How blockchain-timestamped protocols could improve the trustworthiness of medical science

Scrybe: A Secure Audit Trail for Clinical Trial Data Fusion

Clinical trials are a multi-billion dollar industry. One of the biggest challenges facing the clinical trial research community is satisfying Part 11 of Title 21 of the Code of Federal Regulations [7] and ISO 27789 [40]. These controls provide audit requirements that guarantee the reliability of the data contained in the electronic records. Context-aware smart devices and wearable IoT devices have become increasingly common in clinical trials. Electronic Data Capture (EDC) and Clinical Data Management Systems (CDMS) do not currently address the new challenges introduced using these devices. The healthcare digital threat landscape is continually evolving, and the prevalence of sensor fusion and wearable devices compounds the growing attack surface. We propose Scrybe, a permissioned blockchain, to store proof of clinical trial data provenance. We illustrate how Scrybe addresses each control and the limitations of the Ethereum-based blockchains. Finally, we provide a proof-of-concept integration with REDCap to show tamper resistance.

SmartNoshWaste: Using Blockchain, Machine Learning, Cloud Computing and QR Code to Reduce Food Waste in Decentralized Web 3.0 Enabled Smart Cities

Food waste is an important social and environmental issue that the current society faces, where one third of the total food produced is wasted or lost every year while more than 820 million people around the world do not have access to adequate food. However, as we move towards a decentralized Web 3.0 enabled smart city, we can utilize cutting edge technologies such as blockchain, artificial intelligence, cloud computing and many more to reduce food waste in different phases of the supply chain. In this paper, we propose SmartNoshWaste—a blockchain based multi-layered framework utilizing cloud computing, QR code and reinforcement learning to reduce food waste. We also evaluate SmartNoshWaste on real world food data collected from the nosh app to show the efficacy of the proposed framework and we are able to reduce food waste by 9.46% in comparison to the originally collected food data based on the experimental evaluation.

FoodSQRBlock: Digitizing Food Production and the Supply Chain with Blockchain and QR Code in the Cloud

Food safety is an important issue in today’s world. The traditional agri-food production system does not offer easy traceability of the produce at any point of the supply chain, and hence, during a food-borne outbreak, it is very difficult to sift through food production data to track produce and the origin of the outbreak. In recent years, the blockchain based food production system has resolved this challenge; however, none of the proposed methodologies makes the food production data easily accessible, traceable and verifiable by consumers or producers using mobile/edge devices. In this paper, we propose FoodSQRBlock (Food Safety Quick Response Block), a blockchain technology based framework that digitises the food production information and makes it easily accessible, traceable and verifiable by the consumers and producers by using QR codes. We also propose a large-scale integration of FoodSQRBlock in the cloud to show the feasibility and scalability of the framework, as well as give an experimental evaluation to prove this.

The HealthChain Blockchain for Electronic Health Records: Development Study

Background

Health care professionals are required to maintain accurate health records of patients. Furthermore, these records should be shared across different health care organizations for professionals to have a complete review of medical history and avoid missing important information. Nowadays, health care providers use electronic health records (EHRs) as a key to the implementation of these goals and delivery of quality care. However, there are technical and legal hurdles that prevent the adoption of these systems, such as concerns about performance and privacy issues.

Objective

This study aimed to build and evaluate an experimental blockchain for EHRs, named HealthChain, which overcomes the disadvantages of traditional EHR systems.

Methods

HealthChain is built based on consortium blockchain technology. Specifically, three organizations, namely hospitals, insurance providers, and governmental agencies, form a consortium that operates under a governance model, which enforces the business logic agreed by all participants. Every peer node hosts an instance of the distributed ledger consisting of EHRs and an instance of chaincode regulating the permissions of participants. Designated orderers establish consensus on the order of EHRs and then disseminate blocks to peers.

Results

HealthChain achieves functional and nonfunctional requirements. It can store EHRs in a distributed ledger and share them among different participants. Moreover, it demonstrates superior features, such as privacy preservation, security, and high throughput. These are the main reasons why HealthChain is proposed.

