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A hyperledger fabric-based EMR sharing mechanisms with proxy re-encryption and IPFS

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Abstract

With the advent of the information age, data storage has not only developed from paper information systems to electronic information system storage, but has also extended to cloud database storage methods. To date, we can see the application of big data and cloud in various fields and levels, making induction, arrangement, transmission, and exchange of data easier and faster. The electronic and systematisation of patient medical records in the medical environment is an example. The use of electronic medical records can help improve the quality of medical care, reduce duplication of treatment, and reduce the waste of examination resources. It has many advantages, but also many risks. Medical institutions may abuse electronic medical data without the consent of patients, leading to the leakage of patient privacy data and causing serious social impact. Therefore, this study proposes a medical record exchange and sharing mechanism based on the Hyperledger blockchain architecture combined with proxy reencryption. When pharmacists need to obtain medical records for related research, patients can decide whether to share medical records, and hospitals can also revoke pharmacist access rights at any time to achieve more private, secure, and convenient sharing of medical records. The proposed scheme meets various blockchain security requirements and the BAN (Burrows–Abadi–Needham) logic proof model (Burrows–Abadi–Needham) is applied to assess the correctness of the proposed scheme. The proposed scheme performs well in terms of computational and communication costs.

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Data availability

Data used to support the findings of this study are available from the corresponding author upon request.

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Funding

This work was supported in part by the National Science and Technology Council of Taiwan, 0 under contract NSTC 112-2410-H-324-001-MY2.

Author information

Authors and Affiliations

  1. Department of Computer Science and Engineering, National Chung-Hsing University, Taichung, 402, Taiwan, ROC

    Der-Chen Huang & Ling-Chun Liu

  2. School of Information Engineering, Changchun Sci-Tech University, Changchun, 130600, Jilin, China

    Chin-Ling Chen

  3. Department of Computer Science and Information Engineering, Chaoyang University of Technology, Taichung, 41349, Taiwan, ROC

    Yong-Yuan Deng, Chin-Ling Chen & Kuang-Wei Zeng

Authors
  1. Der-Chen Huang
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Contributions

The authors’ contributions are summarised below. Ling-Chun Liu, Chin-Ling Chen and Yung-Yuan Deng have made substantial contributions to the conception and design, who participated in the draughting of the manuscript. Ling-Chun Liu and Der-Chen Huang have acquired data and analysed and interpretation of data. The critically important intellectual content of this manuscript have been revised by Der-Chen Huang, Chin-Ling Chen and Kuang-Wei Zeng. All authors read and approved the final manuscript.

Corresponding authors

Correspondence to Yong-Yuan Deng or Chin-Ling Chen.

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This study is based 0 on theoretical basic research. It does not involve humans.

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This study is based 0 on theoretical basic research. It does not involve humans.

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Appendix

Appendix

AP: Access Party.

BAN Logic: Burrows–Abadi–Needham Logic.

BCC: Blockchain Center.

CA: Certificate Authority.

COVID-19: Coronavirus Disease 2019.

DSA: Digital Signature Algorithm.

ECC: Elliptic Curve Cryptography.

ECDSA: Elliptic Curve Digital Signature Algorithm.

EMR: Electronic Medical Record.

HP: Hospital.

IoT: Internet of Things.

MC: Medical Cloud.

PC: Pharmacist.

PT: Patient.

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Huang, DC., Liu, LC., Deng, YY. et al. A hyperledger fabric-based EMR sharing mechanisms with proxy re-encryption and IPFS. Cluster Comput (2024). https://doi.org/10.1007/s10586-024-04286-w

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