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Enhanced Decentralized Management of Patient-Driven Interoperability Based on Blockchain

Conference paper
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Part of the Lecture Notes in Networks and Systems book series (LNNS, volume 97)

Abstract

In healthcare, interoperability has been focused recently, in which, Electronic Health Record (EHR) is patient-centric. However, patient-centered interoperability brings new challenges and requirements, like security and privacy, advance technology, immutability, transparency and trust among applications. Data related to healthcare is an asset of a patient that must be controlled and owned by patient. In this paper, we have proposed a blockchain based patient-driven interoperability and discussed how we can leverage blockchain. Blockchain facilitates us in data liquidity, data immutability, data aggregation, patient identity, digital access rules, incentives and clinical data volume. Our system provides patients an immutable log and easy access to their health data across the healthcare organizations. Furthermore, patient authorize healthcare organizations to access their health data. Stakeholders (patients and healthcare organization) of EHRs are also incentivized if any organization wants to access their health data.

Keywords

Healthcare data Interoperability Blockchain Patient-centric 

References

  1. 1.
    Johnston, D., Yilmaz, S.O., Kandah, J., Hashemi, F., Gross, R., Wilkinson, S.: The general theory of decentralized applications (2015)Google Scholar
  2. 2.
    HIMSS. What is interoperability? https://www.himss.org/library/interoperability-standards/what-is-interoperability. Accessed 22 May 2019
  3. 3.
    Rahurkar, S., Vest, J.R., Menachemi, N.: Despite the spread of health information exchange, there is little evidence of its impact on cost, use, and quality of care. Health Aff. Proj. Hope 34, 477–483 (2015).  https://doi.org/10.1377/hlthaff.2014.0729CrossRefGoogle Scholar
  4. 4.
    Adler-Milstein, J.: Moving past the EHR interoperability blame game. N. Engl. J. Catal. (n.d). https://catalyst.nejm.org/ehr-interoperability-blame-game/. Accessed 28 Mar 2018
  5. 5.
    Gordon, W.J., Catalini, C.: Blockchain technology for healthcare: facilitating the transition to patient-driven interoperability. Comput. Struct. Biotechnol. J. 16, 224–230 (2018)CrossRefGoogle Scholar
  6. 6.
    Sharma, P.K., Moon, S.Y., Park, J.H.: Block-VN: a distributed blockchain based vehicular network architecture in smart city. JIPS 13(1), 184–195 (2017)Google Scholar
  7. 7.
    Yang, Z., Yang, K., Lei, L., Zheng, K., Leung, V.C.: Blockchain-based decentralized trust management in vehicular networks. IEEE Internet of Things J. (2018).  https://doi.org/10.1109/JIOT.2018.2836144CrossRefGoogle Scholar
  8. 8.
    Hussein, A.F., ArunKumar, N., Ramirez-Gonzalez, G., Abdulhay, E., Tavares, J.M.R., de Albuquerque, V.H.C.: A medical records managing and securing blockchain based system supported by a genetic algorithm and discrete wavelet transform. Cogn. Syst. Res. 52, 1–11 (2018)CrossRefGoogle Scholar
  9. 9.
    Chen, L., Lee, W.K., Chang, C.C., Choo, K.K.R., Zhang, N.: Blockchain based searchable encryption for electronic health record sharing. Future Gener. Comput. Syst. 95, 420–429 (2019)CrossRefGoogle Scholar
  10. 10.
    Zhang, P., White, J., Schmidt, D.C., Lenz, G., Rosenbloom, S.T.: FHIRChain: applying blockchain to securely and scalably share clinical data. Comput. Struct. Biotechnol. J. 16, 267–278 (2018)CrossRefGoogle Scholar
  11. 11.
    Guo, R., Shi, H., Zhao, Q., Zheng, D.: Secure attribute-based signature scheme with multiple authorities for blockchain in electronic health records systems. IEEE Access 6, 11676–11686 (2018)CrossRefGoogle Scholar
  12. 12.
    Zheng, X., Mukkamala, R.R., Vatrapu, R., Ordieres-Mere, J.: Blockchain-based personal health data sharing system using cloud storage. In: 2018 IEEE 20th International Conference on e-Health Networking, Applications and Services (Healthcom), pp. 1-6. IEEE, September 2018Google Scholar
  13. 13.
    Xu, Y., Wang, G., Yang, J., Ren, J., Zhang, Y., Zhang, C.: Towards secure network computing services for lightweight clients using blockchain. Wirel. Commun. Mob. Comput. (2018)Google Scholar
  14. 14.
    Singh, M., Kim, S.: Branch based blockchain technology in intelligent vehicle. Comput. Netw. 145, 219–231 (2018)CrossRefGoogle Scholar
  15. 15.
    Dai, M., Zhang, S., Wang, H., Jin, S.: A low storage room requirement framework for distributed ledger in blockchain. IEEE Access 6, 22970–22975 (2018)CrossRefGoogle Scholar
  16. 16.
    Li, J.: Data transmission scheme considering node failure for blockchain. Wirel. Pers. Commun. 103(1), 179–194 (2018)CrossRefGoogle Scholar
  17. 17.
    Jia, B., Zhou, T., Li, W., Liu, Z., Zhang, J.: A blockchain-based location privacy protection incentive mechanism in crowd sensing networks. Sensors 18(11), 3894 (2018)CrossRefGoogle Scholar
