Skip to main content

Intelligent Health Care Data Management Using Blockchain: Current Limitation and Future Research Agenda

  • Conference paper
  • First Online:
Heterogeneous Data Management, Polystores, and Analytics for Healthcare (DMAH 2019, Poly 2019)

Abstract

Health care is undergoing a big data revolution, with vast amounts of information supplied from numerous sources, leading to major paradigm shifts including precision medicine and AI-driven health care among others. Yet, there still exist significant barriers before such approaches could be adopted in practice, including data integration and interoperability, data sharing, security and privacy protection, scalability, and policy and regulatory issues. Blockchain provides a unique opportunity to tackle major challenges in health care and biomedical research, such as enabling data sharing and integration for patient-centered care, data provenance allowing verification authenticity of the data, and optimization of some of the health care processes among others. Nevertheless, technological constraints of current blockchain technologies necessitate further research before mass adoption of blockchain-based health care data management is possible. We analyze context-based requirements and capabilities of the available technology and propose a research agenda and new approaches towards achieving intelligent health care data management using blockchain.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Directive (EU) 2016/680 of the European Parliament and of the Council of 27 April 2016 on the protection of natural persons with regard to the processing of personal data by competent authorities for the purposes of the prevention, investigation, detection or prosecution of criminal offences or the execution of criminal penalties, and on the free movement of such data, and repealing Council Framework Decision 2008/977/JHA. http://data.europa.eu/eli/dir/2016/680/oj. Accessed 05 May 2019

  2. Health Information Privacy U.S. Department of Health & Human Services. http://www.hhs.gov/hipaa/. Accessed 04 May 2019

  3. Conceptualizing a Data Infrastructure for the Capture, Use, and Sharing of Patient-Generated Health Data in Care Delivery and Research through 2024. https://www.healthit.gov/sites/default/files/onc_pghd_final_white_paper.pdf. Accessed 04 May 2019

  4. Draft Trusted Exchange Framework 2018. https://www.healthit.gov/sites/default/files/draft-trusted-exchange-framework.pdf. Accessed 05 May 2019

  5. Azaria, A., Ekblaw, A., Vieira, T., Lippman, A.: MedRec: using blockchain for medical data access and permission management. In: 2016 2nd International Conference on Open and Big Data (OBD), pp. 25–30. IEEE (2016)

    Google Scholar 

  6. Dillenberger, D., et al.: Blockchain analytics and artificial intelligence. IBM J. Res. Dev. 63(2/3), 5:1–5:14 (2019)

    Article  Google Scholar 

  7. Hölbl, M., Kompara, M., Kamišalić, A., Nemec Zlatolas, L.: A systematic review of the use of blockchain in healthcare. Symmetry 10(10), 470 (2018)

    Article  Google Scholar 

  8. Vazirani, A.A., ODonoghue, O., Brindley, D., Meinert, E.: Implementing blockchains for efficient health care: systematic review. J. Med. Internet Res. 21, 2 (2019)

    Article  Google Scholar 

  9. Zhang, P., White, J., Schmidt, D.C., Lenz, G., Rosenbloom, S.T.: Fhirchain: applying blockchain to securely and scalably share clinical data. Comput. Struct. Biotechnol. J. 16, 267–278 (2018)

    Article  Google Scholar 

  10. Dubovitskaya, A., Xu, Z., Ryu, S., Schumacher, M., Wang, F.: Secure and trustable electronic medical records sharing using blockchain. In: AMIA Annual Symposium Proceedings, vol. 2017, p. 650. American Medical Informatics Association (2017)

    Google Scholar 

  11. Haq, I., Esuka, O.M.: Blockchain technology in pharmaceutical industry to prevent counterfeit drugs. Int. J. Comput. Appl. 975, 8887 (2018)

    Google Scholar 

  12. Hackius, N., Petersen, M.: Blockchain in logistics and supply chain: trick or treat? In: Proceedings of the Hamburg International Conference of Logistics (HICL), pp. 3–18. epubli (2017)

    Google Scholar 

  13. Bocek, T., Rodrigues, B.B., Strasser, T., Stiller, B., Blockchains everywhere-a use-case of blockchains in the pharma supply-chain. In: 2017 IFIP/IEEE Symposium on Integrated Network and Service Management (IM), pp. 772–777. IEEE (2017)

    Google Scholar 

  14. Bishop, M.: Computer Security: Art and Science. Addison-Wesley Longman Publishing Co., Inc., Boston (2002)

    Google Scholar 

  15. Sattarova Feruza, Y., Kim, T.-H.: It security review: privacy, protection, access control, assurance and system security. Int. J. Multimed. Ubiquit. Eng. 2(2), 17–32 (2007)

    Google Scholar 

  16. De Lusignan, S., et al.: Key concepts to assess the readiness of data for international research: data quality, lineage and provenance, extraction and processing errors, traceability, and curation. Yearb. Med. Inf. 20(01), 112–120 (2011)

