Secure Storage and Access Scheme for E-Medical Records Using Block Chain Environment

2021 ◽  
Vol 23 (05) ◽  
pp. 776-786
Author(s):  
Sonya A ◽  
◽  
Jeevitha S ◽  
Vaishnavi M ◽  
◽  
...  

Blockchain has been a fascinating exploration region for quite a while and the advantages it gives have been utilized by various different ventures. Additionally, the medical services area stands to profit tremendously from blockchain innovation because of safety, security, and decentralization. In any case, the Electronic Health Record (EHR) frameworks deal with issues in regards to information security, uprightness, and the executives. In the proposed work, to communicate approximately how the blockchain innovation can be applied to alternate the EHR frameworks and solution of those issues. To propose a system that can be applied for the execution of blockchain innovation in scientific offerings location for EHR. The factor of our proposed system is first and to execute blockchain innovation for EHR and moreover to provide the stable ability of digital information with the aid of using characterizing granular get right of entry to regulations for the customers. Besides, this system examines the flexibility problem seemed with the aid of using the blockchain innovation average through the usage of off-chain stockpiling of the information. This structure offers the benefits of getting an adaptable, stable, and vital blockchain-primarily based totally association with usage of PoW (Proof of Work) Algorithm.

2020 ◽  
Vol 15 (1) ◽  
pp. 77-80
Author(s):  
Ajaya Mandal ◽  
Prakriti Dumaru ◽  
Sagar Bhandari ◽  
Shreeti Shrestha ◽  
Subarna Shakya

 With a view to overcome the shortcomings of traditional Electronic Health Record (EHR) system so as to assure the interoperability by providing open access to sensitive health data, while still preserving personal data privacy, anonymity and avoiding data misuse, Decentralized Electronic Health Record System was developed. The aforementioned issue concerning traditional EHR system can be addressed by implication of emerging technology of the era namely Block chain, together with Inter Planetary File System (IPFS) which enables data sharing in decentralized and transactional fashion, thereby maintaining delicate balance between privacy and accessibility of electronic health records. A block chain based EHR system has been built for secure, efficient and interoperable access to medical records by both patients and doctors while preserving privacy of the sensitive patient’s information. Patients can easily and comprehensively access to their medical records across providers and treatment sites using unique properties of block chain and decentralized storage. A separate portal for both the patients and doctors has been built enabling the smart contracts to handle further interaction between doctors and patients. So, in this system, it is demonstrated how principles of decentralization and block chain architectures could contribute to EHR system using Ethereum smart contracts and IPFS to orchestrate a suitable system governing the medical record access while providing patients with comprehensive record review along with consideration for audit ability and data sharing.


Block-chain is a list of records which are stored in its blocks that are linked through cryptography. It is used previously for bitcoin transactions only. Now the government and also other organizations are going to use this block-chain in different fields. Electronic Health Records (EHRs) are used for storing the information about the patients. In EHR the information is stored in the paper through web which has some disadvantages. Here we use block-chain and Attribute- Based Signatures (ABS) to store the information about the patient’s in the blocks of block-chain which is stored in cloud. By this we can provide security to the patient data and also there are no storage problems and also through ABS we provide some attributes to the users who are going to access the data of patient.


2020 ◽  
pp. 614-628
Author(s):  
Juan C. Lavariega ◽  
Roberto Garza ◽  
Lorena G Gómez ◽  
Victor J. Lara-Diaz ◽  
Manuel J. Silva-Cavazos

The use of paper health records and handwritten prescriptions are prone to preset errors of misunderstanding instructions or interpretations that derive in affecting patients' health. Electronic Health Records (EHR) systems are useful tools that among other functions can assists physicians' tasks such as finding recommended medicines, their contraindications, and dosage for a given diagnosis, filling prescriptions and support data sharing with other systems. This paper presents EEMI, a Children EHR focused on assisting pediatricians in their daily office practice. EEMI functionality keeps the relationships among diagnosis, treatment, and medications. EEMI also calculates dosages and automatically creates prescriptions which can be personalized by the physician. The system also validates patient allergies. This paper also presents the current use of EHRs in Mexico, the Mexican Norm (NOM-024-SSA3-2010), standards for the development of electronic medical records and its relationships with other standards for data exchange and data representation in the health area.


1995 ◽  
Vol 34 (01/02) ◽  
pp. 57-67 ◽  
Author(s):  
J. Gregory ◽  
J. E. Mattison ◽  
C. Linde

Abstract:To practice medicine in the near future, health care providers in the USA need an information infrastructure they do not yet have. We offer a contribution from social science research to discussions of current medical records practices and how health care activity systems may be transformed by the advent of electronic health records. The goal of the paper is to set forth a framework that connects over-arching questions concerning medical informatics systems development with the practical, cultural and conceptual issues involved in transitions from handwritten and other free text documentation to structured entry of medical records to build patient profiles. The research is broadly framed by an interest in how reciprocal modifications of the design and use of an electronic health record are negotiated in an iterative prototyping project. It is conducted as part of a complex multi-disciplinary research and development effort to create an electronic health record prototype for use in the integrated health care delivery environment of the Southern California Kaiser Permanente Medical Care Program.


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