ArticleBlockchain in healthcare today2019
DMMS: A Decentralized Blockchain Ledger for the Management of Medication Histories.
Article in Blockchain in healthcare today, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Applications of Blockchain in the Medical Field: Narrative Review.Journal of medical Internet research · 2021Pooled it
- Measurement of Completeness and Timeliness of Linked Electronic Health Record Pharmacy Data for Early Detection of Nonadherence to Breast Cancer Adjuvant Endocrine Therapy.JCO clinical cancer informatics · 2024Article
- Blockchain technology applications in the health domain: a multivocal literature review.The Journal of supercomputing · 2023Article
- Patients', pharmacists', and prescribers' attitude toward using blockchain and machine learning in a proposed ePrescription system: online survey.JAMIA open · 2022Article
- Potential Uses of Blockchain Technology for Outcomes Research on Opioids.JMIR medical informatics · 2021Article
- Digital Health in Physicians' and Pharmacists' Office: A Comparative Study of e-Prescription Systems' Architecture and Digital Security in Eight Countries.Omics : a journal of integrative biology · 2021Review
- ACTION-EHR: Patient-Centric Blockchain-Based Electronic Health Record Data Management for Cancer Care.Journal of medical Internet research · 2020Article
- Leveraging blockchain for immutable logging and querying across multiple sites.BMC medical genomics · 2020Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundAccess to accurate and complete medication histories across healthcare institutions enables effective patient care. Histories across healthcare institutions currently rely on centralized systems for sharing medication data. However, there is a lack of efficient mechanisms to ensure that medication histories transferred from one institution to another are accurate, secure, and trustworthy.
methodsIn this article, we introduce a decentralized medication management system (DMMS) that leverages the advantages of blockchain to manage medication histories. DMMS is realized as a decentralized network under the hyperledger fabric framework. Based on the network, we designed an architecture, within which each prescriber can create prescriptions for each patient and perform queries about historical prescriptions accordingly. finally, we analyzed the advantages of DMMS over centralized systems in terms of accuracy, security, trustworthiness, and privacy.
resultsWe developed a proof of concept to showcase DMMS. In this system, a prescriber prescribes medications for a patient and then encrypts the prescriptions via the patient's public keys. Patients can query their own prescriptions from different histories across healthcare institutions and then decrypt the prescriptions via their private keys. At the same time, a prescriber can query a patient's prescription records across healthcare institutions after approval from the patient. Analytic results show that DMMS can improve security, trustworthiness, and privacy in medication history sharing and exchanging across healthcare institutions. In addition, we discuss the potential for DMMS in e-prescribing markets.
conclusionsThis study shows that a distributed secure ledger can enable reliable, interoperable, and accurate medication history sharing.
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