Role Based Access Control Framework for Healthcare Records Using Hyperledger Fabric

S. Pari, S. Rajashree, Adithya Prakash, R. M. Shanthosh
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Abstract

Blockchain has a significant influence on the health-care sector with respect to data sharing. Electronic Health Records (EHR), a highly sensitive method, are currently used in healthcare to store and share medical records. Due to a lack of trustworthy and dependable health data sharing systems, the majority of sharing of Electronic Health Record data is still done by mail. This leads to considerable delays in the patient's treatment. Smart contracts enabling data access, security, and cryptographic guarantees of data integrity are available on the decentralized blockchain platform. By putting the patient at the center of the system, enhancing healthcare data privacy, and enhancing interoperability, the storage of electronic medical records on a centralized or private blockchain has the potential to improve healthcare. Using the Hyperledger fabric technology, a permissioned blockchain system has been suggested to store and share medical records. By using grant and revoke access procedures, patients have full control over their medical information and give clinicians permission to see the patient's medical records. Three different roles have been considered and hence, the access permissions have been given to the roles accordingly, hence ensuring integrity and security. The proposed solution shows a 42.71% in average latency for granting and revoking access to EHRs and also shows a 46% decrease in execution time as compared to previously proposed solutions.
使用超级分类账结构的医疗记录基于角色的访问控制框架
在数据共享方面,区块链对医疗保健部门产生了重大影响。电子健康记录(EHR)是一种高度敏感的方法,目前在医疗保健中用于存储和共享医疗记录。由于缺乏值得信赖和可靠的健康数据共享系统,大多数电子健康记录数据的共享仍然是通过邮件完成的。这导致对病人的治疗有相当大的延误。在去中心化的区块链平台上,可以使用智能合约来实现数据访问、安全性和数据完整性的加密保证。通过将患者置于系统的中心,增强医疗数据隐私并增强互操作性,将电子病历存储在集中式或私有区块链上有可能改善医疗保健。使用超级账本结构技术,建议使用许可的区块链系统来存储和共享医疗记录。通过使用授权和撤销访问程序,患者可以完全控制自己的医疗信息,并允许临床医生查看患者的医疗记录。考虑了三种不同的角色,将访问权限分配给不同的角色,保证了完整性和安全性。建议的解决方案显示,授予和撤销对ehr的访问的平均延迟减少了42.71%,并且与之前建议的解决方案相比,执行时间减少了46%。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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