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BPDS: A Blockchain based Privacy-Preserving Data Sharing for Electronic Medical Records (1811.03223v1)

Published 8 Nov 2018 in cs.CR

Abstract: Electronic medical record (EMR) is a crucial form of healthcare data, currently drawing a lot of attention. Sharing health data is considered to be a critical approach to improve the quality of healthcare service and reduce medical costs. However, EMRs are fragmented across decentralized hospitals, which hinders data sharing and puts patients' privacy at risks. To address these issues, we propose a blockchain based privacy-preserving data sharing for EMRs, called BPDS. In BPDS, the original EMRs are stored securely in the cloud and the indexes are reserved in a tamper-proof consortium blockchain. By this means, the risk of the medical data leakage could be greatly reduced, and at the same time, the indexes in blockchain ensure that the EMRs can not be modified arbitrarily. Secure data sharing can be accomplished automatically according to the predefined access permissions of patients through the smart contracts of blockchain. Besides, the joint-design of the CP-ABE-based access control mechanism and the content extraction signature scheme provides strong privacy preservation in data sharing. Security analysis shows that BPDS is a secure and effective way to realize data sharing for EMRs.

Citations (178)

Summary

  • The paper introduces BPDS, a layered blockchain framework leveraging a consortium blockchain and cloud storage for secure and private sharing of Electronic Medical Records.
  • Key security mechanisms in BPDS include smart contracts for automated access control, Content Extraction Signature (CES) for partial data sharing, and an improved DPoS consensus protocol.
  • BPDS aims to achieve tamper-proof data integrity, enhanced patient privacy through selective disclosure, and improved efficiency and interoperability in healthcare data management.

Blockchain-Based Privacy-Preserving Data Sharing for Electronic Medical Records: BPDS Review

The paper "BPDS: A Blockchain Based Privacy-Preserving Data Sharing for Electronic Medical Records" introduces a novel framework aimed at addressing the crucial challenge of secure and efficient sharing of electronic medical records (EMRs) across decentralized healthcare systems. The primary proposition involves leveraging blockchain technology to facilitate a tamper-proof, decentralized data sharing platform, thereby enhancing privacy and security while maintaining accessibility and interoperability.

The authors propose a system architecture consisting of three key layers: data acquirement, data storage, and data sharing. This layered approach is engineered to efficiently handle sensitive medical data, ensuring its secure acquisition, storage, and eventual sharing with authorized users or institutions. At the core of this architecture lies the integration of a consortium blockchain network utilized to store EMR indexes, paired with cloud storage for the actual medical data. Such an arrangement helps mitigate risks associated with data leakage and single-point-of-failure vulnerabilities inherent in traditional centralized systems.

A noteworthy aspect of BPDS is the deployment of smart contracts, which serve as automated and autonomous mediators dictating predefined access permissions for patient data. This eliminates the need for intermediaries and ensures compliance with access control policies. Furthermore, the authors enhance security through a Content Extraction Signature (CES) mechanism, enabling patients to selectively share data portions without revealing sensitive information, thus promoting strong privacy preservation.

Security and privacy are central facets in the paper, addressed through various mechanisms such as CP-ABE-based access controls, anonymized user interactions via unique key-pair accounts, and improved Delegated Proof of Stake (DPoS) consensus protocols. These adaptations suggest the system’s robustness against unauthorized modifications, ensuring data integrity and anonymity in a healthcare context.

The security analysis section of the paper underscores several key attributes of BPDS, such as its tamper-proof mechanisms resulting from blockchain hashing, the privacy aspects encompassed by CES, and the robust consensus process via improved DPoS that enhances trust in consortium blockchain operations. The capabilities of BPDS to maintain the privacy of EMRs and ensure secure data transactions pave the way for potentially transformative implementations across healthcare data management systems.

Practically and theoretically, the implications of BPDS are profound. The consortium blockchain's decentralized nature aligns well with the interoperability needs of disparate healthcare entities, while the seamless execution of smart contracts fortifies data transactions against unauthorized access and promotes data sharing efficiency. Future advancements could involve addressing scalability concerns and exploring further integration possibilities with emerging technologies such as IoT and advanced AI algorithms to strengthen data analytics and patient care outcomes.

In summary, the BPDS framework represents a considerable leap in achieving secure, efficient, and privacy-preserving sharing of EMRs through blockchain technology, challenging the traditional paradigms of data management in healthcare institutions.