Abstract
The electronic Health (eHealth) record transforms the conventional healthcare domain into a digital healthcare domain that advances the service to the people. The eHealthcare gained more attention these days due to its benefits such as ease in transferring the record, available at all times, and effortless search and access. However, security and user privacy slow down the broader implementation of eHealthcare in various hospitals and countries. To utilize the effectiveness of eHealthcare and protect the data against various attacks, this chapter proposes a blockchain-based electronic health record management system. The encrypted eHealth records are stored on the cloud or Inter Planetary File System (IPFS) and the meta-data of the records on the blockchain to ensure data availability, integrity, and confidentiality. The proposed system provides immutable logging of access information for audit and regulatory compliance. In addition, the patient’s redundant account problem and data inaccessibility during the patient’s unresponsive state are addressed. The proposed system is implemented by modifying the goethereum implementation to analyze the overhead and applicability. The implementation results, security, and overhead analysis substantiate the proposed eHealthcare management system.
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References
Azaria, A., Ekblaw, A., Vieira, T., & Lippman, A. (2016). Medrec: Using blockchain for medical data access and permission management. 2nd International Conference on Open and Big Data (OBD), pp. 25–30.
Conceicao, F.A., Correa da Silva, F.S., Ocha, V., Locoro, L., & Bargui, J.M.M. (2018). Eletronic health records using blockchain technology. http://www.sbrc2018.ufscar.br/wp-content/uploads/2018/04/07-181717-1.pdf. Last accessed on 16 June 2020.
Dubovitskaya, A., Xu, Z., Ryu, S., Schumacher, M., & Wang, F. (2017). Secure and trustable electronic medical records sharing using blockchain. https://arxiv.org/pdf/1709.06528.pdf.
Goldwater, J.C. (2016). The use of a blockchain to foster the development of patient—reported outcome measures. White paper, https://www.healthit.gov/sites/default/files/6-42-use_of_blockchain_to_develop_proms.pdf. Last accessed 14 February 2018.
Hasan, R., Winslett, M., & Sion, R. (2007). Requirements of secure storage systems for healthcare records. Workshop on Secure Data Management. pp. 174–180.
Henry, J.W., Pylypchuk, Y., Searcy, T., & Patel, V. (2016). Adoption of electronic health record systems among U.S. non-federal acute care hospitals: 2008–2015.ONC Data Brief 35 https://dashboard.healthit.gov/evaluations/data-briefs/non-federal-acute-care-hospital-ehr-adoption-2008–2015.php. Last accessed 17 February 2018.
HIPAA, The Health Insurance Portability and Accountability Act of 1996 (HIPAA), Online at https://aspe.hhs.gov/report/health-insurance-portability-and-accountability-act-1996. Last accessed 14 February 2018.
HL7. (2018). HL7 Fast Healthcare Interoperability Resources (FHIR). https://www.hl7.org/fhir/.
Khatoo, A. (2020), A Blockchain-Based Smart Contract System for Healthcare Management, Electronics, MDPI, 9(1).
Kuo, T., Kim, H., & Ohno-Machado, L. (2017). Blockchain distributed ledger technologies for biomedical and health care applications. Journal of the American Medical Informatics Association, 24(6), 1211–1220.
Lamport, L., Shostak, R., & Pease, M. (1982). The byzantine generals problem. ACM Transactions on Programming Languages and Systems, 4(3), 382–401.
Merkle tree. https://en.wikipedia.org/wiki/Merkle_tree; accessed 10-March-2019.
Moore, G.E. (1965). Cramming more components onto integrated circuits. Electronics, 38(8).
Morrison, D. R. (1968). PATRICIA—Practical algorithm to retrieve information coded in alphanumeric. Journal of the ACM, 15(4), 514–534.
Namasudra, S., & Roy, P. (2017). Time saving protocol for data accessing in cloud computing. IET Communications, 11(10), 1558–1565.
Namasudra, S., Roy, P., Vijayakumar, P., Audithan, S., & Balamurugan, B. (2017). Time efficient secure DNA based access control model for cloud computing environment, Future Generation Computer Systems, 73, pp. 90–105.
Namasudra, S., Deka, G.C., Johri, P., Hosseinpour, M., & Gandomi, A.H. (2020). The revolution of blockchain: State-of-the-art and research challenges, Archives of Computational Methods in Engineering.
