Medical Information Sharing Applying Blockchain Technology

BACKGROUND Granular information sharing studies rarely use actual patient electronic health record (EHR) information. In a previous study, behavioral health patients categorized their own EHR data into sensitive categories (e.g. mental health) and chose which care team members (e.g. pharmacists) should have access to those records. In this study, behavioral health professionals are provided access to the outcomes of a previous patient study to better understand the perspectives of health professionals on patient-controlled granular information sharing. OBJECTIVE Assess behavioral health professionals’: (1) perspectives on understanding and opinions about granular information sharing; (2) accuracy in assessing redacted medical information; (3) reactions to patient rationale for health data categorization, assignment of sensitivity, and sharing choices; and (4) recommendations on how to improve the process of granular health information sharing. METHODS Four two-hour focus groups and a pre- and post-survey were conducted at two integrated health facilities. During the focus groups, outcomes from a previous study on patients’ medical record sharing choices were shared. Thematic analysis and descriptive statistical analyses were conducted. RESULTS Twenty-eight professionals were initially unaware of or provided incorrect definitions of granular information sharing (56.0%). After having access to outcomes from a previous patient study, professionals increased their mixed perspectives (21.4% to 37.1%) on granular information sharing. A majority (81.3%) identified that key medical data had been redacted from the study case. Many (66.1%) stated they did not understand patient rationale for categorization or medical sharing preferences. Finally, participants recommended that a variety of educational approaches be incorporated to inform patients about granular information and health record sharing processes. CONCLUSIONS This study provides detailed insights from behavioral health professionals on patient-controlled granular information sharing. Health professionals accurately identified information gaps resulting from patient-directed data redaction, improved in their overall concept comprehension, underscored the fine line between patient safety and patient rights, and expressed a commitment to help patients appreciate the risks and benefits associated with granular information sharing. Outcomes will inform the development, deployment and evaluation of an electronic consent tool for granular health data sharing.

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Using NLP in openEHR archetypes retrieval to promote interoperability: a feasibility study in China

BMC Medical Informatics and Decision Making ◽

10.1186/s12911-021-01554-2 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Bo Sun ◽

Fei Zhang ◽

Jing Li ◽

Yicheng Yang ◽

Xiaolin Diao ◽

...

Keyword(s):

Information Sharing ◽

Language Processing ◽

Medical Information ◽

Medical Professional ◽

Semantic Interoperability ◽

Medical Information System ◽

Search Term ◽

Search Terms ◽

Novel Approach ◽

Test Sets

Abstract Background With the development and application of medical information system, semantic interoperability is essential for accurate and advanced health-related computing and electronic health record (EHR) information sharing. The openEHR approach can improve semantic interoperability. One key improvement of openEHR is that it allows for the use of existing archetypes. The crucial problem is how to improve the precision and resolve ambiguity in the archetype retrieval. Method Based on the query expansion technology and Word2Vec model in Nature Language Processing (NLP), we propose to find synonyms as substitutes for original search terms in archetype retrieval. Test sets in different medical professional level are used to verify the feasibility. Result Applying the approach to each original search term (n = 120) in test sets, a total of 69,348 substitutes were constructed. Precision at 5 (P@5) was improved by 0.767, on average. For the best result, the P@5 was up to 0.975. Conclusions We introduce a novel approach that using NLP technology and corpus to find synonyms as substitutes for original search terms. Compared to simply mapping the element contained in openEHR to an external dictionary, this approach could greatly improve precision and resolve ambiguity in retrieval tasks. This is helpful to promote the application of openEHR and advance EHR information sharing.

