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Open accessJournal ArticleDOI: 10.3390/ELECTRONICS10050580

Towards a Blockchain Assisted Patient Owned System for Electronic Health Records

02 Mar 2021-Electronics (Multidisciplinary Digital Publishing Institute)-Vol. 10, Iss: 5, pp 580
Abstract: Security and privacy of patients’ data is a major concern in the healthcare industry. In this paper, we propose a system that activates robust security and privacy of patients’ medical records as well as enables interoperability and data exchange between the different healthcare providers. The work proposes the shift from patient’s electronic health records being managed and controlled by the healthcare industry to a patient-centric application where patients are in control of their data. The aim of this research is to build an Electronic Healthcare Record (EHR) system that is layered on the Ethereum blockchain platform and smart contract in order to eliminate the need for third-party systems. With this system, the healthcare provider can search for patient’s data and request the patients’ consent to access it. Patients manage their data which enables an expedited data exchange across EHR systems. Each patient’s data are stored on the peer-to-peer node ledger. The proposed patient-centric EHR platform is cross-platform compliant, as it can be accessed via personal computers and mobile devices and facilitates interoperability across healthcare providers as patients’ medical records are gathered from different healthcare providers and stored in a unified format. The proposed framework is tested on a private Ethereum network using Ganache. The results show the effectiveness of the system with respect to security, privacy, performance and interoperability.

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Topics: Interoperability (54%)
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5 results found


Open accessJournal ArticleDOI: 10.1080/02564602.2021.1927863
Sahshanu Razdan1, Sachin SharmaInstitutions (1)
Abstract: In the Internet of Medical Things (IoMT), the Internet of Things (IoT) is integrated with medical devices, enabling improved patient comfort, cost-effective medical solutions, quick hospital treatm...

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Topics: The Internet (63%)

4 Citations


Open accessJournal ArticleDOI: 10.3390/ELECTRONICS10151787
26 Jul 2021-Electronics
Abstract: Healthcare professionals and scholars have emphasized the need for IoT-based remote health monitoring services to track the health of the elderly. Such systems produce a large amount of data, necessitating the security and privacy of that data. On the other hand, Software Defined Networking (SDN) integration could be seen as a good solution to guarantee both flexibility and efficiency of the network which is even more important in the case of healthcare monitoring. Furthermore, Blockchain has recently been proposed as a game-changing tool that can be integrated into the Internet of Things (IoT) to have the optimal level of security and privacy. However, incorporating Blockchain into IoT networks, which rely heavily on patients’ health sensors, is extremely difficult. In this paper, a secure Healthcare Monitoring System (HMS) is proposed with a focus on trust management issues. The architecture seeks to protect multiple healthcare monitoring system components and preserves patient privacy by developing a security interface where separate security modules can be integrated to run side by side to ensure reliable HMS. The security framework architecture we propose takes advantage of the blockchain technology as a secure and timely information back-end. STHM is a proposal that uses Software-Defined Networking (SDN) as the communication medium that allows users to access SDN’s different functional and security technologies and services. Simulation results show that the use of Blockchain for the SDN-based healthcare monitoring can ensure the desired flexibility and security for a very lightweight additional overhead.

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3 Citations


Open accessJournal ArticleDOI: 10.3390/FI13060143
29 May 2021-Future Internet
Abstract: A reliable log system is a prerequisite for many applications. Financial systems need to have transactions logged in a precise manner, medical systems rely on having trusted medical records and security logs record system access requests in order to trace malicious attempts. Keeping multiple copies helps to achieve availability and reliability against such hackers. Unfortunately, maintaining redundant copies in a distributed manner in a byzantine setting has always been a challenging task, however it has recently become simpler given advances in blockchain technologies. In this work, we present a tamper-resistant log system through the use of a blockchain. We leverage the immutable write action and distributed storage provided by the blockchain as a basis to develop a secure log system, but we also add a privacy preserving layer that is essential for many applications. We detail the security and privacy aspects of our solution, as well as how they relate to performance needs in relevant settings. Finally, we implement our system over Hyperledger Fabric and demonstrate the system’s value for several use cases. In addition, we provide a scalability analysis for applying our solution in a large-scale system.

