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More articles from Volume 6, Issue 2, 2023
Blockchain Technology Predictions 2024: Transformations in Healthcare, Patient Identity and Public Health
Problems with Medical Claims that Artificial Intelligence (AI) and Blockchain Can Fix
Accelerating the Worldwide Adoption of Blockchain Technology
Moving Beyond POCs and Pilots to Mainstream: Discovery and Lessons from Blockchain in Healthcare
Privacy-Conflict Resolution for Integrating Personal- and Electronic Health Records in Blockchain-Based Systems
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Privacy-Conflict Resolution for Integrating Personal- and Electronic Health Records in Blockchain-Based Systems
,
Aleksandr Kormiltsyn
,
Vimal Dwivedi
,
Chibuzor Udokwu
Alex Norta
Abstract
Despite the great potential for healthcare professionals, individuals, and researchers, integrating healthcare information from personal health records (PHR) and electronic health records (EHR) systems is complicated because of structural- and semantic heterogeneity and -privacy. Healthcare data is an emotional issue because of fear of privacy violations. Blockchain technology enables a patient's data privacy, transparency, and immutability in cross-organizational processes where a patient regulates access to his data and is aware of its usage. At the same time, blockchain technology creates new challenges for e-healthcare systems, such as data privacy, observability, and online enforceability. In this paper, we propose a design and formalization of a secure blockchain-based, and patient-centric system with a definition of PHR requirements, an ontology for privacy-conflict resolution- and management mechanisms that takes into account the emotional aspects related to sharing sensitive healthcare records. Throughout this paper, we illustrate our ideas with a running case about preventive- and personalized healthcare.
Keywords
References
1.
Susskind R, Susskind D. The future of the professions: how technology will transform the work of human experts. 2015;
2.
Mercille J. Privatization in the Irish hospital sector since 1980. Journal of Public Health. 2018;40(4):863–70.
3.
Archer N, Fevrier-Thomas U, Lokker C, McKibbon KA, Straus SE. Personal health records: a scoping review. Journal of the American Medical Informatics Association. 2011;18(4):515–22.
4.
Levitan B, Getz K, Eisenstein EL, Goldberg M, Harker M, Hesterlee S, et al. Assessing the Financial Value of Patient Engagement: A Quantitative Approach from CTTI’s Patient Groups and Clinical Trials Project. Therapeutic Innovation & Regulatory Science. 2018;52(2):220–9.
5.
Dimitrov DV. Medical Internet of Things and Big Data in Healthcare. Healthcare Informatics Research. 2016;22(3):156.
6.
Kormiltsyn A, Udokwu C, Karu K, Thangalimodzi K, Norta A. Improving healthcare processes with smart contracts. 2019;500–13.
7.
Norta A, Hawthorne D, Engel S. A privacy-protecting data-exchange wallet with ownership-and monetization capabilities. 2018;1–8.
8.
Eccher C, Piras E, Stenico M. TreC -a REST-based Regional PHR. User Centred Networked Health Care A.
9.
2011;
10.
Urbauer P, Sauermann S, Frohner M, Forjan M, Pohn B, Mense A. Applicability of IHE/Continua components for PHR systems: Learning from experiences. Computers in Biology and Medicine. 2015;59:186–93.
11.
Zhang R, Liu L. Security models and requirements for healthcare application clouds. IEEE. 2010;268–75.
12.
Narendra NC, Norta A, Mahunnah M, Ma L, Maggi FM. Sound conflict management and resolution for virtual-enterprise collaborations. Service Oriented Computing and Applications. 2015;10(3):233–51.
13.
Szabo N. Smart contracts: building blocks for digital markets. EXTROPY J Transhumanist Thought. 1996;2.
14.
Charter of fundamental rights of The European Union [Internet]. Europa. 2012;
15.
2023;
16.
Introduction to the hash function as a personal data pseudonymisation technique. European Data Protection Supervisor. 2023;
17.
Sun W, Cai Z, Li Y, Liu F, Fang S, Wang G. Security and Privacy in the Medical Internet of Things: A Review. Security and Communication Networks. 2018;2018:1–9.
18.
Al-Muhtadi J, Shahzad B, Saleem K, Jameel W, Orgun MA. Cybersecurity and privacy issues for socially integrated mobile healthcare applications operating in a multi-cloud environment. Health Informatics Journal. 2017;25(2):315–29.
19.
Katurura M, Cilliers L. A review of the implementation of electronic health record systems on the African continent. 2017;10–1.
20.
Cilliers L. Wearable devices in healthcare: Privacy and information security issues. Health Information Management Journal. 2019;49(2–3):150–6.
21.
Luo E, Bhuiyan MZA, Wang G, Rahman MA, Wu J, Atiquzzaman M. PrivacyProtector: Privacy-Protected Patient Data Collection in IoT-Based Healthcare Systems. IEEE Communications Magazine. 2018;56(2):163–8.