Conclusions

Consortium blockchain technology can help to build new EHR systems and solve the problems that prevent the adoption of traditional systems.

Sustainable Value Co-Creation and Digital Health: The Case of Trentino eHealth Ecosystem

This paper aims to develop a theoretical framework based on recent service theories, such as service-dominant logic and service science, and on the concept of service ecosystems. The identification of the main elements of service ecosystems allows for pinpointing the main drivers for sustainable value co-creation, which is intended as the creation in the long run of new service solutions set up with and for end-users to guarantee a better service for the whole society. Given the high interactivity required in the relationship between players involved in digital health services, we decided to apply the developed framework to eHealth, to re-read the eHealth sector as a service ecosystem. The model is tested through a case study represented by digital healthcare in the Autonomous Province of Trento, which represents a best practice in this sector. The results confirm the presence of the main elements of the service ecosystem (actors, resource integration, technology, institutions) in the eHealth sector and show how their integration favours the creation of new resources, new uses of technology and new institutions that produce innovation and sustainable value co-creation. The originality of the work lies in the reconceptualization of the digital health sector from a new perspective based on the assumptions of service-dominant logic, that allow us to analyze the eHealth ecosystem in a holistic and system view.

Privacy-Preserving in Healthcare Blockchain Systems Based on Lightweight Message Sharing

Electronic medical records (EMRs) are extremely important for patients’ treatment, doctors’ diagnoses, and medical technology development. In recent years, the distributed healthcare blockchain system has been researched for solving the information isolated island problem in centralized healthcare service systems. However, there still exists a series of important problems such as the patients’ sensitive information security, cross-institutional data sharing, medical quality, and efficiency. In this paper, we establish a lightweight privacy-preserving mechanism for a healthcare blockchain system. First, we apply an interleaving encoder to encrypt the original EMRs. This can hide the sensitive information of EMRs to protect the patient’s privacy security. Second, a (t,n)-threshold lightweight message sharing scheme is presented. The EMRs are mapped to n different short shares, and it can be reconstructed by at least t shares. The EMR shares rather than the original EMRs are stored in the blockchain nodes. This can guarantee high security for EMR sharing and improve the data reconstruction efficiency. Third, the indexes of the stored EMR shares are employed to generate blocks that are chained together and finally form a blockchain. The authorized data users or institutions can recover an EMR by requesting at least t shares of the EMR from the blockchain nodes. In this way, the healthcare blockchain system can not only facilitate the cross-institution sharing process, but also provide proper protections for the EMRs. The security proof and analysis indicate that the proposed scheme can protect the privacy and security of patients’ medical information. The simulation results show that our proposed scheme is more efficient than similar literature in terms of energy consumption and storage space, and the healthcare blockchain system is more stable with the proposed message sharing scheme.

A Decentralized Privacy-Preserving Healthcare Blockchain for IoT

Medical care has become one of the most indispensable parts of human lives, leading to a dramatic increase in medical big data. To streamline the diagnosis and treatment process, healthcare professionals are now adopting Internet of Things (IoT)-based wearable technology. Recent years have witnessed billions of sensors, devices, and vehicles being connected through the Internet. One such technology—remote patient monitoring—is common nowadays for the treatment and care of patients. However, these technologies also pose grave privacy risks and security concerns about the data transfer and the logging of data transactions. These security and privacy problems of medical data could result from a delay in treatment progress, even endangering the patient’s life. We propose the use of a blockchain to provide secure management and analysis of healthcare big data. However, blockchains are computationally expensive, demand high bandwidth and extra computational power, and are therefore not completely suitable for most resource-constrained IoT devices meant for smart cities. In this work, we try to resolve the above-mentioned issues of using blockchain with IoT devices. We propose a novel framework of modified blockchain models suitable for IoT devices that rely on their distributed nature and other additional privacy and security properties of the network. These additional privacy and security properties in our model are based on advanced cryptographic primitives. The solutions given here make IoT application data and transactions more secure and anonymous over a blockchain-based network.