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The role of social media in clubfoot: information sharing and social support

Journal of Children s Orthopaedics ◽

10.1302/1863-2548.15.200176 ◽

2021 ◽

Vol 15 (1) ◽

pp. 81-88

Author(s):

Gabriel Hanna ◽

Brian D. Batko ◽

James Potter ◽

Joseph Ippolito ◽

Folorunsho Edobor-Osula

Keyword(s):

Social Media ◽

Information Sharing ◽

Emotional Support ◽

Medical Information ◽

Second Opinion ◽

Level Of Evidence ◽

Success Stories ◽

Congenital Foot Deformity ◽

Facebook Pages

Purpose Clubfoot is the most common congenital foot deformity in children. Caregivers often seek medical information on the internet. The aim of the study was to characterize how social media is used by caregivers to access medical information. Methods A search was performed on Facebook, Twitter and YouTube platforms. Information was quantitatively assessed. Comments were qualitatively assessed, and the Kruskal-Wallis test was used to study thematic comment distribution. Results In total, 58 Facebook groups and pages, 109 YouTube accounts and ten Twitter accounts related to clubfoot were discovered from 2007 to 2019. Facebook groups and pages had a collective 56 123 members and 80 544 total likes, respectively. YouTube had a collective 3 280 454 views, with 54 969 total comments throughout the accounts. Comment themes most commonly included sharing information and advice (38.7%), appreciation and success stories (12.8%), emotional support (12.7%) and social media as a second opinion (11.9%). Facebook groups contained a significantly higher number of comments related to ‘social media as a second opinion’ compared with Facebook pages (p = 0.001), Twitter (p = 0.016) and YouTube (p < 0.0001) while YouTube contained a significantly lower number of comments related to ‘sharing information’ compared with Facebook groups, pages and Twitter (p < 0.0001). Conclusion Social media continues to be a growing tool for information sharing and the findings of this study highlight the importance placed by caregivers on the advice of their peers. The online presence of caregivers may represent an opportunity for orthopaedic surgeons to communicate with patients and help them make informed decisions. Level of evidence IV

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Secured Healthcare Data Analytics on the Cloud Using Blockchain-Based Techniques

10.4018/978-1-7998-9132-1.ch006 ◽

2022 ◽

pp. 89-103

Author(s):

Subashini B.

Keyword(s):

Patient Monitoring ◽

Medical Information ◽

Healthcare Data ◽

Blockchain Technology ◽

Benefit Patient ◽

Monitoring Test ◽

Patient Monitoring System ◽

Excellent Care ◽

Iot Devices ◽

Remote Patient

Blockchain and the internet of things (IoT) are progressive technologies that are changing the world with additional special care within the healthcare system. In healthcare, IoT is a remote patient monitoring system that allows IoT devices to collect patient information such as remote monitoring, test results, pharmacy detailsm and medical insurance details, and allows doctors to provide excellent care. In order to facilitate data sharing among different hospitals and other organizations, it is necessary to secure data with caution. Blockchain is a decentralized, distributed, and an immutable digital ledger that records healthcare transactions using peer-to-peer technology in an extremely secure manner. It uses the cloud environment to store the huge amount of data on healthcare. The data generated from IoT devices uses blockchain technology to share medical information being analyzed by healthcare professionals in different hospitals in a secure manner. The objective is to benefit patient monitoring remotely and overcome the problem of information blocking.

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Ensuring Food Supply and Security During Localised Lockdowns

Advances in Data Mining and Database Management - Data Science Advancements in Pandemic and Outbreak Management ◽

10.4018/978-1-7998-6736-4.ch009 ◽

2021 ◽

pp. 160-193

Author(s):

Iman Hussain ◽

Chloë Allen-Ede ◽

Lukas Jaks ◽

Herbert Daly

Keyword(s):

Supply Chains ◽

Information Sharing ◽

Food Supply ◽

Third Sector ◽

Food Supply Chains ◽

Emergency Situations ◽

Blockchain Technology ◽

Stable Conditions ◽

Third Sector Organisations ◽

Great Pressure

A pandemic crisis inevitably puts great pressure on different aspects of societal and commercial infrastructure. Paths for information and goods designed and optimised for stable conditions may fail to meet the needs of emergency situations, whether suddenly imposed or planned. This chapter discusses the effects of the 2020 pandemic on food supply chains. These issues are considered as problems of information sharing and systemic behaviour with implications for both people and technology. Based on work in Wolverhampton, UK, the effect of the 2020 lockdown period on local businesses and charities is considered. In response to these observations, the design and development of Lupe, a prototype application to support the distribution and trading of food during periods of lockdown, is described. The aim of the system is to integrate the needs of consumers, businesses, and third sector organisations. The use of blockchain technology in the Lupe system to provide appropriate functionality and security for data is explored. Initial evaluations of the prototype by stakeholders are also included.

