A Privacy-Preserving Framework Using Hyperledger Fabric for EHR Sharing Applications

Electronic Health Records, or EHRs, include private and sensitive information of a patient. The privacy of personal healthcare data can be protected through Hyperledger Fabric, a permissioned blockchain framework. A few Hyperledger Fabric- integrated EHR solutions have emerged in recent years. However, none of them implements the privacy-preserving techniques of Hyperledger Fabric to make transactions anonymous or preserve the transaction data privacy during the consensus. Our proposed architecture is built on Hyperledger Fabric and its privacy-preserving mechanisms, such as Identity Mixer, Private Data Collections, Channels and Transient Fields to securely store and transfer patient-sensitive data while providing anonymity and unlinkability of transactions

A Scalable Multi-Layered Blockchain Architecture for Enhanced EHR Sharing and Drug Supply Chain Management

In recent years, the healthcare sector's shift to online platforms has spotlighted challenges concerning data security, privacy, and scalability. Blockchain technology, known for its decentralized, secure, and immutable nature, emerges as a viable solution for these pressing issues. This article presents an innovative Electronic Health Records (EHR) sharing and drug supply chain management framework tailored to address scalability, security, data integrity, traceability, and secure data sharing. The framework introduces five layers and transactions, prioritizing patient-centric healthcare by granting patients comprehensive access control over their health information. This access facilitates smoother processes, such as insurance claims, while maintaining robust security measures. Notably, our implementation of parallelism significantly bolsters scalability and transaction throughput while minimizing network traffic. Performance evaluations conducted through the Caliper benchmark indicate a slight increase in processor consumption during specific transactions, mitigated effectively by parallelization. RAM requirements remain largely stable. Additionally, our approach notably reduces network traffic while tripling transaction throughput. The framework ensures patient privacy, data integrity, access control, and interoperability, aligning with traditional healthcare systems. Moreover, it provides transparency and real-time drug supply monitoring, empowering decision-makers with actionable insights. As healthcare evolves, our framework sets a crucial precedent for innovative, scalable, and secure systems. Future enhancements could focus on scalability, real-world deployment, standardized data formats, reinforced security protocols, privacy preservation, and IoT integration to comply with regulations and meet evolving industry needs

A Framework for User-Focused Electronic Health Record System Leveraging Hyperledger Fabric

This research study aims to examine the possibilities of Hyperledger Fabric (HLF) in the healthcare sector. The study addresses the gap in the knowledge base through developing customization techniques to enable the simplicity and efficacy of Electronic Medical Records (EMR) adoption for healthcare industry applications. The focus of this research explores methods of using blockchain technology that prioritise users. The investigation of several concepts used in developing web applications has been determined. The study identified that an open-source project, known as Hyperledger Fabric, can be utilised to construct a novel method of storing EMRs. The framework provides a test network that can be customised to satisfy the need of several projects, including storing medical records. This research additionally outlines the difficulties encountered and problems that need to be resolved before Hyperledger Fabric can be successfully implemented in healthcare systems. Considering all types of blockchains available, the needs are met by Hyperledger Fabric, which offers a distributed and secure environment for healthcare systems. Blockchain has the potential to transform healthcare by putting the patient at the centre of the system and enhancing health data protection and interoperability. Also, by using grant and revoke access mechanisms, patients have complete control over their medical information as well as authorized doctors who are allowed to view records. This functionality is made possible by the chaincode defined in the blockchain platform. The research study has both practitioner and research implications for the development of secure blockchain-based EMRs

MediChainTM: A Secure Decentralized Medical Data Asset Management System

The set of distributed ledger architectures known as blockchain is best known for cryptocurrency applications such as Bitcoin and Ethereum. These permissionless block chains are showing the potential to be disruptive to the financial services industry. Their broader adoption is likely to be limited by the maximum block size, the cost of the Proof of Work consensus mechanism, and the increasing size of any given chain overwhelming most of the participating nodes. These factors have led to many cryptocurrency blockchains to become centralized in the nodes with enough computing power and storage to be a dominant miner and validator. Permissioned chains operate in trusted environments and can, therefore, avoid the computationally expensive consensus mechanisms. Permissioned chains are still susceptible to asset storage demands and non-standard user interfaces that will impede their adoption. This paper describes an approach to addressing these limitations: permissioned blockchain that uses off-chain storage of the data assets and this is accessed through a standard browser and mobile app. The implementation in the Hyperledger framework is described as is an example use of patient-centered health data management.Comment: 2018 IEEE Confs on Internet of Things, Green Computing and Communications, Cyber, Physical and Social Computing, Smart Data, Blockchain, Computer and Information Technology, Congress on Cybermatic

Advancing Healthcare Security: A Cutting-Edge Zero-Trust Blockchain Solution for Protecting Electronic Health Records

