Evidence map›Paper›PMID 35377316›Full record

ArticleJMIR public health and surveillance2022

Design of a Vaccine Passport Validation System Using Blockchain-based Architecture: Development Study.

Hsiu An Lee, Wei-Chen Wu, Hsin-Hua Kung, Jai Ganesh Udayasankaran, Yu-Chih Wei, Boonchai Kijsanayotin, Alvin B Marcelo, Chien-Yeh Hsu

Open access · goldAbstract read
In one paragraph

Article in JMIR public health and surveillance, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 7 institutions in 4 countries.

Hsiu An LeeNational Institute of Cancer Research, National Health Research Institutes, Tainan, Taiwan.ORCID 0000-0003-1178-1626
Wei-Chen WuDepartment and Graduate Institute of Finance, National Taipei University of Business, Taipei, Taiwan.ORCID 0000-0002-2419-6453
Hsin-Hua KungNational Institute of Cancer Research, National Health Research Institutes, Tainan, Taiwan.ORCID 0000-0002-7845-0445
Jai Ganesh UdayasankaranStandard and Interoperability Lab, Smart Healthcare Center of Excellent Taiwan, Taipei, Taiwan.ORCID 0000-0001-6117-1944
Yu-Chih WeiDepartment of Information and Finance Management, National Taipei University of Technology, Taipei, Taiwan.ORCID 0000-0001-9467-3879
Boonchai KijsanayotinStandard and Interoperability Lab, Smart Healthcare Center of Excellent Taiwan, Taipei, Taiwan.ORCID 0000-0001-8932-1086
Alvin B MarceloStandard and Interoperability Lab, Smart Healthcare Center of Excellent Taiwan, Taipei, Taiwan.ORCID 0000-0001-6250-9169
Chien-Yeh HsuStandard and Interoperability Lab, Smart Healthcare Center of Excellent Taiwan, Taipei, Taiwan.ORCID 0000-0001-8233-6461
National Health Research Institutes · TWMinistry of Public Health · THNational Taipei University of Business · TWNational Taipei University of Nursing and Health Science · TWNational Taipei University of Technology · TWNutrition Center of the Philippines · PHSri Sathya Sai Institute of Higher Learning · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOVID-19 is an ongoing global pandemic caused by SARS-CoV-2. As of June 2021, 5 emergency vaccines were available for COVID-19 prevention, and with the improvement of vaccination rates and the resumption of activities in each country, verification of vaccination has become an important issue. Currently, in most areas, vaccination and reverse transcription polymerase chain reaction (RT-PCR) test results are certified and validated on paper. This leads to the problem of counterfeit documents. Therefore, a global vaccination record is needed.

objectiveThe main objective of this study is to design a vaccine passport (VP) validation system based on a general blockchain architecture for international use in a simulated environment. With decentralized characteristics, the system is expected to have the advantages of low cost, high interoperability, effectiveness, security, and verifiability through blockchain architecture.

methodsThe blockchain decentralized mechanism was used to build an open and anticounterfeiting information platform for VPs. The contents of a vaccination card are recorded according to international Fast Healthcare Interoperability Resource (FHIR) standards, and blockchain smart contracts (SCs) are used for authorization and authentication to achieve hierarchical management of various international hospitals and people receiving injections. The blockchain stores an encrypted vaccination path managed by the user who manages the private key. The blockchain uses the proof-of-authority (PoA) public chain and can access all information through the specified chain. This will achieve the goal of keeping development costs low and streamlining vaccine transit management so that countries in different economies can use them.

resultsThe openness of the blockchain helps to create transparency and data accuracy. This blockchain architecture contains a total of 3 entities. All approvals are published on Open Ledger. Smart certificates enable authorization and authentication, and encryption and decryption mechanisms guarantee data protection. This proof of concept demonstrates the design of blockchain architecture, which can achieve accurate global VP verification at an affordable price. In this study, an actual VP case was established and demonstrated. An open blockchain, an individually approved certification mechanism, and an international standard vaccination record were introduced.

conclusionsBlockchain architecture can be used to build a viable international VP authentication process with the advantages of low cost, high interoperability, effectiveness, security, and verifiability.

Indexed as

BlockchainCOVID-19VaccinesComputer SecurityHumansSARS-CoV-2VaccinesblockchaincertificationCOVID-19Fast Healthcare Interoperability Resourceglobal border controlhealth policyinternational infectious disease strategypolicyprivacysecuritystrategytestingvaccinevaccine passportverification

Identifiers

PMID35377316
PMCPMC9045485
OpenAlexW4224950072

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.