DEVELOPMENT AND RESEARCH OF AN ARCHITECTURAL MODEL OF A BLOCKCHAIN-BASED PERSONAL DATA EXCHANGE SYSTEM

Authors

  • Olexander Shmatko
  • Dmytro Kulinich
  • Tetiana Gorbach

DOI:

https://doi.org/10.26906/SUNZ.2024.3.175

Keywords:

blockchain, personal data of patients, IoTM, smart contracts, Ethereum, model of medical data exchange system

Abstract

Abstract. Relevance. Modern society is facing a growing need for secure, reliable and transparent exchange of personal data of patients in the field of healthcare. Protecting the confidentiality and integrity of medical information is a priority to ensure quality and efficient medical care. Blockchain technologies provide a promising tool for solving this problem by enabling the creation of a decentralized and secure system for the exchange of personal patient data. The purpose of this work is to ensure a high level of security and confidentiality of medical data, as well as to increase the efficiency of healthcare processes by developing software components of a system for exchanging personal data of patients based on blockchain technologies. The object of research is the system of exchange of personal data of patients in the healthcare sector. The subject of the study is software components based on blockchain technologies designed to ensure the security, transparency and efficiency of medical information exchange. Results. This paper proposes an architectural model of a secure and efficient health data exchange system that can be widely implemented in the healthcare sector. Conclusion. The introduction of a secure personal data exchange system based on blockchain technology in the healthcare sector will help improve the quality of medical care and provide faster access to important data for medical personnel. Theoretical significance lies in expanding knowledge about the use of blockchain technologies in the healthcare sector and the security and confidentiality of medical information. This study can serve as a basis for further research in this area and contribute to the development of new methods and approaches to the exchange of medical data.

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References

Häyrinen Kristiina, Saranto K, Nykänen Pirkko. Definition, structure, content, use and impacts of electronic health records: a review of the research literature. Int J Med Inform. 2008 May;77(5):291–304. doi: 10.1016/j.ijmedinf.2007.09.001.S1386-5056(07)00168-2

Hripcsak G, Albers DJ. Next-generation phenotyping of electronic health records. J Am Med Inform Assoc. 2013 Jan 01;20(1):117–21. doi: 10.1136/amiajnl-2012-001145. http://europepmc.org/abstract/MED/22955496 .amiajnl-2012-001145

Ludwick DA, Doucette J. Adopting electronic medical records in primary care: lessons learned from health information systems implementation experience in seven countries. Int J Med Inform. 2009 Jan;78(1):22–31. doi: 10.1016/j.ijmedinf.2008.06.005.S1386-5056(08)00092-0

Zahabi M, Kaber DB, Swangnetr M. Usability and Safety in Electronic Medical Records Interface Design: A Review of Recent Literature and Guideline Formulation. Hum Factors. 2015 Aug;57(5):805–34. doi: 10.1177/0018720815576827.0018720815576827

Mikkelsen G, Aasly J. Concordance of information in parallel electronic and paper based patient records. International Journal of Medical Informatics. 2001 Oct;63(3):123–131. doi: 10.1016/s1386-5056(01)00152-6

Thiru K, Hassey A, Sullivan F. Systematic review of scope and quality of electronic patient record data in primary care. BMJ. 2003 May 17;326(7398):1070. doi: 10.1136/bmj.326.7398.1070. http://europepmc.org/abstract/MED/12750210 .326/7398/1070

Tang PC, Ash JS, Bates DW, Overhage JM, Sands DZ. Personal health records: definitions, benefits, and strategies for overcoming barriers to adoption. J Am Med Inform Assoc. 2006;13(2):121–6. doi: 10.1197/jamia.M2025. http://europepmc.org/abstract/MED/16357345 .M2025

Archer N, Fevrier-Thomas U, Lokker C, McKibbon KA, Straus SE. Personal health records: a scoping review. J Am Med Inform Assoc. 2011;18(4):515–22. doi: 10.1136/amiajnl-2011-000105. http://europepmc.org/abstract/MED/21672914 .amiajnl-2011-000105

Roehrs A, da Costa Cristiano André, Righi RDR, de Oliveira Kleinner Silva Farias. Personal Health Records: A Systematic Literature Review. J Med Internet Res. 2017 Jan 06;19(1):e13. doi: 10.2196/jmir.5876.