The effective management of electronic health records (EHRs) is vital in healthcare. However, traditional systems often need help handling data inconsistently, providing limited access, and coordinating poorly across facilities. This study aims to tackle these issues using blockchain technology to improve EHR systems' data security, privacy, and interoperability. By thoroughly analyzing blockchain's applications in healthcare, we propose an innovative solution that leverages blockchain's decentralized and immutable nature, combined with advanced encryption techniques such as the Advanced Encryption Standard and Zero Knowledge Proof Protocol, to fortify EHR systems. Our research demonstrates that blockchain can effectively overcome significant EHR challenges, including fragmented data and interoperability problems, by facilitating secure and transparent data exchange, leading to enhanced coordination, care quality, and cost-efficiency across healthcare facilities. This study offers practical guidelines for implementing blockchain technology in healthcare, emphasizing a balanced approach to interoperability, privacy, and security. It represents a significant advancement over traditional EHR systems, boosting security and affording patients greater control over their health records. Doi: 10.28991/HIJ-2023-04-03-012 Full Text: PD

A Comparative Study on Blockchain-based Electronic Health Record Systems: Performance, Privacy, and Security Between Hyperledger Fabric and Ethereum Frameworks

Traditional data collection, storage, and processing of Electronic Health Records (EHR) utilize centralized techniques that pose several risks of single point of failure and lean the systems to a number of internal and external data breaches that compromise their reliability and availability. Addressing the challenges of conventional database techniques and improving the overall aspects of EHR application, blockchain technology is being evaluated to find a possible solution. Blockchain refers to an emerging distributed technology and incorruptible database of records or digital events which execute, validate, and maintain by a ledger technology to provide an immutable architecture and prevent records manipulation or alterations. However, there are multiple frameworks emerged in recent years where identifying the advantages and limitation is crucial. This thesis focuses on (i) introducing electronic health records systems using two widely used blockchain frameworks, Hyperledger Fabric and Ethereum. (ii)aims to provide a comparative study on both frameworks from the performance, privacy, and security perspectives. Based on two different introduced EHR systems, we identify the strength and weaknesses of both frameworks and present the challenges and limitations of these systems. According to a comparative study, the Hyperledger Fabric framework demonstrates advanced features including private and consortium networks that can facilitate EHR systems from both security and performance perspectives. Taking the experience into consideration, we aim to extend our study in software engineering domain to evaluate the limits to developing blockchain-based software applications and highlight the way to improve current SE practices in future studies

A Review of Blockchain Technology Based Techniques to Preserve Privacy and to Secure for Electronic Health Records

Research has been done to broaden the block chain’s use cases outside of finance since Bitcoin introduced it. One sector where block chain is anticipated to have a big influence is healthcare. Researchers and practitioners in health informatics constantly struggle to keep up with the advancement of this field's new but quickly expanding body of research. This paper provides a thorough analysis of recent studies looking into the application of block chain based technology within the healthcare sector. Electronic health records (EHRs) are becoming a crucial tool for health care practitioners in achieving these objectives and providing high-quality treatment. Technology and regulatory barriers, such as concerns about results and privacy issues, make it difficult to use these technologies. Despite the fact that a variety of efforts have been introduced to focus on the specific privacy and security needs of future applications with functional parameters, there is still a need for research into the application, security and privacy complexities, and requirements of block chain based healthcare applications, as well as possible security threats and countermeasures. The primary objective of this article is to determine how to safeguard electronic health records (EHRs) using block chain technology in healthcare applications. It discusses contemporary HyperLedgerfabrics techniques, Interplanar file storage systems with block chain capabilities, privacy preservation techniques for EHRs, and recommender systems

TACTICAL BLOCKCHAIN TO PROVIDE DATA PROVENANCE IN SUPPORT OF INTERNET OF BATTLEFIELD THINGS AND BIG DATA ANALYTICS

This capstone project evaluated the use of blockchain technology to address a number of challenges with increasing amounts of disparate sensor data and an information-rich landscape that can quickly overwhelm effective decision-making processes. The team explored how blockchain can be used in a variety of defense applications to verify users, validate sensor data fed into artificial intelligence models, limit access to data, and provide an audit trail across the data life cycle. The team developed a conceptual design for implementing blockchain for tactical data, artificial intelligence, and machine learning applications; identified challenges and limitations involved in implementing blockchain for the tactical domain; described the benefits of blockchain for these various applications; and evaluated this project’s findings to propose future research into a wider set of blockchain applications. The team did this through the development of three use cases. One use case demonstrated the use of blockchain at the tactical edge in a “data light” information environment. The second use case explored the use of blockchain in securing medical information in the electronic health record. The third use case studied blockchain’s application in the use of multiple sensors collecting data for chemical weapons defense to support measurement and signature intelligence analysis using artificial intelligence and machine learning.Civilian, Department of the ArmyCivilian, Department of the ArmyCivilian, Department of the ArmyCivilian, Department of the ArmyCivilian, Department of the ArmyApproved for public release. Distribution is unlimited