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Blockchain for Secure Healthcare Records

This document proposes a healthcare management system using blockchain technology. It summarizes existing issues with electronic health record (EHR) systems, such as lack of security, data breaches, and interoperability problems. The authors aim to address these issues by developing a blockchain-based system to securely store and share patient medical records and enable online doctor appointments and information exchange. The system would include modules for patients, doctors, and hospitals to digitally manage healthcare records and transactions in a tamper-proof manner using blockchain and smart contracts.
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0% found this document useful (0 votes)
46 views4 pages

Blockchain for Secure Healthcare Records

This document proposes a healthcare management system using blockchain technology. It summarizes existing issues with electronic health record (EHR) systems, such as lack of security, data breaches, and interoperability problems. The authors aim to address these issues by developing a blockchain-based system to securely store and share patient medical records and enable online doctor appointments and information exchange. The system would include modules for patients, doctors, and hospitals to digitally manage healthcare records and transactions in a tamper-proof manner using blockchain and smart contracts.
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Volume 7, Issue 7, July – 2022 International Journal of Innovative Science and Research Technology

ISSN No:-2456-2165

Healthcare Management System


using Blockchain Technology
Vaishali Gaidhane
Professor,
Dept. of Computer Engineering,
Datta Meghe College of Engineering,
Airoli ,Navi Mumbai,India.

Ankur Yadav, Sujeetkumar Singh, Uditnarayan Yadav


Bachelor of Engineering
Dept. of Computer Engineering,
Datta Meghe College of Engineering
Airoli ,Navi Mumbai, India.

Abstract:- Blockchain technology has many application The EHR system also faces some other problems which
now the time. Different ideas are rising of how to use the are as follows:
blockchain technology in different fields and domains. It
provided benefits in several fields like healthcare sector, Interoperability: It is the way of exchanging information
cryptocurrency, etc. Due to its features of data tampering in different system. The exchange of information should be
proof, difficult to modify it, it is used to prevent the data improved for further use of information in efficient manner.
breaches and unwanted data modifications in every fields. An important aspect of EHR systems is its Health Information
Electronic Health Record (EHR) system now the time use Exchange (HIE) or in general data sharing aspect. With the
in many hospital but even then there is observed that data increasing number of EHR systems, various terminologies are
breaches is happening in the patient data and it is not good used for same things. So, it may create confusion because it is
for the reputation of the hospital. So, we are trying to make not standard way. The terminologies used in the system should
the system using blockchain technology for hospitals so be understandable to all.
that they can manage the data of patients efficiently with
responsibility. It brings security and consistency in the Data Breaches: In last few years, data breaches in
data. healthcare sector became too much common. A study was
done on data breaches and it is found that it happened in large
Keywords:- Blockchain Technology, healthcare sector, scale. Another study explains that hospitals have become an
Electronic Health Record, security, consistency; easy target of cyber attacks. So, there is a need of secured
system which can be possible with the use of blockchain
I. INTRODUCTION technology.

Now the time technology are advancing with high rate, Moreover, many EHR systems are designed for hospitals
and it is used in every field. With every new technology, new to fulfill the needs and requirements of the management of data
ideas and designs are rise for better life and better health. and help in other task. But due to poor security and unreliable
Electronic Health Record is such a system which is used to system, EHR system and other such system for hospital failed
bring ease in managing records and maintaining records in to fulfill its duty. These problems led it to find a platform that
hospital. But due to less security, it becomes vulnerable. Data may proved to be helpful in transforming healthcare sector to
and information related to doctor, patients and hospital can be be more secured and that technology is Blockchain. A
changed and modified. So, the system is appear to be platform which is secure, transparent and it also provides data
unsuccessful. But with the rise of blockchain technology, it integrity to the medical records of the patients. This paper
brings revolution and strong security service. So it is used in proposes a framework that creates such a platform that would
many fields. With the help of Blockchain technology, EHR store patient’s medical records and also help in other task in
system has become secure and tamper proof. hospital to be done such as appointment, consultation,
uploading reports, etc. We also intend to solve the scalability
Before the rise of these technologies, Healthcare sector problem of blockchain, as it is not in the design of blockchain
used paper based system to store the medical records but that to store huge volumes of data on it. So, we would use Inter
type of system was inefficient, insecure and unreliable because Planetary File System to store the file. Moreover, our proposed
many patients just don’t care about their report and lost the work is intending to solve the above mentioned
report. Whenever patient needs to meet doctor, he/she needs interoperability and data breaches problem faced by the EHR
to bring files which contain medical reports, prescriptions, x- system.
ray report, etc. So, paper work is proved to be tedious task.

