区块链辅助的电子健康记录云存储

E. V. Sandeepkumar, A. Suresh
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引用次数: 0

摘要

安全健康框架是一种渐进的时间区块链方法,可以解决上述问题(SeFra)。具体来说,SeFra的基础组件,基于上下文的默克尔树(CBMT)和访问控制、机密性和完整性检查程序的增强是基于上下文的访问控制(CBAC)的目标。此外,该框架支持互操作性,并借助时态属性、HL7规范和用于数据管理的星际文件系统(IPFS)来处理可伸缩性问题。研究结果表明,所提出的框架SeFra在安全管理个性化微账本(PML)方面的性能受到时间阴影概念和基于上下文的属性的影响。此外,它还有助于将健康记录记录为具有时间属性的文本,并根据上下文感知智能合约中规定的规则与同事共享。重要的是,该框架可能能够解决数据孤岛的问题,并在医疗保健部门提供不可更改的安全事务。电子健康记录(EHR)一直与医疗不一致以及对隐私和安全的担忧联系在一起。虽然缺乏标准化确实不是电子健康记录(EHR)的唯一困难,但它可以说是最重要的。为了解决互操作性和隐私问题,基于区块链的去中心化在线分类账已经被提出并实施。然而,仍有一些其他障碍需要克服。主要的技术障碍包括可伸缩性、可用性和可访问性。第一个技术难题是需要在链下保存各种格式的医疗记录,同时在链上为它们提供安全的访问控制。第二个困难是提供关于谁拥有哪些数据以及在医疗紧急情况下如何共享这些数据的充分描述。然而,可访问性仍然是一个问题,因为相对于处理大量交易,智能合约的正式验证需要很长时间。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Blockchain Assisted Cloud Storage For Electronic Health Records
The Secure Health Framework is a progressive temporal blockchain approach that addresses the aforementioned problems (SeFra). Specifically, SeFra’s foundational components, the Context-based Merkle Tree (CBMT) and Enhancement of access control, confidentiality, and integrity checking procedures is the goal of context-based access control (CBAC). Additionally, the framework allows for Interoperability and handles scalability issues with the aid of temporal properties, HL7 specifications, and Interplanetary File System for data management (IPFS). The results of the study demonstrate that the proposed framework SeFra’s performance in securely managing the Personalised Micro Ledger (PML) is affected by the temporal shadow concepts and context-based properties. Additionally, it helps record health records as text with temporal properties and share them with colleagues according to the rules set out in a context-aware smart contract. Importantly, the framework may be able to solve the problems of data silos and supply unchangeable, secure transactions in the healthcare sector. Electronic health records (EHR) have been linked to medical inconsistencies and worries about privacy and security. Although it is true that lack of standardisation is not the only difficulty in electronic health records (EHR), it is arguably the most significant. To solve the problems of interoperability and privacy, blockchain-based decentralised online ledgers have already been proposed and implemented. Nevertheless, there are still a number of other obstacles to overcome. Main technical obstacles include scalability, usability, and accessibility. The first technical difficulty is the need to keep medical records in their various formats off-chain while providing secure access control to them on-chain. The second difficulty is providing an adequate description of who owns what data and how that data is shared during times of medical emergency. Accessibility remains a problem, however, as formal verification of smart contracts takes a long time relative to processing large batches of transactions.
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