scholarly journals Blockchain for Giving Patients Control over their Medical Records

Author(s):  
Mohammad Madine ◽  
Ammar Battah ◽  
Ibrar Yaqoob ◽  
Khaled Salah ◽  
Raja Jayaraman ◽  
...  

Personal health records (PHRs) are valuable assets to individuals because they enable them to integrate and manage their medical data. A PHR is an electronic application through which patients can manage their health information. Giving patients control over their medical data offers an advantageous realignment of the doctor-patient dynamic. However, today's PHR management systems fall short of giving reliable, traceable, trustful, and secure patients control over their medical data, which poses serious threats to their authenticity and accuracy. Moreover, most of the current approaches and systems leveraged for managing PHR are centralized that not only make medical data sharing difficult but also poses a risk of single point of failure problem. In this paper, we propose Ethereum blockchain-based smart contracts to give patients control over their data in a manner that is decentralized, immutable, transparent, traceable, trustful, and secure. The proposed system employs decentralized storage of interplanetary file systems (IPFS), proxy re-encryption, and trusted reputation-based oracles to securely fetch, store, and share patients' medical data. We present algorithms along with their full implementation details. We evaluate the proposed smart contracts using two important performance metrics, such as cost and correctness. Furthermore, we provide security analysis and discuss the generalization aspects of our solution. We outline the limitations of the proposed approach. We make the smart contract source code publicly available on Github.

2020 ◽  
Author(s):  
Mohammad Madine ◽  
Ammar Battah ◽  
Ibrar Yaqoob ◽  
Khaled Salah ◽  
Raja Jayaraman ◽  
...  

Personal health records (PHRs) are valuable assets to individuals because they enable them to integrate and manage their medical data. A PHR is an electronic application through which patients can manage their health information. Giving patients control over their medical data offers an advantageous realignment of the doctor-patient dynamic. However, today's PHR management systems fall short of giving reliable, traceable, trustful, and secure patients control over their medical data, which poses serious threats to their authenticity and accuracy. Moreover, most of the current approaches and systems leveraged for managing PHR are centralized that not only make medical data sharing difficult but also poses a risk of single point of failure problem. In this paper, we propose Ethereum blockchain-based smart contracts to give patients control over their data in a manner that is decentralized, immutable, transparent, traceable, trustful, and secure. The proposed system employs decentralized storage of interplanetary file systems (IPFS), proxy re-encryption, and trusted reputation-based oracles to securely fetch, store, and share patients' medical data. We present algorithms along with their full implementation details. We evaluate the proposed smart contracts using two important performance metrics, such as cost and correctness. Furthermore, we provide security analysis and discuss the generalization aspects of our solution. We outline the limitations of the proposed approach. We make the smart contract source code publicly available on Github.


2021 ◽  
Author(s):  
Haya R. Hasan ◽  
Khaled Salah ◽  
Raja Jayaraman ◽  
Junaid Arshad ◽  
Ibrar Yaqoob ◽  
...  

COVID-19 has emerged as a highly contagious disease which has caused a devastating impact across the world with a very large number of infections and deaths. Timely and accurate testing is paramount to an effective response to this pandemic as it helps identify infections and therefore mitigate (isolate/cure) them. In this paper, we investigate this challenge and contribute by presenting a blockchain-based solution that incorporates self-sovereign identity, re-encryption proxies, and decentralized storage, such as the interplanetary file systems (IPFS). Our solution implements digital medical passports (DMP) and immunity certificates for COVID-19 test-takers. We present smart contracts based on the Ethereum blockchain written and tested successfully to maintain a digital medical identity for test-takers that help in a prompt trusted response directly by the relevant medical authorities. We reduce the response time of the medical facilities, alleviate the spread of false information by using immutable trusted blockchain, and curb the spread of the disease through DMP. We present a detailed description of the system design, development, and evaluation (cost and security analysis) for the proposed solution. Since our code leverages the use of the on-chain events, the cost of our design is almost negligible. We have made our smart contract codes publicly available on Github.


2020 ◽  
Author(s):  
Haya R. Hasan ◽  
Khaled Salah ◽  
Raja Jayaraman ◽  
Junaid Arshad ◽  
Ibrar Yaqoob ◽  
...  

