{"title":"以患者为中心的多链医疗记录","authors":"Bipin Kumar Rai, Sumrah Fatima, Kumar Satyarth","doi":"10.4018/ijehmc.309439","DOIUrl":null,"url":null,"abstract":"In this paper, the authors have amplified the concept that EHRs need to be patient-centric and patient-driven, that is the patient should be the real owner as well as the manager of his medical records. The authors propose patient-centric multichain healthcare record (PCMHR) that implements health records using smart contracts on ethereum blockchain and also utilizes the multichain framework - Polygon. PCMHR can concurrently implement blockchain functionality while addressing the concerns of interoperability among authorized hospitals and patient health information confidentiality that damages our healthcare system. The authors propose a solution to fully decentralize the current medical healthcare system by storing PCMHR on IPFS (InterPlanetary File System) to resolve the limitation of blockchain-based applications in scalability and high cost. The authors have depicted the cost and time analysis of transactions on the polygon framework to give a clear view of this multichain framework and its advantages over the ethereum blockchain.","PeriodicalId":375617,"journal":{"name":"Int. J. E Health Medical Commun.","volume":"116 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2022-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"3","resultStr":"{\"title\":\"Patient-Centric Multichain Healthcare Record\",\"authors\":\"Bipin Kumar Rai, Sumrah Fatima, Kumar Satyarth\",\"doi\":\"10.4018/ijehmc.309439\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"In this paper, the authors have amplified the concept that EHRs need to be patient-centric and patient-driven, that is the patient should be the real owner as well as the manager of his medical records. The authors propose patient-centric multichain healthcare record (PCMHR) that implements health records using smart contracts on ethereum blockchain and also utilizes the multichain framework - Polygon. PCMHR can concurrently implement blockchain functionality while addressing the concerns of interoperability among authorized hospitals and patient health information confidentiality that damages our healthcare system. The authors propose a solution to fully decentralize the current medical healthcare system by storing PCMHR on IPFS (InterPlanetary File System) to resolve the limitation of blockchain-based applications in scalability and high cost. The authors have depicted the cost and time analysis of transactions on the polygon framework to give a clear view of this multichain framework and its advantages over the ethereum blockchain.\",\"PeriodicalId\":375617,\"journal\":{\"name\":\"Int. J. E Health Medical Commun.\",\"volume\":\"116 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2022-08-11\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"3\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Int. J. E Health Medical Commun.\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4018/ijehmc.309439\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Int. J. E Health Medical Commun.","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4018/ijehmc.309439","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
In this paper, the authors have amplified the concept that EHRs need to be patient-centric and patient-driven, that is the patient should be the real owner as well as the manager of his medical records. The authors propose patient-centric multichain healthcare record (PCMHR) that implements health records using smart contracts on ethereum blockchain and also utilizes the multichain framework - Polygon. PCMHR can concurrently implement blockchain functionality while addressing the concerns of interoperability among authorized hospitals and patient health information confidentiality that damages our healthcare system. The authors propose a solution to fully decentralize the current medical healthcare system by storing PCMHR on IPFS (InterPlanetary File System) to resolve the limitation of blockchain-based applications in scalability and high cost. The authors have depicted the cost and time analysis of transactions on the polygon framework to give a clear view of this multichain framework and its advantages over the ethereum blockchain.