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Open AccessJournal ArticleDOI

Using Blockchain for Electronic Health Records

TLDR
The aim of this proposed framework is firstly to implement blockchain technology for EHR and secondly to provide secure storage of electronic records by defining granular access rules for the users of the proposed framework.
Abstract
Blockchain have been an interesting research area for a long time and the benefits it provides have been used by a number of various industries. Similarly, the healthcare sector stands to benefit immensely from the blockchain technology due to security, privacy, confidentiality and decentralization. Nevertheless, the Electronic Health Record (EHR) systems face problems regarding data security, integrity and management. In this paper, we discuss how the blockchain technology can be used to transform the EHR systems and could be a solution of these issues. We present a framework that could be used for the implementation of blockchain technology in healthcare sector for EHR. The aim of our proposed framework is firstly to implement blockchain technology for EHR and secondly to provide secure storage of electronic records by defining granular access rules for the users of the proposed framework. Moreover, this framework also discusses the scalability problem faced by the blockchain technology in general via use of off-chain storage of the records. This framework provides the EHR system with the benefits of having a scalable, secure and integral blockchain-based solution.

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Citations
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Comprehensive review for healthcare data quality challenges in blockchain technology

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Blockchain inspired secure and reliable data exchange architecture for cyber-physical healthcare system 4.0

TL;DR: In this paper , a blockchain-inspired secure and reliable data exchange architecture is proposed in the cyber-physical healthcare industry 4.0, which uses the BigchainDB, Tendermint, Inter-Planetary-File-System (IPFS), MongoDB, and AES encryption algorithms.
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A Blockchain-Based Approach for Audit Management of Electronic Health Records

TL;DR: In this paper , the authors proposed an audit management system where immutable audit trail of EHR can be generated on blockchain, where a physician or other medical authority having access to this audit trail can easily verify all the consultations, procedures and prescriptions given to the patient in a chronological manner.
References
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TL;DR: An overview of blockchain architechture is provided and some typical consensus algorithms used in different blockchains are compared and possible future trends for blockchain are laid out.
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TL;DR: In this paper, the authors look at how blockchain technology might facilitate the transition from institution-centric to patient-centric data sharing through five mechanisms: (1) digital access rules, (2) data aggregation, (3) data liquidity, (4) patient identity and (5) data immutability.
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The Emergence of National Electronic Health Record Architectures in the United States and Australia: Models, Costs, and Questions

TL;DR: The article describes two national electronic health record models (currently developing in the United States and Australia) and one distributed, personal model and contrasts the US and Australian models in their different architectures and approaches to patient autonomy, privacy, and confidentiality.
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