Abstract
Decentralized digital ledger technology (DLT) archives data transparent and immutable with a trustless encrypted protocol and a consensus mechanism. It allows secure, public or private transactions with or without anonymity, depending on the blockchain. Smart contracts consist of code that can be executed in a DLT environment. The smart contracts technology enables the development of decentralized apps (DApps) who can interact directly with the blockchain and support on-chain storage. DLT with smart contracts and DApps could solve key challenges in healthcare ecosystems, i.e. healthcare interoperability, multi-center-studies with automatic patient acquisition by smart contracts, patient-centric identification and authentication, pharmacovigilance.
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References
American Recovery and Reinvestment Act of 2009 (ARRA). (2009). Retrieved September 25, 2020, from https://www.govinfo.gov/content/pkg/PLAW-111publ5/pdf/PLAW-111publ5.pdf
Antonopoulos, A. M., & Wood, G. (2019). Mastering Ethereum: Building Smart Contracts and DApps. O’Reilly Media.
Ash, J. S., Berg, M., & Coiera, E. (2004). Some unintended consequences of information technology in health care: The nature of patient care information system-related errors. Journal of the American Medical Informatics Association, 11(2), 104–112.
Boulos, M. N. K., Wilson, J. T., & Clauson, K. A. (2018). Geospatial blockchain: Promises, challenges, and scenarios in health and healthcare. International Journal of Health Geographics, 17, 25.
Brennan, B. (2017). Blockchain HIE overview: A framework for healthcare interoperability. Telehealth and Medicine Today, 2, 3.
Carson, B., Romanelli, G., Walsh, P., & Zhumaev, A. (2018). Blockchain beyond the hype: What is the strategic business value. McKinsey & Company. Retrieved September 30, 2020, from https://www.mckinsey.com/business-functions/mckinsey-digital/our-insights/blockchain-beyond-the-hype-what-is-the-strategic-business-value
Chainlink. (2020). Retrieved September 29, 2020, from https://chain.link/
Constand, M. K., MacDermid, J. C., Dal Bello-Haas, V., & Law, M. (2014). Scoping review of patient-centered care approaches in healthcare. BMC Health Services Research, 14, 271.
DApp.com. (2020). Retrieved September 25, 2020, from http://www.dApp.com
Deloitte. (2018). IT im Krankenhaus – Zwischen neuen Herausforderungen und Chancen. o.O. Deloitte.
Dimitrov, D. V. (2019). Blockchain applications for healthcare data management. Healthcare Informatics Research, 25, 51–56.
Estonia Health Ministry. (2020). Retrieved September 25, 2020, from https://e-estonia.com/solutions/healthcare/
Ethereum. (2020). Retrieved September 29, 2020, from https://ethereum.org/en/
GDPR. (2020). Retrieved September 25, 2020, from https://gdpr.eu/
Geraci, A., Katki, F., McMonegal, L., Meyer, B., Lane, J., Wilson, P., Radatz, J., Yee, M., Porteous, H., & Springsteel, F. (1991). IEEE standard computer dictionary: Compilation of IEEE standard computer glossaries. IEEE Press.
German Health Ministry. (2020a). Retrieved September 25, 2020, from https://www.bundesgesundheitsministerium.de/krankenhauszukunftsgesetz.html
German Health Ministry. (2020b). Retrieved September 25, 2020, from https://www.bundesgesundheitsministerium.de/service/begriffe-von-a-z/e/elektronische-patientenakte.html
Greenberger, M. (2019). Block what? The unrealized potential of blockchain in healthcare. Nursing Management, 50, 9–12.
HIPAA. (2020). Retrieved September 25, 2020, from https://www.hhs.gov/hipaa/index.html
HL7. (2020). Retrieved September 29, 2020, from https://www.hl7.org/
Hou, H. (2017). The application of blockchain technology in E-government in China. In Computer Communication and Networks (ICCCN), 26th International Conference on IEEE.
