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Secure Blockchain-Supported Cloud System for Patients' Electronic Health Record (EHR) Systems

Year 2023, , 517 - 526, 01.09.2023
https://doi.org/10.35234/fumbd.1289650

Abstract

Since many transactions worldwide are now digitalized, data security, data sharing, fast access to data, and protecting data integrity have been considered necessary. With each passing day, our dependence on computers in our daily lives and data formation in parallel with this dependence is a part of the natural whole. This large data community has also increased the importance of data security. The word that has been heard most recently about data security is blockchain. Blockchain is a public digital ledger that records transactions across multiple computers, designed to ensure secure data sharing and maintain decentralized data transaction integrity, and cannot be changed retrospectively afterward. In recent years, cloud-based Electronic Health Records (ESK) have become the focus of attention of many researchers for remote access to patient data. The accuracy and confidentiality of patient data is a significant concern in the healthcare industry. This study proposes a new blockchain-supported solution for sharing health data between cloud service providers while providing access control and control for IHC records. The proposed method aims to transition from the management and control of the patient's electronic health records by the health sector to a patient-centered application where the patients' data are in control.

References

  • Sun, Y., & Zhang, D. (2019). Diagnosis and analysis of diabetic retinopathy based on electronic health records. Ieee Access, 7, 86115-86120.
  • Raghupathi, W., & Raghupathi, V. (2014). Big data analytics in healthcare: promise and potential. Health information science and systems, 2, 1-10.
  • Krumholz, H. M., & Waldstreicher, J. (2016). The Yale Open Data Access (YODA) project--a mechanism for data sharing. The New England journal of medicine, 375(5), 403-405.
  • Taichman, D. B., Backus, J., Baethge, C., Bauchner, H., De Leeuw, P. W., Drazen, J. M., ... & Wu, S. (2016). Sharing clinical trial data: a proposal from the International Committee of Medical Journal Editors. Annals of internal medicine, 164(7), 505-506.
  • Longo, D. L., & Drazen, J. M. (2016). Data sharing. New England Journal of Medicine, 374(3), 276-277.
  • Fernandes, L. M., O'Connor, M., & Weaver, V. (2012). Big data, bigger outcomes. Journal of AHIMA, 83(10), 38-43.
  • Grozev, N., & Buyya, R. (2014). Inter‐Cloud architectures and application brokering: taxonomy and survey. Software: Practice and Experience, 44(3), 369-390.
  • UNC (2013) Healthcare relies on “Analytics to better manage medical data and improve patient care” IBM.
  • Burghard, C. (2012). Big data and analytics key to accountable care success. IDC health insights, 1, 1-9.
  • Thilakanathan, D., Chen, S., Nepal, S., Calvo, R. A., Liu, D., & Zic, J. (2014, June). Secure multiparty data sharing in the cloud using hardware-based TPM devices. In 2014 IEEE 7th International Conference on Cloud Computing (pp. 224-231). IEEE.
  • Yang, J. J., Li, J. Q., & Niu, Y. (2015). A hybrid solution for privacy preserving medical data sharing in the cloud environment. Future Generation computer systems, 43, 74-86.
  • Dong, X., Yu, J., Luo, Y., Chen, Y., Xue, G., & Li, M. (2014). Achieving an effective, scalable and privacy-preserving data sharing service in cloud computing. Computers & security, 42, 151-164.
  • Khezr, S., Moniruzzaman, M., Yassine, A., & Benlamri, R. (2019). Blockchain technology in healthcare: A comprehensive review and directions for future research. Applied sciences, 9(9), 1736.
  • Begoyan, A. (2007). An overview of interoperability standards for electronic health records. USA: society for design and process science.
  • Ying, Z., Wei, L., Li, Q., Liu, X., & Cui, J. (2018). A lightweight policy preserving EHR sharing scheme in the cloud. IEEE Access, 6, 53698-53708.
  • Azarm, M., Backman, C., Kuziemsky, C., & Peyton, L. (2017). Breaking the healthcare interoperability barrier by empowering and engaging actors in the healthcare system. Procedia computer science, 113, 326-333.
  • Yue, X., Wang, H., Jin, D., Li, M., & Jiang, W. (2016). Healthcare data gateways: found healthcare intelligence on blockchain with novel privacy risk control. Journal of medical systems, 40, 1-8.
  • Fatokun, T., Nag, A., & Sharma, S. (2021). Towards a blockchain assisted patient owned system for electronic health records. Electronics, 10(5), 580.
  • Xia, Q., Sifah, E. B., Smahi, A., Amofa, S., & Zhang, X. (2017). BBDS: Blockchain-based data sharing for electronic medical records in cloud environments. Information, 8(2), 44.
  • Wang, H., & Song, Y. (2018). Secure cloud-based EHR system using attribute-based cryptosystem and blockchain. Journal of medical systems, 42(8), 152.
  • Ferdous, M. S., Margheri, A., Paci, F., Yang, M., & Sassone, V. (2017, June). Decentralised runtime monitoring for access control systems in cloud federations. In 2017 IEEE 37th International Conference on Distributed Computing Systems (ICDCS) (pp. 2632-2633). IEEE.
  • Ramani, V., Kumar, T., Bracken, A., Liyanage, M., & Ylianttila, M. (2018, December). Secure and efficient data accessibility in blockchain based healthcare systems. In 2018 IEEE Global Communications Conference (GLOBECOM) (pp. 206-212). IEEE.
  • Azaria, A., Ekblaw, A., Vieira, T., & Lippman, A. (2016, August). Medrec: Using blockchain for medical data access and permission management. In 2016 2nd international conference on open and big data (OBD) (pp. 25-30). IEEE.
  • Nakamoto, S. (2008). Bitcoin: A peer-to-peer electronic cash system. Decentralized business review, 21260.

