Abstract
Current online healthcare services Electronic Health Records/Electronic Medical Records (EHR/EMR) play an important role in storing, sharing, and maintaining patients’ medical records. Implementing the EHR system in a cloud environment offers many options, including ubiquitous access, elastic computing resources, high-grade fault tolerance, and differentiation with other systems. Cloud storage solves the problem of storing complex medical data in leisure mode, while cloud service providers in transit are treated as non-covered units. Therefore, the cloud service provider has no obligation to ensure privacy and adequate access to the EHR. Consequently, security and privacy issues have become major issues for optimizing EHR systems for cloud environments. To provide security to the cloud environment the people use different cryptographic techniques. Cloud users use Trusted Third Party (TTP) for authentication and auditing, protecting unauthorized users, and authorized confidential data. Trust becomes a major barrier to sharing electronic data in cloud environments. If a third party is compromised, then there is a chance to hack the data because the client does not aware of the location information of storage. So, the trust issue is a challenging task in the cloud environment. To overcome these problems, we have introduced blockchain technology in cloud environments to securely transfer EHR data between authorized entities. Blockchain technology is important in such cases because it provides data-ledger-based features that can be distributed to all companies on the network. This approach is a tamper-proof mechanism because every health transaction information in the blockchain is stored as hash values. This approach provides tamper-proof, trust, confidentiality, integrity, authentication, availability, and easy access control to the cloud user data at the time of data transfer and rest modes.
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References
Esposito, C., De Santis, A.: Blockchain: A Panacea for Conference on Theory and Practice of Electronic Governance, pp. 402–405. ACM (2012)
Farzandipour, M., Sadoughi, F., Ahmadi, M., Karimi: Security requirements and solutions in electronic health records: lessons learned from a comparative study. J. Med. Syst. 34(4), 629–642 (2010)
Fernández-Alemán, J.L., Señor, I.C., Lozoya, P.Á.O., Toval, A.: Security and privacy in electronic health records: a systematic literature review. J. Biomed. Inf. 46(3), 541–562 (2013)
Greenhalgh, T., Hinder, S., Stramer, K., Bratan, T., Russell, J.: Adoption, non-adoption, and abandonment of a personal electronic health record: a case study of HealthSpace. BMJ 2010, 1–11 (2010)
Haas, S., Wohlgemuth, S., Echizen, I., Sonehara, N., Müller, N.: Aspects of privacy for electronic health records. Int. J. Med. Inf. 80(2), 26–31 (2011)
Mouratidisa, H., Islam, S., Kalloniatis, C., Gritzalis, S.: A framework to support the selection of cloud providers based on security and privacy requirements. J. Syst. Softw. 1–18 (2013)
Hei, X., Du, X., Lin, S., Lee, I.: Pipac: patient infusion pattern-based access control scheme for wireless insulin pump system. In: Proceedings of IEEE INFOCOM, pp. 3030–3038 (2013)
Kang, J., Yu., Rong, Huang, X., Wu, M., Maharjan, S., Xie, S., Zhang, Y.: Blockchain for secure and efficient data sharing in vehicular edge computing and networks. IEEE Internet Things J. 6(3), 4660–4670 (2018)
Li, J., Liu, Z., Chen, L., Chen, P., Wu, J.: Blockchain-based security architecture for distributed cloud storage. In: IEEE International Conference on Ubiquitous Computing and Communications (ISPA/IUCC), pp. 408–411 (2017)
Gai, K., Guo, J., Zhu, L., Yu, S.: Blockchain meets cloud computing: a survey. IEEE Commun. Surv. Tutor. 22(3), 2009–2030 (2020)
Bendiab, K.: WiP: a novel blockchain-based trust model for cloud identity management. In: 16th IEEE International Conference on Dependable, Autonomic and Secure Computing (DASC 2018) (2018)
Kuo, T.T., Kim, H.E., Ohno-Machado, L.: Blockchain distributed ledger technologies for biomedical and health care applications. J. Am. Med. Inform. Assoc. 24(6), 1211–1220 (2017)
Patra, M.R., Das, R.K., Padhy, R.P.: Crhis: cloud-based rural healthcare information system. In: Proceedings of the 6th International Conference on Theory and Practice of Electronic, pp. 402–405 (2012)
