A Validated Blockchain Model and Architecture  for Public Health System for Data Security

Erick Fernando; Yulius Denny  Prabowo; Winanti Winanti; David  Tjahjana; Monika Evelin  Johan

doi:10.29207/resti.v9i6.6934

Authors

Erick Fernando Universitas Multimedia Nusantara
Yulius Denny Prabowo Universitas Bina Nusantara
Winanti Universitas Insan Pembangunan
David Tjahjana Universitas Multimedia Nusantara
Monika Evelin Johan Universitas Multimedia Nusantara

DOI:

https://doi.org/10.29207/resti.v9i6.6934

Keywords:

architecture, blockchain, model, public health system, security system

Abstract

Blockchain has been identified as a technology that can be used in healthcare systems, especially in terms of data security, privacy, and interoperability. This article explores the application of blockchain in various medical processes ranging from patient registration, visit registration, initial examination, patient examination, diagnostic input, and drug preparation. This study was conducted at a healthcare facility that utilizes blockchain as a technology to manage patient data, medical records, and drug prescriptions. This study uses a combined approach between literature studies and qualitative methods using the Focus Group Discussion (FGD) technique for evaluates the impact of model blockchain. Model validation with domain experts in the health sector (doctors, nurses, administrators, IT experts, and pharmacists). The results research is a validated Model blockchain public health sector improves the security and privacy of patient data but also accelerates operational processes in the healthcare chain. This study concludes that blockchain can be a transformational solution for addressing major problems in the healthcare sector, although cross-sector collaboration is needed to ensure successful implementation.

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References

E. Fernando, M. Meyliana, H. L. H. S. Warnars, and E. Abdurachman, “Blockchain Technology Factor for Improve Good Distribution Practice in the Pharmaceutical Industry,” Int. J. Recent Technol. Eng., vol. 8, no. 6, pp. 2174–2180, Mar. 2020, doi: 10.35940/ijrte.F7181.038620.

E. Fernando, Meyliana, H. L. H. S. Warnars, and E. Abdurachman, “Blockchain technology for pharmaceutical drug distribution in Indonesia: A proposed model,” ICIC Express Lett., vol. 14, no. 2, pp. 113–120, 2020, doi: 10.24507/icicel.14.02.113.

S. Chenthara, H. Wang, K. Ahmed, F. Whittaker, and K. Ji, “A Blockchain based model for Curbing Doctors Shopping and Ensuring Provenance Management,” Proc. - 2020 Int. Conf. Netw. Netw. Appl. NaNA 2020, pp. 186–192, 2020, doi: 10.1109/NaNA51271.2020.00040.

P. Esmaeilzadeh, “Benefits and concerns associated with blockchain-based health information exchange (HIE): a qualitative study from physicians’ perspectives,” BMC Med. Inform. Decis. Mak., vol. 22, no. 1, pp. 1–18, 2022, doi: 10.1186/s12911-022-01815-8.

O. Gutiérrez, G. Romero, L. Pérez, A. Salazar, P. Wightman, and M. Charris, “Healthyblock: Blockchain-based it architecture for electronic medical records resilient to connectivity failures,” Int. J. Environ. Res. Public Health, vol. 17, no. 19, pp. 1–38, 2020, doi: 10.3390/ijerph17197132.

A. Arafa, H. A. Sheerah, and S. Alsalamah, “Emerging Digital Technologies in Healthcare with a Spotlight on Cybersecurity: A Narrative Review,” Inf., vol. 14, no. 12, pp. 1–15, 2023, doi: 10.3390/info14120640.

R. Qin, Y. Yuan, and F. Y. Wang, “A novel hybrid share reporting strategy for blockchain miners in PPLNS pools,” Decis. Support Syst., vol. 118, pp. 91–101, 2019, doi: 10.1016/j.dss.2019.01.006.

F. Kurugollu, S. H. Ahmed, R. Hussain, F. Ahmad, and C. A. Kerrache, “Vehicular sensor networks: Applications, advances and challenges,” Sensors (Switzerland), vol. 20, no. 13, pp. 1–4, 2020, doi: 10.3390/s20133686.

G. Capece and F. Lorenzi, “Blockchain and healthcare: Opportunities and prospects for the ehr,” Sustain., vol. 12, no. 22, pp. 1–17, 2020, doi: 10.3390/su12229693.

Y. Kostyuchenko and Q. Jiang, “Blockchain Applications to combat the global trade of falsified drugs,” IEEE Int. Conf. Data Min. Work. ICDMW, vol. 2020-Novem, pp. 890–894, 2020, doi: 10.1109/ICDMW51313.2020.00127.

A. Qodirov, “Blockchain technology for digitalization of the pharmaceutical sector of the Russian Federation,” E3S Web Conf., vol. 291, p. 02028, Jul. 2021, doi: 10.1051/e3sconf/202129102028.

A. A. Emmanuel et al., “A Hybrid Framework of Blockchain and IoT Technology in the Pharmaceutical Industry: A Comprehensive Study,” Mob. Inf. Syst., vol. 2023, 2023, doi: 10.1155/2023/3265310.

Y. Fernando, N. H. M. Rozuar, and F. Mergeresa, “The blockchain-enabled technology and carbon performance: Insights from early adopters,” Technol. Soc., vol. 64, 2021, doi: 10.1016/j.techsoc.2020.101507.

M. Wang, B. Wang, and A. Abareshi, “Blockchain technology and its role in enhancing supply chain integration capability and reducing carbon emission: A conceptual framework,” Sustain., vol. 12, no. 24, pp. 1–17, 2020, doi: 10.3390/su122410550.

