scholarly journals Is Blockchain Technology Suitable for Managing Personal Health Records? Mixed-Methods Study to Test Feasibility (Preprint)

2018 ◽  
Author(s):  
Yu Rang Park ◽  
Eunsol Lee ◽  
Wonjun Na ◽  
Sungjun Park ◽  
Yura Lee ◽  
...  
Keyword(s):  
Personal Information ◽  
Block Size ◽  
Feasibility Studies ◽  
Personal Health Records ◽  
Personal Health ◽  
Medical Field ◽  
Health Records ◽  
Blockchain Technology ◽  
The Mean ◽  
Test Feasibility

BACKGROUND There are many perspectives on the advantages of introducing blockchain in the medical field, but there are no published feasibility studies regarding the storage, propagation, and management of personal health records (PHRs) using blockchain technology. OBJECTIVE The purpose of this study was to investigate the usefulness of blockchains in the medical field in relation to transactions with and propagation of PHRs in a private blockchain. METHODS We constructed a private blockchain network using Ethereum version 1.8.4 and conducted verification using the de-identified PHRs of 300 patients. The private blockchain network consisted of one hospital node and 300 patient nodes. In order to verify the effectiveness of blockchain-based PHR management, PHRs at a time were loaded in a transaction between the hospital and patient nodes and propagated to the whole network. We obtained and analyzed the time and gas required for data transaction and propagation on the blockchain network. For reproducibility, these processes were repeated 100 times. RESULTS Of 300 patient records, 74 (24.7%) were not loaded in the private blockchain due to the data block size of the transaction block. The remaining 226 individual health records were classified into groups A (80 patients with outpatient visit data less than 1 year old), B (84 patients with outpatient data from between 1 and 3 years before data collection), and C (62 patients with outpatient data 3 to 5 years old). With respect to mean transaction time in the blockchain, C (128.7 seconds) had the shortest time, followed by A (132.2 seconds) and then B (159.0 seconds). The mean propagation times for groups A, B, and C were 1494.2 seconds, 2138.9 seconds, and 4111.4 seconds, respectively; mean file sizes were 5.6 KB, 18.6 KB, and 45.38 KB, respectively. The mean gas consumption values were 1,900,767; 4,224,341; and 4,112,784 for groups A, B, and C, respectively. CONCLUSIONS This study confirms that it is possible to exchange PHR data in a private blockchain network. However, to develop a blockchain-based PHR platform that can be used in practice, many improvements are required, including reductions in data size, improved personal information protection, and reduced operating costs.

scholarly journals Is Blockchain Technology Suitable for Managing Personal Health Records? Mixed-Methods Study to Test Feasibility

10.2196/12533 ◽  
2019 ◽  
Vol 21 (2) ◽  
pp. e12533 ◽  
Author(s):  
Yu Rang Park ◽  
Eunsol Lee ◽  
Wonjun Na ◽  
Sungjun Park ◽  
Yura Lee ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Personal Health Records ◽  
Mixed Methods Study ◽  
Personal Health ◽  
Health Records ◽  
Blockchain Technology ◽  
Test Feasibility

scholarly journals Blockchain and mortgage lending process: A study of people, process, and technology involved

2019 ◽  
Vol 7 (1) ◽  
pp. 53-66
Author(s):  
Azad Ali ◽  
David Smith
Keyword(s):  
Customer Relationship Management ◽  
Relationship Management ◽  
Mortgage Lending ◽  
Personal Health Records ◽  
Global Supply Chain ◽  
Customer Relationship ◽  
Personal Health ◽  
Health Records ◽  
Blockchain Technology ◽  
Mortgage Origination

