DECENTRALIZING THE INTERNET OF MEDICAL THINGS: THE INTERPLANETARY HEALTH LAYER

Medical mobile applications have the potential to revolutionize the healthcare industry by providing patients with easy access to their personal health information, enabling them to communicate with healthcare providers remotely and consequently improving patient outcomes by providing personalized health information. However, these applications are usually limited by privacy and security issues. A possible solution is to exploit decentralization distributing privacy concerns directly to users. Solutions enabling this vision are closely linked to Distributed Ledger Technologies that have the potential to revolutionize the healthcare industry by creating a secure and transparent system for managing patient data without a central authority. The decentralized nature of the technology allows for the creation of an international data layer that is accessible to authorized parties while preserving patient privacy. This thesis envisions the InterPlanetary Health Layer along with its implementation attempt called Halo Network and an Internet of Medical Things application called Balance as a use case. Throughout the thesis, we explore the benefits and limitations of using the technology, analyze potential use cases, and look out for future directions.Medical mobile applications have the potential to revolutionize the healthcare industry by providing patients with easy access to their personal health information, enabling them to communicate with healthcare providers remotely and consequently improving patient outcomes by providing personalized health information. However, these applications are usually limited by privacy and security issues. A possible solution is to exploit decentralization distributing privacy concerns directly to users. Solutions enabling this vision are closely linked to Distributed Ledger Technologies that have the potential to revolutionize the healthcare industry by creating a secure and transparent system for managing patient data without a central authority. The decentralized nature of the technology allows for the creation of an international data layer that is accessible to authorized parties while preserving patient privacy. This thesis envisions the InterPlanetary Health Layer along with its implementation attempt called Halo Network and an Internet of Medical Things application called Balance as a use case. Throughout the thesis, we explore the benefits and limitations of using the technology, analyze potential use cases, and look out for future directions

A Review on Blockchain for the Internet of Medical Things: Definitions, Challenges, Applications, and Vision

none3noNowadays, there are a lot of new mobile devices that have the potential to assist healthcare professionals when working and help to increase the well-being of the people. These devices comprise the Internet of Medical Things, but it is generally difficult for healthcare institutions to meet compliance of their systems with new medical solutions efficiently. A technology that promises the sharing of data in a trust-less scenario is the Distributed Ledger Technology through its properties of decentralization, immutability, and transparency. The Blockchain and the Internet of Medical Things can be considered as at an early stage, and the implementations successfully applying the technology are not so many. Some aspects covered by these implementations are data sharing, interoperability of systems, security of devices, the opportunity of data monetization and data ownership that will be the focus of this review.openGioele Bigini;Valerio Freschi;Emanuele LattanziBigini, Gioele; Freschi, Valerio; Lattanzi, Emanuel

Decentralising the Internet of Medical Things with Distributed Ledger Technologies and Off-Chain Storages: a Proof of Concept

The privacy issue limits the Internet of Medical Things. Medical information would enhance new medical studies, formulate new treatments, and deliver new digital health technologies. Solving the sharing issue will have a triple impact: handling sensitive information easily, contributing to international medical advancements, and enabling personalised care. A possible solution could be to decentralise the notion of privacy, distributing it directly to users. Solutions enabling this vision are closely linked to Distributed Ledger Technologies. This technology would allow privacy-compliant solutions in contexts where privacy is the first need through its characteristics of immutability and transparency. This work lays the foundations for a system that can provide adequate security in terms of privacy, allowing the sharing of information between participants. We introduce an Internet of Medical Things application use case called “Balance”, networks of trusted peers to manage sensitive data access called “Halo”, and eventually leverage Smart Contracts to safeguard third party rights over data. This architecture should enable the theoretical vision of privacy-based healthcare solutions running in a decentralised manner

On the Decentralization of Health Systems for Data Availability: a DLT-based Architecture