Rudin RS, Motala A, Goldzweig CL, Shekelle PG. Usage and Effect of Health Information Exchange. Ann Intern Med. 2014 Dec 02;161(11):803. doi: 10.7326/m14-0877

Williams C, Mostashari F, Mertz K, Hogin E, Atwal P. From the Office of the National Coordinator: the strategy for advancing the exchange of health information. Health Aff (Millwood) 2012 Mar;31(3):527–36. doi: 10.1377/hlthaff.2011.1314.31/3/527

Cimino JJ, Frisse ME, Halamka J, Sweeney L, Yasnoff W. Consumer-mediated health information exchanges: the 2012 ACMI debate. J Biomed Inform. 2014 Apr;48:5–15. doi: 10.1016/j.jbi.2014.02.009. https://linkinghub.elsevier.com/retrieve/pii/S1532-0464(14)00046-X .S1532-0464(14)00046-X

Zhuang Y, Sheets LR, Chen Y, Shae Z, Tsai JJ, Shyu C. A Patient-Centric Health Information Exchange Framework Using Blockchain Technology. IEEE J. Biomed. Health Inform. 2020 Aug;24(8):2169–2176. doi: 10.1109/jbhi.2020.2993072.

Gordon WJ, Catalini C. Blockchain Technology for Healthcare: Facilitating the Transition to Patient-Driven Interoperability.Comput Struct Biotechnol J. 2018;16:224–230. doi: 10.1016/j.csbj.2018.06.003.https://linkinghub.elsevier.com/retrieve/pii/S2001-0370(18)30028-X .S2001-0370(18)30028-X

Zhang P, White J, Schmidt DC, Lenz G, Rosenbloom ST. FHIRChain: Applying Blockchain to Securely and Scalably ShareClinical Data. Comput Struct Biotechnol J. 2018;16:267–278. doi: 10.1016/j.csbj.2018.07.004. https://linkinghub.elsevier.com/retrieve/pii/S2001-0370(18)30037-0 .S2001-0370(18)30037-0

Murphy DR, Satterly T, Rogith D, Sittig DF, Singh H. Barriers and facilitators impacting reliability of the electronic health record-facilitated total testing process. Int J Med Inform. 2019 Jul;127:102–108. doi: 10.1016/j.ijmedinf.2019.04.004.S1386- 5056(18)31386-8

Tanwar S, Parekh K, Evans R. Blockchain-based electronic healthcare record system for healthcare 4.0 applications. Journal of Information Security and Applications. 2020 Feb;50:102407. doi: 10.1016/j.jisa.2019.102407

Dagher GG, Mohler J, Milojkovic M, Marella PB. Ancile: Privacy-preserving framework for access control and interoperability of electronic health records using blockchain technology. Sustainable Cities and Society. 2018 May;39:283–297. doi: 10.1016/j.scs.2018.02.014.

Zhang A, Lin X. Towards Secure and Privacy-Preserving Data Sharing in e-Health Systems via Consortium Blockchain. J Med Syst. 2018 Jun 28;42(8):140. doi: 10.1007/s10916-018-0995-5.10.1007/s10916-018-0995-5

Cao S, Zhang G, Liu P, Zhang X, Neri F. Cloud-assisted secure eHealth systems for tamper-proofing EHR via blockchain. Information Sciences. 2019 Jun;485:427–440. doi: 10.1016/j.ins.2019.02.038.

Nakamoto S. Bitcoin: A peer-to-peer electronic cash system. Bitcoin: Open Source P2P Money. 2008. [2021-04-23]. https://bitcoin.org/bitcoin.pdf .

Ferdous MS, Chowdhury MJM, Hoque MA. A survey of consensus algorithms in public blockchain systems for cryptocurrencies. Journal of Network and Computer Applications. 2021 May;182:103035. doi: 10.1016/j.jnca.2021.103035.

Kuo T, Zavaleta Rojas H, Ohno-Machado L. Comparison of blockchain platforms: a systematic review and healthcare examples. J Am Med Inform Assoc. 2019 May 01;26(5):462–478. doi: 10.1093/jamia/ocy185.

McGhin T, Choo KR, Liu CZ, He D. Blockchain in healthcare applications: Research challenges and opportunities. Journal of Network and Computer Applications. 2019 Jun;135:62–75. doi: 10.1016/j.jnca.2019.02.027.