Blockchain technology is on the rise and considered to be a revolutionary technology. It has been applied to many domains including personal health records, regulatory investigation, and global supply chain. Applications that may potentially benefit from blockchain technology are those, which involve multiple parties across the different organization, each performing a subset of many steps needed to complete a given transaction and involve different technologies. In addition, security and trust is a major concern. Given this, a good candidate for blockchain technology is mortgage lending. The purpose of this paper is to prepare a model that identifies different elements that are needed when applying blockchain technology in the mortgage origination process. This paper uses a popular framework used in customer relationship management (CRM) that combines three constructs: People, Process and Technology to develop the intended model.

scholarly journals Blockchain Personal Health Records: A Systematic Review (Preprint)

2020 ◽  
Author(s):  
Hao Sen Andrew Fang ◽  
Teng Hwee Tan ◽  
Yan Fang Cheryl Tan ◽  
Marcus Tan
Keyword(s):  
Systematic Review ◽  
Grey Literature ◽  
Data Access ◽  
Personal Health Records ◽  
Personal Health ◽  
Health Records ◽  
Blockchain Technology ◽  
Data Access Control ◽  
Collection Form ◽  
Permissioned Blockchains

BACKGROUND Blockchain technology has the potential to enable more secure, transparent and equitable data management. In the healthcare domain, it has been most frequently applied to electronic health records (EHRs). Apart from securely managing data, blockchain also has a significant advantage of distributing data access, control and ownership to the end-users. This attribute, among others, makes it especially appealing when used to power personal health records (PHRs). OBJECTIVE In this review, we aim to examine the current landscape, design choices and limitations of blockchain-based PHRs. METHODS Adopting the PRISMA guidelines, a cross-discipline systematic review was performed in July 2020 on all eligible articles, including grey literature, from the following eight databases: ACM, IEEE Xplore, MEDLINE, ScienceDirect, Scopus, SpringerLink, Web of Science and Google Scholar. Three reviewers independently performed a full-text review and data abstraction using a standardized data collection form. RESULTS 58 articles fulfilled the inclusion criteria. The review found that the blockchain PHR space has been maturing over the past five years, from purely conceptual ideas initially to an increasing trend of publications describing prototypes and even implementations. Although the eventual PHR application is purposed for the healthcare industry, majority of the articles came from Engineering or Computer Science publications. Among the blockchain PHRs described, permissioned blockchains and off-chain storage were the more common design choices. While eighteen articles described a tethered blockchain PHR, all of these were at the conceptual stage. CONCLUSIONS This review revealed that research interest in using blockchain for PHRs is increasing and that the space is maturing. With further experimentation, this trend will very likely lead to breakthroughs to address existing limitations which could ultimately accelerate the adoption of blockchain PHRs.

Personal health records: a new type of electronic medical record

2017 ◽  
Vol 27 (3) ◽  
pp. 286-301 ◽  
Author(s):  
Kisha Hortman Hawthorne ◽  
Lorraine Richards
Keyword(s):  
Medical Informatics ◽  
Personal Information ◽  
Relevant Literature ◽  
Personal Health Records ◽  
Personal Health ◽  
Records Management ◽  
Patient Portal ◽  
Health Records ◽  
Content Type ◽  
Management Literature

Purpose This paper examines existing research on the topic of personal health records (PHRs). Areas covered include PHR/patient portal, recordkeeping, preservation planning, access and provider needs for future reuse of health information. Patient and physician PHR use and functionality, as well as adoption facilitators and barriers, are also reviewed. Design/methodology/approach The paper engages in a review of relevant literature from a variety of subject domains, including personal information management, medical informatics, medical literature and archives and records management literature. Findings The review finds that PHRs are extensions of electronic records. In addition, it finds a lack of literature within archives and records management that may lead to a less preservation-centric examination of the new PHR technologies that are desirable for controlling the lifecycle of these important new records-type. Originality/value Although the issues presented by PHRs are issues that can best be solved with the use of techniques from records management, there is no current literature related to PHRs in the records management literature, and that offered in the medical informatics literature treats the stewardship aspects of PHRs as insurmountable. This paper offers an introduction to the aspects of PHRs that could fruitfully be examined in archives and records management.

