Leila Ismail
ABSTRACT
Electronic Health Records (EHRs) have become a popular method to store and manage patients' data in hospitals. Sharing these records make the current healthcare system more accurate and cost-efficient. Currently, EHRs are stored using the client-server architecture allowing the hospitals or a cloud service provider to retain the stewardship of the patients' data. In addition, the records of a patient are scattered among different hospitals using heterogeneous databases. Consequently, patients face difficulties to construct a cohesive view of their medical data history to focus on the details of their healthcare. The replication mechanism and security features of the blockchain has a promising future in the healthcare domain presenting solutions to the complexity, confidentiality, integrity, interoperability, and privacy issues of the current client-server architecture-based EHRs management system. In this paper, we propose a blockchain-based framework for health records management (BlockHR); a medical support system for medical professionals for better prognosis/diagnosis and follow-up on patients. BlockHR incorporates tools for patients to upload medical and lifestyle data used to predict their risk of developing chronic diseases.
- Androulaki, E. et al. 2018. Hyperledger Fabric: A Distributed Operating System for Permissioned Blockchains. Proceedings of the Thirteenth EuroSys Conference (2018), 30.Google Scholar
- Azaria, A. et al. 2016. MedRec: Using Blockchain for Medical Data Access and Permission Management. 2016 2nd International Conference on Open and Big Data (OBD). (2016), 25--30. DOI:https://doi.org/10.1109/OBD.2016.11.Google Scholar
- Badr, S. et al. 2018. Multi-tier Blockchain Framework for IoT-EHRs Systems. Procedia Computer Science. 141, (2018), 159--166. DOI:https://doi.org/10.1016/j.procs.2018.10.162.Google Scholar
- Bitcoin Energy Consumption Index - Digiconomist: https://digiconomist.net/bitcoin-energy-consumption. Accessed: 2019-03-27.Google Scholar
- Bitcoin mining consumes more electricity a year than Ireland | Technology | The Guardian: https://www.theguardian.com/technology/2017/nov/27/bitcoin-mining-consumes-electricity-ireland. Accessed: 2019-03-27.Google Scholar
- Brogan, J. et al. 2018. Authenticating Health Activity Data Using Distributed Ledger Technologies. Computational and Structural Biotechnology Journal. 16, (2018), 257--266. DOI:https://doi.org/10.1016/j.csbj.2018.06.004.Google ScholarCross Ref
- Capzule PHR: https://www.capzule.com/. Accessed: 2019-03-28.Google Scholar
- Considerations for Blockchain in Healthcare | HIMSS: https://www.himss.org/library/considerations-blockchain-healthcare. Accessed: 2019-03-28.Google Scholar
- Dagher, G.G. et al. 2018. Ancile: Privacy-preserving framework for access control and interoperability of electronic health records using blockchain technology. Sustainable Cities and Society. 39, February (2018), 283--297. DOI:https://doi.org/10.1016/j.scs.2018.02.014.Google Scholar
- Dey, T. et al. 2017. HealthSense: A medical use case of Internet of Things and blockchain. 2017 International Conference on Intelligent Sustainable Systems (ICISS) (2017).Google ScholarCross Ref
- Directive 95/46/EC of the European Parliament and of the Council of 24 October 1995 on the protection of individuals with regard to the processing of personal data and on the free movement of such data.: https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX%3A31995L0046. Accessed: 2019-05-15.Google Scholar