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Volume 7, Issue 7, July – 2022 International Journal of Innovative Science and Research Technology
ISSN No:-2456-2165
II. LITERATURE SURVEY Cryptographic algorithms are required for encryption,
decryption and hashing of the data, so secured network can be
[A] In the paper entitled “Towards Using Blockchain created in blockchain. HTML and CSS are used for making
Technology for eHealth Data Access Management” the attractive templates and web pages. Smart contract is used for
authors have given the idea of using blockchain only for making the system trustworthy. It can run in blockchain
storing address or pointer of data. And IPFS should be used system, so it is used for doing transaction or exchange of data.
for storing the data.
IV. PROJECT DESIGN
[B] In the paper entitled “Health Record Management
through Blockchain Technology” the authors have suggested  Proposed System
to use smart contract in the blockchain for transaction for Existing Medical Health related systems uses a manual
solving the problem of trust issue. system for the management and maintenance of critical
information. But currently we have used Blockchain
[C] In the paper entitled “Health Information Exchange Technology to make the system more secure and tamper proof.
using Blockchain Technology” the authors have proposed a For that we have proposed a Healthcare Management System
Health Information Exchange System which contains effective Using Blockchain Technology, which will enable users to
and usable project modules with entities like doctor, patient, securely store, access and share their digital medical records
hospital, pharmacist, insurance company. with doctors. This system helps and guides to doctor,
specialists, patients how to interact online, make the
[D] In the paper entitled, “Blockchain Technology in appointments and exchange information.
Healthcare: A systematic Review” the authors suggested many
aspects like EMR, drug supply chain management, health
insurance claims and health data analytics.

[E] In the paper entitled, “Blockchain-based Electronic


Health Records Management A Comprehensive Review and
Future Research Direction” the authors suggested that
technologies like AI, Internet of Medical Things, Edge
Computing can be used in EHR with Blockchain Technology.

III. REQUIREMENT ANALYSIS

In this project, website would be designed for Healthcare


system management for helping hospital to do its task. Here, Fig 1:- Usecase Diagram
website should be secured and data tampered proof which can
be achieved with the help of Blockchain Technology. Medical There are three modules in the system as given.
records would be digitalized and the system would become
data tampered proof, so that it become secure and system can A. Patient module: In the patient module, users can registered
be used efficiently. the new patient, and perform related task to their medical
problems. Patients can interact with the specialist doctors
There are some applications are designed for storing for their better prescription and their medical records
medical records digitally, such as medrec is also one of these digitally. This module is further divided as
application used for storing medical data digitally. 1. Patient Registration: Patient needs to register in the
system.
Blockchain is a good solution for providing security and 2. Patient Login: Registered patient can login in the system.
preventing data breaches and data tampering. But storing all 3. View Reports: Patient can view and download report
system data in every node connected in the network would be uploaded by doctor.
inefficient and leads to memory wastes. So, IPFS is used 4. Doctors List: Patient can select any doctor from the doctor
which is peer to peer network protocol for storing data in list.
distributed file system. Some platform is needed for testing the 5. Take an Appointment : Patient needs to take appointment.
blockchain network, and for that Ganache application is used. 6. View Prescription Details: Patient can see the prescribed
Html, Sass, typescript are used for designing the front-end of medicine and dosage on website.
website with effective template. Django framework is used for
designing backend as proxy server. As Django is used, so
python is used here.

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Volume 7, Issue 7, July – 2022 International Journal of Innovative Science and Research Technology
ISSN No:-2456-2165
Smart Contract: Smart contract is the code that run on the
blockchain. This piece of code is executed when transactions
are happened. Solidity is used for programming smart
contract. And after compiling them it could be executed and
deployed on the [Link] programming language of
JavaScript and Python are encapsulated with the Solidity
language provided by Ethereum to write code in smart
contracts.

