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Blockchain and Healthcare

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Abstract

Distributed Ledger Technologies are promised to be genuinely disruptive in a variety of industries and sectors, from the food supply, pharmaceutical, real estate, financial services, academia and healthcare. Blockchain technologies vastly improve the flow of data within and among companies and people and transform the way that the Internet is used to exchange value. The use of distributed applications can revolutionise and simplify complex system tasks and create new substructures in a fully developing distributed economy as part of Industry 4.0. Blockchain technologies have the enormous potential to transform healthcare and existing security, privacy and interoperability issues allowing more flexibility and freedom to patients and their data. New economies of scale are emerging for health information exchange that makes the management of electronic records easier while eliminating fictions and costs associated with current intermediaries. This chapter seeks to explore the idiosyncrasies of Blockchain technology and its adaptation in healthcare with an emphasis to its core features and applications. We expand to the key risks and opportunities of Blockchain and briefly discuss this pilot studies in healthcare.

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References

  • Achour Mostéfaoui MR (2001) Leader-based consensus. Parallel Process Lett 11(1):95–107

    Article  MathSciNet  Google Scholar 

  • Alevtina Dubovitskaya ZX (2018) Secure and trustable electronic medical records sharing using blockchain. In: AMIA annual symposium proceedings. AMIA, Bethesda, pp 650–659

    Google Scholar 

  • Alhadhrami Z, Alghfeli S, Alghfeli M, Abedlla JA, Shuaib K (2017) Introducing blockchains for healthcare. In: International conference on electrical and computing technologies and applications (ICECTA). IEEE, Piscataway, pp 1–4

    Google Scholar 

  • Ana Reyna CM (2018) On blockchain and its integration with IoT. Challenges and opportunities. Futur Gener Comp Syst 88:173–190

    Article  Google Scholar 

  • Androulaki E, Barger A, Bortnikov V, Cachin C, Christidis K, De Caro A, Enyeart D, Ferris C, Laventman G, Manevich Y, Muralidharan S, Murthy C, Nguyen B, Sethi M, Singh G, Smith K, Sorniotti A, Stathakopoulou C, Vukolić M, Cocco SW, Yellick J (2018) Hyperledger fabric: a distributed operating system for permissioned blockchains. In: Proceedings of the thirteenth EuroSys conference. ACM, Porto, pp 30:1–30:15

    Google Scholar 

  • Apostolaki M, Vanbever L, Zohar A (2017) Hijacking bitcoin: routing attacks on cryptocurrencies. In: Symposium on security and privacy, IEEE, pp 375–392

    Google Scholar 

  • Ariel Ekblaw AA (2016) A case study for Blockchain in healthcare: “MedRec” prototype for electronic health records and medical research data. In: 2nd international conference on open & big data. IEEE

    Google Scholar 

  • Asolo B (2018) Proof of importance explained. Retrieved from https://www.mycryptopedia.com/proof-of-importance/

  • Atzei N, Bartoletti M, Cimoli T (2017) A survey of attacks on Ethereum smart contracts SoK. In: Proceedings of the 6th international conference on principles of security and trust – volume 10204, ACM, pp 164–186

    Google Scholar 

  • Tama BA, Kweka BJ, Park Y, Rhee K-H (2017) A critical review of blockchain and its current applications. In: International conference on electrical engineering and computer science (ICECOS). IEEE, Palembang, pp 109–113

    Chapter  Google Scholar 

  • Cermeno JS (2016) Blockchain in financial services: regulatory landscape and future challenges for its commercial application. BBVA

    Google Scholar 

  • Chang J (2018, Oct) Blockchain: the immutable ledger of transparency in healthcare technology. Retrieved from sidebench: http://sidebench.com/blockchain-healthcare-technology/

  • Chen L, Xu L, Shah N, Gao Z, Lu Y, Shi W (2017) On security analysis of proof-of-elapsed-time (PoET). In: Stabilization, safety, and security of distributed systems. Springer, Cham, pp 282–297

    Chapter  Google Scholar 

  • Delegated Proof-of-Stake Consensus (2018, Oct 23). Retrieved from bitshares: https://bitshares.org/technology/delegated-proof-of-stake-consensus/

  • El-Yafouri R, Klieb L (2014) Electronic medical records adoption and use: understanding the barriers and the levels of adoption for physicians in the USA. IEEE 16th international conference on e-Health networking, applications and services (Healthcom) 2014 pp 506–512

    Google Scholar 

  • Eyal I, Sirer EG (2018) Majority is not enough: bitcoin mining is vulnerable. ACM Commun 61:95–102

    Article  Google Scholar 

  • Angeletti F, Ioannis Chatzigiannakis, Vitaletti A (2017) The role of blockchain and IoT in recruiting participants for digital clinical trials. In: 25th International conference on software, telecommunications and computer networks (SoftCOM). IEEE, Split, pp 1–5