Johnston, D., Yilmaz, S. O., Kandah, J., Bentenitis, N., Hashemi, F., Gross, R., Wilkinson, S., & Mason, S. (2014). The general theory of decentralized applications, dApps (Vol. 9). GitHub, June.
Khatoon, A. (2020). A blockchain-based smart contract system for healthcare management. Electronics, 9, 94.
Kshetri, N. (2018). Blockchain and electronic healthcare records. Computer, 51, 59–63.
Kuo, T. 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, 1211–1220.
Kuo, T. T., & Ohno-Machado, L. (2018). Modelchain: Decentralized privacy-preserving healthcare predictive modeling framework on private blockchain networks. arXiv.
Li, D. (2019). 5G and intelligence medicine-how the next generation of wireless technology will reconstruct healthcare? Precision Clinical Medicine, 2(4), 205–208.
Liu, V., Musen, M. A., & Chou, T. (2015). Data breaches of protected health information in the United States. JAMA, 313(14), 1471–1473.
McGhin, T., Choo, K. K. R., Liu, C. Z., & He, D. (2019). Blockchain in healthcare applications: Research challenges and opportunities. Journal of Network and Computer Applications, 135, 62–75.
Mohanty, D. (2018). Ethereum for architects and developers: With case studies and code samples in solidity (pp. 40–41). Apress.
Nakamoto, S. (2009). Bitcoin: A peer-to-peer electronic cash system. Retrieved September 24, 2020, from http://www.bitcoin.org/bitcoin.pdf
Oates, J., Weston, W. W., & Jordan, J. (2000). The impact of patient-centered care on outcomes. Family Practice, 49, 796–804.
Radanovic, I., & Likic, R. (2018). Opportunities for use of blockchain technology in medicine. Applied Health Economics and Health Policy, 16, 583–590.
Randall, D., Goel, P., & Abujamra, R. (2017). Blockchain applications and use cases in health information technology. Journal of Health and Medical Informatics, 8, 2.
Reynolds, A. (2009). Patient-centered care. Radiologic Technology, 81(2), 133–147.
Roehrs, A., da Costa, C.A., & da Rosa Righi, R. (2017). OmniPHR: A distributed architecture model to integrate personal health records. Journal of Biomedical Informatics.
SiaCoin, Swarm, & Ethereum. (2020). Retrieved September 30, 2020, from https://sia.tech; https://swarm-guide.readthedocs.io/en/latest/index.html; https://swarm-guide.readthedocs.io/en/latest/architecture.html; https://github.com/ethereum/wiki/wiki/Sharding-FAQ
Skiba, D. J. (2017). The potential of blockchain in education and health care. Nursing Education Perspectives, 38, 220–221.
Stawicki, S. P., Firstenberg, M. S., & Papadimos, T. J. (2018). What’s new in academic medicine? Blockchain technology in health-care: Bigger, better, fairer, faster, and leaner. International Journal of Academic Medicine, 4(1), 11.
Szabo, N. (1994). Smart contracts. Retrieved September 24, 2020, from http://www.fon.hum.uva.nl/rob/Courses/InformationInSpeech/CDROM/Literature/LOTwinterschool 2006/szabo.best.vwh.net/smart.contracts.html
Yano, M., Dai, C., Maduda, K., & Kishimoto, Y. (2020). Blockchain and crypt currency (pp. 77–94). Springer.
Zhang, P., Walker, M., White, J., & Schmidt, D. C. (2017). Metrics for assessing blockchain-based healthcare decentralized apps (pp. 1–4). IEEE 19th International Conference on e-Health Networking, Applications and Services (Healthcom).
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Schnitzbauer, M. (2021). Smart Contracts in Healthcare. In: Glauner, P., Plugmann, P., Lerzynski, G. (eds) Digitalization in Healthcare. Future of Business and Finance. Springer, Cham. https://doi.org/10.1007/978-3-030-65896-0_19
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