COVID-19 has emerged as a highly contagious disease which has caused a devastating impact across the world with a very large number of infections and deaths. Timely and accurate testing is paramount to an effective response to this pandemic as it helps identify infections and therefore mitigate (isolate/cure) them. In this paper, we investigate this challenge and contribute by presenting a blockchain-based solution that incorporates self-sovereign identity, re-encryption proxies, and decentralized storage, such as the interplanetary file systems (IPFS). Our solution implements digital medical passports (DMP) and immunity certificates for COVID-19 test-takers. We present smart contracts based on the Ethereum blockchain written and tested successfully to maintain a digital medical identity for test-takers that help in a prompt trusted response directly by the relevant medical authorities. We reduce the response time of the medical facilities, alleviate the spread of false information by using immutable trusted blockchain, and curb the spread of the disease through DMP. We present a detailed description of the system design, development, and evaluation (cost and security analysis) for the proposed solution. Since our code leverages the use of the on-chain events, the cost of our design is almost negligible. We have made our smart contract codes publicly available on Github.


2020 ◽  
Author(s):  
Haya R. Hasan ◽  
Khaled Salah ◽  
Raja Jayaraman ◽  
Junaid Arshad ◽  
Ibrar Yaqoob ◽  
...  

COVID-19 has emerged as a highly contagious disease which has caused a devastating impact across the world with a very large number of infections and deaths. Timely and accurate testing is paramount to an effective response to this pandemic as it helps identify infections and therefore mitigate (isolate/cure) them. In this paper, we investigate this challenge and contribute by presenting a blockchain-based solution that incorporates self-sovereign identity, re-encryption proxies, and decentralized storage, such as the interplanetary file systems (IPFS). Our solution implements digital medical passports (DMP) and immunity certificates for COVID-19 test-takers. We present smart contracts based on the Ethereum blockchain written and tested successfully to maintain a digital medical identity for test-takers that help in a prompt trusted response directly by the relevant medical authorities. We reduce the response time of the medical facilities, alleviate the spread of false information by using immutable trusted blockchain, and curb the spread of the disease through DMP. We present a detailed description of the system design, development, and evaluation (cost and security analysis) for the proposed solution. Since our code leverages the use of the on-chain events, the cost of our design is almost negligible. We have made our smart contract codes publicly available on Github.


2020 ◽  
Author(s):  
Muhammad Salek Ali ◽  
Massimo Vecchio ◽  
Fabio Antonelli

Abstract Within internet of things (IoT) research, there is a growing interest in leveraging the decentralization properties of blockchains, towards developing IoT authentication and authorization mechanisms that do not inherently require centralized third-party intermediaries. This paper presents a framework for sharing IoT data in a decentralized and private-by-design manner in exchange for monetary services. The framework is built on a tiered blockchain architecture, along with InterPlanetary File System for IoT data storage and transfer. The goal is to enable IoT data users to exercise fine-grained control on how much data they share with entities authenticated through blockchains. To highlight how the framework would be used in real-life scenarios, this paper presents two use cases, namely an IoT data marketplace and a decentralized connected vehicle insurance. These examples showcase how the proposed framework can be used for varying smart contract-based applications involving exchanges of IoT data and cryptocurrency. Following the discussion about the use cases, the paper outlines a detailed security analysis performed on the proposed framework, based on multiple attack scenarios. Finally, it presents and discusses extensive evaluations, in terms of various performance metrics obtained from a real-world implementation.


2021 ◽  
Vol 13 (19) ◽  
pp. 10556
Author(s):  
Syed Yawar Abbas Zaidi ◽  
Munam Ali Shah ◽  
Hasan Ali Khattak ◽  
Carsten Maple ◽  
Hafiz Tayyab Rauf ◽  
...  

With opportunities brought by the Internet of Things (IoT), it is quite a challenge to maintain concurrency and privacy when a huge number of resource-constrained distributed devices are involved. Blockchain have become popular for its benefits, including decentralization, persistence, immutability, auditability, and consensus. Great attention has been received by the IoT based on the construction of distributed file systems worldwide. A new generation of IoT-based distributed file systems has been proposed with the integration of Blockchain technology, such as the Swarm and Interplanetary File System. By using IoT, new technical challenges, such as Credibility, Harmonization, large-volume data, heterogeneity, and constrained resources are arising. To ensure data security in IoT, centralized access control technologies do not provide credibility. In this work, we propose an attribute-based access control model for the IoT. The access control lists are not required for each device by the system. It enhances access management in terms of effectiveness. Moreover, we use blockchain technology for recording the attribute, avoiding data tempering, and eliminating a single point of failure at edge computing devices. IoT devices control the user’s environment as well as his or her private data collection; therefore, the exposure of the user’s personal data to non-trusted private and public servers may result in privacy leakage. To automate the system, smart contracts are used for data accessing, whereas Proof of Authority is used for enhancing the system’s performance and optimizing gas consumption. Through smart contracts, ciphertext can be stored on a blockchain by the data owner. Data can only be decrypted in a valid access period, whereas in blockchains, the trace function is achieved by the storage of invocation and the creation of smart contracts. Scalability issues can also be resolved by using the multichain blockchain. Eventually, it is concluded from the simulation results that the proposed system is efficient for IoT.


