1. AI in the Dhonor Platform:
The Donor2Recipients system
2. Dhonor.org Platform
• Dhonor.org is a collaborative platform to enable safe communication
across a host of legacy applications within the Healthcare Arena.
• Dhonor’s mission is to improve the lives of patients around the globe.
• Dhonor services integrate Blockchain, AI/ML, NFC & RFID technologies.
3. AI in Dhonor.org: The Donor2Recipients system
• Artificial Intelligence techniques are used to enhance the matching of
potential organ donors with many possible registered recipients
• The Donor2Recipients (D2R) system: a Distributed AI technology that
assesses in real time the best recipients for each available organ, based
on the latest data available
• Matching based in several criteria including
• Donor-recipient compatibility (HLA and infectious diseases)
• real time estimation of the transfer times and ischemia times
• Estimation of organ decay produced by ischemia
4. Main Requirements
• Real-time update: System continuously assessing best matches, with
the best available data at any moment,
• assessment may change if new relevant data is received.
• Modularity: system adaptable to different countries and standards.
• There will be a Donor2Recipient node instance for each country / transplant
region
• Explainable AI: any decision made with the system (e.g., why a given
recipient is chosen instead of another one) should be explainable,
• not only for audit purposes, but also to ensure transparency.
5. Main decision criteria
Donor2Recipients
core module
Histocompatibility_Metric
DDI_Risk_Estimator
Organ_Quality_Estimator
Organ_Implantation_Success
Time_Estimator
Organ_Allocation_Policy
Organ_Allocation_Policy
Organ_Allocation_Policy
Organ_Allocation_Policy
Google API
Dhonor Data API
7. Donor-Recipient Matching
• D2R assigns closest medical center
D2R
node
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Google API• Real time transport data from Google
• Medical center is warned of arrival
9. Donor-Recipient Matching
• Preselection: Histocompatibility
and DDI risk assessment accesing
donor’s and recipients’ EHR
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D2R
node
10. Donor-Recipient Matching
• Estimation of transfer times
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D2R
node
Google API
• Recipient to closest medical center
• Organ transfer from recipient center
to donor center
11. Donor-Recipient Matching
• Recipient selection (per organ)
• Estimation of organ decay due to
transfer times
• selection based on estimated transplant
success
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Google API
12. Donor-Recipient Matching
• Recipient match notification
• Immediate notification to centers
• Notification to recipients only when
donor organ quality is assessed
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D2R
node
13. Donor-Recipient Matching Update
• Real-time tracking (donor&recipients)
• matching estimators are re-assessed if
new relevant data arrives
• This may cause (few) organ assignment
changes
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D2R
node
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14. • Case 1: donor’s center informs one or
several organs are unapropriate for
transplant
Donor-Recipient Matching Update
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D2R
node
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• Transplant cancellation informed to the
recipients’ centers (and patients)
15. • Case 2: relevant delay in transfer time
for one recipient from estimated time
Donor-Recipient Matching Update
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D2R
node
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RD
Google API• All related estimators recomputed
new best recipient match
16. • Case 3: Update of donor’s/recipient’s
EHR adds relevant new data affecting
mathing (e.g., new infection)
Donor-Recipient Matching Update
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D2R
node
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• All related estimators recomputed
new best recipient match
17. Cross-Borders Donor-Recipient Matching
• Only if allowed by the organ
allocation policies of the
countries/transplant regions.
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D2R
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D2R
node
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• Donor2Recipient matching
algorithm distributed among several
D2R nodes
• D2R nodes coordinate the
international organ matching and
transfer
18. Cross-Borders Donor-Recipient Matching
• Network of D2R
nodes
• Connection based
on allowed organ
transfers
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