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Medical Data Management on Blockchain with Privacy

Tian, Haibo, He, Jiejie, Ding, Yong·2019·Journal of Medical Systems

DOI 10.1007/s10916-018-1144-x

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Abstract

Medical data are important in diagnosis, treatment, recovery, and medical accident investigation. The integrity and availability of medical data are the basic guarantee for the smooth operation of these activities. The privacy of medical data is a natural demand from the sensitivity of medical data. At present, there are mainly two ways to protect the privacy of medical data. One way is to store medical data in a local database and set up an access control strategy of the database. The other way is to encrypt medical data with the patient's key and to share the key when needed. The problem with the first method is that the data in the local database may be modified or deleted. The problem with the second method is that the key cannot be shared when the patient dies during the diagnosis and treatment. These two problems will damage the availability of data. This paper proposes to establish a shared key that could be reconstructed by the legitimate parties before the process of diagnosis and treatment begins. The data in the diagnosis and treatment process is encrypted and stored in a blockchain using the shared key. The proposal meets the integrity, availability and privacy requirements of medical data. It uses the sibling intractable function families (SIFF) to establish a shared key, and uses the Hyperledger Fabric to store encrypted data. The simulation shows that the system has good efficiency. Additionally, it is the first time to introduce SIFF to a blockchain application.

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Authors: Tian, H., He, J., & Ding, Y.
Affiliations: Sun Yat-sen University (CN)
Guilin University of Electronic Technology (CN)
Corresponding author: Tian, Haibo
ORCID: Tian, Haibo
Ding, Yong
Venue: Journal of Medical Systems
Publisher: Springer Science and Business Media LLC
Published: 2019-01-03
Volume: 43
Issue: 2
Pages: 26-26
ISSN: 0148-5598 (ISSN-L)
1573-689X
DOI: 10.1007/s10916-018-1144-x
OpenAlex: W2908026007
Cited by: 107
References: 7
Citations by year: 2026: 9 · 2025: 7 · 2024: 8 · 2023: 19 · 2022: 18 · 2021: 25 · 2020: 15 · 2019: 6
FWCI: 19.91
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (tdm)
Locations: Journal of Medical Systems (publishedVersion)
PubMed (publishedVersion)
Funders: National Key R&D Program of China (2017YFB0802500)
Natural Science Foundation of Guangdong Province (2015A030313133)
Guangxi Key Laboratory of Cryptography and Information Security (No.GCIS201711)
Fundamental Research Funds for the Central Universities (No.17lgjc45)
Topics: Physical Sciences › Computer Science › Information Systems › Blockchain Technology Applications and Security
Physical Sciences › Computer Science › Computer Networks and Communications › Cryptography and Data Security
Physical Sciences › Computer Science › Information Systems › Blockchain Technology in Education and Learning
Keywords: medical data privacy, blockchain, data integrity, data availability, Hyperledger Fabric, encrypted data storage, patient data access control, key management
MeSH terms: Confidentiality, Humans, Computer Security, Electronic Health Records, Health Information Exchange

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