Hastaların Elektronik Sağlık Kayıt (ESK) Sistemleri için Güvenli Blok Zincir Destekli Bulut Sistemi

Year 2023, , 517 - 526, 01.09.2023
https://doi.org/10.35234/fumbd.1289650

Abstract

Dünyada birçok işlemler artık dijitalleştiğinden dolayı veri güvenliliği, veri paylaşımı, veriye hızlı erişim, verilerin bütünlüğünü korunmak önemli görülmüştür. Her geçen gün, günlük yaşantımızda bilgisayara bağımlılığımız ve bu bağlılığa paralel olarak verilerin oluşması tamamen doğal bütünün bir parçasıdır. Oluşan bu büyük veri topluluğu beraberinde veri güvenliğinin önemini de arttırmıştır. Veri güvenli konusunda son zamanlarda en çok duyulan kelime blok zinciri kelimesidir. Blok zincir, güvenli veri paylaşımını sağlamak ve merkezi olmayan veri işlem bütünlüğünü korumak amacıyla tasarlanmış birçok bilgisayardaki işlemleri kaydeden ve daha sonra hiçbir şekilde geriye dönük olarak değiştirilemeyen halka açık dijital defterlerdir. Son yıllarda bulut tabanlı Elektronik Sağlık Kayıtları (ESK), hasta verilerine uzaktan erişim için birçok araştırmacının ilgi odağı haline gelmiştir. Hasta verilerinin doğruluğu ve gizliliği, sağlık sektöründe önemli bir endişe kaynağıdır. Bu çalışmada, ESK kayıtları için veri erişim kontrolü ve denetimi sağlarken bulut servis sağlayıcıları arasında sağlık verilerinin paylaşılması için blok zincir destekli yeni bir çözüm önerilmiştir. Önerilen yöntemle, hastanın elektronik sağlık kayıtlarının sağlık sektörü tarafından yönetilmesinden ve kontrol edilmesinden, hastaların verilerinin kontrolünde olduğu hasta merkezli bir uygulamaya geçiş hedeflenmektedir.