scholarly journals PatientDataChain: A Blockchain-Based Approach to Integrate Personal Health Records

Sensors ◽  
2020 ◽  
Vol 20 (22) ◽  
pp. 6538
Author(s):  
Alexandra Cernian ◽  
Bogdan Tiganoaia ◽  
Ioan Sacala ◽  
Adrian Pavel ◽  
Alin Iftemi
Keyword(s):  
Value Chain ◽  
Medical Records ◽  
Data Exchange ◽  
Healthcare Providers ◽  
Personal Health Records ◽  
Personal Health ◽  
Proof Of Concept ◽  
Health Records ◽  
Blockchain Technology ◽  
Novel Approach

Currently there is not a single trusted infrastructure used for the exchange and storage of medical data along the healthcare value chain and, thus, there is no platform used for monitoring patients’ traceability within the entire healthcare chain. This situation leads to difficult communication and increased procedural costs, and thus it limits healthcare players from developing a better understanding and know-how of patients’ traceability that could further boost innovation and development of the best-fitted health services. PatientDataChain blockchain-based technology is a novel approach, based on a decentralized healthcare infrastructure that incorporates a trust layer in the healthcare value chain. Our aim was to provide an integrated vision based on interoperability principles, that relies on the usage of specific sensors from various wearable devices, allowing us to collect specific data from patients’ medical records. Interconnecting different healthcare providers, the collected data is integrated into a unitary personal health records (PHR) system, where the patient is the owner of his/her data. The decentralized nature of PatientDataChain, based on blockchain technology, leveraged the proper context to create a novel and improved data-sharing and exchange system, which is secure, flexible, and reliable. This approach brings increased benefits to data confidentiality and privacy, while providing secure access to patient medical records. This paper presents the design, implementation, and experimental validation of our proposed system, called PatientDataChain. The original contributions of our paper include the definition of the concept of unifying the entire healthcare value chain, the design of the architectural model of the system, the development of the system components, as well as the validation through a proof of concept (PoC) conducted with a medical clinic from Bucharest, using a dataset of 100 patients and over 1000 transactions. The proof of concept demonstrated the feasibility of the model in integrating the personal health records from heterogeneous sources (healthcare systems and sensors) in a unified, decentralized PHR system, with enhanced data exchange among healthcare players.

scholarly journals A reliable authentication scheme of personal health records in cloud computing

2021 ◽  
Author(s):  
Chia-Hui Liu ◽  
Tzer-Long Chen ◽  
Chien-Yun Chang ◽  
Zhen-Yu Wu
Keyword(s):  
Cloud Computing ◽  
Personal Information ◽  
Personal Health Records ◽  
Health Improvement ◽  
Personal Health ◽  
Computing Environment ◽  
Health Records ◽  
Cloud Computing Environment ◽  
Authentication Mechanism

AbstractA patient-centered personal health records system has been actively promoted in recent years. Its purpose is to maintain long-term personal records and health improvement plans. It combines a cloud computing environment to build a personal health records system to quickly collect personal information and transfer it to the back end for storage for future access. However, in a cloud environment, the message transmission process is more open. Therefore, a lack of an authority security mechanism for the users of such an architecture will result in distrust and doubt by the users. This adversely affects the implementation and quality of long-term health plans. To protect the crucial privacy of the users from malicious attacks or theft, it is necessary to ensure that the users have different authority to access their personal health records under the cloud computing environment and manage the openness of their authority to other users. A secured identify authentication mechanism can ensure that only legitimate users can log in to the system and obtain system service resources through verification. For a personal health records system in the cloud computing environment, this study proposes a secure and reliable user authentication mechanism allowing relevant users access to the user’s PHR in the cloud based on their authority. The proposed authentication method uses a password combined with a smart card, allowing the owner and authorized users to log in to the system and access the relevant personal records. In this study, an authentication method based on bilinear pairing was used to verify the identity of users and to effectively prevent malicious intrusion and theft.

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