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SovereignRx: An Electronic Prescription System Based on High Privacy, Blockchain, and Self-Sovereign Identity

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Advanced Information Networking and Applications (AINA 2024)

Abstract

This work provides a comprehensive review and critical analysis of blockchain-based electronic medical prescription systems, with a focus on the Self-Sovereign Identity (SSI) paradigm. The comparative analysis will look at major implementations, covering features such as identification methods, data storage techniques, privacy measures, access controls, and interoperability. Risks due to the permanence of data on a blockchain and possible improvements in computing in terms of scalability and speed are presented, along with a discussion on stronger data protection measures. We introduce “SovereignRx”, a novel system that integrates SSI and blockchain technologies to address privacy concerns in healthcare prescriptions. SovereignRx uses Decentralized Identifiers (DIDs) for party identification and uses distributed nodes that reduce the maintenance costs between healthcare entities. The proposed architecture, based on Hyperledger projects (Indy, Aries, and Fabric), supports secure data transportation, tracing of dispensation, and interoperability based on the FHIR standard. It utilizes data minimization, selective disclosure and biometric authentication to enable the protection of prescription information, with dispensation control and audit functionalities. Furthermore, challenges of decentralized identity adoption are addressed, along with future improvements in the usability of systems for digital health care.

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References

  1. European Parliament, Council of the European Union: Regulation (EU) 2016/679. http://data.europa.eu/eli/reg/2016/679/oj. Accessed 13 Sep 2023

  2. Centers for Medicare & Medicaid Services: The Health Insurance Portability and Accountability Act of 1996 (HIPAA). https://aspe.hhs.gov/reports/health-insurance-portability-accountability-act-1996. Accessed 13 Sep 2023

  3. Yong, J., Tiwari, S., Huang, X., Jin, Q.: Constructing robust digital identity infrastructure for future networked society. In: Proceedings of the 2011 15th International Conference on Computer Supported Cooperative Work in Design (CSCWD), pp. 570-576 (2011). https://doi.org/10.1109/CSCWD.2011.5960129

  4. ISO: ISO/IEC 24760-1:2019(en) IT Security and Privacy - A framework for identity management - Part 1: Terminology and concepts. https://www.iso.org/obp/ui/#iso:std:iso-iec:24760:-1:ed-2:v1:en. Accessed 13 Sep 2023

  5. El Maliki, T., Seigneur, J.-M.: A survey of user-centric identity management technologies. In: The International Conference on Emerging Security Information, Systems, and Technologies (SECUREWARE 2007), pp. 12-17 (2007). https://doi.org/10.1109/SECUREWARE.2007.4385303

  6. Santos, A.M.: Inpatient’s medical prescription errors. Einstein (São Paulo) 7(3) (2009). https://pesquisa.bvsalud.org/portal/resource/pt/lil-530793

  7. Allen, C.: The path to self-sovereign identity. (2016). http://www.lifewithalacrity.com/2016/04/the-path-to-self-soverereign-identity.html. Accessed 13 Sep 2023

  8. Mühle, A., Grüner, A., Gayvoronskaya, T., Meinel, C.: A survey on essential components of a self-sovereign identity. CoRR, abs/1807.06346 (2018). http://arxiv.org/abs/1807.06346. Accessed 13 Sep 2023

  9. Nakamoto, S.: Bitcoin: a peer-to-peer electronic cash system. (2008). https://bitcoin.org/bitcoin.pdf. Accessed 13 Sep 2023

  10. Sporny, M., Longley, D., Chadwick, D.: Verifiable credentials data model v1.1. (2019). https://www.w3.org/TR/vc-data-model/. Accessed 13 Sep 2023

  11. Sporny, M., Longley, D., Sabadello, M., Reed, D., Steele, O., Allen, C.: Decentralized identifiers (DIDs) v1.0. (2021). https://www.w3.org/TR/did-core/. Accessed 13 Sep 2023

  12. Buterin, V.: Ethereum whitepaper. (2014). https://ethereum.org/content/whitepaper/whitepaper-pdf/Ethereum_Whitepaper_-_Buterin_2014.pdf. Accessed 13 Sep 2023