IPFS : IPFS is a protocol that uses peer-to-peer network


for data storage. Files stored on IPFS have a unique
cryptographic hash. Duplicate files are not present on the IPFS
Fig 2:- View record Network. A node on the network stores content and index
information of the node.
B. Doctor module: In this module, doctors have the access to
interact with the patients and give medication to the  Platform for Implementation:
patients. This module is also further divided as 1. Ganache: Ganache is a blockchain scalability platform
1. Doctor Login: Added doctor can login in the system. which provides secure, scalable and instant transactions.
2. View Patients: Doctor can see the patient’s details who 2. IPFS: Inter Planetary File System (IPFS) is a file sharing
take the appointment. system that can be Leveraged to more efficiently store and
3. Upload Reports: After consultation, doctor can upload the share large files. It is a protocol and peer to peer network
report in the system. for storing and sharing data in a Distributed file system.
4. Provide Medication for Patients: Doctor can give 3. Visual Studio Code: VS Code is a freeware source-code
prescribed medicines with dose information. editor made by Microsoft for Windows, Linux and mac
OS.
4. Metamask: Metamask is an extension for accessing
Ethereum enabled distributed applications.

VI. TECHNOLOGIES USED

 Front-end : Angular cli Framework


Programming Languages: Html, sass, css
 Back-end : Django Framework
Programming Language: Python
 Test Blockchain : Ganache
Fig 3:- Upload file  Metamask used as a wallet.
 Storage: Interplanetary File System(IPFS)
C. Admin module: Admin can add doctors and patients.  Software Used :- Microsoft Visual Studio Code
Admin also have access to manage the system website.  O.S. Used:- Windows OS 10(64 bit)
This module also, have different sub-modules.
 Hardware Used :- Intel Core Processor, 8 GB
1. Admin Login: Admin can login in the system.
RAM, Integrated Graphics, LAN
2. Add doctor: Only admin can add the doctor in the system.
3. Manage Website: Admin can manage the website
VII. RESULTS
according to their needs.

V. IMPLEMENTATION

In this project, we propose a Health Information System


Using Blockchain Technology, which will help hospital to
manage and use patient’s data efficiently and securely.

The step wise implementation is given below:


1. Hospital admin add the doctor in the system. Patient can
register itself.
2. Patient needs to take appointment first.
3. Then Doctor can view the patient’s record at the time of
consultation
4. Doctor can upload medical and x-ray reports in the system.
Doctor can give prescription.
5. After that, patient can view and download the report. Fig 4:- Dashboard

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Volume 7, Issue 7, July – 2022 International Journal of Innovative Science and Research Technology
ISSN No:-2456-2165
REFERENCES

[1]. Nabil Rifi, Elie Rachkidi, Nazim Agoulmine, Nada


Taher “Towards Using Blockchain Technology for
eHealth Data Access Management”.
[2]. V M Harshini, Shreevani Danai, H R Usha, Maujunath R
Kounte. “Health Record Management through
Blockchain Technology”.
[3]. A. Murugan, Tushar Chechare, B. Muruganantham, S.
Ganesh Kumar. “Health Information Exchange using
Blockchain Technology”.
[4]. Cornelius C. Agbo, Qusay H. Mahmoud, J. Mikael
Eklund. “Blockchain Technology in Healthcare: A
systematic Review”.
[5]. Mamun Abdullah Al, Azam Sami, Gritti Clementine
Fig 5:- Appointment detail “Blockchain-based Electronic Health Records
Management A Comprehensive Review and Future
Research Direction”.
[6]. Sandipan Saha, Asha Majumder, Tanmay Bhowmik,
Abhishek Basu, Amitava Choudhury. “A Healthcare
Data Management System on Blockchain Framework”

Fig 6:- View Patient Record

VIII. CONCLUSION AND FUTURE SCOPE

In this paper as we discussed above Blockchain


technology useful in digital healthcare sector for managing
medical records. Blockchain helps in decentralizing the data,
it also keep the data confidential and provide integrity. Also,
the system proposes measures to ensure the system tackles the
problem of data storage as it utilizes the mechanism of IPFS.
This system provides patient-driven interoperability where
patients provide the on-demand access to their health records
and also they can take prescription from the specialist doctors
digitally in this system.

