A Review of Issues in Healthcare Information Management Systems and Blockchain Solutions

Healthcare is a data-driven domain where a large volumes of data are created, accessed, stored, and disseminated daily. In this paper, issues such as security, privacy, data transparency, interoperability, data accessibility, user interface issues in healthcare information management systems are presented. In addition, blockchain technology related studies in healthcare information systems are discussed with the aim to find what issues in healthcare system present research opportunities using blockchains

A Medical Records Managing and Securing Blockchain Based System Supported by a Genetic Algorithm and Discrete Wavelet Transform

The privacy of patients is jeopardised when medical records and data are spread or shared beyond the protected cloud of institutions. This is because breaches force them to the brink that they start abstaining from full disclosure of their condition. This type of condition has a negative effect on scientific research, patients and all stakeholders. A blockchain-based data sharing system is proposed to tackle this issue, which employs immutability and autonomy properties of the blockchain to sufficiently resolve challenges associated with access control and handle sensitive data. Our proposed system is supported by a Discrete Wavelet Transform to enhance the overall security, and a Genetic Algorithm technique to optimise the queuing optimization technique as well. Introducing this cryptographic key generator enhances the immunity and system access control, which allows verifying users securely in a fast way. This design allows further accountability since all users involved are already known and the blockchain records a log of their actions. Only when the users' cryptographic keys and identities are confirmed, the system allows requesting data from the shared queuing requests. The achieved execution time per node, confirmation time per node and robust index for block number of 0.19 s, 0.17 s and 20 respectively that based on system evaluation illustrates that our system is robust, efficient, immune and scalable