Epidemic situations typically demand intensive data collection and management from different locations/entities within a strict time constraint. Such demand can be fulfilled by leveraging the intensive and easy deployment of the Internet of Things (IoT) devices. The management and containment of such situations also rely on cross-organizational and national collaboration. Thus, this paper proposes an Intelligent-Health (I-Health) system that aims to aggregate diverse e-health entities in a unique national healthcare system by enabling swift, secure exchange and storage of medical data. In particular, we design an automated patients monitoring scheme, at the edge, which enables the prompt discovery, remote monitoring, and fast emergency response for critical medical events, such as emerging epidemics. Furthermore, we develop a blockchain optimization model that aims to optimize medical data sharing between different health entities to provide effective and secure health services. Finally, we show the effectiveness of our system, in adapting to different critical events, while highlighting the benefits of the proposed I-Health system.
Blockchain technology has rapidly evolved from an enabling technology for cryptocurrencies to a potential solution to a wider range of problems found in data-centric and distributed systems. Interest in this area has encouraged many recent innovations to address challenges that traditional approaches of design have been unable to meet. Healthcare Information Systems with issues around privacy, interoperability, data integrity, and access control is potentially an area where blockchain technology may have a significant impact. Blockchain, however, is a meta-technology, combining multiple techni…
Since the inception of the Bitcoin technology, its underlying data structure--the blockchain--has garnered much attention due to properties such as decentralization, transparency, and immutability. These properties make blockchains suitable for apps that require disintermediation through trustless exchange, consistent and incorruptible transaction records, and operational models beyond cryptocurrency. In particular, blockchain and its smart contract capabilities have the potential to address healthcare interoperability issues, such as enabling effective interactions between users and medical a…
The future of healthcare systems is being shaped by incorporating emerged technological innovations to drive new models for patient care. By acquiring, integrating, analyzing, and exchanging medical data at different system levels, new practices can be introduced, offering a radical improvement to healthcare services. This paper presents a novel smart and secure Healthcare system (ssHealth), which, leveraging advances in edge computing and blockchain technologies, permits epidemics discovering, remote monitoring, and fast emergency response. The proposed system also allows for secure medical d…
The transparent and decentralized characteristics associated with blockchain can be both appealing and problematic when applied to a healthcare use-case. As health data is highly sensitive, it is also highly regulated to ensure the privacy of patients. At the same time, access to health data and interoperability is in high demand. Regulatory frameworks such as GDPR and HIPAA are, amongst other objectives, meant to contribute to mitigating the risk of privacy violations in health data. Blockchain features can likely improve interoperability and access control to health data, and at the same tim…
In this report, the University Medical Center Groningen (UMCG) has written down lessons learned on how blockchain technology can have an impact on the healthcare domain. By looking at two use-cases, the hospital challenged several teams, participating in an open innovation program and blockchain hackathon, to find a solution that showed the added value of the technology for patient care and scientific research. Besides this practical perspective, the report also considers literature discussing the current state of blockchain technology in regard to developments in the healthcare domain (touchi…
This paper reports on the development and evaluation of a prototype blockchain solution for private and secure individual omics health data management and sharing. This solution is one output of a multidisciplinary project investigating the social, data and technical issues surrounding application of blockchain technology in the context of personalized healthcare research. The project studies potential ethical, legal, social and cognitive constraints of self-sovereign healthcare data management and sharing, and whether such constraints can be addressed through careful user interface design of …
Several problems in healthcare stem from the complex network of intermediaries and the lack of traceability of transactions. To mention a few: healthcare data is fragmented across several silos negatively affecting research and services, about half of the clinical trials are never reported, the cost of drug discovery is ever increasing, and substandard and fake medicines are still a huge problem. Blockchain has the potential to solve these problems as it provides trust without any intermediaries, has traceability as a default feature, and promises new business models by enabling novel incentiv…
