Securing Patient-Centric Personal Health Records Sharing System in Cloud Computing

Personal health record （PHR） enables patients to manage their own electronic medical records （EMR） in a centralized way, and it is oRen outsourced to be stored in a third-party server. In this paper we propose a novel secure and scalable system for sharing PHRs. We focus on the multiple data owner scenario, and divide the users in the system into multiple security domains that greatly reduce the key management complexity for owners and users. A high degree of patient privacy is guaranteed by exploiting hierarchical and multi- authority attribute-sets based encryption （HM- ASBE）. Our system not only supports compound attributes due to flexible attribute sets combinations, but also achieves fine-grained access control. Our scheme supports efficient on-demand user/attribute revocation and break-glass access under emergency scenarios.

Fog-Based Secure Framework for Personal Health Records Systems

The rapid development of personal health records(PHR)systems enables an individual to collect,create,store and share his PHR to authorized entities.Health care systems within the smart city environment require a patient to share his PRH data with a multitude of institutions’repositories located in the cloud.The cloud computing paradigm cannot meet such a massive transformative healthcare systems due to drawbacks including network latency,scalability and bandwidth.Fog computing relieves the load of conventional cloud computing by availing intermediate fog nodes between the end users and the remote servers.Assuming a massive demand of PHR data within a ubiquitous smart city,we propose a secure and fog assisted framework for PHR systems to address security,access control and privacy concerns.Built under a fog-based architecture,the proposed framework makes use of efficient key exchange protocol coupled with ciphertext attribute based encryption(CP-ABE)to guarantee confidentiality and fine-grained access control within the system respectively.We also make use of digital signature combined with CP-ABE to ensure the system authentication and users privacy.We provide the analysis of the proposed framework in terms of security and performance.

An Efficient Blockchain-Based Healthcare System Using Artificial Intelligence

Personal health records and electronic health records are considered as the most sensitive information in the healthcare domain.Several solutions have been provided for implementing the digital health system using blockchain,but there are several challenges,such as secure access control and privacy is one of the prominent issues.Hence,we propose a novel framework and implemented an attribute-based access control system using blockchain.Moreover,we have also integrated artificial intelligence(AI)based approach to identify the behavior and activity for security reasons.The current methods only focus on the related clinical records received from a medical diagnosis.Moreover,existing methods are too inflexible to resourcefully sustenance metadata changes.A secure patient data access framework is proposed in this research,integrating blockchain,trust chain,and blockchain methods to overcome these problems in the literature for sharing and accessing digital healthcare data.We have used a neural network and classifier to categorize the user access to our proposed system.Our proposed scheme provides an intelligent and secure blockchain-based access control system in the digital healthcare system.Experimental results surpass the existing solutions by collecting attributes such as the number of transactions,number of nodes,transaction delay,block creation,and signature verification time.

BC-PC-Share:Blockchain-Based Patient-Centric Data Sharing Scheme for PHRs in Cloud Computing

Sharing of personal health records(PHR)in cloud computing is an essential functionality in the healthcare system.However,how to securely,efficiently and flexibly share PHRs data of the patient in a multi-receiver setting has not been well addressed.For instance,since the trust domain of the cloud server is not identical to the data owner or data user,the semi-trust cloud service provider may intentionally destroy or tamper shared PHRs data of user or only transform partial ciphertext of the shared PHRs or even return wrong computation results to save its storage and computation resource,to pursue maximum economic interest or other malicious purposes.Thus,the PHRs data storing or sharing via the cloud server should be performed with consistency and integrity verification.Fortunately,the emergence of blockchain technology provides new ideas and prospects for ensuring the consistency and integrity of shared PHRs data.To this end,in this work,we leverage the consortiumblockchain technology to enhance the trustworthiness of each participant and propose a blockchain-based patient-centric data sharing scheme for PHRs in cloud computing(BC-PC-Share).Different from the state-of-art schemes,our proposal can achieve the following desired properties:(1)Realizing patient-centric PHRs sharing with a public verification function,i.e.,which can ensure that the returned shared data is consistent with the requested shared data and the integrity of the shared data is not compromised.(2)Supporting scalable and fine-grained access control and sharing of PHRs data with multiple domain users,such as hospitals,medical research institutes,and medical insurance companies.(3)Achieving efficient user decryption by leveraging the transformation key technique and efficient user revocation by introducing time-controlled access.The security analysis and simulation experiment demonstrate that the proposed BC-PC-Share scheme is a feasible and promising solution for PHRs data sharing via consortium blockchain.

Effect on Patient Safety of Brief Interventions Performed by Pharmacists via Drug Profile Books: VISualization of Treatment Assist by pharmacists (VISTA) Project in Japan

In Japanese pharmacies, Drug Profile Books (DPBs), which are a type of Personal Health Record (PHR), are incorporated in order to prevent duplicate medication and drug interactions in outpatients (patients) through the uniform management of drug administration information. In this study, we tried to clarify the effect on patient safety of brief interventions via DPBs by pharmacists. The study design was a randomized controlled trial on pharmacies as clusters. 65 pharmacies agreed to participate in the study (intervention group (IG): 33;control group (CG): 32). The primary outcomes were: rate of inquiry occurrence, rate of prescription change, and rates of duplicate medications & drug interactions. 56 pharmacies (IG: 29;CG: 27) completed the study. There was a higher tendency for prescription changes in the IG compared to the CG (IG: 0.03%;CG: 0.02%;P = 0.08). In addition, the rate of duplicate medications & drug interactions accounting for the inquiries was significantly higher in the IG than in the CG (IG: 89.2%;CG: 71.9%;P = 0.01). This implied that brief interventions by pharmacists using DPBs had an effect in raising patient safety.