market.
Over the last 2 plus years, we have built the following software
platform components, namely;
Component Description Version Expended
Budget to date
openEHR The backend Clinical Modelling is based on openEHR V2.0.0.4 USD$320k
(Clinical which is completely standards-based and meets the
Modelling compliance requirements for the identifying, storage
and (including security), handling and auditing of clinical
data worldwide. These standards include (via Secure
Reporting)
Messaging);
- Australian Government Protective Security Policy
Framework (PSPF) and Information Security Manual
(ISM) 2014
- ISO/IEC 27001 (ISO 27001, 2005) including (ISO/IEC
27002) and ISO 27799:2016
19 © 2018 – dClinic PTE LTD – All Rights ReservedComponent Description Version Expended
Budget to date
- Accessibility Requirements suitable for procurement
of ICT products and Services (EN 301 549 - V1.0.2)
- Web Content Accessibility Guidelines (WCAG) 2.0
- State, National and International Penetration Testing
guidelines openEHR clinical modelling is particularly
suited for;
- Quality Assured Reporting (and dash-boarding)
including integration with 3rd party BI (Business
Intelligence) tools
- Care Plans in patient-friendly language format
including supporting medications, problems, goals and
tasks
- Compliant with HL7, SNOMED CT and FHIR
standards
FHIR APIs We connect with external systems via our proven FHIR V1.0.9.2 USD$120k
APIs. This means we can integrate with most systems
including EMRs and General Practice Clinical Systems
Shared Care To provide the best possible care for Patients, we need V3.4.5.5 USD$1.2mil
Planning to include Care Teams in the preparation and
implementation of the Patient’s Care Plan. Our highly
customisable and configurable Care Planning solution
is comprehensive and allows for the greatest
involvement between care givers and the Patient. Our
Care Plans are template driven and can integrate with
Consumer wearables, EMR and Clinical Systems
Patient It is vitally important Patients can contribute to their V0.9.0.2 USD$85k
Surveys own care and one way is to allow Patient to complete
Experience (of Service) and Outcome Surveys (PROMs
and PREMs). This way Care Givers can tailor tasks and
goals to drive outcomes that meet the Patient’s needs
Telemedicine When Patients are unable to physically be present or V1.0.0.2 USD$560k
Remoteness is an issue, Telemedicine can greatly
assist. Telemedicine can be particularly useful for
ePrescription (Electronic Prescription) and
re-prescription needs. Our Telemedicine platform is
device agnostic and steps up and down depending on
the data bandwidth available
© 2018 – dClinic PTE LTD – All Rights Reserved 20Component Description Version Expended
Budget to date
Uber Service The patient has the ability to request services using an V0.0.0.7 USD$35k
Model Uber style model. Correct and approved specialists can
attend to their needs in a timely manner. dClinic believe
this is the future of service based healthcare
Biometric Fraud and Aliases (including multiple EHRs) is a major V2.2.0.3 USD$84k
Identification issue for most Clinical Systems. Using non-invasive
Biometric identification secures the system and the
interactions between the Patient and their Care Givers.
We can also merge aliased Electronic Health records
Secure All clinical data is exchanged securely. Privacy and V1.0.0.3 USD$135k
Messaging consent is always managed appropriately. Now,
extend this to include the Patient’s EHR as a portable
record by employing Blockchain, and we have a very
powerful, safe, portable and targeted service delivery
model
To date, dClinic’s core team has personally funded development to the tune of
USD$2.5mil. Videos, demonstrations and sample UIs/UXs of our Software Assets are
available on the dClinic.io website.
21 © 2018 – dClinic PTE LTD – All Rights Reserved07
dClinic
Milestones
till date
During its entrepreneurial journey, dClinic has already achieved
significant milestones towards building an integrated blockchain
driven shared care platform. For example -
- We have a dClinic platform V1.0 with - Some of the most distinguished advisors
proven capabilities and implementations across various fields have already joined
to carry out the next phase of dClinic (See Our Advisors Section).
development. This platform is ready for
Blockchain integration. - We have started delivering health care
and vitality services across some clinical
- With our carefully chosen inaugural trial projects in Australia, some of which
partner, Vital Life Management in are in association with the VLM team.