- Drosatos, G. et al. 2018. Notarization of Knowledge Retrieval from Biomedical Repositories using Blockchain Technology. Precision Medicine Powered by pHealth and Connected Health. Springer. 69-73.Google Scholar
- Energy consumption: Proof of work versus PBFT: https://crushcrypto.com/what-is-practical-byzantine-fault-tolerance/ Accessed: 2019-04-21.Google Scholar
- Fan, K. et al. 2018. MedBlock: Efficient and Secure Medical Data Sharing Via Blockchain. Journal of Medical Systems. 42, (2018). DOI:https://doi.org/https://doi.org/10.1007/s10916-018-0993-7.Google Scholar
- GenexEHR: https://www.genexehr.com/individual-electronic-healthrecord. Accessed: 2019-03-28.Google Scholar
- Griggs, K.N. et al. 2018. Healthcare Blockchain System Using Smart Contracts for Secure Automated Healthcare Blockchain System Using Smart Contracts for Secure. Journal of medical systems. 42, 7 (2018). DOI:https://doi.org/10.1007/s10916-018-0982-x.Google Scholar
- Guo, R.U.I. et al. 2018. Secure Attribute-Based Signature Scheme With Multiple Authorities for Blockchain in Electronic Health Records Systems. IEEE Access. 6, (2018), 11676--11686.Google ScholarCross Ref
- Has health care hacking become an epidemic? | PBS NewsHour: https://www.pbs.org/newshour/science/has-health-care-hacking-become-an-epidemic. Accessed: 2019-03-25.Google Scholar
- Health Sector Cybersecurity Coordination Center (HC3), M. A Cost Analysis of Healthcare Sector Data Breaches.Google Scholar
- Healthcare Data Breach Statistics: https://www.hipaajournal.com/healthcare-data-breach-statistics/. Accessed: 2019-05-15.Google Scholar
- HIMSS - Healthcare Information and Management Systems Society | HIMSS: https://www.himss.org/. Accessed: 2019-03-28.Google Scholar
- Hussein, A.F. et al. 2018. A medical records managing and securing blockchain based system supported by a Genetic Algorithm and Discrete Wavelet Transform. Cognitive Systems Research. 52, (2018), 1--11. DOI:https://doi.org/10.1016/j.cogsys.2018.05.004.Google ScholarDigital Library
- Introduction - HealthVault Development | Microsoft Docs: https://docs.microsoft.com/en-us/healthvault/introduction/introduction. Accessed: 2019-03-28.Google Scholar
- Ismail, L. et al. 2019. Towards a Blockchain Deployment at UAE University: Performance Evaluation and Blockchain Taxonomy. 2019 International Conference on Blockchain Technology (2019).Google ScholarDigital Library
- Jamoom, E.W. et al. 2016. Adoption of Certified Electronic Health Record Systems and Electronic Information Sharing in Physician Offices: United States, 2013 and 2014. 236 (2016), 2013--2014.Google Scholar
- Juneja, A. and Marefat, M. 2018. Leveraging blockchain for retraining deep learning architecture in patient-specific arrhythmia classification. 2018 IEEE EMBS International Conference on Biomedical & Health Informatics (BHI) (2018).Google ScholarCross Ref
- Kaur, H. et al. 2018. A Proposed Solution and Future Direction for Blockchain-Based Heterogeneous Medicare Data in Cloud Environment. Journal of Medical Systems. 42, (2018). DOI:https://doi.org/https://doi.org/10.1007/s10916-018-1007-5.Google Scholar
- Kleinaki, A. et al. 2018. A Blockchain-Based Notarization Service for Biomedical Knowledge Retrieval. Computational and Structural Biotechnology Journal. 16, (2018), 288--297. DOI:https://doi.org/10.1016/j.csbj.2018.08.002.Google Scholar
- Li, H. et al. 2018. Blockchain-Based Data Preservation System for Medical Data. Journal of Medical Systems. 42, (2018). DOI:https://doi.org/https://doi.org/10.1007/s10916-018-0997-3.Google Scholar