For the future, we can also implement Blockchain


technology in various sectors such as utility payments,
Banking, e-voting etc. In future, we plan to fulfilment the
payment option in the present framework. For this we need to
have some consideration as how much a patient would pay for
consulting services. In future, we will also plan to add supply
chain management to the system using which only genuine
medicines can reach the patient. Further research can help
implementation of blockchain in all domains making lives
easier.

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Common questions

Powered by AI

Smart contracts in the proposed blockchain-based healthcare management system facilitate trust and automate processes by executing code that automatically enforces transaction terms when predefined conditions are met . This eliminates the need for intermediaries, reducing overhead costs and enhancing transparency in data exchanges between patients, doctors, and healthcare organizations . The use of smart contracts ensures that all actions are logged and verifiable, bolstering trust in the system .

Blockchain technology enhances security in EHR systems by providing a tamper-proof and immutable ledger for storing records. This ensures that data cannot be altered retrospectively without detection, thus reducing the risk of unauthorized data modifications and breaches . Additionally, the decentralized nature of blockchain means that no single point of failure exists, increasing resilience against cyberattacks . The use of cryptographic hashing further secures the data, ensuring confidentiality and integrity .

The document proposes using the Inter Planetary File System (IPFS) to address scalability challenges associated with blockchain in healthcare . IPFS, being a distributed file system, allows large volumes of medical records to be stored off-chain, relieving the blockchain from being overwhelmed with data . This scalability solution is complemented by the use of smart contracts to manage efficient data transactions and interactions, further improving the system's capacity to handle extensive healthcare datasets .

The document outlines several methodologies to enhance security in the healthcare management system, including the use of cryptographic algorithms for data encryption, decryption, and hashing, ensuring secure data exchanges over the blockchain . Additionally, the decentralized nature of blockchain technology eliminates a single point of failure, reducing susceptibility to cyberattacks . Smart contracts further secure interactions by automating and verifying transactions on the blockchain .

Emerging technologies such as AI and the Internet of Medical Things (IoMT) enhance EHR systems when integrated with blockchain by providing advanced data analytics and real-time monitoring capabilities . AI leverages blockchain's secure and immutable data to deliver insights and predictive analytics, potentially improving patient outcomes. IoMT facilitates continuous health monitoring, feeding reliable data into EHR systems securely managed by blockchain, ensuring data integrity and availability .

The proposed healthcare system can improve data sharing between different healthcare entities by creating a unified, secure platform that allows seamless data exchange while maintaining patient privacy . Blockchain technology ensures that all data transactions are transparent and verifiable, which builds trust among healthcare entities. Interoperability is enhanced through standardized data formats and secure access controls, allowing healthcare providers, pharmacists, and insurers to collaborate effectively on patient care .

The integration of blockchain technology addresses several challenges in the healthcare sector, including data breaches, which have become increasingly common due to poor security in traditional systems . It also tackles interoperability issues by providing a standardized and secure means of data exchange, reducing confusion caused by varied terminologies in EHR systems . Moreover, the use of blockchain helps in managing large volumes of data efficiently, leveraging technologies like IPFS for distributed storage .

The proposed healthcare management system ensures patient-driven interoperability by enabling patients to control access to their health records, granting them on-demand permission to healthcare providers . This approach contrasts with traditional systems where data is often siloed and access is controlled by healthcare institutions. The system also allows patients to interact with specialists digitally, improving engagement and consultation efficiency .

Using IPFS alongside blockchain for healthcare data storage offers benefits such as efficient management of large data volumes without overburdening the blockchain's capacity . IPFS provides a distributed peer-to-peer network that ensures data redundancy and fault tolerance, thereby enhancing data availability and reliability. This integration reduces memory waste and leverages cryptographic hashes to ensure data integrity, allowing only unique, non-duplicate files in the network .

Beyond healthcare, blockchain technology might transform future sectors such as utility payments, banking, and e-voting by providing decentralized and secure infrastructure . It offers transparency, efficiency, and trust that can streamline processes and reduce fraud in these sectors. For utility payments, blockchain ensures accurate and time-stamped transactions, whereas in banking, it can facilitate faster cross-border payments. E-voting systems might leverage blockchain to ensure tamper-proof elections, enhancing democratic processes .

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