22.
Hussein AF, ArunKumar N, Ramirez-Gonzalez G, Abdulhay E, Tavares JMRS, de Albuquerque VHC. A medical records managing and securing blockchain based system supported by a Genetic Algorithm and Discrete Wavelet Transform. Cognitive Systems Research. 2018;52:1–11.
23.
Zhang P, White J, Schmidt DC, Lenz G, Rosenbloom ST. FHIRChain: Applying Blockchain to Securely and Scalably Share Clinical Data. Computational and Structural Biotechnology Journal. 2018;16:267–78.
24.
Azorin-Lopez J, Fuster-Guillo A, Saval-Calvo M, Bradley D. Home technologies, smart systems and eHealth. 2016;179–200.
25.
Dittmar A, Meffre R, Oliveira D, Gehin F, Delhomme C, G. Wearable medical devices using textile and flexible technologies for ambulatory monitoring. IEEE. 2006;7161–4.
26.
Sebestyen G, Hangan A, Oniga S, Gál Z. eHealth solutions in the context of Internet of Things. Robotics IEEE. 2014;1–6.
27.
Salehi S, Giacalone M. Conflict resolution with equitative algorithms: a tool to establish a European common ground of available rights. 2009;111.
28.
Xu H, Hipel K, Kilgour D, Fang L. Conflict resolution using the graph model: strategic interactions in competition and cooperation. 2018;
29.
Neyens G. Conflict handling for autonomic systems. 2017;369–70.
30.
K FP, PATIL NN. RESOLVING PRIVACY CONFLICT FOR MAINTAINING PRIVACY POLICIES IN ONLINE SOCIAL NETWORKS. INTERNATIONAL JOURNAL OF COMPUTER ENGINEERING AND TECHNOLOGY. 2019;10(3).
31.
Hölbl M, Kompara M, Kamišalić A, Nemec Zlatolas L. A Systematic Review of the Use of Blockchain in Healthcare. Symmetry. 2018;10(10):470.
32.
Agbo C, Mahmoud Q, Eklund J. Blockchain technology in healthcare: a systematic review. 2019;56.
33.
McGhin T, Choo KKR, Liu CZ, He D. Blockchain in healthcare applications: Research challenges and opportunities. Journal of Network and Computer Applications. 2019;135:62–75.
34.
Swan M, Blockchain. 2015;
35.
Buterin V. A next generation smart contract & decentralized application platform. Whitepaper Ethereum Foundation. 2013;
36.
Becker G. Merkle signature schemes, merkle trees and their cryptanalysis. Ruhr-University Bochum. 2008;
37.
Hevner A, Chatterjee S. Design science research in information systems. 2010;9–22.
38.
Westaway MD, Stratford PW, Binkley JM. The Patient-Specific Functional Scale: Validation of Its Use in Persons With Neck Dysfunction. Journal of Orthopaedic & Sports Physical Therapy. 1998;27(5):331–8.
39.
Nguyen G, Kim K. A survey about consensus algorithms used in blockchain. J Inf Process Syst. 2018;101–28.
40.
Bitcoin. Open source P2P money [Internet]. bitcoin.org. 2023;
41.
Home |, Ethereum. 2019;
42.
Fabric-Hyperledger H. 2017;
43.
Udokwu C, Kormiltsyn A, Thangalimodzi K, Norta A. The state of the art for blockchain-enabled smart-contract applications in the organization. 2018;137–44.
44.
Weyl E, Ohlhaver P, Buterin V. Decentralized society: Finding Web3’s soul. 4105763;
45.
Damjan M. The interface between blockchain and the real world. Ragion pratica. 2018;379–406.
46.
Caldarelli G, Ellul J. The Blockchain Oracle Problem in Decentralized Finance—A Multivocal Approach. Applied Sciences. 2021;11(16):7572.
47.
Liu L, Zhou S, Huang H, Zheng Z. From technology to society: an overview of blockchain-based DAO. IEEE Open J Comput Soc. 2021;
48.
Grefen P, Aberer K, Hoffner Y, Ludwig H. CrossFlow: crossorganizational workflow management in dynamic virtual enterprises. Comput Syst Sci Eng. 2000;277–90.
49.
Rahmani A, Thanigaivelan N, Gia T, Granados J, Negash B, Liljeberg P. Smart e-health gateway: bringing intelligence to internet-of-things based ubiquitous health-care systems. IEEE. 2015;826–34.
50.
Leiding B, Dieter Hogrefe, Clemens H, Norta A. The M2X economy-business interactions, transactions and collaborations among autonomous smart devices. 2019;
51.
Shiang C, Meyer J, Taveter K. Agent-oriented methodology for designing cognitive agents for serious games. Engineering multi-agent systems. 2016;39.
52.
