基于区块链的政府工作人员体检记录验证与保管系统

A. Tariq, Mudasir Qazi, Muhammad Burhan
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摘要

电子健康记录(EHR)形式的医疗数据非常敏感和重要,这些数据的存储是医疗保健部门面临的重要挑战之一。云提供的存储服务具有成本和能源效率,云上的数据是安全的,但在公共云上的数据并不多。EHR需要更多的安全性,并且在患者医疗记录的安全性方面严格遵守HIPAA和HL7。公共云上的敏感电子病历需要紧急验证,这也是一个巨大的挑战。虽然提出了不同的加密技术来保护数据,但密钥泄露的可能性很大。我们建议使用区块链技术对本地存储的数据进行安全验证,该技术使信息不可变和分布式,从而可以使用区块链技术从不同的办公室和当局验证医疗记录。作为一个模式,我们以城市的一家重要医院(在旁遮普政府卫生部门工作)为例,所有的医疗检查记录(MER)都保存在那里,并向政府雇员发放医疗健康证书(MFC)。我们将使用Hyperledger Fabric开发由专业医疗保健和医学教育秘书办公室(SSHC&ME)领导的全市所有三级医疗医院的私人/联盟网络。医疗健康证书存储在Hyperledger Fabric (HLF)区块链中,具有报告id、时间戳患者id和医疗总监(MS)的数字签名。区块链数字账本将在高层机构(秘书健康办公室,TCH)之间分发。办公室SSHC&ME负责整个HLF网络的管理工作。验证方(用户/政府部门)通过HLF SDK从HLF区块链网络获取医疗健康报告的哈希值进行验证
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Blockchain Based System for the Verification and Safekeeping of Medical Examination Record of Government Employees
Medical data is very sensitive and vital in form of Electronic Health Record (EHR) for healthcare sector, storage of this data is one of an important challenge. Cloud is providing storage services with cost and energy efficiency, data over the cloud is secure but not much over the public cloud. EHR require more security and there is strict compliance of HIPAA and HL7 over the security of patient’s medical record. Sensitive EHR over the public cloud where the urgent verification is required is also great challenge. Different cryptography techniques are proposed to secure the data but there are much chances to compromise the keys. Our proposed technique for secure verification of data store locally with the use of blockchain technology that make information immutable and distributed, so that the medical record could be verify from different offices and authorities using blockchain technology. As a model we have taken an important hospital of the city (working under the Government of the Punjab, Health Department) where all medical examination record (MER) is maintained and Medical Fitness Certificate (MFC) issues to Govt. employee. We shall use Hyperledger Fabric to develop the Private/Consortium network of all Tertiary Care Hospital in the city, headed by Office of Secretary Specialized Healthcare and Medical Education (SSHC&ME). Hash of the medical fitness certificate store in Hyperledger Fabric (HLF) blockchain with report id, timestamp patient’s id, and digital signature of Medical Superintendent (MS). Blockchain digital ledger will distributed between high level authorities (offices of Secretaries’ Health, TCH). Office SSHC&ME work as admin of whole HLF network. For verification, verifier (user/Government department) get the hash of medical fitness report and verify it from HLF blockchain network using HLF SDK
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