Indonesia, we have successfully entered
into agreements for seven of our projects - We have established contracts for our
(which include five vitality clinics and two real-world assets to underpin and value
hospitals) along with several large-scale add to dClinic’s vision.
clinical trials. This has enabled a stable
revenue model for dClinic from the get-go - To implement and support dClinic we
(See Appendix). have negotiated a contract for establishing
an office in Indonesia and dClinic will also
We have successfully onboarded several own the office asset (See Appendix ).
industry experts in clinical systems and
implementations to lead the dClinic
platform roadmap building.
© 2018 – dClinic PTE LTD – All Rights Reserved 2208
dClinic’s
Inaugural
Partner
So, how do we prove our approach and platform will deliver
healthcare services safely, efficiently, appropriately and correctly to
consumers? dClinic’s answer is to continue to innovate by partnering
with world class partners for the delivery of healthcare services. For
this, we have initially partnered with VLM in Indonesia – See
Appendix for details.
We envision to acquire and own a majority The increase in consumers obtaining
of the clinics and hospitals in Indonesia, a private insurance in Indonesia is also
country with over 300 million potential substantial, and by 2019, it is anticipated
consumers, and one the fastest growing that all Indonesians will be covered by
middle-class populations. Today, over 52 Universal Health Cover(UHC), a scheme
million people belong to the middle class, introduced in 2014. This is creating
and their consumption accounts for 43% significant opportunities for reshaping
of the total household consumption5. health services in the country. dClinic can
add considerable value for insurance
Additionally, tourist arrivals in Indonesia companies, which are rapidly expanding in
rose to 1,300,738 persons in April of 2018, the Indonesian market7 . The government
an 11.04% increase from the previous policies are aligned to facilitate the ageing
year6 population through measures like
5:http://www.worldbank.org/en/news/press-release/2017/12/04/indonesia-middle-class-vital-for
-the-country-future
6:https://tradingeconomics.com/indonesia/tourist-arrivals
7:http://archief.internationalhealthpolicies.org/indonesia-aims-universal-health-coverage-2019/
23 © 2018 – dClinic PTE LTD – All Rights ReservedFigure 5
Dr. Richard Satur (CEO)
and Robby Thoeng (VLM
Director) confirm the
partnership in Indonesia
Universal Health Insurance. State delivery, with vitality and wellness
institutions and private companies are services being just as critical as traditional
working in tandem to trigger further health care services. The dClinic platform
growth in the healthcare segment. both incorporates wellness and vitality
According to the 2015 Frost & Sullivan systems along with traditional healthcare.
Health care Outlook, the Indonesian health
care sector is expected to triple from US$7 Our target markets after Indonesia are
billion in 2014 to US $21billion in 20198. Malaysia, Philippines, Brazil, Miami and
Australia. dClinic has initiated
Indonesia provides a growing and affluent negotiations with potential healthcare
market for dClinic and VLM, hence this delivery partners in Maimi, Brazil and
partnership is incredibly promising. Also, Australia. The organization shall share
Indonesia is an emerging market that is progress on further partnerships through
ready to try new methods of healthcare press release announcements and official
social media channels.
https://www.austrade.gov.au/ArticleDocuments/1418/IABW_Healthcare-Seniors-Living_EY.pdf.aspx
© 2018 – dClinic PTE LTD – All Rights Reserved 2409
Role of
Vital Life
Management
(VLM)
Dr. Richard Satur, founder of dClinic, and Dr. Robby Thoeng from Vital Life
Management, have agreed to be associated as long-term strategic
partners with the aim of establishing excellent health and vitality services
across Indonesia. These vitality centres are designed to address the
“widening gap” in healthcare service provision as a function of the growth
of worldwide healthcare demand.
Both organizations are wholly committed platform provider with extensive
to develop further and implement an experience in creating patient-centric care
advanced “digital healthcare platform,” solutions. The synergy between Vital Life
based on the dClinic vision, for the Management and dClinic, therefore,
provision of healthcare coupled with creates a promising partnership.
wellness services. The deployment of this
new Blockchain driven platform aims to VLM is, therefore, our key;
revolutionize healthcare delivery across
the hospital sector, specialist tertiary care, • Partner in assisting with the purchase
primary care and aged care settings. and construction/refurbishment of 7
Indonesian clinics and hospitals
Vital Life Management has undertaken
extensive research and planning on seven • It is already operating in Indonesian
initial high priority projects in Jakarta and Vitality clinics and hospitals, which will
Bali, and these projects are ready to also be supported by the dClinic platform.
commence. Correspondingly, dClinic is the Details for the new Vitality clinics and
next generation digital clinic platform hospitals are in Appendix
developed by a healthcare software and
25 © 2018 – dClinic PTE LTD – All Rights Reserved• Partner in supplying of healthcare, Vitality Clinics and Hospitals.
wellness and vitality experts in Indonesia.
