Blockchain Technology for Integrating Electronic Records of Digital Healthcare System
Md. Halimuzzaman1, Dr. Jaideep Sharma2, Tapan Bhattacharjee3, Bilash Mallik4, Rashadur Rahman5, Mohammad Rezaul Karim6, Mostafa Masrur Ikram7, Md Fokhrul Islam8
Journal of Angiotherapy 8(7) 1-8 https://doi.org/10.25163/angiotherapy.879740
Submitted: 05 May 2024 Revised: 02 July 2024 Published: 04 July 2024
Abstract
Background: In most healthcare facilities, the shift from paper-based medical records to electronic health records (EHRs) has taken place. However, there are issues with credibility, management, and secure data storage with the existing EHR systems. In the healthcare industry, interoperability and user control over personal data are also major challenges. Block chain technology has become a potent tool that can provide immutability, security, and user control over records that are saved; yet, its potential usage in EHR systems is still not well understood. Objectives: This research attempts to close this knowledge gap by developing an EHR framework that is built on blockchain technology and is compatible with many national and international EHR standards, including HL7 and HIPAA. Methods: In order to investigate the state of the art in the field of EHRs, including blockchain-based EHR implementations, a systematic literature review is the study approach used. Results: The report analyzes numerous national and international EHR standards, identifies the interoperability needs based on these standards, and outlines the interoperability challenges in the current blockchain-based EHR frameworks. Without the requirement for centralized systems, the suggested framework can give the healthcare industry safer ways to exchange health information while also offering the features of immutability, security, and user control over stored records. Conclusion: This work contributes to the understanding of Blockchain technology's potential application in EHR frameworks and offers an interoperable Blockchain-based EHR framework that can meet the requirements outlined in multiple national and international EHR standards.
Keywords: Blockchain; Healthcare; Security; Electronic Health Records (EHRs); Health information management (HIM)
References
Aaron M. Gamino, A. M. G. (2021, September 30). The impact of the consolidated omnibus reconciliation act of 1985 on young adult health insurance coverage: Applied Economics: Vol 54 , No 17—Get Access. https://www.tandfonline.com/doi/full/10.1080/00036846.2021.1983142
Adane, K., Gizachew, M., & Kendie, S. (2019). The role of medical data in efficient patient care delivery: A review. Risk Management and Healthcare Policy, Volume 12, 67–73. https://doi.org/10.2147/RMHP.S179259
Adel, E., El-Sappagh, S., Barakat, S., & Elmogy, M. (2019). Chapter 14—A unified fuzzy ontology for distributed electronic health record semantic interoperability. In N. Dey, A. S. Ashour, S. J. Fong, & S. Borra (Eds.), U-Healthcare Monitoring Systems (pp. 353–395). Academic Press. https://doi.org/10.1016/B978-0-12-815370-3.00014-1
Adel, E., Sappagh, S. E., Barakat, S., & Elmogy, M. (2020). A semantic interoperability framework for distributed electronic health record based on fuzzy ontology. International Journal of Medical Engineering and Informatics, 12(3), 207. https://doi.org/10.1504/IJMEI.2020.107081
Adesh Mukati, A. M. (2023, May 30). D40900412423. Indian Journal of Cryptography and Network Security (IJCNS). https://www.ijcns.latticescipub.com/portfolio-item/d40900412423/
Amit Doegar, S. R. M. S. (2021, May 21). Data Collection and Processing in Health Care | SpringerLink. https://link.springer.com/chapter/10.1007/978-981-16-0415-7_4
Angelika Haendel, M. A. (2022, July 26). The View of Health Information Managers (HIM): Strategic Insights Through Data Analytics | SpringerLink. https://link.springer.com/chapter/10.1007/978-3-030-91237-6_10
Bigini, G., Zichichi, M., Lattanzi, E., Ferretti, S., & D’Angelo, G. (2023). On the Decentralization of Health Systems for Data Availability: A DLT-based Architecture. 2023 IEEE 20th Consumer Communications & Networking Conference (CCNC), 372–377. https://doi.org/10.1109/CCNC51644.2023.10059701
Capuzzo, M., Zanella, A., Zuccotto, M., Cunico, F., Cristani, M., Castellini, A., Farinelli, A., & Gamberini, L. (2022). IoT Systems for Healthy and Safe Life Environments. 2022 IEEE 7th Forum on Research and Technologies for Society and Industry Innovation (RTSI), 31–37. https://doi.org/10.1109/RTSI55261.2022.9905193
Daniel J. Solove, D. J. S. (2020). HIPAA Mighty and Flawed: Regulation has Wide-Reaching Impact on the Healthcare Industry. Journal of AHIMA, 84(4), 30–31.
