#!/usr/bin/env python3 """ African Health OS — Cryptographic Tamper-Evident Clinical Audit Engine ====================================================================== Author: SOADAN Koffi Sylvain (SKS) Domain: Sovereign Digital Public Infrastructure (DPI) & Health Tech Compliance: Malabo Convention & AU CDC Digital Health Strategy This module implements a cryptographic append-only ledger for electronic health records (EHR). It guarantees that once an event (consultation, prescription, laboratory result) is logged, any retroactive alteration immediately breaks the hash chain, alerting regulatory oversight bodies. """ import hashlib import json import time from typing import List, Dict, Any, Tuple class ClinicalAuditBlock: def __init__(self, index: int, previous_hash: str, timestamp: float, event_type: str, practitioner_id: str, record_payload: Dict[str, Any]): self.index = index self.previous_hash = previous_hash self.timestamp = timestamp self.event_type = event_type self.practitioner_id = practitioner_id self.record_payload = record_payload self.hash = self.calculate_hash() def calculate_hash(self) -> str: block_content = { "index": self.index, "previous_hash": self.previous_hash, "timestamp": self.timestamp, "event_type": self.event_type, "practitioner_id": self.practitioner_id, "record_payload": self.record_payload } serialized = json.dumps(block_content, sort_keys=True, default=str).encode("utf-8") return hashlib.sha256(serialized).hexdigest() def to_dict(self) -> Dict[str, Any]: return { "index": self.index, "hash": self.hash, "previous_hash": self.previous_hash, "timestamp": self.timestamp, "event_type": self.event_type, "practitioner_id": self.practitioner_id, "record_payload": self.record_payload } class SovereignHealthAuditLedger: def __init__(self, patient_udpi: str): self.patient_udpi = patient_udpi self.chain: List[ClinicalAuditBlock] = [] self._create_genesis_block() def _create_genesis_block(self): genesis = ClinicalAuditBlock( index=0, previous_hash="0" * 64, timestamp=1772668800.0, # Sovereign Epoch event_type="GENESIS_IDENTITY_CREATION", practitioner_id="MIN_SANTE_TGO_ROOT_CA", record_payload={ "patient_udpi": self.patient_udpi, "jurisdiction": "TGO", "authority": "IPDCP / Ministère de la Santé du Togo", "status": "SOVEREIGN_PASSPORT_INITIALIZED" } ) self.chain.append(genesis) def append_event(self, event_type: str, practitioner_id: str, payload: Dict[str, Any]) -> ClinicalAuditBlock: prev_block = self.chain[-1] new_block = ClinicalAuditBlock( index=len(self.chain), previous_hash=prev_block.hash, timestamp=time.time(), event_type=event_type, practitioner_id=practitioner_id, record_payload=payload ) self.chain.append(new_block) return new_block def verify_integrity(self) -> Tuple[bool, str]: if not self.chain: return False, "Missing genesis block" genesis = self.chain[0] if genesis.index != 0 or genesis.previous_hash != "0" * 64: return False, "Invalid genesis block: index or previous_hash mismatch" if genesis.hash != genesis.calculate_hash(): return False, "Tampered content at genesis block: hash mismatch" for i in range(1, len(self.chain)): current = self.chain[i] prev = self.chain[i - 1] if current.previous_hash != prev.hash: return False, f"Broken link at block #{current.index}: previous_hash mismatch" recalculated = current.calculate_hash() if current.hash != recalculated: return False, f"Tampered content at block #{current.index}: hash mismatch" return True, "Audit chain perfectly validated. Zero tampering detected." def run_demonstration(): print("======================================================================") print(" African Health OS — Sovereign DPI Tamper-Evident Ledger Demo") print(" Developed by SOADAN Koffi Sylvain (SKS)") print("======================================================================") udpi = "AFR-PAT-TGO-A49F81BC" print(f"\n[+] Initializing sovereign health ledger for patient: {udpi}") ledger = SovereignHealthAuditLedger(patient_udpi=udpi) # Event 1: Clinical Triage print("[+] Recording Event 1: Triage Consultation at CHU Sylvanus Olympio (Lomé)...") ledger.append_event( event_type="CLINICAL_TRIAGE", practitioner_id="MD-TGO-2024-8841", payload={ "facility": "CHU Sylvanus Olympio, Lomé", "vitals": {"blood_pressure": "120/80", "heart_rate": 72, "temperature_c": 37.1}, "chief_complaint": "Routine cardiovascular assessment" } ) # Event 2: Cross-Border Diagnostic Sync print("[+] Recording Event 2: Cross-Border Laboratory Consultation (Accra, Ghana)...") ledger.append_event( event_type="CROSS_BORDER_LAB_RESULT", practitioner_id="MD-GHA-2025-1029", payload={ "facility": "Korle Bu Teaching Hospital, Accra", "rec_protocol": "CEDEAO/ECOWAS Health Data Sharing Framework", "tests": {"hemoglobin_a1c": 5.4, "status": "NORMAL"} } ) valid, msg = ledger.verify_integrity() print(f"\n[Audit Status] Normal State: {'VALID' if valid else 'COMPROMISED'} — {msg}") print("\n--- Simulating Malicious Retroactive Alteration ---") print("[!] Modifying consultation blood pressure record in block #1 without re-signing...") ledger.chain[1].record_payload["vitals"]["blood_pressure"] = "190/110" # Attack attempt tampered_valid, tampered_msg = ledger.verify_integrity() print(f"[Audit Status] Post-Tamper State: {'VALID' if tampered_valid else 'SECURITY ALERT TRIGGERED!'}") print(f" Reason: {tampered_msg}") print("======================================================================") print("[OK] Sovereign cryptographic proof mechanism operational.") if __name__ == "__main__": run_demonstration()