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Electronic Health Record Patient Portals and the Blockchain Technology

Political and Economic Implications of Blockchain Technology in Business and Healthcare - Advances in Data Mining and Database Management ◽

10.4018/978-1-7998-7363-1.ch008 ◽

2021 ◽

pp. 218-227

Author(s):

Jorge Tavares

Keyword(s):

Medical Information ◽

Healthcare Providers ◽

Appointment Scheduling ◽

Health Record ◽

Patient Portal ◽

Patient Portals ◽

Blockchain Technology ◽

Electronic Health ◽

Implementation Of Ehr ◽

E Mail

The electronic health records (EHR) patient portals are an integrated eHealth technology that combines an EHR system and a patient portal, giving patients access to their medical records, exam results, and services, such as appointment scheduling, notification systems, and e-mail access to their physician. EHR patient portals empower patients to carry out self-management activities and facilitate communication with healthcare providers, enabling the patient and healthcare provider to access the medical information quickly. Worldwide governmental initiatives have aimed to promote the use of EHR patient portals. The implementation of EHR patient portals encompasses several challenges, including security, confidentiality concerns, and interoperability between systems. New technological approaches like blockchain could address these issues and enable a successful worldwide implementation of EHR patient portals.

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Cloud-Computing-Based Biomedical Information Sharing Business Model

Applied Mechanics and Materials ◽

10.4028/www.scientific.net/amm.556-562.6199 ◽

2014 ◽

Vol 556-562 ◽

pp. 6199-6202

Author(s):

Hui Jie Ding ◽

Chun Jiang Yu ◽

Shu Huang

Keyword(s):

Cloud Computing ◽

Information Sharing ◽

Medical Information ◽

System Structure ◽

Medical Information System ◽

Distributed Programming ◽

Medical Computing ◽

Computing Platform ◽

Whole Process ◽

Virtual Platform

The presence of large amounts of Data Island in medical information system seriously hindered the whole process coordination and integration of the health service. To solve above problems, this paper, on the basis of the analysis of characteristics of medical information resources, put forward medical information sharing system based on cloud computing, discussed the medical computing platform and key technology of the system structure and in the technical implementation, on the basis of Hadoop platform and virtual platform Tashi, demonstrates the feasibility of the system by using graphs to cloud computing distributed programming.

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ANALYSIS OF FEASIBILITY OF BLOCKCHAIN TECHNOLOGY FOR INTERNATIONAL TRADE RELATED TO SRI LANKAN CONSTRUCTION INDUSTRY

10.31705/wcs.2021.7 ◽

2021 ◽

Author(s):

H.D. Weerakoon ◽

◽

H. Chandanie ◽

Keyword(s):

International Trade ◽

Information Sharing ◽

Construction Industry ◽

Digital Technology ◽

Sri Lankan ◽

The Past ◽

Blockchain Technology ◽

Lack Of Information ◽

Financial Flow ◽

Additional Charges

Sri Lankan (SL) construction industry has been trading with overseas suppliers to fulfil the need for material and technology. This process faces many issues due to the poor digitalisation of the industry. The financial flow of international trade is dominated by financial institutions (i.e., banks) and the industry faces many issues e.g., delays, additional charges, complexity, lack of information sharing, and requiring legal assistance. Blockchain Technology (BCT) has emerged as a revolutionary digital technology in the past decade. Key features of BCT i.e., immutability, decentralisation, distributed ledgers, enhanced security, consensus, and speed have been identified to provide solutions for issues in the various industries including the supply chain. Hence this paper aims to investigate the feasibility of using BCT to solve existing issues in financial flow with special reference to the barriers to adopt it in the international trade of the Sri Lankan construction industry. As the data collection method, an expert opinion forum was carried out by involving both international trade experts and blockchain specialists in the Sri Lankan construction industry. Key findings present that BCT can solve issues such as transparency issues and poor information sharing between parties, excessive documentation and complexities, payment delays, and financial costs in the international trade of the SL construction industry. Further, findings revealed that the government’s approval, legal requirements, lack of knowledge and technology, and reluctance to change the industry can act as barriers to adopt BCT in Sri Lanka.

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