    Google Scholar 

  • Wang F-Y, Yuan Y, Rong C, Zhang JJ (2018) Parallel blockchain: an architecture for CPSS-based smart societies. IEEE Trans Comput Soc Syst 5(2):303–310

    Article  Google Scholar 

  • Gervais A, Wust K, Glykantzis V, Ritzdorf H, Capkun S, Karame GO (2016) On the security and performance of proof of work blockchains. In: Proceedings of the 2016 ACM SIGSAC conference on computer and communications security. ACM, Vienna, pp 3–16

    Google Scholar 

  • Hyperledger (2018) An introduction to Hyperledger Retrieved from https://www.hyperledger.org/wpcontent/uploads/2018/08/HL_Whitepaper_IntroductiontoHyperledger.pdf

  • Saranummi N (2009) Keynote: personal health record and value-based healthcare 2009. 9th international conference on information technology and applications in biomedicine, 1–4, 2009

    Google Scholar 

  • Sukhwani H, Martinez JM, Trivedi KS, Chang X, Rindos A (2017) Performance modeling of PBFT consensus process for permissioned blockchain network (hyperledger fabric). In: 36th symposium on reliable distributed systems (SRDS). IEEE, Hong Kong, pp 253–255

    Google Scholar 

  • Herlihy M (2017) Blockchains and the future of distributed computing. In: Proceedings of the ACM symposium on principles of distributed computing. ACM, Washington, DC, pp 155–155

    Chapter  Google Scholar 

  • Irwin PR (2017) Tracking digital footprints: anonymity within the bitcoin system. J Money Laundering Contro 20:172–189

    Article  Google Scholar 

  • Ko J, Lu C, Srivastava M, Stankovic J, Terzis A, Welsh M (2010) Wireless sensor networks for healthcare. Proc IEEE 98:1947–1960

    Article  Google Scholar 

  • Jayachandran P (2017, May 31) The difference between public and private blockchain. Retrieved from Blockchain Unleashed: IBM Blockchain Blog: https://www.ibm.com/blogs/blockchain/2017/05/the-difference-between-public-and-private-blockchain/

  • Koop E, Mosher R, Kun L, Geiling J, Grigg E, Long S, Macedonia C, Merrell R, Satava R, Rosen J (2008) Future delivery of health care: cybercare. IEEE Eng Med Biol Mag 27(6):29–38. https://doi.org/10.1109/MEMB.2008.929888

    Article  Google Scholar 

  • Judmayer A, Stifter N, Krombholz K, Weippl E, Bertino E, Sandhu R (2017) Blocks and chains: introduction to bitcoin, cryptocurrencies, and their consensus mechanisms. Morgan & Claypool, San Rafael

    Google Scholar 

  • Juels A, Kosba A, Shi E (2016) The ring of gyges: investigating the future of criminal smart contracts. In: Proceedings of the 2016 ACM SIGSAC conference on computer and communications security. ACM, pp 283–295

    Google Scholar 

  • Kao SH (2018) The static analysis of WannaCry ransomware. In: 20th international conference on advanced communication technology (ICACT). IEEE, Korea, p 1

    Google Scholar 

  • Lamport L, Pease M, Shostak R (1982) The byzantine generals problem. ACM Trans Program Lang Syst 4:382–401

    Article  Google Scholar 

  • Lima C (2018) Blockchain-GDPR privacy by design: how decentralized blockchain internet will comply with GDPR data privacy. IEEE

    Google Scholar 

  • Liskov MC (1999) Practical byzantine fault tolerance. In: Proceedings of the third symposium on operating systems design and implementation. ACM, New Orleans

    Google Scholar 

  • Mayo KP (2016) A blockchain-based approach to health information exchange networks. Semantic Scholar

    Google Scholar 

  • Mettler M (2016) Blockchain Technology in Healthcare: the revolution starts here. In: 18th international conference on e-health networking, applications and services. IEEE

    Google Scholar 

  • Patientory Inc (2017) Retrieved from https://medium.com/@patientory/healthcare-re-engineered-and-powered-bypatientory-ff667b86066 (On November 2018)

  • Rifi N, Rachkidi E, Agoulmine N, Taher NC (2017) Towards using blockchain technology for eHealth data access management. In: 2017 fourth international conference on advances in biomedical engineering (ICABME). IEEE, Beirut, pp 1–4

    Google Scholar 

  • Nakamoto S (2009) Bitcoin: a peer-to-peer electronic cash system

    Google Scholar 

  • Oguzhan Ersoy ZR (2017) Transaction propagation on permissionless blockchains: incentive and routing mechanisms. In: Crypto valley conference on blockchain technology. CoRR