  13. Hyperledger fabric: a blockchain platform for the enterprise (2023). https://hyperledger-fabric.readthedocs.io/en/release-2.5/. Accessed 13 Sep 2023

  14. Shalaby, S, Abdellatif, A.A., Al-Ali, A., Mohamed, A., Erbad, A., Guizani, M.: Performance evaluation of hyperledger fabric. In: 2020 IEEE International Conference on Informatics, IoT, and Enabling Technologies (ICIoT), pp. 608-613 (2020). https://doi.org/10.1109/ICIoT48696.2020.9089614

  15. Institute of electrical and electronics engineers: IEEE Xplore (2023). https://ieeexplore.ieee.org/. Accessed 13 Sep 2023

  16. Association for computing machinery: ACM digital library (2023). https://dl.acm.org/. Accessed 13 Sep 2023

  17. Elsevier: ScienceDirect (2023). https://www.sciencedirect.com/. Accessed 13 Sep 2023

  18. Springer Nature: Springer Link (2023). https://link.springer.com/. Accessed 13 Sep 2023

  19. Garcia, R.D., Ramachandran, S.G., Jurdak, R., Ueyama, J.: A blockchain-based data governance with privacy and provenance: a case study for e-Prescription. In: 2022 IEEE International Conference on Blockchain and Cryptocurrency (ICBC), pp. 1-5 (2022). https://doi.org/10.1109/ICBC54727.2022.9805545

  20. Li, J.: A new blockchain-based electronic medical record transferring system with data privacy. In: 2020 5th International Conference on Information Science, Computer Technology and Transportation (ISCTT), pp. 141-147 (2020). https://doi.org/10.1109/ISCTT51595.2020.00032

  21. Ying, B., Sun, W., Radwan, M.N., Nayak, A.: A secure blockchain-based prescription drug supply in health-care systems. In: 2019 International Conference on Smart Applications, Communications and Networking (SmartNets), pp. 1-6 (2019). https://doi.org/10.1109/SmartNets48225.2019.9069798

  22. Benita, R., Kumar, S., Ganesh, Murugamantham, B., Murugan A: Authentic drug usage and tracking with blockchain using mobile apps. Int. J. Interact. Mob. Technol. (iJIM) 14(17), 20-32 (2020). https://doi.org/10.3991/ijim.v14i17.16561

  23. Zhang, P., Schmidt, D.C., White, J., Lenz, G.: Casos de uso da tecnologia Blockchain na saúde. In: Raj, P., Deka, G.C. (eds.) Blockchain Technology: Platforms, Tools and Use Cases, Advances in Computers, vol. 111, pp. 1-41. Elsevier (2018). https://doi.org/10.1016/bs.adcom.2018.03.006

  24. Li, P., Nelson, S.D., Malin, B.A., Chen, Y.: DMMS: a decentralized blockchain ledger for the management of medication histories. Blockchain Healthc. Today 2(38) (2019). https://doi.org/10.30953/bhty.v2.38

  25. Garcia, R.D., Ramachandran, G., Ueyama, J.: Exploiting smart contracts in PBFT-based blockchains: a case study in medical prescription system. Comput. Netw. 211, 109003 (2022). https://doi.org/10.1016/j.comnet.2022.109003

    Article  Google Scholar 

  26. Zhang, P., et al: OpTrak: tracking opioid prescriptions via distributed ledger technology. Int. J. Inf. Syst. Soc. Change (IJISSC) 10(2), 45-61 (2019). https://ideas.repec.org/a/igg/jissc0/v10y2019i2p45-61.html

  27. Thatcher, C., Acharya, S.: Pharmaceutical uses of blockchain technology. In: 2018 IEEE International Conference on Advanced Networks and Telecommunications Systems (ANTS), pp. 1-6 (2018). https://doi.org/10.1109/ANTS.2018.8710154

  28. Navaratna, L., Wijesinghe, N., Pilapitiya, U.: Providing electronic health care services through a private permissioned blockchain. In: 2020 2nd International Conference on Advancements in Computing (ICAC), vol. 1, pp. 144-149 (2020). https://doi.org/10.1109/ICAC51239.2020.9357135