- Liang, X. et al. 2017. Integrating Blockchain for Data Sharing and Collaboration in Mobile Healthcare Applications. IEEE 28th Annual International Symposium on Personal, Indoor, and Mobile Radio Communications (PIMRC) (2017), 1--5.Google Scholar
- MTBC PHR: Personal Health Records for Patients: https://phr.mtbc.com/phrdefault.aspx. Accessed: 2019-03-28.Google Scholar
- My Medical: http://mymedicalapp.com/. Accessed: 2019-03-28.Google Scholar
- Nakamoto, S. 2008. Bitcoin: A Peer-to-Peer Electronic Cash System.Google Scholar
- OpenClinical e-Health Applications: myPHR: http://www.openclinical.org/publicApp_myPHR.html. Accessed: 2019-03-28.Google Scholar
- Patel, V. 2018. A framework for secure and decentralized sharing of medical imaging data via blockchain consensus. Health informatics journal. (2018). DOI:https://doi.org/10.1177/1460458218769699.Google Scholar
- Roehrs, A. et al. 2017. OmniPHR: A distributed architecture model to integrate personal health records. Journal of Biomedical Informatics. 71, (2017), 70--81. DOI:https://doi.org/10.1016/j.jbi.2017.05.012.Google ScholarCross Ref
- Saravanan, M. et al. 2017. SMEAD: A Secured Mobile Enabled Assisting Device for Diabetics Monitoring. EEE International Conference on Advanced Networks and Telecommunications Systems (ANTS) (2017).Google Scholar
- Scherer, M. 2017. Performance and Scalability of Blockchain Networks and Smart Contracts.Google Scholar
- The HIPAA Privacy Rule: https://www.hhs.gov/hipaa/for-professionals/privacy/index.html. Accessed: 2019-05-15.Google Scholar
- Uddin, A. et al. 2018. Continuous Patient Monitoring With a Patient Centric Agent: A Block Architecture. IEEE Access. 6, (2018), 32700--32726. DOI:https://doi.org/10.1109/ACCESS.2018.2846779.Google ScholarCross Ref
- Wang, H. and Song, Y. 2018. Secure Cloud-Based EHR System Using Attribute-Based Cryptosystem and Blockchain. Journal of Medical Systems. 42, (2018). DOI:https://doi.org/https://doi.org/10.1007/s10916-018-0994-6.Google Scholar
- Wang, S. et al. 2018. Blockchain-Powered Parallel Healthcare Systems Based on the ACP Approach. IEEE Transactions on Computational Social Systems. 5, 4 (2018), 942--950. DOI:https://doi.org/10.1109/TCSS.2018.2865526.Google Scholar
- What is an electronic health record (EHR)? | HealthIT.gov: https://www.healthit.gov/faq/what-electronic-health-record-ehr. Accessed: 2019-03-25.Google Scholar
- Who Owns Medical Records: 50 State Comparison | Health Information & the Law: http://www.healthinfolaw.org/comparative-analysis/who-owns-medical-records-50-state-comparison. Accessed: 2019-03-25.Google Scholar
- Yue, X. et al. 2016. Healthcare Data Gateways: Found Healthcare Intelligence on Blockchain with Novel Privacy Risk Control. Journal of Medical Systems. (2016). DOI:https://doi.org/10.1007/s10916-016-0574-6.Google Scholar
- Zhang, J.I.E. et al. 2016. A Secure System For Pervasive Social Network-Based Healthcare. IEEE Access. 4 (2016), 9239--9250.Google Scholar
- Zhang, X. and Poslad, S. 2018. Blockchain Support for Flexible Queries with Granular Access Control to Electronic Medical Records (EMR). 2018 IEEE International Conference on Communications (ICC) (2018).Google Scholar
- Zheng, Z. et al. 2018. Blockchain challenges and opportunities: a survey. International Journal of Web and Grid Services. 14, 4 (2018), 352. DOI:https://doi.org/10.1504/IJWGS.2018.095647.Google ScholarCross Ref
- 2013. Health Care Systems and Medical Devices at Risk for Increased Cyber Intrusions for Financial Gain. Federal Bureau of Investigation.Google Scholar
Index Terms
- BlockHR: A Blockchain-based Framework for Health Records Management
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