Data privacy refers to ensuring that users keep control over access to information, whereas data accessibility refers to ensuring that information access is unconstrained. Conflicts between privacy and accessibility of data are natural to occur, and healthcare is a domain in which they are particularly relevant. In the present article, we discuss how blockchain technology, and smart contracts, could help in some typical scenarios related to data access, data management and data interoperability for the specific healthcare domain. We then propose the implementation of a large-scale information …
The application of blockchain technology can be beneficial in the field of healthcare as well as in the fight against the COVID-19 epidemic. In this work, the importance of blockchain is analyzed and it is observed that blockchain technology and the processes associated with it will be utilised in the healthcare systems of the future for data acquisition from sensors, automatic patient monitoring, and secure data storage. This technology substantially simplifies the process of carrying out operations because it can store a substantial quantity of data in a dispersed and secure manner, as well …
We are experiencing an unprecedented healthcare crisis caused by newly-discovered corona-virus disease (COVID-19). The outbreaks of COVID-19 reveal the frailties of existing healthcare systems. Therefore, the digital transformation of healthcare systems becomes an inevitable trend. During this process, the Internet of Medical Things (IoMT) plays a crucial role while intrinsic vulnerabilities of security and privacy deter the wide adoption of IoMT. In this article, we present a blockchain-enabled IoMT to address the security and privacy concerns of IoMT systems. We also discuss the solutions br…
Blockchain technology has piqued the interest of businesses of all types, while consistently improving and adapting to developers and business owners requirements. Therefore, several blockchain platforms have emerged, making it challenging to select a suitable one for a specific type of business. This paper presents a classification of over one hundred blockchain platforms. We develop smart contracts for detecting healthcare insurance frauds using two blockchain platforms selected based on our proposed decision-making map approach for the selection of the top two suitable platforms for healthc…
Cross-institutional healthcare predictive modeling can accelerate research and facilitate quality improvement initiatives, and thus is important for national healthcare delivery priorities. For example, a model that predicts risk of re-admission for a particular set of patients will be more generalizable if developed with data from multiple institutions. While privacy-protecting methods to build predictive models exist, most are based on a centralized architecture, which presents security and robustness vulnerabilities such as single-point-of-failure (and single-point-of-breach) and accidental…
Wearable fitness devices are widely used to track an individual's health and physical activities to improve the quality of health services. These devices sense a considerable amount of sensitive data processed by a centralized third party. While many researchers have thoroughly evaluated privacy issues surrounding wearable fitness trackers, no study has addressed privacy issues in trackers by giving control of the data to the user. Blockchain is an emerging technology with outstanding advantages in resolving consent management privacy concerns. As there are no fully transparent, legally compli…
Electronic Health Records(EHR) are gaining a lot of popularity all over the world. The current EHR systems however have their fair share of problems related to privacy and security. We have proposed a mechanism which provides a solution to most of these problems. Using a permissioned Ethereum blockchain allows the hospitals and patients across the world to be connected to each other. Our mechanism uses a combination of symmetric and asymmetric key cryptography to ensure the secure storage and selective access of records. It gives patients full control over their health records and also allows …
Electronic medical records (EMRs) are critical, highly sensitive private information in healthcare, and need to be frequently shared among peers. Blockchain provides a shared, immutable and transparent history of all the transactions to build applications with trust, accountability and transparency. This provides a unique opportunity to develop a secure and trustable EMR data management and sharing system using blockchain. In this paper, we present our perspectives on blockchain based healthcare data management, in particular, for EMR data sharing between healthcare providers and for research …
Secure and scalable data sharing is essential for collaborative clinical decision making. Conventional clinical data efforts are often siloed, however, which creates barriers to efficient information exchange and impedes effective treatment decision made for patients. This paper provides four contributions to the study of applying blockchain technology to clinical data sharing in the context of technical requirements defined in the "Shared Nationwide Interoperability Roadmap" from the Office of the National Coordinator for Health Information Technology (ONC). First, we analyze the ONC requirem…
The outbreak of the COVID-19 pandemic has deeply influenced the lifestyle of the general public and the healthcare system of the society. As a promising approach to address the emerging challenges caused by the epidemic of infectious diseases like COVID-19, Internet of Medical Things (IoMT) deployed in hospitals, clinics, and healthcare centers can save the diagnosis time and improve the efficiency of medical resources though privacy and security concerns of IoMT stall the wide adoption. In order to tackle the privacy, security, and interoperability issues of IoMT, we propose a framework of bl…
The revolution of Internet of Things (IoT) devices and wearable technology has opened up great possibilities in remote patient monitoring. To streamline the diagnosis and treatment process, healthcare professionals are now adopting the wearable technology. However, these technologies also pose grave privacy risks and security concerns about the transfer and the logging of data transactions. One solution to protect privacy in healthcare is the use of blockchain technology. However, one of the primary problems with blockchain is its highly limited scalability. In this work here, we propose the u…
Blockchains have received much attention recently since they provide decentralized approaches to the creation and management of value. Many banks, Internet companies, car manufacturers, and even governments worldwide have incorporated or started considering blockchains to improve the security, scalability, and efficiency of their services. In this paper, we survey blockchain applications in different areas. These areas include cryptocurrency, healthcare, advertising, insurance, copyright protection, energy, and societal applications. Our work provides a timely summary for individuals and organ…
The COVID-19 epidemic was listed as a public health emergency of international concern by the WHO on January 30, 2020. To curb the secondary spread of the epidemic, many public places were equipped with thermal imagers to check the body temperature. However, the COVID-19 pneumonia has concealed symptoms: the first symptom may not be fever, and can be shortness of breath. During epidemic prevention, many people tend to wear masks. Therefore, in this demo paper, we proposed a portable non-contact healthy screening system for people wearing masks, which can simultaneously obtain body temperature …
In order to contain the COVID-19 pandemic, several countries enforced extended social distancing measures for several weeks, effectively pausing the majority of economic activities. In an effort to resume economic activity safely, several Digital Contact Tracing applications and protocols have been introduced with success. However, DCT is a reactive method, as it aims to break existing chains of disease transmission in a population. Therefore DCT is not suitable for proactively preventing the spread of a disease; an approach that relevant to certain use cases, such as international tourism, wh…
Nokia Bell Labs（诺基亚贝尔实验室）；IT University of Copenhagen（哥本哈根信息技术大学）；Harvard Medical School（哈佛医学院）
The continuity hypothesis of dreams suggests that the content of dreams is continuous with the dreamer's waking experiences. Given the unprecedented nature of the experiences during COVID-19, we studied the continuity hypothesis in the context of the pandemic. We implemented a deep-learning algorithm that can extract mentions of medical conditions from text and applied it to two datasets collected during the pandemic: 2,888 dream reports (dreaming life experiences), and 57M tweets mentioning the pandemic (waking life experiences). The health expressions common to both sets were typical COVID-1…
Opioid overdose has emerged as a full blown epidemic in the United States. In the last few years, there has been an alarming increase in Opioid related deaths, resulting in the loss of 63,600 lives in 2016 alone. The epidemic which is killing more than 100 people each day, was declared as a public health emergency by the US government, in October 2017. Although a few health related companies and commercial firms have examined this important issue from various available data sources, to the best of our knowledge, the academic community has not been engaged in research in this important topic. I…
This article presents the potential use of the Self-Sovereign Identities (SSI), combining with Distributed Ledger Technologies (DLT), to improve the privacy and control of health data. The paper presents the SSI technology, lists the prominent use cases of decentralized identities in the health area, and discusses an effective blockchain-based architecture. The main contributions of the article are: (i) mapping SSI general and abstract concepts, e.g., issuers and holders, to the health domain concepts, e.g., physicians and patients; (ii) creating a correspondence between the SSI interactions, …
We have witnessed an unprecedented public health crisis caused by the new coronavirus disease (COVID-19), which has severely affected medical institutions, our common lives, and social-economic activities. This crisis also reveals the brittleness of existing medical services, such as over-centralization of medical resources, the hysteresis of medical services digitalization, and weak security and privacy protection of medical data. The integration of the Internet of Medical Things (IoMT) and blockchain is expected to be a panacea to COVID-19 attributed to the ubiquitous presence and the percep…