  18. 18.
    Mateen, A., Javaid, N., Iqbal, S.: Towards energy efficient routing in blockchain based underwater WSNs via recovering the void holes. MS thesis, COMSATS University Islamabad (CUI), Islamabad 44000, Pakistan, July 2019Google Scholar
  19. 19.
    Naz, M., Javaid, N., Iqbal, S.: Research based data rights management using blockchain over ethereum network. MS thesis, COMSATS University Islamabad (CUI), Islamabad 44000, Pakistan, July 2019Google Scholar
  20. 20.
    Javaid, A., Javaid, N., Imran, M.: Ensuring analyzing and monetization of data using data science and blockchain in loT devices. MS thesis, COMSATS University Islamabad (CUI), Islamabad 44000, Pakistan, July 2019Google Scholar
  21. 21.
    Kazmi, H.S.Z., Javaid, N., Imran, M.: Towards energy efficiency and trustfulness in complex networks using data science techniques and blockchain. MS thesis, COMSATS University Islamabad (CUI), Islamabad 44000, Pakistan, July 2019Google Scholar
  22. 22.
    Zahid, M., Javaid, N., Rasheed, M.B.: Balancing electricity demand and supply in smart grids using blockchain. MS thesis, COMSATS University Islamabad (CUI), Islamabad 44000, Pakistan, July 2019Google Scholar
  23. 23.
    Noshad, Z., Javaid, N., Imran, M.: Analyzing and securing data using data science and blockchain in smart networks. MS thesis, COMSATS University Islamabad (CUI), Islamabad 44000, Pakistan, July 2019Google Scholar
  24. 24.
    Ali, I., Javaid, N., Iqbal, S.: An incentive mechanism for secure service provisioning for lightweight clients based on blockchain. MS thesis, COMSATS University Islamabad (CUI), Islamabad 44000, Pakistan, July 2019Google Scholar
  25. 25.
    Khan, R.J., Javaid, N., Iqbal, S.: Blockchain based node recovery scheme for wireless sensor networks. MS thesis, COMSATS University Islamabad (CUI), Islamabad 44000, Pakistan, July 2019Google Scholar
  26. 26.
    Samuel, O., Javaid, N., Awais, M., Ahmed, Z., Imran, M., Guizani, M.: A blockchain model for fair data sharing in deregulated smart grids. In: IEEE Global Communications Conference (GLOBCOM 2019)Google Scholar
  27. 27.
    Rehman, M., Javaid, N., Awais, M., Ahmed, Z., Imran, M., Naseer, N.: Cloud based secure service providing for IoTs using blockchain. In: IEEE Global Communications Conference (GLOBCOM 2019)Google Scholar
  28. 28.
    Zhang, Y., Wen, J.: The IoT electric business model: using blockchain technology for the internet of things. Peer-to-Peer Netw. Appl. 10(4), 983–994 (2017)CrossRefGoogle Scholar
  29. 29.
    Pãnescu, A.T., Manta, V.: Smart contracts for research data rights management over the ethereum blockchain network. Sci. Technol. Libr. 37(3), 235–245 (2018)CrossRefGoogle Scholar
  30. 30.
    Kushch, S., Prieto-Castrillo, F.: A rolling blockchain for a dynamic WSNs in a smart city. arXiv preprint arXiv:1806.11399 (2018)
  31. 31.
    Rahmadika, S., Ramdania, D.R., Harika, M.: Security analysis on the decentralized energy trading system using blockchain technology. Jurnal Online Informatika 3(1), 44–47 (2018)CrossRefGoogle Scholar
  32. 32.
    Sharma, P.K., Park, J.H.: Blockchain based hybrid network architecture for the smart city. Future Gener. Comput. Syst. 86, 650–655 (2018)CrossRefGoogle Scholar
  33. 33.
    Lin, J., Shen, Z., Miao, C.: Using blockchain technology to build trust in sharing LoRaWAN IoT. In: Proceedings of the 2nd International Conference on Crowd Science and Engineering, pp. 38–43. ACM, July 2017Google Scholar
  34. 34.
    Xu, C., Wang, K., Li, P., Guo, S., Luo, J., Ye, B., Guo, M.: Making big data open in edges: a resource-efficient blockchain-based approach. IEEE Trans. Parallel Distrib. Syst. 30(4), 870–882 (2019)CrossRefGoogle Scholar
  35. 35.
    Lin, D., Tang, Y.: Blockchain consensus based user access strategies in D2D networks for data-intensive applications. IEEE Access 6, 72683–72690 (2018)CrossRefGoogle Scholar
  36. 36.
    Zhang, G., Li, T., Li, Y., Hui, P., Jin, D.: Blockchain-based data sharing system for ai-powered network operations. J. Commun. Inf. Netw. 3(3), 1–8 (2018)CrossRefGoogle Scholar
  37. 37.
    Ivan, D.: Moving toward a blockchain-based method for the secure storage of patient records. In: ONC/NIST Use of Blockchain for Healthcare and Research Workshop. Gaithersburg, Maryland, United States: ONC/NIST, August 2016Google Scholar
  38. 38.
    Azaria, A., Ekblaw, A., Vieira, T., Lippman, A.: Medrec: using blockchain for medical data access and permission management. In: 2016 2nd International Conference on Open and Big Data (OBD), pp. 25–30. IEEE, August 2016Google Scholar
  39. 39.
    Bender, D., Sartipi, K.: HL7 FHIR: an agile and RESTful approach to healthcare information exchange. In: Proceedings of the 26th IEEE International Symposium on Computer-Based Medical Systems, pp. 326–331. IEEE, June 2013Google Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of Computer ScienceCOMSATS University IslamabadIslamabadPakistan

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