Abstract
Protecting the digital medical data from cyber-attacks is essential in a healthcare communication system. Blockchain is a distributed as well as shared ledger-based technology which can more readily encourage information security. Blockchain approach is commonly applied for the digital crypto-currency; however, it is awaited to have future conducts in health care. Many healthcare systems today are still subordinated on the back-dated application for keeping healthcare records. Here, the main challenges faced to date are information security and interoperability. This study introduces a blockchain-based model for securing the Electronic Medical Records (EMR). Here, we have used SHA256 secure hash algorithm for generating a unique and identical 256-bit or 32-byte hash value for a particular medical record. In this manuscript, we have focused on five mechanisms (Digital Access Rules, Data Aggregation, Data Immutability, Data Liquidity, and Patient Identity) of data transition for securing the medical records at the proposed blockchain model.
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References
Halamka JD, Alterovitz G et al (2019) Top 10 blockchain predictions for the (Near) future of healthcare. Blockchain Healthcare Today
Mackey TK, Kuo TT et al (2019) ‘Fit-for-purpose?’—challenges and opportunities for applications of blockchain technology in the future of healthcare. BMC Medicine 17:68
Gnadinger T (2014) New health policy brief: interoperability. Health Affairs
Charles D, Gabriel M, Searcy T (2016) Adoption of electronic health record systems among U.S. non-federal acute care hospitals: 2008–2015. ONC Data Brief, paper no. 35
Kuo T, Kim H, Ohno-Machado L (2019) The state of research on cyberattacks against hospitals and available best practice recommendations: a scoping review. BMC Med Inform Decis Mak 19:10, PMCID: PMC6330387
Catalini C, Gans JS (2016) Some simple economics of the blockchain. Social science research network (SSNR), Rotman school of management working paper no. 2874598; MIT Sloan research paper no. 5191-16
Gordon W, Wright A, Landman A (2017) Blockchain in health care: decoding the hype, NEJM Catalyst (2017). Link: https://catalyst.nejm.org/decoding-blockchain-technology-health/. Accessed 28th June 2019
Es-Samaali H, Outchakoucht A, Leroy JP (2017) A blockchain-based access control for big data. Int J Comput Netw Commun Secur 5(7):137–147
Wang Y, Luo F et al (2019) Distributed meter data aggregation framework based on blockchain and homomorphic encryption. IET Cyber-Phys Syst: Theory & Appl 4(1):30–37
Landerreche E, Stevens M (2018) On immutability of blockchains. In: Proceedings of 1st ERCIM blockchain workshop 2018, reports of the european society for socially embedded technologies 2(7)
Courtney PK (2011) Data liquidity in health information systems. Cancer J 17(9):219–221
Mikula T, Jacobsen RH (2018) Identity and access management with blockchain in electronic healthcare records. In: 2018 21st Euromicro conference on digital system design (DSD), pp 699–706
Gowthaman A, Sumathi M (2017) Performance study of enhanced SHA-256 algorithm. Int J Appl Eng Res 10(4):10921–10932
Gordon WJ, Catalini C (2018) Blockchain technology for healthcare: facilitating the transition to patient-driven interoperability. Comput Struct Biotechnol 16(2018):224–230
Zhang P, White J et al (2018) FHIRChain: applying blockchain to securely and scalably share clinical data. Comput Struct Biotechnol 16:267–278
Boulos MNK, Wilson JT, Clauson KA (2018) Geospatial blockchain: promises, challenges, and scenarios in health and healthcare. Int J Health Geogr 17, Article no. 25 (2018)
Rahmadika S, Rhee K, Renz J, Wolter D (2018) Blockchain technology for providing an architecture model of decentralized personal health information. Int J Eng Bus Manag 10:1–12
Pirtle C, Ehrenfeld J (2018) Blockchain for healthcare: the next generation of medical records? J Med Syst 42:172
Shah GH, Leider JP et al (2016) Interoperability of information systems managed and used by the local health departments. J Public Health Manag Pract 22(6 Supp):S34–S43
Noura M, Atiquzzaman M, Gaedke M (2019) Interoperability in internet of things: taxonomies and open challenges. Mob Netw Appl 24(3):796–809
Kuo T, Kim H, Ohno-Machado L (2017) Blockchain distributed ledger technologies for biomedical and health care application. J Am Med Inform Assoc 24(6):1211–1220
Why would I choose SHA-256 over SHA-512 for a SSL/TLS certificate?. Stack Exchange (2017)
Acknowledgements
This research has been conducted based on MPhil research of our paper’s first author Rafita Haque. This research has been proceeded under the supervision of Professor Dr. Hasan Sarwar (second author). Centre for Higher Studies, University of Professionals (BUP) has support for this research. S. Rayhan Kabir (third author) has assisted for collecting the blood test dataset from Life Diagnostic Centre Ltd.
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Haque, R. et al. (2020). Blockchain-Based Information Security of Electronic Medical Records (EMR) in a Healthcare Communication System. In: Peng, SL., Son, L.H., Suseendran, G., Balaganesh, D. (eds) Intelligent Computing and Innovation on Data Science. Lecture Notes in Networks and Systems, vol 118. Springer, Singapore. https://doi.org/10.1007/978-981-15-3284-9_69
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DOI: https://doi.org/10.1007/978-981-15-3284-9_69
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