VLM has established a network of o Each clinic and hospital will purchase
specialist doctors with existing clientele the license to implement the dClinic
platform in their ecosystem, thus
• For maintaining Indonesian health contributing to the revenue model.
department standards
o Implementation of dClinic’s services in
• Providing assistance to us in customising Indonesia and the Asia Pacific will be
and configuring dClinic for the Indonesian supported by a development and support
market team headquartered in Bali.
o dClinic and VLM are both working with a
09.1 focus on emerging markets in developing
Key Advantages of countries where they can make a real
difference in health outcomes and work
partnering with VLM towards improving people’s health and
The partnership will open a number of wellbeing. The focus market in phase one
opportunities for both dClinic and VLM in of the project will be Indonesia.
the healthcare sector.
o At the heart of this development is an
o dClinic will have ownership of 5 Vitality advanced digital health platform,
Centres and 2 Hospitals in Indonesia with operating at the cutting edge of
the possibility of two more facilities which interoperability to provide longitudinal
will be leased. dClinic will also receive a care across digital health clinics. The
percentage of net profit from each of these services being delivered by these clinics
Figure 6
The dClinic and VLM
Partnership Team
© 2018 – dClinic PTE LTD – All Rights Reserved 26are focused around patient-centred care opportunity for Indonesian patients to
model. benefit from improved healthcare and
wellness services.
o Both VLM and dClinic are at a similar
stage in their evolution and have been o Neither business venture is reliant on
through many years of extensive R&D and government funding or complicated
market testing of concepts. These are not decision making. They are pure private
startups but well developed and properly enterprises allowing innovation and best
funded businesses, and as such, the practices to guide their expansion.
synergies between both businesses is
impressive. This creates an exciting
To be successful, dClinic and VLM require the “best-suited team”
and Subject Matter Experts. dClinic also has a talented Executive
Team that will operate in tandem with VLM to provide the right
technology platform. Both companies consist of highly talented
leaders in Healthcare Service Delivery and Digital Health systems
development. Collectively, they have implemented many other
projects, and both have “a real passion for being successful,
putting the patient at the centre of their care”.
27 © 2018 – dClinic PTE LTD – All Rights Reserved10
Role of
BlockChain
dClinic Blockchain Highlights include; several examples of data exploitation that
hampers the patient’s access, including
o Access to a Secure worldwide consumer health IT developers interfering with the
EHR (Electronic Health Record) flow of data by charging exorbitant prices
for data exchange interfaces.
o Smart contracts, when patient and
Interoperability is also a critical component
provider agree on tasks and activities to
for Patient-Centered Outcomes Research
create a care plan.
(PCOR) and the Precision Medicine
o Engage consumers in their healthcare Initiative (PMI). dClinic embraces
outcomes through a rewards-based interoperability.
system
dClinic Blockchain will enable users to give
o Reward care team members and controlled access to different healthcare
providers through a blockchain-enabled agents such as doctors, hospitals,
eReferral system laboratories, pharmacists, and insurers to
interact as they see fit. Each interaction
o Loyalty dClinic programs via “dClinic with their medical data is auditable,
Health Coins” (as DHC Tokens) add transparent and secure, and will be
greater value for the consumers recorded as a transaction on dClinic
Blockchain’s distributed ledger. During this
dClinic exploits and embraces process, the patient’s privacy is protected
interoperability for the benefit of the at all times. Leveraging unique blockchain
patient and breaks down data access properties, dClinic manages
barriers. A recent ONC report9 details confidentiality, accountability and data
9:https://www.healthit.gov/topic/scientific-initiatives
© 2018 – dClinic PTE LTD – All Rights Reserved 28sharing—crucial considerations when dClinic would deliver diverse data sets by
handling sensitive information. including patients from different ethnic
and socio-economic backgrounds and
With Smart Contracts on our secure various geographical environments. As
dClinic Blockchain (dBC), dClinic logs EHR blockchain collects health data across a
relationships that associate a medical patient’s lifetime, it offers data ideal for
record with viewing permissions and data longitudinal studies. Real-time access to
retrieval instructions. The dClinic patient data would improve clinical care
record would reflect the many facets of coordination and improve clinical care in
health data, by accepting not just clinical emergency medical situations. Real-time
data, but also data from the patient’s data would also allow researchers and
Fitbit, Apple HealthKit and more. Patients public health resources to rapidly detect,
can build a holistic record of their medical isolate and drive change for environmental
data and authorize others for viewership, conditions that impact public health. For
such as physicians providing a second example, epidemics could be detected
opinion as eReferral. earlier and contained.