Erdogdu, M., & Ünüsan, Ç. (2022). The Importance and Use of Blockchain Technology in International Payment Methods. International Journal on Engineering, Science and Technology, 4(3), Article 3. https://doi.org/10.46328/ijonest.146
Fabacher, T., Sauleau, E.-A., & Leclerc Du Sablon, N. (2023). Evaluating the Portability of Rheumatoid Arthritis Phenotyping Algorithms: A Case Study on French EHRs. In Caring is Sharing – Exploiting the Value in Data for Health and Innovation (pp. 768–772). IOS Press. https://doi.org/10.3233/SHTI230263
Fatima, S., Aun, M., Hussain, S., Din, B. ul, Sajjad, W., Shahzadi, N., & Jameel, R. (2022). A Secure BlockChain Framework for IoT Healthcare. 2022 International Conference on Emerging Trends in Electrical, Control, and Telecommunication Engineering (ETECTE), 1–6. https://doi.org/10.1109/ETECTE55893.2022.10007122
Gandhi, J., & Walker, I. A. (2022). Patient monitoring techniques. Surgery - Oxford International Edition, 40(6), 370–377. https://doi.org/10.1016/j.mpsur.2022.03.018
Ganta, T., Appel, J. M., & Genes, N. (2023). Patient portal access for caregivers of adult and geriatric patients: Reframing the ethics of digital patient communication. Journal of Medical Ethics, 49(3), 156–159. https://doi.org/10.1136/medethics-2021-107759
George Karway, M. A. G. (2022, December 1). My Data Choices: Pilot evaluation of patient-controlled medical record sharing technology—George Karway, Julia Ivanova, Tina Kaing, Michael Todd, Darwyn Chern, Anita Murcko, Kazi Syed, Mirtha Garcia, Michael Franczak, Mary J Whitfield, Maria Adela Grando, 2022. https://journals.sagepub.com/doi/10.1177/14604582221143893
Govindaraj, V., & Murugan, S. D. A. (2023). An Early Warning Smart Healthcare Kit to Avoid Road Accidents. 2023 7th International Conference on Intelligent Computing and Control Systems (ICICCS), 1–5. https://doi.org/10.1109/ICICCS56967.2023.10142341
Hoang, H. D., Duy, P. T., Tien, N. T., Thu Hien, D. T., & Pham, V.-H. (2022). A Blockchain-based approach and Attribute-based Encryption for Healthcare Record Data Exchange. 2022 RIVF International Conference on Computing and Communication Technologies (RIVF), 65–70. https://doi.org/10.1109/RIVF55975.2022.10013886
Khan, F., Khan, S., Tahir, S., Ahmad, J., Tahir, H., & Shah, S. A. (2021). Granular Data Access Control with a Patient-Centric Policy Update for Healthcare. Sensors, 21(10), Article 10. https://doi.org/10.3390/s21103556
Kulüke, M., Kindermann, S., & Kölling, T. (2023). IPFS Pinning Service for Open Climate Research Data (EGU23-6311). EGU23. Copernicus Meetings. https://doi.org/10.5194/egusphere-egu23-6311
Kumar, A., Kumar Sah, B., Mehrotra, T., & Rajput, G. K. (2023). A Review on Double Spending Problem in Blockchain. 2023 International Conference on Computational Intelligence and Sustainable Engineering Solutions (CISES), 881–889. https://doi.org/10.1109/CISES58720.2023.10183579
Mahendra Pratap Singh, M. P. S. (2023, April 17). Role of Access Control in Information Security: A Security Analysis Approach | IntechOpen. https://www.intechopen.com/chapters/86916
Maryam Farhadi, H. S. (2022). Assessing HIPAA Compliance of Open Source Electronic Health Record Applications | IGI Global. https://www.igi-global.com/gateway/chapter/309039
Micelle J. Haydel, P. F. E. (Director). (2021, February 4). Health Insurance Portability and Accountability Act. StatPearls Publishing. https://typeset.io/papers/health-insurance-portability-and-accountability-act-zlzig9kezk
Nobari, A. H., Srivastava, A., Gutfreund, D., & Ahmed, F. (2022). LINKS: A dataset of a hundred million planar linkage mechanisms for data-driven kinematic design (arXiv:2208.14567). arXiv. https://doi.org/10.48550/arXiv.2208.14567
Pandey, P., & Litoriya, R. (2020). Implementing healthcare services on a large scale: Challenges and remedies based on blockchain technology. Health Policy and Technology, 9(1), 69–78. https://doi.org/10.1016/j.hlpt.2020.01.004
