ABSTRACT

This project addresses

Alimosho General Hospital's
medical certificate
verification issues. The
hospital has difficulties
verifying patient medical
certifications, which affects
patient care and the
reputation of the hospital.
This proposal offers to
employ QR Code Monkey to
generate unique QR codes
and use open-source
Hyperledger Fabric
blockchain technology as a
smart contract for immediate
Digitization and e-Verification of verification.

Medical Certificates in Alimosho Hammed Asorona

MSc Cyber Security, Forensic and

General Hospital, Lagos, Nigeria Threat Intelligence

Being Project proposal for completion of MSc at University of

Salford Manchester
Contents

1. Introduction: ..................................................................................................................... 2

2. Aim and Objectives: ........................................................................................................ 3

3. Methodology: ................................................................................................................... 4

4. Benefits and Expected Outcomes: ................................................................................. 4

5. Conclusion: ....................................................................................................................... 5

6. References ......................................................................................................................... 5
1. Introduction:
This project presents a proposal to address the verification challenges encountered by
Alimosho General Hospital in relation to medical certificates. Alimosho General
Hospital in Igando, Lagos State, Nigeria, was founded on February 12th, 2006 (About
Us – Alimosho General Hospital, 2022) to meet the growing healthcare needs of the
Alimosho Local Government Area and its surrounding communities, one of Nigeria's
most populous local governments with an estimated population of over two million
(LAGOS BUREAU OF STATISTICS MINISTRY OF ECONOMIC PLANNING AND
BUDGET, SECRETARIAT, ALAUSA, IKEJA., 2017). Alimosho General Hospital, one
of the Lagos State Health Service Commission's twenty-six (26) secondary health
institutions, has several health departments that save lives and implement the Lagos
State Government's vision to improve public health. The hospital has long been a
major healthcare provider. It offers maternity and paediatric care, general medicine
and surgery, paediatric dentistry, physiotherapy, pharmaceutical, radiology/scan,
and laboratory services. The hospital has undergone improvements to enhance
services including automated medical certificates and fulfil the community's growing
healthcare needs (Alimosho General Hospital – . . .Patient First in Service Delivery,
2022). The purpose of this proposal is to provide a solution to the difficulties
experienced by Alimosho General Hospital in verifying medical certificates. The
hospital has been facing challenges in ensuring the authenticity of medical certificates
presented by patients. This issue has resulted in the hospital being unable to
effectively manage patient care and treatment. Therefore, this Project aims to address
these problems by proposing solutions such as the creation of a unique QR Code using
QR code Monkey and the integration of open-source Hyperledger Fabric blockchain
technology as a smart contract that will enable the hospital to verify medical
certificates in a timely and efficient manner. The extant manual verification process
has resulted in several predicaments, including but not limited to the perpetration of
fraudulent activities, impairment of the hospital's standing, ill-trained personnel and
even fatalities caused by spurious medical certificates. The implementation of an
automated verification system is deemed necessary to tackle these issues. And, the
present proposal will lead to the digitization of medical certificates, reducing
 manpower lost on manual verification, eliminating racketeering, and restoring the
Hospital’s reputation most particularly guaranteeing the genuineness of medical
certificates.

2. Aim and Objectives:

The objective of this project

1. To implement a digital system at Alimosho General Hospital that generates

unique QR codes for medical certificates.
2. The system will be designed to ensure that each medical certificate issued by
the hospital is assigned a unique QR code that can be easily scanned and
verified by authorised personnel.
3. The implementation of this system is to enhance the efficiency of the hospital's
medical certificate issuance process and improve the accuracy of record-
keeping.
4. To design and implement a secure e-verification platform utilising
Hyperledger Fabric blockchain technology. The blockchain platform will be
used for the storage and validation of medical certificates. This system will
ensure the confidentiality, integrity, and availability of the medical certificates.
The Hyperledger Fabric blockchain technology will be used to create a
distributed ledger that will store the medical certificates in a tamper-proof
manner. The platform will provide a secure and efficient way to verify the
authenticity of medical certificates.
5. To optimise the medical certificate verification process for stakeholders by
minimising manual effort and time.

The proposed solution aims

1. To streamline the process by leveraging technology to automate the verification

process. The implementation of this solution is expected to significantly reduce
the time and effort required.
2. To establish a process that guarantees precise and effective validation of
medical certificates by stakeholders.
 3. The challenges faced by an organisation can be effectively addressed through
the implementation of training and change management strategies. These
measures can lead to an increase in staff acceptance of the changes being made.