dClinic Blockchain will also be a platform The real-time availability of mobile
for other digital health applications to application and sensor data from
develop on; users will be able to sign for wearables on the dClinic platform could
these applications and services which are facilitate continuous, 24 hour-a-day
powered by their health data and secured monitoring of high risk patients and drive
by smart contracts. the innovation of “smart” applications that
would notify the care team if a patient
dClinic data can also be used for predictive
reached a critical threshold for action.
analytics, allowing patients to learn from
They could reach out to the patient and
their family histories, past care and
coordinate treatment options for early
conditions to better prepare for healthcare
intervention.
needs in the future. The linked
interoperability between different clinical A distributed blockchain that contains
sites in a dClinic network would facilitate a health records, documents or images
wide range of trend discovery. dClinic’s would have data storage implications and
modularity could support an additional data throughput limitations. If modeled
analytics layer for disease surveillance, after the Bitcoin blockchain, every member
epidemiological monitoring and in the distributed network of the
dashboards that show patients’ emerging healthcare blockchain would have a copy
trends in their health, etc. Fundamentally, of every health record for every individual
the dClinic project strives to enable and this would not be practical from a data
Precision Medicine and holistic storage perspective. Because health data
understanding of patient medical status is dynamic and expansive, replicating all
without creating a centralized repository health records for every member of the
of data. Centrally-stored data has often network would be bandwidth intensive,
proved disastrous in this modern age of wasteful on network resources and pose
cyber-attacks and data leaks. Therefore, data throughput concerns. The
dClinic leverages a decentralized information contained in dClinic would be
blockchain architecture to enable local, a secure EHR index, a list of all the user’s
separate storage but coordinated viewing health records and health data.
of the data. Transactions in the blocks would contain a
29 © 2018 – dClinic PTE LTD – All Rights Reserveduser’s unique identifier, an encrypted link to the health record and a timestamp for when the transaction was created. dClinic is currently expanding its two core applications to work alongside the platform; a Care Team-to-Patient telemedicine application and blockchain driven Shared Care Planning application (BC-ShCP). The telemedicine application will enable users to consult with their Care Team remotely (for example, on their phone) for a small, possibly even reimbursable, fee. © 2018 – dClinic PTE LTD – All Rights Reserved 30
11
The dClinic
Platform
Smart contracts on dClinic Blockchain Platform (dBC) supports the dClinic
Data Exchange Protocol. dBC implements secure handling of Healthcare
Data on its blockchain, allowing it to run customizable code securely on a
decentralized network.
dClinic makes use of this by retrieving the dClinic blockchain, thus ensuring the
health information from compatible patient’s privacy is protected at all times.
longitudinal EHRs using FHIR APIs and Transactions in the blocks will contain an
storing EHR Index on a blockchain layer. EHR index, an encrypted link to the health
This decentralized EHR index is then used record stored in the dEHR platform and a
by care providers to access, share and timestamp for when the transaction was
update patients’ healthcare data via the created.
provider dashboard from anywhere in the
world, provided patients grant them Patients can build a holistic record of their
access to the data. medical data and authorize others for
viewership, such as physicians providing a
Any interaction with a patient’s medical second opinion as Electronic Referral.
data is auditable, transparent and secure,
and will be recorded as a transaction on
31 © 2018 – dClinic PTE LTD – All Rights ReservedFigure 7 Role of blockchain in dClinic's platform It is intended that dClinic Blockchain and others will contribute many more applications to the platform - helping bring value to all stakeholders. © 2018 – dClinic PTE LTD – All Rights Reserved 32
12
New
Token Sale
USD 0.10
To realise the vision of a global BC-Shared Care Planning ecosystem,
dClinic is going to offer dClinic Health Coin (DHC) token.