References

  • Sun, Y., & Zhang, D. (2019). Diagnosis and analysis of diabetic retinopathy based on electronic health records. Ieee Access, 7, 86115-86120.
  • Raghupathi, W., & Raghupathi, V. (2014). Big data analytics in healthcare: promise and potential. Health information science and systems, 2, 1-10.
  • Krumholz, H. M., & Waldstreicher, J. (2016). The Yale Open Data Access (YODA) project--a mechanism for data sharing. The New England journal of medicine, 375(5), 403-405.
  • Taichman, D. B., Backus, J., Baethge, C., Bauchner, H., De Leeuw, P. W., Drazen, J. M., ... & Wu, S. (2016). Sharing clinical trial data: a proposal from the International Committee of Medical Journal Editors. Annals of internal medicine, 164(7), 505-506.
  • Longo, D. L., & Drazen, J. M. (2016). Data sharing. New England Journal of Medicine, 374(3), 276-277.
  • Fernandes, L. M., O'Connor, M., & Weaver, V. (2012). Big data, bigger outcomes. Journal of AHIMA, 83(10), 38-43.
  • Grozev, N., & Buyya, R. (2014). Inter‐Cloud architectures and application brokering: taxonomy and survey. Software: Practice and Experience, 44(3), 369-390.
  • UNC (2013) Healthcare relies on “Analytics to better manage medical data and improve patient care” IBM.
  • Burghard, C. (2012). Big data and analytics key to accountable care success. IDC health insights, 1, 1-9.
  • Thilakanathan, D., Chen, S., Nepal, S., Calvo, R. A., Liu, D., & Zic, J. (2014, June). Secure multiparty data sharing in the cloud using hardware-based TPM devices. In 2014 IEEE 7th International Conference on Cloud Computing (pp. 224-231). IEEE.
  • Yang, J. J., Li, J. Q., & Niu, Y. (2015). A hybrid solution for privacy preserving medical data sharing in the cloud environment. Future Generation computer systems, 43, 74-86.
  • Dong, X., Yu, J., Luo, Y., Chen, Y., Xue, G., & Li, M. (2014). Achieving an effective, scalable and privacy-preserving data sharing service in cloud computing. Computers & security, 42, 151-164.
  • Khezr, S., Moniruzzaman, M., Yassine, A., & Benlamri, R. (2019). Blockchain technology in healthcare: A comprehensive review and directions for future research. Applied sciences, 9(9), 1736.
  • Begoyan, A. (2007). An overview of interoperability standards for electronic health records. USA: society for design and process science.
  • Ying, Z., Wei, L., Li, Q., Liu, X., & Cui, J. (2018). A lightweight policy preserving EHR sharing scheme in the cloud. IEEE Access, 6, 53698-53708.
  • Azarm, M., Backman, C., Kuziemsky, C., & Peyton, L. (2017). Breaking the healthcare interoperability barrier by empowering and engaging actors in the healthcare system. Procedia computer science, 113, 326-333.
  • Yue, X., Wang, H., Jin, D., Li, M., & Jiang, W. (2016). Healthcare data gateways: found healthcare intelligence on blockchain with novel privacy risk control. Journal of medical systems, 40, 1-8.
  • Fatokun, T., Nag, A., & Sharma, S. (2021). Towards a blockchain assisted patient owned system for electronic health records. Electronics, 10(5), 580.
  • Xia, Q., Sifah, E. B., Smahi, A., Amofa, S., & Zhang, X. (2017). BBDS: Blockchain-based data sharing for electronic medical records in cloud environments. Information, 8(2), 44.
  • Wang, H., & Song, Y. (2018). Secure cloud-based EHR system using attribute-based cryptosystem and blockchain. Journal of medical systems, 42(8), 152.
  • Ferdous, M. S., Margheri, A., Paci, F., Yang, M., & Sassone, V. (2017, June). Decentralised runtime monitoring for access control systems in cloud federations. In 2017 IEEE 37th International Conference on Distributed Computing Systems (ICDCS) (pp. 2632-2633). IEEE.
  • Ramani, V., Kumar, T., Bracken, A., Liyanage, M., & Ylianttila, M. (2018, December). Secure and efficient data accessibility in blockchain based healthcare systems. In 2018 IEEE Global Communications Conference (GLOBECOM) (pp. 206-212). IEEE.
  • Azaria, A., Ekblaw, A., Vieira, T., & Lippman, A. (2016, August). Medrec: Using blockchain for medical data access and permission management. In 2016 2nd international conference on open and big data (OBD) (pp. 25-30). IEEE.
  • Nakamoto, S. (2008). Bitcoin: A peer-to-peer electronic cash system. Decentralized business review, 21260.
There are 24 citations in total.

