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These devices enable medical practitioners to monitor pervasively patients\u2019 parameters outside the clinical environment. However, the ease of manipulating wearable devices and their data streams raises concerns regarding patient privacy and data trust. Distributed ledger technologies (DLT) offer solutions to enhance resistance against information manipulation and eliminate single points of failure. By leaveraging DLT, wearable-based solutions can be developed with a wider range of capabilities. This paper carries out an analysis of shortcomings, limitations, potential applications and needs in the medical domain, to introduce Phonendo 1.0, a DLT\u2013IoT-based platform designed to capture data streams from wearable devices and publishing them on a distributed ledger technology infrastructure. 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