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Topics: Tamper resistance (52%), Scalability (52%), Distributed data store (51%) ... read more

1 Citations


Open accessJournal ArticleDOI: 10.3390/MATH9091069
10 May 2021-
Abstract: With the growth of artificial intelligence in healthcare and biomedical research, many researchers are interested in large amounts of data in hospitals and medical research centers. Then the need for remote medicine services and clinical data utilization are expanding. However, since the misuse and abuse of clinical data causes serious problems, the scope of its use is bound to have a limited range physically and logically. Then a security-enhanced data distribution system for medical deep web environments. Therefore, in this paper, we propose a blockchain-based clinical data management model named DeepBlockshield to prevent information leakage between the deep web and the surface web. Blockchain supports data integrity and user validation to support data sharing in closed networks. Meanwhile, the agent performs integrity verification between the blockchain and the deep web and strengthens the security between the surface web and the deep web. DeepBlockShield verifies the user’s validity through the records of the deep web and blockchain. Furthermore, we wrap the results analyzed by the valid request into a web interface and provide information to the requester asynchronously. In the experiment, the block generation cycle and size on the delay time was analyzed for verifying the stability of the blockchain network. As a result, it showed that the proposed approach guarantees the integrity and availability of clinical data in the deep web environment.

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Topics: Data integrity (55%), Clinical data management (53%), Blockchain (52%) ... read more

Open accessJournal ArticleDOI: 10.3390/ELECTRONICS10182282
17 Sep 2021-Electronics
Abstract: The transformation of time series into complex networks through visibility graphs is an innovative way to study time-based events. In this work, we use visibility graphs to transform IOTA and IoTeX price volatility time series into complex networks. Our aim is twofold: first, to better understand the markets of the two most capitalised Internet of Things (IoT) platforms at the time of writing. IOTA runs on a public directed acyclic graph (DAG) and IoTeX on a blockchain. Second, to suggest how 5G can improve information security in these two key IoT platforms. The analysis of the networks created by the natural and horizontal visibility graphs shows, first, that both IOTA and IoTeX are still at their infancy in their development, with IoTex seemingly developing faster. Second, both IoT tokens form communities in a hierarchical structure, and third, 5G can accelerate their development. We use intentional risk management as a lever to understand the impact of 5G on IOTA and IoTeX. Our results lead us to provide a set of design recommendations that contribute to improving information security in future 5G-based IoT implementations.

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Topics: Visibility graph analysis (57%), Visibility graph (55%), Visibility (geometry) (54%) ... read more
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19 results found


Open accessBook
01 Jan 1993-
Abstract: From the Publisher: Written by the author of the best-selling HyperText & HyperMedia, this book provides an excellent guide to the methods of usability engineering. Special features: emphasizes cost-effective methods that will help developers improve their user interfaces immediately, shows you how to avoid the four most frequently listed reasons for delay in software projects, provides step-by-step information about which methods to use at various stages during the development life cycle, and offers information on the unique issues relating to informational usability. You do not need to have previous knowledge of usability to implement the methods provided, yet all of the latest research is covered.

