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204     CHAPTER 8 BLOCKCHAIN IN HEALTHCARE: CHALLENGES AND SOLUTIONS





                                              Root = Hash (H4, H5)


                                H4 = Hash (H0, H1)           H5 = Hash (H2, H3)



                         H0 = Hash (TD0)  H1 = Hash (TD1)  H2 = Hash (TD2)  H3 = Hash (TD3)



                           Transaction    Transaction     Transaction   Transaction
                             data 0         data 1         data 2         data 3

             FIG. 8.7
             Merkle tree (hash).




                                                            New rule
                           Rule 0     Rule 0   Rule 1    Rule 1    Rule 1    Rule 1



                                      Rule 0   Rule 0     Old rule


             FIG. 8.8
             Blockchain forking.




                                                 Blockchain




                               Public             Private            Consortium
                                               •  Public or private
                            •  Public           permission        •  Public or private
                             permission                            permission
                            • Higher cost      • Medium cost      • Low cost
                                               • Medium security
                            • Highly secured                      • Medium security
                                               • Partially
                            • Decentralized                       • Almost centralized
                                                decentralized

             FIG. 8.9
             Different types of blockchain technology.
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