Electronic Health Records Sharing Based on Consortium Blockchain.
In recent years, Electronic health records (EHR) has gradually become the mainstream in the healthcare field. However, due to the fact that EHR systems are provided by different vendors, data is dispersed and stored, which leads to the phenomenon of data silos, making medical information too fragmen...
| Published in: | Journal of Medical Systems Vol. 48; no. 1; pp. 1 - 24 |
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| Main Authors: | , , , , |
| Format: | equations & formulas research tables/charts Journal Article |
| Published: |
Springer Nature
11/18/2024
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=181644639&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 181644639 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01485598 4N0 jtl: Journal of Medical Systems issn: 01485598 maglogo: N pubinfo: dt: 11/18/2024 vid: 48 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 181644639 181644639 181644639 10.1007/s10916-024-02120-9 181644639 ppf: 1 ppct: 23 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Electronic Health Records Sharing Based on Consortium Blockchain. aug: au: Wu, Guangfu Wang, Haiping Yang, Zi He, Daojing Chan, Sammy affil: https://ror.org/03q0t9252 Department of Information Engineering, Jiangxi University of Science and Technology, 341000, Jiangxi, China sug: subj: Electronic Health Records Access to Information Blockchain Utilization Data Security Methods Health Care Delivery Information Storage Information Management Information Retrieval Digital Technology Problem Solving Privacy and Confidentiality Consensus Algorithms Encryption Data Quality Comparative Studies Descriptive Statistics Communication Funding Source ab: In recent years, Electronic health records (EHR) has gradually become the mainstream in the healthcare field. However, due to the fact that EHR systems are provided by different vendors, data is dispersed and stored, which leads to the phenomenon of data silos, making medical information too fragmented and bringing some challenges to current medical services. Therefore, in view of the difficulties in sharing EHR between medical institutions, the risk of privacy leakage, and the lack of EHR usage control by patients, an EHR sharing model based on consortium blockchain is proposed in this paper. Firstly, the Interplanetary File System is combined with consortium blockchain, which forms a hybrid storage scheme of EHR, this technology effectively improves data security, privacy protection, and operational efficiency. Secondly, the model combines unidirectional multi-hop conditional proxy re-encryption based on type and identity with distributed key generation technology to achieve secure EHR sharing with fine grained control. At the same time, users are required to link the operation records of EHR, so as to realize the traceability of EHR usage. A dynamic Byzantine fault-tolerant algorithm based on reputation and clustering is then proposed to solve the problems of arbitrary master node selection, high latency and low throughput of PBFT, enabling the nodes to reach consensus more efficiently. Finally, the model is analyzed in terms of security and user control, showing that the model is less energy intensive in terms of communication overhead and time consumption, and can effectively achieve secure sharing between medical data. pubtype: Academic Journal doctype: equations & formulas research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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