Azaria, A., Ekblaw, A., Vieira, T., Lippman, A.: Medrec: Using blockchain for medical data access and permission management. In: 2nd International Conference on Open and Big Data (OBD), pp. 25–30 (2016)
Branovic: A workload characterization of elliptic curve cryptography methods in embedded environments. ACM SIGARCH Comput. Archit. News 32(3), 27–34 (2004)
Chase, M.: Multi-authority attribute-based encryption. In: TCC. LNCS, vol. 4392, pp. 515–534. Springer (2007)
Jacobs, M.: A Proposed Blockchain Reference Architecture (2016). https://www.linkedin.com/pulse/proposed-blockchain-reference-architecture-mike-jacobs
Rifi, N., Rachkidi, E., Agoulmine, N., Taher, N.C.: Towards using blockchain technology for eHealth data access management. In: Fourth International Conference on Advances in Biomedical Engineering (ICABME), pp. 1–4 (2017)
Kayna, B., Kaynak, S., Uygun, Ö.: Cloud manufacturing architecture based on public blockchain technology. IEEE Access 8, 2163–2177 (2020)
Chakravarthy, M.H.: Hybrid Elliptical Curve Cryptography Based Secured Cloud Using Mobile Ant Agent (2016). shodhganga.inflibnet.ac.in
Wiljer, D., Urowitz, S., Apatu, E., DeLenardo, C., Eysenbach, G., Harth, T., et al.: Patient accessible electronic health records: exploring recommendations for successful implementation strategies. J. Med. Internet Res. 10(4), 34 (2008)
Rothstein, M.A.: Health privacy in the electronic age. J. Leg. Med. 28(4), 487–501 (2007)
Xie, S, Zheng, Z., Chen, W., et al.: Blockchain for cloud exchange: a survey. Comput. Electr. Eng. 1–12 (2020)
Swan, M.: Blockchain: Blueprint for a New Economy. O’Reilly Media, Inc., 1005 Gravenstein Highway North, Sebastopol, CA 95472 (2015)
Koblitz, N.: Elliptic curve cryptosystems. Math. Comput. 48(177), 203–209 (2018)
Lu, Y.: The blockchain: state-of-the-art and research challenges. J. Ind. Inf. Integr. 15, 80–90 (2019)
Ying, Z., Wei, L., Li, Q., Liu, X., Cui, J.: A lightweight policy preserving EHRs sharing scheme in the cloud. IEEE Access 6, 53698–53708 (2018)
Panda, S.K., Mohammad, G.B., Nandan Mohanty, S., Sahoo, S.: Smart contract-based land registry system to reduce frauds and time delay. Secur. Priv. e172 (2021). https://doi.org/10.1002/spy2.172
Panda, S.K., Satapathy, S.C.: Drug traceability and transparency in medical supply chain using blockchain for easing the process and creating trust between stakeholders and consumers. Pers. Ubiquit. Comput. (2021). https://doi.org/10.1007/s00779-021-01588-3
Liu, L.S., Shih, P.C., Hayes, G.R.: Barriers to the adoption and use of personal health record systems. In: Proceedings of iConference, pp. 363–370 (2011)
Sathya, A.R., Panda, S.K., Hanumanthakari, S.: Enabling smart education system using blockchain technology. In: Panda, S.K., Jena, A.K., Swain, S.K., Satapathy, S.C. (eds.) Blockchain Technology: Applications and Challenges. Intelligent Systems Reference Library, vol. 203. Springer, Cham (2021). https://doi.org/10.1007/978-3-030-69395-4_10
Novo, O.: Blockchain meets IoT: an architecture for scalable access management in IoT. IEEE Internet Things J. 5, 1184–1195 (2018)
Shaikh, P., Kaul, V.: Enhanced security algorithm using hybrid encryption and ECC. IOSR J. Comput. Eng. 16(3), 80–85 (2014)
Lemieux, V.L.: Trusting records: is blockchain technology the answer. Rec. Manag. J. 26(2), 110–139 (2016)
Lokre, S.S., Naman, V., Priya, S., Panda, S.K.: Gun tracking system using blockchain technology. In: Panda, S.K., Jena, A.K., Swain, S.K., Satapathy, S.C. (eds.) Blockchain Technology: Applications and Challenges. Intelligent Systems Reference Library, vol. 203. Springer, Cham (2021). https://doi.org/10.1007/978-3-030-69395-4_16
Panda, S.K., Daliyet, S.P., Lokre, S.S., Naman, V.: Distributed Ledger Technology in the Construction Industry Using Corda, The New Advanced Society: Artificial Intelligence and Industrial Internet of Things Paradigm. https://doi.org/10.1002/9781119884392.ch2
Niveditha, V.R., Sekaran, K., Amandeep Singh, K.., Panda, S.K.: Effective prediction of bitcoin price using wolf search algorithm and bidirectional LSTM on internet of things data. Int. J. Syst. Syst. Eng. 11(3–4), 224–236
Qi, X., Asamoah, K.O., Sifah, E., Gao, J.: MeDShare: trust-less medical data sharing among cloud service providers via blockchain. IEEE Access 5, 14757–14767 (2017)