DHC is meant for use on the platform and will
be exchanged to avail healthcare services
provided across multiple care providers, 1. KYC
purchase care products in the marketplace
and fuel the rewards system. Investors looking to purchase DHC tokens will
have to satisfy certain KYC standards to be
In doing so, dClinic aims to emulate a eligible to buy coins in the business. Their
real-world IPO as closely as possible. The identity and documents verification will be
objective of this project is to go public governed by the Smart Contract, ensuring
eventually. The only key differentiator is that it legality while maintaining ease-of-use. Our
will be traded on a cryptocurrency exchange dClinic.io website has been audited, and in
rather than a stock exchange. particular, this white paper and our Smart
Contracts have been audited externally.
12.1
Terms of the 2. Wallet
DHC Token Smart Contract
Purchased DHC will be stored automatically in
The DHC Smart Contract forms an essential the dClinic wallet, making it easy for investors
part of the dClinic Healthcare Platform. The to hold and trade it.
rules, computations and functionalities
regulated by the Smart Contract are as
follows:
33 © 2018 – dClinic PTE LTD – All Rights Reserved12.2 12.3
DHC Token &
Token Distribution Fund Distribution
o The total number of tokens issued will be 5 Total Token (Round 1)
billion, out of which 2.5 billion will be reserved
for the reward mechanism on the platform. 5 Billion
Token Sale Hard Cap (Round 1)
o At the beginning of the token sale, the DHC
token will be offered at a price of 0.10 USD. 50 Million
o dClinic aims to cross a soft cap of 20 million Token Sale Soft Cap (Round 1)
USD in the token sale, and a hard cap of 50 20 Million
million USD.
Token Price (Round 1)
o For early investors in the presale stage, 0.10 USD
dClinic will award an extra 10% bonus.
Token Sale Hard Cap (Round 2)
o dClinic will deposit all funds in a cold wallet
for maximum security, allowing contributors to
50 Million
receive their tokens within 2 weeks after the Token Sale Hard Cap (Round 3)
closing date of the token sale. 50 Million
o 60 days post the completion of token sale,
* All dollar amounts are in USD$
the DHC tokens will be listed on exchanges.
Every Round of Token Sale will consist of -
o The remaining DHC tokens shall be divided
amongst the Team (15%), Advisors (5%) and o A Pre-Sale Window (between 1 and 20
legal support (5%). days)
With the given token economics model, dClinic o A Sophisticated Investor Period (around 1
will be able to build a sustainable economic month)
strategy for revolutionizing the healthcare
sector. o Crowd Sale (1 to 2 months)
Half of the funds raised via the token sale shall The Token Price will increase after each round.
be diverted towards building the platform, and There is no guarantee that dClinic will proceed
the rest shall be utilized for business with Rounds 2 and 3. Rounds 2 and 3 will only
development, marketing and auditing be considered if dClinic wishes to accelerate
procedures. its projects in Indonesia and/or in other emerg-
ing geographies.
© 2018 – dClinic PTE LTD – All Rights Reserved 34Token Distribution Total = 100%
PRE-SALE + CROWD SALE 20% TOKEN (1 Billion)
Reward Pool 50% (Reserve for Future Stakeholders)
Community Building & Airdrop 5%
TEAM 15%
ADVISORS 5%
Legal 5%
Funds Distribution TOTAL = 100%
dClinic's Implementations 20%
Operations management 15%
Product Development 25%
dClinic Coins for Rewards to Consumers and 5%
Marketing Develop and support developers 15%
Legal and audit 10%
Business Development 10%
dClinic will be releasing its Token Sale in purposefully delayed any formal negotiations,
August 2018. The release roadmap will be; so that the pre-sales round is fully transparent
for the wider Cryto investor community. dClinic
- Release for pre-sales for a period of up to 15 sees great potential with this Token Sale and
days. Pre-sales will be on a one-to-one basis. we are open to private and corporate
We invite all parties interested in the pre-sales negotiations.