Vazirani AA, O'Donoghue O, Brindley D, Meinert E. Implementing Blockchains for Efficient Health Care: Systematic Review. J Med Internet Res. 2019 Feb 12;21(2):e12439. doi: 10.2196/12439. https://www.jmir.org/2019/2/e12439/ v21i2e12439

Hussien HM, Yasin SM, Udzir SNI, Zaidan AA, Zaidan BB. A Systematic Review for Enabling of Develop a Blockchain Technology in Healthcare Application: Taxonomy, Substantially Analysis, Motivations, Challenges, Recommendations and Future Direction. J Med Syst. 2019 Sep 14;43(10):320. doi: 10.1007/s10916-019-1445-8.10.1007/s10916-019-1445-8 [PubMed: 31522262] [CrossRef: 10.1007/s10916-019-1445-8]

Azaria A, Ekblaw A, Vieira T, Lippman A. MedRec: Using blockchain for medical data access and permission management. 2016 2nd International Conference on Open and Big Data (OBD); August 22-24; Vienna, Austria. 2016. pp. 25–30

Yue X, Wang H, Jin D, Li M, Jiang W. Healthcare Data Gateways: Found Healthcare Intelligence on Blockchain with Novel Privacy Risk Control. J Med Syst. 2016 Oct;40(10):218. doi: 10.1007/s10916-016-0574-6.10.1007/s10916-016-0574-6

Roehrs A, da Costa Cristiano André, da Rosa Righi Rodrigo. OmniPHR: A distributed architecture model to integrate personal health records. J Biomed Inform. 2017 Jul;71:70–81. doi: 10.1016/j.jbi.2017.05.012.

Ichikawa D, Kashiyama M, Ueno T. Tamper-Resistant Mobile Health Using Blockchain Technology. JMIR Mhealth Uhealth. 2017 Jul 26;5(7):e111. doi: 10.2196/mhealth.7938. https://mhealth.jmir.org/2017/7/e111/ v5i7e111

Mannaro K, Baralla G, Pinna A, Ibba S. A Blockchain Approach Applied to a Teledermatology Platform in the Sardinian Region (Italy) Information. 2018 Feb 23;9(2):44. doi: 10.3390/info9020044

Kovalenko, A. and Kuchuk, H. (2022), “Methods to Manage Data in Self-healing Systems”, Studies in Systems, Decision and Control, Vol. 425, pp. 113–171, doi: https://doi.org/10.1007/978-3-030-96546-4_3

Ji Y, Zhang J, Ma J, Yang C, Yao X. BMPLS: Blockchain-Based Multi-level Privacy-Preserving Location Sharing Scheme for Telecare Medical Information Systems. J Med Syst. 2018 Jun 30;42(8):147. doi: 10.1007/s10916-018-0998-2.10.1007/s10916-018-0998-2 [PubMed: 29961160] [CrossRef: 10.1007/s10916-018-0998-2]

Kleinaki A, Mytis-Gkometh P, Drosatos G, Efraimidis PS, Kaldoudi E. A Blockchain-Based Notarization Service for Biomedical Knowledge Retrieval. Comput Struct Biotechnol J. 2018;16:288–297. doi: 10.1016/j.csbj.2018.08.002. https://linkinghub.elsevier.com/retrieve/pii/S2001-0370(18)30040-0 .S2001-0370(18)30040-0

Jamil F, Hang L, Kim K, Kim D. A Novel Medical Blockchain Model for Drug Supply Chain Integrity Management in a Smart Hospital. Electronics. 2019 May 07;8(5):505. doi: 10.3390/electronics8050505.

Patel V. A framework for secure and decentralized sharing of medical imaging data via blockchain consensus. Health Informatics J. 2019 Dec;25(4):1398–1411. doi: 10.1177/1460458218769699.

Jamil F, Ahmad S, Iqbal N, Kim D. Towards a Remote Monitoring of Patient Vital Signs Based on IoT-Based Blockchain Integrity Management Platforms in Smart Hospitals. Sensors (Basel) 2020 Apr 13;20(8):2195. doi: 10.3390/s20082195. https://www.mdpi.com/resolver?pii=s20082195 .s2008215.

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Published

2024-09-06