Details

Primary Language Turkish
Subjects Engineering
Journal Section MBD
Authors

Hamit Mızrak 0009-0009-7394-7469

Serpil Aslan 0000-0001-8009-063X

Publication Date September 1, 2023
Submission Date April 29, 2023
Published in Issue Year 2023

Cite

APA Mızrak, H., & Aslan, S. (2023). Hastaların Elektronik Sağlık Kayıt (ESK) Sistemleri için Güvenli Blok Zincir Destekli Bulut Sistemi. Fırat Üniversitesi Mühendislik Bilimleri Dergisi, 35(2), 517-526. https://doi.org/10.35234/fumbd.1289650
AMA Mızrak H, Aslan S. Hastaların Elektronik Sağlık Kayıt (ESK) Sistemleri için Güvenli Blok Zincir Destekli Bulut Sistemi. Fırat Üniversitesi Mühendislik Bilimleri Dergisi. September 2023;35(2):517-526. doi:10.35234/fumbd.1289650
Chicago Mızrak, Hamit, and Serpil Aslan. “Hastaların Elektronik Sağlık Kayıt (ESK) Sistemleri için Güvenli Blok Zincir Destekli Bulut Sistemi”. Fırat Üniversitesi Mühendislik Bilimleri Dergisi 35, no. 2 (September 2023): 517-26. https://doi.org/10.35234/fumbd.1289650.
EndNote Mızrak H, Aslan S (September 1, 2023) Hastaların Elektronik Sağlık Kayıt (ESK) Sistemleri için Güvenli Blok Zincir Destekli Bulut Sistemi. Fırat Üniversitesi Mühendislik Bilimleri Dergisi 35 2 517–526.
IEEE H. Mızrak and S. Aslan, “Hastaların Elektronik Sağlık Kayıt (ESK) Sistemleri için Güvenli Blok Zincir Destekli Bulut Sistemi”, Fırat Üniversitesi Mühendislik Bilimleri Dergisi, vol. 35, no. 2, pp. 517–526, 2023, doi: 10.35234/fumbd.1289650.
ISNAD Mızrak, Hamit - Aslan, Serpil. “Hastaların Elektronik Sağlık Kayıt (ESK) Sistemleri için Güvenli Blok Zincir Destekli Bulut Sistemi”. Fırat Üniversitesi Mühendislik Bilimleri Dergisi 35/2 (September 2023), 517-526. https://doi.org/10.35234/fumbd.1289650.
JAMA Mızrak H, Aslan S. Hastaların Elektronik Sağlık Kayıt (ESK) Sistemleri için Güvenli Blok Zincir Destekli Bulut Sistemi. Fırat Üniversitesi Mühendislik Bilimleri Dergisi. 2023;35:517–526.
MLA Mızrak, Hamit and Serpil Aslan. “Hastaların Elektronik Sağlık Kayıt (ESK) Sistemleri için Güvenli Blok Zincir Destekli Bulut Sistemi”. Fırat Üniversitesi Mühendislik Bilimleri Dergisi, vol. 35, no. 2, 2023, pp. 517-26, doi:10.35234/fumbd.1289650.
Vancouver Mızrak H, Aslan S. Hastaların Elektronik Sağlık Kayıt (ESK) Sistemleri için Güvenli Blok Zincir Destekli Bulut Sistemi. Fırat Üniversitesi Mühendislik Bilimleri Dergisi. 2023;35(2):517-26.