Enabling secure sharing of Electronic Health Records (EHR) with Blockchain
DOI:
https://doi.org/10.33448/rsd-v10i16.23410Keywords:
Electronic Health Records; Computer Communication Networks; Computer Security; Health information interoperability.Abstract
The aim of this review was to identify what is being considered when using blockchain for sharing of health records. The BVS and PubMed databases were screened by articles published between July 2018 and July 2021. A total of eight studies, in which patients own the data and have access to it, were selected. It was observed that data confidentiality was the main concern (87.5%), followed by scalability (25%), latency (25%), and availability (12.5%). It was concluded that despite all the advantages associated with the use of Blockchain, data reliability still stands out as one of the concerns when using it for sharing health records.
References
Abu-Elezz, I., Hassan, A., Nazeemudeen, A., Househ, M., & Abd-Alrazaq, A. (2020). The benefits and threats of blockchain technology in healthcare: A scoping review. International Journal of Medical Informatics, 142, 104246. https://doi.org/10.1016/j.ijmedinf.2020.104246
Abunadi, I., & Kumar, R. L. (2021). BSF-EHR: Blockchain Security Framework for Electronic Health Records of Patients. Sensors, 21(8), 2865. https://doi.org/10.3390/s21082865
Bigini, G., Freschi, V., & Lattanzi, E. (2020). A Review on Blockchain for the Internet of Medical Things: Definitions, Challenges, Applications, and Vision. Future Internet, 12(12), 208. https://doi.org/10.3390/fi12120208
Lei no 13709, de 14 de agosto de 2018, Poder Executivo, 59 (2018) (testimony of BRASIL). http://www.planalto.gov.br/ccivil_03/_ato2015-2018/2018/lei/l13709.htm
Bublitz, F. M., Oetomo, A., S. Sahu, K., Kuang, A., X. Fadrique, L., E. Velmovitsky, P., M. Nobrega, R., & P. Morita, P. (2019). Disruptive Technologies for Environment and Health Research: An Overview of Artificial Intelligence, Blockchain, and Internet of Things. International Journal of Environmental Research and Public Health, 16(20), 3847. https://doi.org/10.3390/ijerph16203847
Casey, M., Crane, J., Gensler, G., Johnson, S., & Narula, N. (2018). The Impact of Blockchain Technology on Finance: A Catalyst for Change (No 21; Geneva Reports on the World Economy). International Center for Monetary and Banking Studies. https://voxeu.org/content/impact-blockchain-technology-finance-catalyst-change
Cernian, A., Tiganoaia, B., Sacala, I., Pavel, A., & Iftemi, A. (2020). PatientDataChain: A Blockchain-Based Approach to Integrate Personal Health Records. Sensors, 20(22), 6538. https://doi.org/10.3390/s20226538
Chenthara, S., Ahmed, K., Wang, H., Whittaker, F., & Chen, Z. (2020). Healthchain: A novel framework on privacy preservation of electronic health records using blockchain technology. PLOS ONE, 15(12), e0243043. https://doi.org/10.1371/journal.pone.0243043
Dobrow, M. J., Bytautas, J. P., Tharmalingam, S., & Hagens, S. (2019). Interoperable Electronic Health Records and Health Information Exchanges: Systematic Review. JMIR Medical Informatics, 7(2), e12607. https://doi.org/10.2196/12607
Dornan, L., Pinyopornpanish, K., Jiraporncharoen, W., Hashmi, A., Dejkriengkraikul, N., & Angkurawaranon, C. (2019). Utilisation of Electronic Health Records for Public Health in Asia: A Review of Success Factors and Potential Challenges. BioMed Research International, 2019, 7341841. https://doi.org/10.1155/2019/7341841
Dubovitskaya, A., Novotny, P., Xu, Z., & Wang, F. (2020). Applications of Blockchain Technology for Data-Sharing in Oncology: Results from a Systematic Literature Review. Oncology, 98(6), 403–411. https://doi.org/10.1159/000504325
Dutta, B., & Hwang, H.-G. (2020). The adoption of electronic medical record by physicians. Medicine, 99(8), e19290. https://doi.org/10.1097/MD.0000000000019290
Gutiérrez, O., Romero, G., Pérez, L., Salazar, A., Charris, M., & Wightman, P. (2020). HealthyBlock: Blockchain-Based IT Architecture for Electronic Medical Records Resilient to Connectivity Failures. International Journal of Environmental Research and Public Health, 17(19), 7132. https://doi.org/10.3390/ijerph17197132
Janett, R. S., & Yeracaris, P. P. (2020). Electronic Medical Records in the American Health System: Challenges and lessons learned. Ciência & Saúde Coletiva, 25, 1293–1304. https://doi.org/10.1590/1413-81232020254.28922019
Kumari, P., & Kaur, P. (2018). A survey of fault tolerance in cloud computing. Journal of King Saud University - Computer and Information Sciences. https://doi.org/10.1016/j.jksuci.2018.09.021
Kuo, T.-T., Kim, H.-E., & Ohno-Machado, L. (2017). Blockchain distributed ledger technologies for biomedical and health care applications. Journal of the American Medical Informatics Association: JAMIA, 24(6), 1211–1220. https://doi.org/10.1093/jamia/ocx068
Lee, H.-A., Kung, H.-H., Udayasankaran, J. G., Kijsanayotin, B., B Marcelo, A., Chao, L. R., & Hsu, C.-Y. (2020). An Architecture and Management Platform for Blockchain-Based Personal Health Record Exchange: Development and Usability Study. Journal of Medical Internet Research, 22(6), e16748. https://doi.org/10.2196/16748
Nguyen, D. C., Nguyen, K. D., & Pathirana, P. N. (2019). A Mobile Cloud based IoMT Framework for Automated Health Assessment and Management. Annu Int Conf IEEE Eng Med Biol Soc, 6517–6520.
O’Donoghue, O., Vazirani, A. A., Brindley, D., & Meinert, E. (2019). Design Choices and Trade-Offs in Health Care Blockchain Implementations: Systematic Review. Journal of Medical Internet Research, 21(5), e12426. https://doi.org/10.2196/12426
Sampaio, R., & Mancini, M. (2007). Estudos de revisão sistemática: Um guia para síntese criteriosa da evidência científica. Revista Brasileira de Fisioterapia, 11(1), 83–89. https://doi.org/10.1590/S1413-35552007000100013
Sun, J., Ren, L., Wang, S., & Yao, X. (2020). A blockchain-based framework for electronic medical records sharing with fine-grained access control. PLOS ONE, 15(10), e0239946. https://doi.org/10.1371/journal.pone.0239946
Tian, H., He, J., & Ding, Y. (2019). Medical Data Management on Blockchain with Privacy. Journal of Medical Systems, 43(2), 26. https://doi.org/10.1007/s10916-018-1144-x
Vazirani, A. A., O’Donoghue, O., Brindley, D., & Meinert, E. (2019). Implementing Blockchains for Efficient Health Care: Systematic Review. Journal of Medical Internet Research, 21(2), e12439. https://doi.org/10.2196/12439
Yaga, D., Mell, P., Roby, N., & Scarfone, K. (2018). Blockchain technology overview (NIST IR 8202; p. NIST IR 8202). National Institute of Standards and Technology. https://doi.org/10.6028/NIST.IR.8202
Zhou, Q., Huang, H., Zheng, Z., & Bian, J. (2020). Solutions to Scalability of Blockchain: A Survey. IEEE Access, 8, 16440–16455. https://doi.org/10.1109/ACCESS.2020.2967218
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Frederico Uemura Pimenta; Marco Antonio Dias da Silva
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.