3. Methodology:
To attain the goals of this project, qualitative research analysis will be executed. This
will involve the collection of data through structured interviews with relevant
stakeholders. The proposed solution entails the digitization of medical certificates and
the generation of distinct QR codes utilising QR Code Monkey (QRCode Monkey - the
Free QR Code Generator to Create Custom QR Codes with Logo, n.d.). The present
study aims to implement the Hyperledger Fabric blockchain network by installing
and configuring it. Additionally, a smart contract will be developed using
Hyperledger Fabric's chaincode in Node.js (A Blockchain Platform for the Enterprise
&Mdash; Hyperledger-fabricdocs Main Documentation, n.d.). The patient data will
be stored on the blockchain in a secure manner, in compliance with the relevant data
protection regulations. The adoption of smart contracts and blockchain technology
has been observed in multiple countries, namely Estonia, Switzerland, the UAE,
Singapore, South Korea, Sweden, Malta, Australia, the United States, and China,
across diverse industries, including healthcare (2023). Several nations have executed
various initiatives, conducted pilot projects, and established regulatory frameworks
that facilitate the adoption of blockchain technology in domains such as government
services, finance, supply chain management, and real estate.

4. Benefits and Expected Outcomes:

The implementation of advanced security measures such as Using QR Code Monkey
to generate a unique QR Code and incorporating Hyperledger Fabric blockchain
technology as a smart agreement will result in an enhanced level of security and
authenticity of medical certificates. These measures will be put in place to prevent any
unauthorised tampering with the certificates, thereby ensuring reliable verification of
their contents.
 The verification process will be expedited, reducing manual efforts and delays for
patients, employers, and insurance companies.

The present study focuses on the mitigation of fraudulent claims, with the aim of
increasing trust in Alimosho General Hospital and empowering stakeholders with
reliable information. The study will employ a range of open-source tools like QR code
Monkey and blockchain framework from Hyperledger Fabric Foundation to achieve
the project objectives, including the implementation of robust fraud detection
mechanisms, the establishment of secure data management protocols, and the
deployment of advanced analytics tools to identify patterns and trends in claims data.
The study also emphasises that the implementation of enhanced measures to
safeguard privacy and ensure compliance with data protection regulations has
resulted in improved data security.

5. Conclusion:
The aim and objectives of this project are to tackle issues such as reputation loss,
counterfeit medical certificates, and racketeering at Alimosho General Hospital by
implementing QR codes and blockchain technology to digitise and e-verify medical
certificates. The proposed system will be designed to improve security, optimise
verification procedures, and mitigate instances of fraudulent claims for insurance
companies. The implementation of the hospital's services will be supported by
training and change management initiatives aimed at mitigating staff resistance.
These efforts are expected to foster trust and transparency, ensuring successful
implementation.

6. References
1. About us – Alimosho General Hospital. (2022, August 12). About Us – Alimosho
General Hospital. http://alimoshogh.com/about-us-
v2/#:~:text=Alimosho%20General%20Hospital%20is%20a,Commission%20o
n%20February%2012th%2C%202006.
2. LAGOS BUREAU OF STATISTICS MINISTRY OF ECONOMIC PLANNING
AND BUDGET, SECRETARIAT, ALAUSA, IKEJA. (2017). ABSTRACT OF
LOCAL GOVERNMENT STATISTICS (Vols. 1–11) [E-book].
3. Alimosho General Hospital – . . .Patient First in Service Delivery. (2022, August
12). Alimosho General Hospital – . . .Patient First in Service Delivery.
http://alimoshogh.com/#
4. https://www.premiumtimesng.com/news/headlines/339360-investigation-inside-
nigerias-haven-of-fake-medical-reports-corrupt-health-officials.html. (n.d.).
https://www.premiumtimesng.com/news/headlines/339360-investigation-
inside-nigerias-haven-of-fake-medical-reports-corrupt-health-officials.html
5. QRCode Monkey - The free QR Code Generator to create custom QR Codes with
Logo. (n.d.). QRCode Monkey. https://www.qrcode-monkey.com
6. A Blockchain Platform for the Enterprise — hyperledger-fabricdocs main
documentation. (n.d.). A Blockchain Platform for the Enterprise &Mdash;
Hyperledger-fabricdocs Main Documentation. https://hyperledger-
fabric.readthedocs.io/en/latest/index.html
7. C. (2023, March 9). 5 countries leading blockchain adoption. Cointelegraph.
https://cointelegraph.com/news/5-countries-leading-the-blockchain-
adoption