Barr ET, Harman M, McMinn P, Shahbaz M, Yoo S. The Oracle Problem in Software Testing: A Survey. IEEE Transactions on Software Engineering. 2015;41(5):507–25.
53.
Norta A, Mahunnah M, Tenso T, Taveter K, Narendra N. An agent-oriented method for designing large socio-technical service-ecosystems. IEEE. 2014;242–9.
54.
Sherkat M, Mendoza A, Miller T, Burrows R. Emotional attachment framework for people-oriented software. 2018;
55.
Kormiltsyn A. A systematic approach to define requirements and engineer the ontology for semantically merging data sets for personal-centric healthcare systems. 2018;
56.
Sherkat M. Emotionalism in software engineering. 2019;
57.
Mendoza A, Miller T, Pedell S, Sterling L. The role of users’ emotions and associated quality goals on appropriation of systems: two case studies. 2013;
58.
Avizienis A, Laprie JC, Randell B, Landwehr C. Basic concepts and taxonomy of dependable and secure computing. IEEE Transactions on Dependable and Secure Computing. 2004;1(1):11–33.
59.
Abouelmehdi K, Beni-Hessane A, Khaloufi H. Big healthcare data: preserving security and privacy. Journal of Big Data. 2018;5(1).
60.
Priya F, Patil K, N. Conflict detection techniques for preserving privacy in social media. 2018;
61.
Udokwu C, Norta A. Deriving and Formalizing Requirements of Decentralized Applications for Inter-Organizational Collaborations on Blockchain. Arabian Journal for Science and Engineering. 2021;46(9):8397–414.
62.
Jensen K, Kristensen L. Coloured Petri nets: modelling and validation of concurrent systems. 2009;
63.
Mahunnah M, Norta A, Ma L, Taveter K. Heuristics for designing and evaluating socio-technical agent-oriented behaviour models with coloured petri nets. IEEE 38th International IEEE. 2014;438–43.
64.
Norta A, Kormiltsyn A, Udokwu C, Dwivedi V, Aroh S. Nikolajev I. A blockchain implementation for configurable multifactor challenge-set self-sovereign identity authentication. IEEE Access. 2022;
65.
Riley L. Universal DLT interoperability is now a practical reality. 2021;
66.
Kormiltsyn A, Norta A. Dynamically integrating electronic-with personal health records for ad-hoc healthcare quality improvements. 2017;385–99.
67.
Norta A. Exploring dynamic inter-organizational business process collaboration [Internet]. 2007;
68.
Kormiltsyn A, Norta A. Formal evaluation of privacy-conflict resolution for integrating personal-and electronic health records in blockchain-based systems. 2022;
69.
Norta A, Eshuis R. Specification and verification of harmonized business-process collaborations. Information Systems Frontiers. 2009;12(4):457–79.
70.
Zhao F, Xiang D, Liu G, Jiang C. A New Method for Measuring the Behavioral Consistency Degree of WF-Net Systems. IEEE Transactions on Computational Social Systems. 2022;9(2):480–93.
71.
Weidlich M. Behavioural profiles: a relational approach to behaviour consistency. 2011;
72.
Workflow Nets-ML Wiki [Internet]. mlwiki.org. 2023;
73.
Gehlot V, Sloane E, Thalassinidis A. Personal health technology: CPN based modeling of coordinated neighborhood care environments (hubs) and personal care device ecosystems. 2019;
74.
Jensen K, Kristensen LM, Wells L. Coloured Petri Nets and CPN Tools for modelling and validation of concurrent systems. International Journal on Software Tools for Technology Transfer. 2007;9(3–4):213–54.
75.
Nisar S. Defining blockchain-based techniques for privacy conflict-resolution in cross-organizational processes for e-health systems. Master’s thesis. 2022;
76.
Blockchains for mass adoption [Internet]. polygon.technology. 2023;
77.
Web3 Interoperability | Decentralized blockchain [Internet]. Polkadot Network. 2023;
78.
Substrate A, Polkadot, Substrate_. 2023;
79.
Stahnke S, Shumaiev K, Cuellar J, Kasinathan P. Enforcing a cross-organizational workflow: an experience report. Proceedings. :85–98.
80.
Park G, Van Der Aalst W. Towards reliable business process simulation: a framework to integrate ERP systems. Proceedings. :112–27.
81.
Jadav D, Jadav NK, Gupta R, Tanwar S, Alfarraj O, Tolba A, et al. A Trustworthy Healthcare Management Framework Using Amalgamation of AI and Blockchain Network. Mathematics. 2023;11(3):637.
82.
Kim J, Kim M. DeepBlockShield: Blockchain Agent-Based Secured Clinical Data Management Model from the Deep Web Environment. Mathematics. 2021;9(9):1069.
83.
Abbas A, Alroobaea R, Krichen M, Rubaiee S, Vimal S, Almansour F. Blockchain-assisted secured data management framework for health information analysis.
84.
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