Evidence map›Paper›PMID 35684652›Full record

SynthesisSensors (Basel, Switzerland)2022

Addressing the Challenges of Electronic Health Records Using Blockchain and IPFS.

Iris Cathrina Abacan Pilares, Sami Azam, Serkan Akbulut, Mirjam Jonkman, Bharanidharan Shanmugam

Abstract readSystematic Review
In one paragraph

Synthesis in Sensors (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Article
  6. BioChainReward: A Secure and Incentivised Blockchain Framework for Biomedical Data Sharing.International journal of environmental research and public health · 2023
    Article
  7. 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

5 authors.

Iris Cathrina Abacan PilaresCollege of Engineering, IT & Environment, Charles Darwin University, Ellengowan Drive, Casuarina, NT 0810, Australia.
Sami AzamCollege of Engineering, IT & Environment, Charles Darwin University, Ellengowan Drive, Casuarina, NT 0810, Australia.ORCID 0000-0001-7572-9750
Serkan AkbulutCollege of Engineering, IT & Environment, Charles Darwin University, Ellengowan Drive, Casuarina, NT 0810, Australia.
Mirjam JonkmanCollege of Engineering, IT & Environment, Charles Darwin University, Ellengowan Drive, Casuarina, NT 0810, Australia.
Bharanidharan ShanmugamCollege of Engineering, IT & Environment, Charles Darwin University, Ellengowan Drive, Casuarina, NT 0810, Australia.ORCID 0000-0002-2591-1949

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Electronic Health Records (EHR) are the healthcare sector's core digital strategy meant to improve the quality of care provided to patients. Despite the benefits afforded by this digital transformation initiative, adoption among healthcare organizations has been slower than desired. The sheer volume and sensitive nature of patient records compel these organizations to exercise a healthy amount of caution in implementing EHR. Cyberattacks have also increased the risks associated with non-optimal EHR implementations. An influx of high-profile data breaches has plagued the sector during the COVID-19 pandemic, which put the spotlight on EHR cybersecurity. One objective of this research project is to aid the acceleration of EHR adoption. Another objective is to ensure the robustness of the system to resist malicious attacks. For the former, a systematic review was used to unearth all the possible causes why the adoption of EHR has been anemic. In this paper, sixty-five existing proposed EHR solutions were analyzed and it was found that there are fourteen major challenges that need to be addressed to reduce friction and risk for health organizations. These were privacy, security, confidentiality, interoperability, access control, scalability, authentication, accessibility, availability, data storage, data ownership, data validity, data integrity, and ease of use. We propose EHRChain, a new framework that tackles all the listed challenges simultaneously to address the first objective while also being designed to achieve the second objective. It is enabled by dual-blockchains based on Hyperledger Sawtooth to allow patient data decentralization via a consortium blockchain and IPFS for distributed data storage.

Indexed as

BlockchainCOVID-19Computer SecurityElectronic Health RecordsHumansPandemicsblockchaincryptographydistributed file systemelectronic health recordprivacysecurity

Identifiers

PMID35684652
PMCPMC9183171

What OpenQuestion holds

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LicenceCC BY
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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.