Patel, P., & Barton, J. (2023). Administrative Inefficiency and The United States Healthcare System. Journal of Student Research, 11(3). https://doi.org/10.47611/jsr.v11i3.1674
Priya, J., & Palanisamy, C. (2022). Novel Block Chain Technique for Data Privacy and Access Anonymity in Smart Healthcare. Intelligent Automation & Soft Computing, 35(1), 243–259. https://doi.org/10.32604/iasc.2023.025719
Quasim, M. T., Mobarak, M. M., Nisa, K. U., Meraj, M., & Khan, M. Z. (2023). Blockchain-based Secure Health Records in the Healthcare Industry. 2023 7th International Conference on Trends in Electronics and Informatics (ICOEI), 545–549. https://doi.org/10.1109/ICOEI56765.2023.10125802
Rudzidatul Akmam Dziyauddin, F. A. R. (2023, April 7). Sustainability | Free Full-Text | Blockchain-Based Framework for Interoperable Electronic Health Records for an Improved Healthcare System. https://www.mdpi.com/2071-1050/15/8/6337
S. Farjana Farvin, R. Nithyashree, R. Sivanandhini, & D. R. Subasri. (2023). U-MEDCHAINA Blockchain Based System for Medical Records Access and Permissions Management. International Journal of Advanced Research in Science, Communication and Technology, 297–303. https://doi.org/10.48175/IJARSCT-9133
Singh, S., Gupta, S., & Indu. (2023). MedEHR-Electronic health Record using Blockchain. 2023 International Conference on Computational Intelligence, Communication Technology and Networking (CICTN), 58–62. https://doi.org/10.1109/CICTN57981.2023.10141053
Sosu, R. N. A., Quist-Aphetsi, K., & Nana, L. (2019). A Decentralized Cryptographic Blockchain Approach for Health Information System. 2019 International Conference on Computing, Computational Modelling and Applications (ICCMA), 120–1204. https://doi.org/10.1109/ICCMA.2019.00027
Suljanovic, N., Souvent, A., Taylor, G., Radi, M., Cantenot, J., Lambert, E., & Morais, H. (2019). Design of Interoperable Communication Architecture for TSO-DSO Data Exchange. 2019 IEEE Milan PowerTech, 1–6. https://doi.org/10.1109/PTC.2019.8810941
Sundvall, E., Terner, A., Broberg, H., & Gillespie, C. (2019). Configuration of Input Forms in EHR Systems Using Spreadsheets, openEHR Archetypes and Templates. In MEDINFO 2019: Health and Wellbeing e-Networks for All (pp. 1781–1782). IOS Press. https://doi.org/10.3233/SHTI190645
Swapnil Singh, D. K. (2022). Medical IoT: Opportunities, Issues in Security and Privacy—A Compreh. https://www.taylorfrancis.com/chapters/edit/10.1201/9781003239895-6/medical-iot-opportunities-issues-security-privacy-comprehensive-review-deepa-krishnan-swapnil-singh
Taherdoost, H. (2023). The Role of Blockchain in Medical Data Sharing. Cryptography, 7(3), Article 3. https://doi.org/10.3390/cryptography7030036
Vishal Patel, V. P. (2019). A framework for secure and decentralized sharing of medical imaging data via blockchain consensus—Vishal Patel, 2019. https://journals.sagepub.com/doi/10.1177/1460458218769699
Walid, R., Joshi, K. P., & Geol Choi, S. (2023). Semantically Rich Differential Access to Secure Cloud EHR. 2023 IEEE 9th Intl Conference on Big Data Security on Cloud (BigDataSecurity), IEEE Intl Conference on High Performance and Smart Computing, (HPSC) and IEEE Intl Conference on Intelligent Data and Security (IDS), 1–9. https://doi.org/10.1109/BigDataSecurity-HPSC-IDS58521.2023.00012
Xue, L., Liu, D., Huang, C., Shen, X., Zhuang, W., Sun, R., & Ying, B. (2022). Blockchain-Based Data Sharing With Key Update for Future Networks. IEEE Journal on Selected Areas in Communications, 40(12), 3437–3451. https://doi.org/10.1109/JSAC.2022.3213312
Zandvakili, I., & Pulaski, M. (2023). A phenotypic approach to obesity treatment. Nutrition in Clinical Practice, 38(5), 959–975. https://doi.org/10.1002/ncp.11013
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