to personally meet with the founders for
private discussions around dClinic’s vision and - During the pre-sales period, we will be
sites in Indonesia. We will be shooting a auditing our website and obtaining
number of “on-site” videos including independent evaluation of our smart
interviews with the founders, and we invite contracts. This evaluation will be posted on our
you to attend these events. website. Our white-paper has also gone
through rigorous review and auditing, and we
- We have already received a lot of interest will disclose this on our website too.
from corporate entities to be a part of dClinic,
as partners and investors. We have - After the pre-sales round, we will open the
35 © 2018 – dClinic PTE LTD – All Rights ReservedFigure 8
Funds Distribution
10%
10%
Business
Development 5%
dClinic for
Legal and
rewards to Consumers
Audit
and Providers
15%
Marketing Develop
and support developers 25%
Product
Development
15%
Operations
Management
20%
dClinic
Implementations
Token Sale to a wider community. The website - After our DHC Token Sale rounds, we will be
will clearly exhibit KYC compliance and secure listing dClinic Health Coin (DHC) on at least 2
transaction capabilities. All transactions will exchanges including one in Indonesia. We
be audited. have started discussions with reputed
companies to assist us with these listings.
- We anticipate that Round 1 will be Details of these listings will be disclosed on our
completed within 2 months before we website as and when that happens.
contemplate further rounds. We anticipate
that the dClinic Health coin (DHC) price will - We welcome all your queries and we have a
rise from round to round. support team ready to answer them promptly.
© 2018 – dClinic PTE LTD – All Rights Reserved 3613
dClinic
Roadmap
2016
• Start of the dClinic Platform Building
• Built Shared Care Planning (ShCP)
• Built Telemedicine Platform for Shared Care Planning
• Built openEHR Storage
• Built FHIR APIs
• Develop dClinic Beta Sites
2017
• Completed V1.0 build of the dClinic Platform
• Completed and start operating dClinic platform in some beta sites
• Negotiated new dClinic Sites (Clinics and Hospitals) in Indonesia
• Negotiated Indonesian Expert Healthcare Service Delivery Partner
• Negotiated development office in Indonesia
37 © 2018 – dClinic PTE LTD – All Rights ReservedQ1 2018
• Engaged Advisory Group of Doctors and Experts is Healthcare
and Blockchain
• Prepared dClinic (DHC) Token Sale
Q2 2018
• Finalised dClinic (DHC) Token Sale
• Audit Website and White paper
• Start dClinic Platform Build V2.0
• Start Block-chaining dClinic’s open EHR platform
• Audit Smart Contracts
Q3 2018
• Launch dClinic (DHC) Token Sale
DHC
• Continue building of dClinic Platform enabled with
Blockchain for transportable EHR
• Prepare dClinic Health Coin Loyalty Membership program
• Formulate plans for at least 2 Bitcoin Listings including
one in Indonesia
Q4 2018
• Release final (based on review and refine of existing agreed plans)
Implementation plans for individual Indonesian Projects
• Sanur One Day Hospital Project starts
• Villa Little Hansa Wellness Centre Project Starts
• Start Sanur Development Office Project (Starts with local
development staff engaged)
• Finalise plans for at least 2 Bitcoin Listings including one in Indonesia
Q1 2019
• Launch dClinic Platform V2.0
• Formulate dClinic Platform Release Roadmap for next
2 years
• Listing of DHC on at least 2 Bitcoin Exchanges starts
• Clinical Trial Services Project Starts
• ASIH Women’s and Children’s Hospital Project Starts
© 2018 – dClinic PTE LTD – All Rights Reserved 38Q2 2019
• Kerobokan Vitality Centre Project Starts
• Sahid Sahirman Hospital Project Starts
Q3 2019
• Implementing Indonesian Projects
Q4 2019
• Release dClinic Platform V3.0
• Release FHIR APIs to the wider market for 3rd party App
builders to make use of our dClinic Platform and EHR
Q1 2020
• Prepare dClinic Franchisee Model. Marketing and Sales
strategy for dClinics worldwide. In particular, Malaysia,
Philippines, Brazil, Miami and Australia
Q2 2020
• Initiate Franchise opportunities in newly emerging markets
• Increase dClinic Health Coin Loyalty Membership program
• Continue Implementing Indonesian Projects
Q3 2020
• Continue Implementing Indonesian Projects
• Explore more Franchise opportunities in newly emerging markets
• Increase dClinic Health Coin Loyalty Membership program
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