Decentralized e-Health Architecture for Boosting Healthcare Analytics

Kotsiuba, Igor; Velvkzhanin, Artem; Yanovich, Yury; Skarga-Bandurova, Inna; Dyachenko, Yuriy; Zhygulin, Viacheslav

doi:10.1109/worlds4.2018.8611621

Cited by 15 publications

(17 citation statements)

References 10 publications

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“…Blockchain in collaboration with other emerging technologies, such as deep- and transfer-learning techniques, was used to identify predictive analytics of health care data. Kotsiuba et al [ 34 ] stated that blockchain provides a unique opportunity to overcome the problems related to the analysis and security of medical data. Using blockchain technology, a decentralized health data ecosystem was presented that protected medical data confidentiality, produced an effective shared health infrastructure, and increased the basis of clinical data collection.…”

Section: Discussionmentioning

confidence: 99%

“…Kotsiuba et al [ 34 ] also presented a decentralized health data system using blockchain that secures the collection and confidentially of medical or clinical data. In the study by Zhang et al [ 24 ], data integrity was enhanced by using an FHIRChain-based decentralized app, which used blockchain technology and digital health identities in remote cancer care to validate the participants in a case study of clinical data sharing.…”

Section: Discussionmentioning

confidence: 99%

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The Use of Blockchain Technology in the Health Care Sector: Systematic Review

et al. 2022

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Background Blockchain technology is a part of Industry 4.0’s new Internet of Things applications: decentralized systems, distributed ledgers, and immutable and cryptographically secure technology. This technology entails a series of transaction lists with identical copies shared and retained by different groups or parties. One field where blockchain technology has tremendous potential is health care, due to the more patient-centric approach to the health care system as well as blockchain’s ability to connect disparate systems and increase the accuracy of electronic health records. Objective The aim of this study was to systematically review studies on the use of blockchain technology in health care and to analyze the characteristics of the studies that have implemented blockchain technology. Methods This study used a systematic review methodology to find literature related to the implementation aspect of blockchain technology in health care. Relevant papers were searched for using PubMed, SpringerLink, IEEE Xplore, Embase, Scopus, and EBSCOhost. A quality assessment of literature was performed on the 22 selected papers by assessing their trustworthiness and relevance. Results After full screening, 22 papers were included. A table of evidence was constructed, and the results of the selected papers were interpreted. The results of scoring for measuring the quality of the publications were obtained and interpreted. Out of 22 papers, a total of 3 (14%) high-quality papers, 9 (41%) moderate-quality papers, and 10 (45%) low-quality papers were identified. Conclusions Blockchain technology was found to be useful in real health care environments, including for the management of electronic medical records, biomedical research and education, remote patient monitoring, pharmaceutical supply chains, health insurance claims, health data analytics, and other potential areas. The main reasons for the implementation of blockchain technology in the health care sector were identified as data integrity, access control, data logging, data versioning, and nonrepudiation. The findings could help the scientific community to understand the implementation aspect of blockchain technology. The results from this study help in recognizing the accessibility and use of blockchain technology in the health care sector.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Use of Blockchain Technology in the Health Care Sector: Systematic Review

et al. 2022

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“…The project achieved this using FHIR profiles as a computational conformance scheme. Figure 15 shows the details of this distribution and others like older versions of HL7 [63], [65], [69], [75], [77], [80], [95], [123], Logical Observations Identifiers Names and Codes (LOINC) [30], [53], [65], [95], [165], World Health Organisation's (WHO's) International Classification of Diseases (ICD) [53], [65], [95], [130], International Organization for Standards (ISO) [95], Systematised Nomenclature of Medicine -Clinical Terms (SNOMED-CT) [59], [95], Digital Imaging and Communication in Medicine (DICOM) [65], [95], [114], Open Electronic Health Records (OpenEHR) [95], [106], [115]. OmniPHR [95] for instance uses a translator hosted as a super-peer (blockchain node) in the blockchain network.…”

Section: ) Standards or Ontologies Analysismentioning

confidence: 99%

A Systematic Review of Blockchain in Healthcare: Frameworks, Prototypes, and Implementations

2020

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Blockchain, a form of distributed ledger technology has attracted the interests of stakeholders across several sectors including healthcare. Its' potential in the multi-stakeholder operated sector like health has been responsible for several investments, studies, and implementations. Electronic Health Records (EHR) systems traditionally used for the exchange of health information amongst healthcare stakeholders have been criticised for centralising power, failures and attack-points with exchange data custodians. EHRs have struggled in the face of multi-stakeholder and system requirements while adhering to security, privacy, ethical and other regulatory constraints. Blockchain is promising amongst others to address the many EHR challenges, primarily trustless and secure exchange of health information amongst stakeholders. Many blockchain-in-healthcare frameworks have been proposed; some prototyped and/or implemented. This study leveraged the PRISMA framework to systematically search and evaluate the different models proposed; prototyped and/or implemented. The bibliometric and functional distribution of all 143 articles from this study were presented. This study evaluated 61 articles that discussed either prototypes or pilot or implementations. The technical and architectural analysis of these 61 articles for privacy, security, cost, and performance were detailed. Blockchain was found to solve the trust, security and privacy constraints of traditional EHRs often at significant performance, storage and cost trade-offs. INDEX TERMS Bioinformatics, blockchain, DLT, distributed ledger technology, distributed computing, distributed databases, health information management, health information exchange, hospitals, pharmaceutical technology, telemedicine, digital health, eHealth, mHealth.

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“…Ref. [99] introduces a blockchain-based health data ecosystem to manage high amount of health data. The proposed approach uses Exonum [100] (service-oriented architecture that works in a peer-to-peer manner) open source platform.…”

Section: Record Management Systemmentioning

confidence: 99%

A Review on the Role of Blockchain Technology in the Healthcare Domain

Zubaydi

Chong

et al. 2019

Electronics

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Recently, there have been increasing calls for healthcare providers to provide controls for patients over their personal health records. Nevertheless, security issues concerning how different healthcare providers exchange healthcare information have caused a flop in the deployment of such systems. The ability to exchange data securely is important so that new borderless integrated healthcare services can be provided to patients. Due to its decentralized nature, blockchain technology is a suitable driver for the much-needed shift towards integrated healthcare, providing new insights and addressing some of the main challenges of many healthcare areas. Blockchain allows healthcare providers to record and manage peer-to-peer transactions through a network without central authority. In this paper, we discuss the concept of blockchain technology and hurdles in their adoption in the healthcare domain. Furthermore, a review is conducted on the latest implementations of blockchain technology in healthcare. Finally, a new case study of a blockchain-based healthcare platform is presented addressing the drawbacks of current designs, followed by recommendations for future blockchain researchers and developers.

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Decentralized e-Health Architecture for Boosting Healthcare Analytics

Cited by 15 publications

References 10 publications

The Use of Blockchain Technology in the Health Care Sector: Systematic Review

The Use of Blockchain Technology in the Health Care Sector: Systematic Review

A Systematic Review of Blockchain in Healthcare: Frameworks, Prototypes, and Implementations

A Review on the Role of Blockchain Technology in the Healthcare Domain

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