Namasudra, S., Chakraborty, R., Majumder, A., & Moparthi, N.R. (2020a). Securing multimedia by using DNA based encryption in the cloud computing environment, ACM Transactions on Multimedia Computing, Communications, and Applications, (in press).
Namasudra, S., Chakraborty, R., Kadry, S., Manogaran, G., & Rawal, B.S. (2020b). FAST: Fast accessing scheme for data transmission in cloud computing, Peer-to-Peer Networking and Applications, (in press).
NeHA, National eHealth Authority (NeHA), https://www.mygov.in/sites/default/files/master_image/NeHA Concept Note Eng.pdf. Last accessed 14 February 2018.
Peterson, K., Deeduvanu, R., Kanjamala, P., & Boles, K. (2016). A blockchain-based approach to health information exchange networks, ONC/NIST Use of Blockchain for Healthcare and Research Workshop. Gaithersburg, Maryland, United States: ONC/NIST.
Qin, Z., Xiong, H., Wu, S., & Batamuliza, J. (2016). A survey of proxy re-encryption for secure data sharing in cloud computing. IEEE Transactions on Services Computing. Go-Ethereum, https://github.com/ethereum/go-ethereum.
Reen, G.S., Mohandas, M. & Venkatesan,S. (2019). Decentralized patient centric e-health record management systemusing blockchain and IPFS, In Proceedings of International Conference on Information and Communication Technology (CICT), IEEE, Prayagraj, India, pp. 1–7.
Shrier, A.A., Chang, A., Diakun-thibault, N., Forni, L., Landa, F., Mayo, J., & Riezen, R. (2016). BlockChain and health IT: Algorithms, privacy, and data, White paper.https://www.healthit.gov/sites/default/files/1-78-blockchainandhealthitalgorithmsprivacydata_whitepaper.pdf. Last accessed 14 February 2018.
Stat, Cryptocurrency statistics. https://bitinfocharts.com/. Last accessed on 18 October 2018.
Theodouli, A., Arakliotis, S., Moschou, K., Votis, K., & Tzovaras, D. (2018). On the design of a Blockchain-based system to facilitate healthcare data sharing, 17th IEEE International Conference on Trust, Security and Privacy in Computing and Communications/12th IEEE International Conference on Big Data Science and Engineering (TrustCom/BigDataSE).
Tierion. (2016). Blockchain healthcare 2016 report—promise & pitfalls. [online] https://tierion.com/blog/blockchain-healthcare-2016-report. Last accessed 14 February 2018.
Vazirani, A.A., O’Donoghue, O., Brindley, D., & Meinert, E. (2020). Blockchain vehicles for efficient Medical Record management, Digital Medicine, Nature partner journals, Article No. 1.
Vian, K., Voto, A., & Haynes- Sanstead, K. (2016). A BlockChain profile for medicaid applicants and recipient. Whitepaper, https://www.healthit.gov/sites/default/files/14-38 blockchain_medicaid_solution.8.8.15.pdf. Last accessed 14 February 2018.
Wood, G. (2014). ETHEREUM: A secure decentralized transaction ledger. Yellow paper. Golang - The Go Programming Language. https://golang.org/.
Xia, Q., Sifah, E.B., Smahi, A., Amofa, S., & Zhang, X. (2017a). BBDS: Blockchain-based data sharing for electronic medical records in cloud environments. Information, 8(2), p. 44.
Xia, Q., Sifah, E. B., Asamoah, K. O., Gao, J., Du, X., & Guizani, M. (2017b). MeDShare: Trust-less medical data sharing among cloud service providers via blockchain. IEEE Access, 5, 14757–14767.
Yip, K. (2016). BlockChain and alternative payment models. White paper, https://www.healthit.gov/sites/default/files/15-54-kyip_blockchainapms_080816.pdf. Last accessed 14 February 2018.
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Venkatesan, S., Sahai, S., Shukla, S.K., Singh, J. (2021). Secure and Decentralized Management of Health Records. In: Namasudra, S., Deka, G.C. (eds) Applications of Blockchain in Healthcare. Studies in Big Data, vol 83. Springer, Singapore. https://doi.org/10.1007/978-981-15-9547-9_5
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