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Topics: Usability engineering (74%), Usability inspection (71%), Usability goals (71%) ... read more

11,649 Citations


Proceedings ArticleDOI: 10.1109/OBD.2016.11
01 Aug 2016-
Abstract: Years of heavy regulation and bureaucratic inefficiency have slowed innovation for electronic medical records (EMRs). We now face a critical need for such innovation, as personalization and data science prompt patients to engage in the details of their healthcare and restore agency over their medical data. In this paper, we propose MedRec: a novel, decentralized record management system to handle EMRs, using blockchain technology. Our system gives patients a comprehensive, immutable log and easy access to their medical information across providers and treatment sites. Leveraging unique blockchain properties, MedRec manages authentication, confidentiality, accountability and data sharing -- crucial considerations when handling sensitive information. A modular design integrates with providers' existing, local data storage solutions, facilitating interoperability and making our system convenient and adaptable. We incentivize medical stakeholders (researchers, public health authorities, etc.) to participate in the network as blockchain "miners". This provides them with access to aggregate, anonymized data as mining rewards, in return for sustaining and securing the network via Proof of Work. MedRec thus enables the emergence of data economics, supplying big data to empower researchers while engaging patients and providers in the choice to release metadata. The purpose of this short paper is to expose, prior to field tests, a working prototype through which we analyze and discuss our approach.

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Topics: Data sharing (54%), Big data (52%), Data access (52%) ... read more

1,108 Citations


Open accessJournal ArticleDOI: 10.3390/INFO8020044
Abstract: Disseminating medical data beyond the protected cloud of institutions poses severe risks to patients’ privacy, as breaches push them to the point where they abstain from full disclosure of their condition. This situation negatively impacts the patient, scientific research, and all stakeholders. To address this challenge, we propose a blockchain-based data sharing framework that sufficiently addresses the access control challenges associated with sensitive data stored in the cloud using immutability and built-in autonomy properties of the blockchain. Our system is based on a permissioned blockchain which allows access to only invited, and hence verified users. As a result of this design, further accountability is guaranteed as all users are already known and a log of their actions is kept by the blockchain. The system permits users to request data from the shared pool after their identities and cryptographic keys are verified. The evidence from the system evaluation shows that our scheme is lightweight, scalable, and efficient.

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Topics: Proof-of-stake (62%), Blockchain (56%), Cloud computing (53%) ... read more

257 Citations


Open accessProceedings Article
01 Jan 2017-
Abstract: Electronic medical records (EMRs) are critical, highly sensitive private information in healthcare, and need to be frequently shared among peers. Blockchain provides a shared, immutable and transparent history of all the transactions to build applications with trust, accountability and transparency. This provides a unique opportunity to develop a secure and trustable EMR data management and sharing system using blockchain. In this paper, we present our perspectives on blockchain based healthcare data management, in particular, for EMR data sharing between healthcare providers and for research studies. We propose a framework on managing and sharing EMR data for cancer patient care. In collaboration with Stony Brook University Hospital, we implemented our framework in a prototype that ensures privacy, security, availability, and fine-grained access control over EMR data. The proposed work can significantly reduce the turnaround time for EMR sharing, improve decision making for medical care, and reduce the overall cost.

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Topics: Data sharing (56%), Data management (50%)

192 Citations


Open accessJournal ArticleDOI: 10.1136/BMJOPEN-2014-006021
Simon de Lusignan1, Freda Mold1, Aziz Sheikh2, Azeem Majeed3  +15 moreInstitutions (9)
01 Sep 2014-BMJ Open
Abstract: Objectives: To investigate the effect of providing patients online access to their electronic health record (EHR) and linked transactional services on the provision, quality and safety of healthcare. The objectives are also to identify and understand: barriers and facilitators for providing online access to their records and services for primary care workers; and their association with organisational/IT system issues. Setting: Primary care. Participants: A total of 143 studies were included. 17 were experimental in design and subject to risk of bias assessment, which is reported in a separate paper. Detailed inclusion and exclusion criteria have also been published elsewhere in the protocol. Primary and secondary outcome measures: Our primary outcome measure was change in quality or safety as a result of implementation or utilisation of online records/transactional services. Results: No studies reported changes in health outcomes; though eight detected medication errors and seven reported improved uptake of preventative care. Professional concerns over privacy were reported

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Topics: Health services research (60%), Health care (58%), Health informatics (53%) ... read more

156 Citations


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