    Google Scholar 

  • Ongaro D, Ousterhout J (2014) In search of an understandable consensus algorithm. In: Proceedings of the 2014 USENIX conference on USENIX annual technical conference. ACM, Philadelphia, pp 305–320

    Google Scholar 

  • Vimalachandran P, Wang H, Zhang Y, Heyward B, Whittaker F (2016) Ensuring data integrity in electronic health records: a quality health care implication. In: International conference on orange technologies (ICOT). IEEE, Melbourne, pp 20–27

    Google Scholar 

  • Piekarska HH (2017) Introduction to security and privacy on the blockchain. In: European symposium on security and privacy workshops (EuroS&PW). IEEE, Paris, pp 1–3

    Google Scholar 

  • Proof of Authority Chains (2017) Retrieved from https:// github.com/paritytech/parity/wiki/Proof-of-Authority-Chains

  • Quenetain SD (2017, Oct 23) Delegated proof of stake: the crypto-democracy. Retrieved from Blockchain Expert: https://www.blockchains-expert.com/en/delegated-proof-of-stake-the-crypto-democracy-2/

  • Bush RA, Kuelbs C, Ryu J, Jiang W, Chiang G (2017) Structured data entry in the electronic medical record: perspectives of pediatric specialty physicians and surgeons. J Med Syst 41(5):75

    Article  Google Scholar 

  • Ryan Henry AH (2018) Blockchain access privacy: challenges and directions. IEEE Comput Rel Soc

    Google Scholar 

  • Scheuermann FT (2016) Bitcoin and beyond: a technical survey on decentralized digital currencies. IEEE Commun Surv Tutorials 18(3):2084–2123

    Article  Google Scholar 

  • Spiegelman IA (2016) Solidus: an incentive-compatible cryptocurrency based on permissionless byzantine consensus. CoRR

    Google Scholar 

  • Kabene SM, Orchard C, Howard J M, Soriano MA, Leduc R (2006) The importance of human resources management in health care: a global context. Hum Resour Health 4:1478–4491

    Article  Google Scholar 

  • Ross SE, Lin C-T (2003) The effects of promoting patient access to medical records: a review. J Am Med Inform Assoc 10:129–138

    Article  Google Scholar 

  • Steward J (2017) BGP hijacking for cryptocurrency profit. Retrieved from Secureworks: https://www.secureworks.com/research/bgp-hijacking-for-cryptocurrency-profit

  • Tian H, Zhang Y, Xing C, Yan S (2017) SGXKernel: a library operating system optimized for intel SGX. In: Proceedings of the computing frontiers conference. ACM, New York, pp 35–44

    Chapter  Google Scholar 

  • Swan M (2015) Blockchain: blueprint for a new economy 1st ISBN 1491920491 9781491920497. O’Reilly Media, Inc

    Google Scholar 

  • Tosh DK (2017) Security implications of Blockchain cloud with analysis of block withholding attack. In: Proceedings of the 17th IEEE/ACM international symposium on cluster, cloud and grid computing. ACM, Madrid, pp 458–467

    Google Scholar 

  • Wen WW (2018) A survey on consensus mechanisms and mining management in blockchain networks. CoRR

    Google Scholar 

  • Gordon WJ, Catalini C (2018) Blockchain Technology for Healthcare: facilitating the transition to patient-driven interoperability. Comput Struct Biotechnol J:224–230

    Article  Google Scholar 

  • Xiaoqi Li PJ (2017) A survey on the security of blockchain systems. Futur Gener Comput Syst

    Google Scholar 

  • Liu Y, Liu X, Tang C, Wang J, Zhang L (2018) Unlinkable coin mixing scheme for transaction privacy enhancement of bitcoin. IEEE Access 6:23261–23270

    Article  Google Scholar 

  • Wood G (2014) Ethereum: a secure decentralised generalised transaction ledger. Retrieved from https://gavwood.com/paper.pdf

  • Yi XL (2018) A new blind ECDSA scheme for bitcoin transaction anonymity. IACR Cryptology ePrint Archive, p 660

    Google Scholar 

  • Zonyin Shae JJ (2018) Transform blockchain into distributed parallel computing architecture for precision medicine. In: 38th international conference on distributed computing systems. IEEE, Vienna, pp 1290–1299

    Google Scholar 

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Correspondence to Gregory Epiphaniou .

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Epiphaniou, G., Daly, H., Al-Khateeb, H. (2019). Blockchain and Healthcare. In: Jahankhani, H., Kendzierskyj, S., Jamal, A., Epiphaniou, G., Al-Khateeb, H. (eds) Blockchain and Clinical Trial. Advanced Sciences and Technologies for Security Applications. Springer, Cham. https://doi.org/10.1007/978-3-030-11289-9_1

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  • DOI: https://doi.org/10.1007/978-3-030-11289-9_1

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