PatientDataChain: A Blockchain-Based Approach to Integrate Personal Health Records.
PatientDataChain: A Blockchain-Based Approach to Integrate Personal Health Records.
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PatientDataChain：一种基于区块链的方法来整合个人健康记录。
DOI：
10.3390/s20226538
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发表时间：
2020-11-16
期刊：
影响因子：
--
通讯作者：
Iftemi A
中科院分区：
文献类型：
--
作者：
Cernian A;Tiganoaia B;Sacala I;Pavel A;Iftemi A
目前，没有一个可信的基础设施用于医疗保健价值链上的医疗数据交换和存储，因此，没有一个平台用于监控整个医疗保健链中患者的可追溯性。这种情况导致沟通困难和程序成本增加，从而限制了医疗保健参与者更好地了解和了解患者的可追溯性，从而进一步促进创新和开发最适合的医疗服务。PatientDataChain基于区块链的技术是一种新颖的方法，它基于分散的医疗保健基础设施，在医疗保健价值链中包含信任层。我们的目标是提供一个基于互操作性原则的综合愿景，它依赖于来自各种可穿戴设备的特定传感器的使用，使我们能够从患者的医疗记录中收集特定数据。通过连接不同的医疗保健提供者，收集到的数据被集成到统一的个人健康记录（PHR）系统中，患者是他/她的数据的所有者。PatientDataChain基于区块链技术的去中心化特性，利用适当的上下文创建了一种新颖的、改进的数据共享和交换系统，该系统安全、灵活、可靠。这种方法为数据保密性和隐私性带来了更多好处，同时提供了对患者医疗记录的安全访问。本文介绍了我们提出的系统PatientDataChain的设计、实现和实验验证。我们论文的原始贡献包括统一整个医疗保健价值链的概念的定义，系统架构模型的设计，系统组件的开发，以及通过与布加勒斯特的一家医疗诊所进行的概念验证（PoC）进行验证，使用100名患者和1000多笔交易的数据集。概念验证证明了该模型在将来自异构来源（医疗保健系统和传感器）的个人健康记录集成到统一的分散式PHR系统中的可行性，并增强了医疗保健参与者之间的数据交换。
Currently there is not a single trusted infrastructure used for the exchange and storage of medical data along the healthcare value chain and, thus, there is no platform used for monitoring patients’ traceability within the entire healthcare chain. This situation leads to difficult communication and increased procedural costs, and thus it limits healthcare players from developing a better understanding and know-how of patients’ traceability that could further boost innovation and development of the best-fitted health services. PatientDataChain blockchain-based technology is a novel approach, based on a decentralized healthcare infrastructure that incorporates a trust layer in the healthcare value chain. Our aim was to provide an integrated vision based on interoperability principles, that relies on the usage of specific sensors from various wearable devices, allowing us to collect specific data from patients’ medical records. Interconnecting different healthcare providers, the collected data is integrated into a unitary personal health records (PHR) system, where the patient is the owner of his/her data. The decentralized nature of PatientDataChain, based on blockchain technology, leveraged the proper context to create a novel and improved data-sharing and exchange system, which is secure, flexible, and reliable. This approach brings increased benefits to data confidentiality and privacy, while providing secure access to patient medical records. This paper presents the design, implementation, and experimental validation of our proposed system, called PatientDataChain. The original contributions of our paper include the definition of the concept of unifying the entire healthcare value chain, the design of the architectural model of the system, the development of the system components, as well as the validation through a proof of concept (PoC) conducted with a medical clinic from Bucharest, using a dataset of 100 patients and over 1000 transactions. The proof of concept demonstrated the feasibility of the model in integrating the personal health records from heterogeneous sources (healthcare systems and sensors) in a unified, decentralized PHR system, with enhanced data exchange among healthcare players.
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影响因子：
105.7
作者：
Mandl, KD;Szolovits, P;Kohane, IS
通讯作者：
Kohane, IS
影响因子：
5.4
作者：
McCoy, Allison B.;Wright, Adam;Sittig, Dean F.
通讯作者：
Sittig, Dean F.
DOI：
10.3390/s17010130
发表时间：
2017-01-12
期刊：
Sensors (Basel, Switzerland)
影响因子：
--
作者：
Majumder S;Mondal T;Deen MJ
通讯作者：
Deen MJ
影响因子：
15.2
作者：
Green, Eric M.;van Mourik, Reinier;Semigran, Marc J.
通讯作者：
Semigran, Marc J.
影响因子：
7.4
作者：
Klein DM;Fix GM;Hogan TP;Simon SR;Nazi KM;Turvey CL
通讯作者：
Turvey CL