    Article  Google Scholar 

  17. Nakamoto et al., S.: Bitcoin: A peer-to-peer electronic cash system (2008)

    Google Scholar 

  18. Sompolinsky, Y., Zohar, A.: Secure high-rate transaction processing in bitcoin. In: Böhme, R., Okamoto, T. (eds.) FC 2015. LNCS, vol. 8975, pp. 507–527. Springer, Heidelberg (2015). https://doi.org/10.1007/978-3-662-47854-7_32

    Chapter  Google Scholar 

  19. Kuo, T.-T., Kim, H.-E., Ohno-Machado, L.: Blockchain distributed ledger technologies for biomedical and health care applications. J. Am. Med. Inf. Assoc. 24(6), 1211–1220 (2017)

    Article  Google Scholar 

  20. Krawiec, R., et al.: Blockchain: opportunities for health care. In: Proceedings of NIST Workshop Blockchain Healthcare, pp. 1–16 (2016)

    Google Scholar 

  21. Attili, S., Ladwa, S., Sharma, U., Trenkle, A.: Blockchain: the chain of trust and its potential to transform healthcare-our point of view. In: ONC/NIST Use of Blockchain for Healthcare and Research Workshop. ONC/NIST, Gaithersburg, Maryland, USA (2016)

    Google Scholar 

  22. Peters, A.W., Till, B.M., Meara, J.G., Afshar, S.: Blockchain technology in health care: a primer for surgeons. Bull. Am. Coll. Surg. 12, 1–5 (2017)

    Google Scholar 

  23. Magyar, G.: Blockchain: Solving the privacy and research availability tradeoff for EHR data: a new disruptive technology in health data management. In: 2017 IEEE 30th Neumann Colloquium (NC), pp. 135–140. IEEE (2017)

    Google Scholar 

  24. Clauson, K.A., Breeden, E.A., Davidson, C., Mackey, T.K.: Leveraging blockchain technology to enhance supply chain management in healthcare. Blockchain in Healthcare Today (2018)

    Google Scholar 

  25. Scott, T., Post, A.L., Quick, J., Rafiqi, S.: Evaluating feasibility of blockchain application for dscsa compliance. SMU Data Sci. Rev. 1(2), 4 (2018)

    Google Scholar 

  26. Friedman, L.M., Furberg, C.D., DeMets, D.L.: Fundamentals of Clinical Trials. Springer, New York (2010). https://doi.org/10.1007/978-1-4419-1586-3

    Book  MATH  Google Scholar 

  27. Dubovitskaya, A., Calvaresi, D., Schumacher, M.I.: Essais cliniques multicentriques: transparence et contrôle de la qualité grâce à la blockchain et aux systèmes multi-agents. Swiss Med. Inf. 34, 667–668 (2018)

    Google Scholar 

  28. Andrianov, A., Kaganov, B.: Blockchain in clinical trials-the ultimate data notary. Applied Clinical Trials, p. 16 (2018)

    Google Scholar 

  29. Dumas, M., Hull, R., Mendling, J., Weber, I.: Blockchain technology for collaborative information systems (dagstuhl seminar 18332). Schloss Dagstuhl-Leibniz-Zentrum fuer Informatik (2019)

    Google Scholar 

  30. Mosca, M., Roetteler, M., Sendrier, N., Steinwandt, R.: Quantum cryptanalysis (dagstuhl seminar 15371). In: Dagstuhl Reports, vol. 5, no. 9. Schloss Dagstuhl-Leibniz-Zentrum fuer Informatik (2016)

    Google Scholar 

  31. ZShae, Z., Tsai, J.: Transform blockchain into distributed parallel computing architecture for precision medicine. In: 2018 IEEE 38th International Conference on Distributed Computing Systems (ICDCS), pp. 1290–1299. IEEE (2018)

    Google Scholar 

  32. Gropper, A.: Powering the physician-patient relationship with hie of one blockchain health it. In: ONC/NIST use of Blockchain for healthcare and research workshop. ONC/NIST, Gaithersburg, Maryland, USA (2016)

    Google Scholar 

  33. Balagurusamy, V., et al.: Crypto anchors. IBM J. Res. Dev. (2019)

    Google Scholar 

  34. Dubovitskaya, A., Xu, Z., Ryu, S., Schumacher, M., Wang, F.: How Blockchain could empower ehealth: an application for radiation oncology. In: Begoli, E., Wang, F., Luo, G. (eds.) DMAH 2017. LNCS, vol. 10494, pp. 3–6. Springer, Cham (2017). https://doi.org/10.1007/978-3-319-67186-4_1

    Chapter  Google Scholar 

  35. Hardjono, T., Lipton, A., Pentland, A.: Towards a design philosophy for interoperable blockchain systems. arXiv preprint arXiv:1805.05934 (2018)

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Alevtina Dubovitskaya .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Dubovitskaya, A. et al. (2019). Intelligent Health Care Data Management Using Blockchain: Current Limitation and Future Research Agenda. In: Gadepally, V., et al. Heterogeneous Data Management, Polystores, and Analytics for Healthcare. DMAH Poly 2019 2019. Lecture Notes in Computer Science(), vol 11721. Springer, Cham. https://doi.org/10.1007/978-3-030-33752-0_20

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-33752-0_20

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-33751-3

  • Online ISBN: 978-3-030-33752-0

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics