Blockchain-based electronic health record system with patient-centred data access control

This study examines the application of blockchain technology in addressing the increasing prevalence of mental health issues among young adults in the UK. Despite the recognition of the potential of digital health solutions and mental health apps by healthcare organizations and professionals, many individuals are hesitant to share sensitive information due to security concerns. To address this, the study proposes utilizing blockchain technology to create a patient-centred, transparent system for data access control that adheres to the General Data Protection Regulation (GDPR) and established security protocols. The research includes the development of a proof-of-concept decentralized web application, which incorporates a modified scrum methodology, test-driven development, clearly defined security requirements, and design patterns for security and gas optimization. The study concludes with an evaluation of the application, insights from automated security analytics, and recommendations for future research.

[1]  R. Macredie,et al.  Chatbots to Support Young Adults’ Mental Health: An Exploratory Study of Acceptability , 2022, ACM Trans. Interact. Intell. Syst..

[2]  M. R. Asghar,et al.  Sharing medical data using a blockchain-based secure EHR system for New Zealand , 2022, IET Blockchain.

[3]  Elisa Infanti,et al.  Mobile Apps That Promote Emotion Regulation, Positive Mental Health, and Well-being in the General Population: Systematic Review and Meta-analysis , 2021, JMIR mental health.

[4]  Livio Pompianu,et al.  Security checklists for Ethereum smart contract development: patterns and best practices , 2020, ArXiv.

[5]  Xudong Huang,et al.  Overcoming Alzheimer’s Disease Stigma by Leveraging Artificial Intelligence and Blockchain Technologies , 2020, Brain sciences.

[6]  Michele Marchesi,et al.  Design Patterns for Gas Optimization in Ethereum , 2020, 2020 IEEE International Workshop on Blockchain Oriented Software Engineering (IWBOSE).

[7]  Anuraag A Vazirani,et al.  Blockchain vehicles for efficient Medical Record management , 2020, npj Digital Medicine.

[8]  Michele Marchesi,et al.  ABCDE - Agile Block Chain Dapp Engineering , 2019, Blockchain: Research and Applications.

[9]  Emery Schubert,et al.  What Works and What Doesn’t Work? A Systematic Review of Digital Mental Health Interventions for Depression and Anxiety in Young People , 2019, Frontiers in psychiatry.

[10]  Mohamad Kassab,et al.  Investigating Quality Requirements for Blockchain-Based Healthcare Systems , 2019, 2019 IEEE/ACM 2nd International Workshop on Emerging Trends in Software Engineering for Blockchain (WETSEB).

[11]  Mohamad Kassab,et al.  Blockchain: A Panacea for Electronic Health Records? , 2019, 2019 IEEE/ACM 1st International Workshop on Software Engineering for Healthcare (SEH).

[12]  2019 IEEE/ACM 1st International Workshop on Software Engineering for Healthcare (SEH) , 2019 .

[13]  Douglas C. Schmidt,et al.  FHIRChain: Applying Blockchain to Securely and Scalably Share Clinical Data , 2018, Computational and structural biotechnology journal.

[14]  Cesare Pautasso,et al.  A Pattern Collection for Blockchain-based Applications , 2018, EuroPLoP.

[15]  Christian Catalini,et al.  Blockchain Technology for Healthcare: Facilitating the Transition to Patient-Driven Interoperability , 2018, Computational and structural biotechnology journal.

[16]  Praneeth Babu Marella,et al.  Ancile: Privacy-Preserving Framework for Access Control and Interoperability of Electronic Health Records Using Blockchain Technology , 2018 .

[17]  Fusheng Wang,et al.  Secure and Trustable Electronic Medical Records Sharing using Blockchain , 2017, AMIA.

[18]  Gregory N. Connolly,et al.  Concern about security and privacy, and perceived control over collection and use of health information are related to withholding of health information from healthcare providers , 2014, J. Am. Medical Informatics Assoc..

[19]  Michael E. Labhard,et al.  Mobile Therapy: Case Study Evaluations of a Cell Phone Application for Emotional Self-Awareness , 2010, Journal of medical Internet research.

[20]  Vitalik Buterin A NEXT GENERATION SMART CONTRACT & DECENTRALIZED APPLICATION PLATFORM , 2015 .

[21]  Daniel Davis Wood ETHEREUM: A SECURE DECENTRALISED GENERALISED TRANSACTION LEDGER , 2014 .

[22]  S. Nakamoto,et al.  Bitcoin: A Peer-to-Peer Electronic Cash System , 2008 .