  29. Thatcher, C., Acharya, S.: RxBlock: towards the design of a distributed immutable electronic prescription system. Netw. Model. Anal. Health Inf. Bioinf. 9(58) (2020). https://doi.org/10.1007/s13721-020-00264-5

  30. Alnafrani, M., Acharya, S.: SecureRx: a blockchain-based framework for an electronic prescription system with opioids tracking. Health Policy Technol. 10(2), 100510 (2021). https://doi.org/10.1016/j.hlpt.2021.100510

    Article  Google Scholar 

  31. Garcia, R.D., Zutião, G.A., Ramachandran, G., Ueyama, J.: Towards a decentralized e-prescription system using smart contracts. In: 2021 IEEE 34th International Symposium on Computer-Based Medical Systems (CBMS), pp. 556-561 (2021). https://doi.org/10.1109/CBMS52027.2021.00037

  32. Taylor, A., Kugler, A., Marella, P.B., Dagher, G.G.: VigilRx: a scalable and interoperable prescription management system using blockchain. IEEE Access 10, 25973–25986 (2022). https://doi.org/10.1109/ACCESS.2022.3156015

    Article  Google Scholar 

  33. Ethereum: Welcome to Ethereum (2023). https://ethereum.org/, last accessed 2023/09/13

  34. CosmWasm: smart contract platform expanding beyond Cosmos (2023). https://cosmwasm.com/. Accessed 13 Sep 2023

  35. Tendermint: building the most powerful tools for distributed networks (2023). https://tendermint.com/. Accessed 13 Sep 2023

  36. Grote, O., Ahrens, A., Benavente-Peces, C.: A review of post-quantum cryptography and crypto-agility strategies. In: 2019 International Interdisciplinary PhD Workshop (IIPhDW), pp. 115-120 (2019). https://doi.org/10.1109/IIPHDW.2019.8755433

  37. Hyperledger Aries: Hyperledger Aries Cloud Agent - Python (2023). https://github.com/hyperledger/aries-cloudagent-python. Accessed 15 Sep 2023

  38. Conselho Nacional de Arquivos: Glossário - Documentos Arquivísticos Digitais. (2016). https://www.gov.br/conarq/pt-br/assuntos/camaras-tecnicas-setoriais-inativas/camara-tecnica-de-documentos-eletronicos-ctde/2016_CTDE_Glossario_V7.pdf. Accessed 25 Sep 2023

  39. Aldughayfiq, B., Sampalli, S.: Digital health in physicians’ and pharmacists’ office: a comparative study of e-prescription systems’ architecture and digital security in eight countries. Omics: J. Integr. Biol. 25(2), 102-122 (2021). https://doi.org/10.1089/omi.2020.0085

  40. Vorisek, C.N., et al.: Fast healthcare interoperability resources (FHIR) for interoperability in health research: systematic review. JMIR Med. Inform. 10(7), e35724 (2022). https://doi.org/10.2196/35724

    Article  Google Scholar 

  41. Hammond, W.E.: HL7-more than a communications standard. Stud. Health Technol. Inform. 96, 266–71 (2003). PMID: 15061555

    Google Scholar 

  42. Avellaneda, O., et al.: Decentralized identity: where did it come from and where is it going?. IEEE Commun. Stand. Mag. 3(4), 10-13 (2019). https://ieeexplore.ieee.org/document/9031542. Accessed 13 Sep 2023

  43. McKinsey & Company: Telehealth: A quarter-trillion-dollar post-COVID-19 reality? https://www.mckinsey.com/industries/healthcare/our-insights/telehealth-a-quarter-trillion-dollar-post-covid-19-reality. Accessed 13 Sep 2023

  44. UN News: WHO chief declares end to COVID-19 as a global health emergency. https://news.un.org/en/story/2023/05/1136367. Accessed 13 Sep 2023

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Correspondence to Maurício de Vasconcelos Barros .

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Barros, M.d.V., Martina, J.E. (2024). SovereignRx: An Electronic Prescription System Based on High Privacy, Blockchain, and Self-Sovereign Identity. In: Barolli, L. (eds) Advanced Information Networking and Applications. AINA 2024. Lecture Notes on Data Engineering and Communications Technologies, vol 202. Springer, Cham. https://doi.org/10.1007/978-3-031-57916-5_32

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