Panda, S.K., Satapathy, S.C.: An investigation into smart contract deployment on Ethereum platform using Web3.js and solidity using blockchain. In: Bhateja, V., Satapathy, S.C., Travieso-González, C.M., Aradhya, V.N.M. (eds.) Data Engineering and Intelligent Computing. Advances in Intelligent Systems and Computing, vol. 1. Springer, Singapore (2021). https://doi.org/10.1007/978-981-16-0171-2_52
Eltayieb, N., Elhabob, R., Hassan, A., Li, F.: A blockchain-based attribute-based signcryption scheme to secure data sharing in the cloud. J. Syst. Architect. 102, 1–11 (2019)
Dariua, R.: 4 Features of Blockchain Technology (2016). https://due.com/blog/4-features-blockchain-technology
Panda, S.K., Rao, D.C., Satapathy, S.C.: An investigation into the usability of blockchain technology in internet of things. In: Bhateja, V., Satapathy, S.C., Travieso-González, C.M., Aradhya, V.N.M. (eds.) Data Engineering and Intelligent Computing. Advances in Intelligent Systems and Computing, vol. 1. Springer, Singapore (2021). https://doi.org/10.1007/978-981-16-0171-2_53
Bethencourt, J., Sahai, A., Waters, B.: Ciphertext-policy attribute-based encryption. In: IEEE Symposium, pp. 321–334 (2007)
Casola, V., Castiglione, A., Choo, K.-K.R., Esposito, C.: Healthcare-related data in the cloud: challenges and opportunities. IEEE Cloud Comput. 3(6), 10–14 (2016)
Yujiao, H.W.: Secure cloud-based EHR system using attribute-based cryptosystem and blockchain. J. Med. System. 42(152), 1–9 (2018)
Panda, S.K., Dash, S.P., Jena, A.K.: Optimization of block query response using evolutionary algorithm. In: Bhateja, V., Satapathy, S.C., Travieso-González, C.M., Aradhya, V.N.M. (eds.) Data Engineering and Intelligent Computing. Advances in Intelligent Systems and Computing, vol. 1. Springer, Singapore (2021). https://doi.org/10.1007/978-981-16-0171-2_54
Frank, R.: Blockchain and distributed ledger technologies. ACM Comput. Surv. 52(6) (2017)
Nanda, S.K., Panda, S.K., Das, M., Satapathy, S.C.: Automating vehicle insurance process using smart contract and Ethereum. In: Chakravarthy, V.V.S.S.S., Flores-Fuentes, W., Bhateja, V., Biswal, B. (eds.) Advances in Micro-Electronics, Embedded Systems and IoT. Lecture Notes in Electrical Engineering, vol. 838. Springer, Singapore (2022). https://doi.org/10.1007/978-981-16-8550-7_23
Varaprasada Rao, K., Panda, S.K.: A design model of copyright protection system based on distributed ledger technology. In: Satapathy, S.C., Lin, J.C.W., Wee, L.K., Bhateja, V., Rajesh, T.M. (eds) Computer Communication, Networking and IoT. Lecture Notes in Networks and Systems, vol. 459. Springer, Singapore (2023). https://doi.org/10.1007/978-981-19-1976-3_17
Varaprasada Rao, K., Panda, S.K.: Secure electronic voting (E-voting) system based on blockchain on various platforms. In: Satapathy, S.C., Lin, J.C.W., Wee, L.K., Bhateja, V., Rajesh, T.M. (eds) Computer Communication, Networking and IoT. Lecture Notes in Networks and Systems, vol. 459. Springer, Singapore (2023). https://doi.org/10.1007/978-981-19-1976-3_18
Panda, S.K., Elngar, A.A., Balas, V.E., Kayed, M. (eds.): Bitcoin and Blockchain: History and Current Applications, 1st ed. CRC Press (2020). https://doi.org/10.1201/9781003032588
Panda, S.K., Jena, A.K., Swain, S.K., Satapathy, S.C. (eds.): Blockchain Technology: Applications and Challenges. Springer, Intelligent Systems Reference Library. https://doi.org/10.1007/978-3-030-69395-4
Sun, J., Zhu, X., Zhang, C., Fang, Y.: Hcpp: cryptography-based secure EHR system for patient privacy and emergency healthcare. In: Proceedings of IEEE ICDCS, pp. 373–382 (2011)
Zhang, Y.: Blockchain-based public integrity verification for cloud storage against procrastinating auditors. IEEE Trans. Cloud Comput. 1–15 (2019)
Zhang, Y., He, D., Choo, K.-K.: BaDS: blockchain-based architecture for data sharing with ABS and CP-ABE in IoT. Wirel. Commun. Mob. Comput. 2018, 1–9 (2018)
Zhang, Y., Xu, C., Li, H., Yang, K., Zhou, J., Lin, X.: Healthdep: an efficient and secure deduplication scheme for cloud-assisted eHealth systems. IEEE Trans. Ind. Inf. 14(9), 4101–4112 (2018)
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Murala, D.K., Panda, S.K., Sahoo, S.K. (2023). Securing Electronic Health Record System in Cloud Environment Using Blockchain Technology. In: Panda, S.K., Mishra, V., Dash, S.P., Pani, A.K. (eds) Recent Advances in Blockchain Technology. Intelligent Systems Reference Library, vol 237. Springer, Cham. https://doi.org/10.1007/978-3-031-22835-3_4
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