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The advantage of tier structure is it improves accessibility as there are dedicated lower-level organizations that are dedicated to particular regions, thus different organizations parallelly serve the different regions. 

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  1. Centralized Database. It's hard for different authorities to independently maintain the same exact data in the same order i.e data synchronization is hard. This limits multiple higher-level organizations to maintain and govern the same state collectively.  The problems this creates are:   
    1. Single Point of failure: If the database of the organization or authority is destroyed then coordination won't happen until it's been restored or recreated. 
    2. Limited Accessibility: The organ matching will be only performed between the pool of organs it has and the patient on the waiting list. This is highly inefficient.
    3. Lack of Transparency: Organ Matching or the algorithm to find the suitable recipient is done privately. This process is not open to inspection. 
  2. Data Transfer: The data is transferred from lower-level organizations to higher-level organizations. This creates: 
    1. Loss of data Provence: The data in the higher-level organization organizations won't reflect all the details as it was added in the lower-level organizationorganizations, this inturn , in turn, reduces the accountability. 
    2. Non-Determinism: If data are stored in different formats at different various levels then the database at the higher-level organization will be inconsistent and may run the risk of result giving wrong data. 

At present their , there is a challenge between building a system with both accessbility accessibility and greater coordination. 

Solution: Using Hypereldger Fabric we can build networks with greater accessbility accessibility and coordination. 

Non-Interoperable Silos Manage the Organ Donation Consent. 

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