Mobile devices entered people's lives by leaps and bounds, offering various applications relying on private third-party entities to manage their users' data. Centralized control of personal health data endangers the privacy of the users directly involved. In the future, there will likely be a trend toward decentralizing the health data collection, relieving central entities of this task. This comes with several challenges in a decentralized environment, such as avoiding a single point of failure to guarantee data availability. The following work proposes an architecture based on Distributed Ledger Technology to allow users to decide on their data while ensuring availability by employing social networks. We will outline the mechanisms behind data storage and the implications of using smart contracts in the architecture. In concluding the work, we show the developed architecture and results deriving from its assessment, highlighting possible use cases applied to the specific health data management context

A general approach to value identification of large scale geospatial data

Nowadays most of mobile devices continuously record information as geolocalized data. With geo-localized data It is actually possible to obtain interesting information useful in different sectors as car insurance and fleet management. One of these applications is SmartRoadSense, an application developed to collect geolocalized data when driving a car. The purpose of this work is to extract important information related to the real world distribution of geo-localized data in order to give the right overall visualization of the data collected

A general approach to value identification of large scale geospatial data

Nowadays most of mobile devices continuously record information as geolocalized data. With geo-localized data It is actually possible to obtain interesting information useful in different sectors as car insurance and fleet management. One of these applications is SmartRoadSense, an application developed to collect geolocalized data when driving a car. The purpose of this work is to extract important information related to the real world distribution of geo-localized data in order to give the right overall visualization of the data collected

Toward the InterPlanetary Health Layer for the Internet of Medical Things With Distributed Ledgers and Storages

With the dramatic increase of the Internet of Medical Things devices, self and remote health data monitoring is consistently receiving more attention. However, medical devices are usually challenging to deploy due to privacy regulations, and they generally leverage a centralized third party. Enabling data sharing would enhance new medical studies, formulate new treatments, and deliver new digital health technologies. Solving the issue will have a triple impact: we will handle sensitive information easily, contribute to international medical advancements, and enable personalized care. A possible solution is to exploit decentralization distributing privacy concerns directly to users. Solutions enabling this vision are closely linked to Distributed Ledger Technologies. Through its characteristics of immutability and transparency, this technology would allow privacy-compliant solutions in contexts where privacy is the first need. This paper envisions the InterPlanetary Health Layer and related real-world implementations in the Internet of Medical Things domain. The main idea of the proposed solution is to handle sensitive data by preserving privacy and guaranteeing data availability. Specifically, users can build their private network, collaboratively authorize operations among their data and manage their privacy conditions without relying on a third party. The results of several stress tests conducted on a real case study confirmed the feasibility of the proposed solution, which shows good scalability and a modest impact on the application performance measured during the decentralized data access

On the Decentralization of Health Systems for Data Availability: a DLT-based Architecture

Mobile devices entered people’s lives by leaps and bounds, offering various applications relying on private third-party entities to manage their users’ data. Centralized control of personal health data endangers the privacy of the users directly involved. In the future, there will likely be a trend toward decentralizing the health data collection, relieving central entities of this task. This comes with several challenges in a decentralized environment, such as avoiding a single point of failure to guarantee data availability. The following work proposes an architecture based on Distributed Ledger Technology to allow users to decide on their data while ensuring availability by employing social networks. We will outline the mechanisms behind data storage and the implications of using smart contracts in the architecture. In concluding the work, we show the developed architecture and results deriving from its assessment, highlighting possible use cases applied to the specific health data management contex

Decentralized Health Data Distribution: a DLT-based Architecture for Data Protection

The management, protection and sharing of sensitive data such as those associated with the health domain are crucial in enabling personal care and contributing to worldwide medical advancements. Distributed Ledger Technologies (DLTs) allow for data protection compliant solutions in untrusted contexts that guarantee data immutability, protection and transparency when needed. This paper proposes an architecture based on DLTs, smart contracts and Distributed File Storage (DFS), allowing data sovereignty to users, confidentiality and secure access control. A use case on health data is presented, along with a distributed ledger and the access control mechanism implementation. We present an experimental evaluation of the overall architecture that shows the viability of implementing practical DLT-based healthcare solutions