2020 ◽  
Author(s):  
Ammar Battah ◽  
Mohammad Madine ◽  
Hamad Alzaabi ◽  
Ibrar Yaqoob ◽  
Khaled Salah ◽  
...  

Multi-party authorization (MPA) typically involves multiple parties to control and grant access to shared data. MPA is used to solve the insider’s attack problem by ensuring that a single authority or party is not acting alone. Currently, almost all existing implementations of MPA are centralized and fall short in providing logs and events related to provenance of granting permissions in a trusted, secure, immutable, auditable, and decentralized manner. Moreover, for sharing data, proxy re-encryption algorithms are often used to give secure access to encrypted shared data. These schemes and algorithms are also centralized and cannot be trusted. In this paper, we propose a fully decentralized blockchain-based solution in which MPA is implemented using Ethereum smart contracts, and proxy re-encryption algorithms (which are computationally expensive) are implemented using multiple oracles to give access to encrypted shared data stored on a public and decentralized storage platform, such as the Interplanetary File Systems (IPFS). The smart contracts help to validate results based on the majority of encrypted results determined by the oracles. For this, we incorporate reputation mechanisms in the proposed smart contracts to rate the oracles based on their malicious and non-malicious behaviors. We present algorithms along with their full implementation, testing, and validation details. We evaluate the proposed system in terms of security, cost, and generalization to show its reliability and practicality. We make the smart contract source code publicly available on Github.


Electronics ◽  
2020 ◽  
Vol 9 (5) ◽  
pp. 763
Author(s):  
Seong-Kyu Kim ◽  
Jun-Ho Huh

This paper seeks to use artificial intelligence blockchain algorithms to ensure safe verification of medical institution PHR data and accurate verification of medical data as existing vulnerabilities. Artificial intelligence has recently spread and has led to research on many technologies thanks to the Fourth Industrial Revolution. This is a very important factor in healthcare as well as the healthcare industry’s position. Likewise, blockchain is very safe to apply because it encrypts and verifies these medical data in case they are hacked or leaked. These technologies are considered very important. This study raises the problems of these artificial intelligence blockchains and recognizes blockchain, artificial intelligence, neural networks, healthcare, etc.; these problems clearly exist, so systems like EHR are not being used. In the future, ensuring privacy will be made easier when these EHRs are activated and data transmission and data verification between hospitals are completed. To overcome these shortcomings, we define an information security blockchain artificial intelligence framework and verify blockchain systems for accurate extraction, storage, and verification of data. In addition, various verification and performance evaluation indicators are set to obtain the TPS of medical data and for the implementation of standardization work in the future. This paper seeks to maximize the confidentiality of blockchain and the sensitivity and availability of artificial intelligence.


Author(s):  
Amna Mubashar ◽  
Kalsoom Asghar ◽  
Abdul Rehman Javed ◽  
Muhammad Rizwan ◽  
Gautam Srivastava ◽  
...  

Centralized Personal Health Records (PHR) are mutable with compromised security as it may lead to a single point of failure. Confidentiality, protection and security are the common issues in clinical record frameworks. Specific security and protection schemes are being used to secure clinical records. Accordingly, using the Interplanetary File System (IPFS), a decentralized PHR can be maintained to allow patients to access their records without delay. Moreover, a Kademlia-based distributed hash table provides fault tolerance and enables patients to keep track of their medical history. However, a significant issue in IPFS is data availability. It is only available on the web until users or hosts of the network request each peer, later it leads to a permanent loss of data. We propose an architecture that aims to provide faster retrieval and constant PHR availability using Blockchain and IPFS. The results show that an optimal node is selected in each iteration amongst all the available adjacent nodes.


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