M. Javaid, A. Haleem, R. Pratap Singh, S. Khan, and R. Suman, “Blockchain technology applications for Industry 4.0: A literature-based review,” Blockchain Res. Appl., vol. 2, no. 4, p. 100027, 2021, doi: 10.1016/j.bcra.2021.100027.

L. Franke, M. Schletz, and S. Salomo, “Designing a blockchain model for the paris agreement’s carbon market mechanism,” Sustain., vol. 12, no. 3, pp. 1–20, 2020, doi: 10.3390/su12031068.

P. Gazzola, E. Pavione, A. Barge, and F. Fassio, “Using the Transparency of Supply Chain Powered by Blockchain to Improve Sustainability Relationships with Stakeholders in the Food Sector: The Case Study of Lavazza,” Sustain., vol. 15, no. 10, 2023, doi: 10.3390/su15107884.

A. Khurshid, “Applying blockchain technology to address the crisis of trust during the COVID-19 pandemic,” JMIR Med. Informatics, vol. 8, no. 9, pp. 1–9, 2020, doi: 10.2196/20477.

G. K. Badhotiya, V. P. Sharma, S. Prakash, V. Kalluri, and R. Singh, “Investigation and assessment of blockchain technology adoption in the pharmaceutical supply chain,” Mater. Today Proc., vol. 46, no. xxxx, pp. 10776–10780, 2021, doi: 10.1016/j.matpr.2021.01.673.

M. Humayun, N. Z. Jhanjhi, M. Niazi, F. Amsaad, and I. Masood, “Securing Drug Distribution Systems from Tampering Using Blockchain,” Electron., vol. 11, no. 8, pp. 1–14, 2022, doi: 10.3390/electronics11081195.

B. Marchi, I. Ferretti, M. Pasetti, S. Zanoni, and L. E. Zavanella, “The disruptive potential of blockchain technologies in the energy sector,” Eceee Summer Study Proc., vol. 2019-June, pp. 899–906, 2019.

N. Saxena, I. Thomas, P. Gope, P. Burnap, and N. Kumar, “Pharmacrypt: Blockchain for critical pharmaceutical industry to counterfeit drugs,” Computer (Long. Beach. Calif)., vol. 53, no. 7, pp. 29–44, 2020, doi: 10.1109/MC.2020.2989238.

M. Das Turjo, M. M. Khan, M. Kaur, and A. Zaguia, “Smart Supply Chain Management Using the Blockchain and Smart Contract,” Sci. Program., vol. 2021, 2021, doi: 10.1155/2021/6092792.

O. Alkhoori et al., “Design and Implementation of CryptoCargo: A Blockchain-Powered Smart Shipping Container for Vaccine Distribution,” IEEE Access, vol. 9, pp. 53786–53803, 2021, doi: 10.1109/ACCESS.2021.3070911.

H. U. Khan, M. Z. Malik, and S. Khan, “Systematic Analysis of Risk Associated with Supply Chain Operations Using Blockchain Technology,” Wirel. Commun. Mob. Comput., vol. 2022, pp. 1–17, Aug. 2022, doi: 10.1155/2022/6916048.

M. El Khatib, H. M. Alzoubi, S. Hamidi, A. Baydoun, A. Al-Nakeeb, and M. Alshurideh, “Impact of Using the Internet of Medical Things on e-Healthcare Performance: Blockchain Assist in Improving Smart Contract,” Clin. Outcomes Res., vol. 15, no. May, pp. 397–411, 2023, doi: 10.2147/CEOR.S407778.

R. Stackowiak, Azure internet of things revealed: Architecture and fundamentals. 2019. doi: 10.1007/978-1-4842-5470-7.

Y. Wang, A. Zhang, P. Zhang, and H. Wang, “Cloud-Assisted EHR Sharing with Security and Privacy Preservation via Consortium Blockchain,” IEEE Access, vol. 7, pp. 136704–136719, 2019, doi: 10.1109/ACCESS.2019.2943153.

A. Odeh, I. Keshta, and Q. A. Al-Haija, “Analysis of Blockchain in the Healthcare Sector: Application and Issues,” Symmetry (Basel)., vol. 14, no. 9, 2022, doi: 10.3390/sym14091760.

A. M. Ala’a and T. Ramayah, “Predicting the Behavioural Intention of Jordanian Healthcare Professionals to Use Blockchain-Based EHR Systems: An Empirical Study,” J. Syst. Manag. Sci., vol. 13, no. 4, pp. 107–139, 2023, doi: 10.33168/JSMS.2023.0407.

V. Plotnikov and V. Kuznetsova, “The Prospects for the Use of Digital Technology ‘Blockchain’ in the Pharmaceutical Market,” MATEC Web Conf., vol. 193, p. 02029, Aug. 2018, doi: 10.1051/matecconf/201819302029.

E. Fernando, M. Meyliana, H. L. H. S. Warnars, and E. Abdurachman, “Blockchain Technology for Tracing Drug with a Multichain Platform: Simulation Method,” Adv. Sci. Technol. Eng. Syst. J., vol. 6, no. 1, pp. 765–769, 2021, doi: 10.25046/aj060184.

E. Fernando, Meyliana, and Surjandy, “Blockchain Technology Implementation in Raspberry Pi for Private Network,” Proc. 2019 4th Int. Conf. Sustain. Inf. Eng. Technol. SIET 2019, pp. 154–158, 2019, doi: 10.1109/SIET48054.2019.8986053.

P. Esmaeilzadeh and T. Mirzaei, “The Potential of Blockchain Technology for Health Information Exchange: Experimental Study From Patients’ Perspectives,” J. Med. Internet Res., vol. 21, no. 6, p. e14184, Jun. 2019, doi: 10.2196/14184.

M. Mettler, “Blockchain technology in healthcare: The revolution starts here,” in 2016 IEEE 18th International Conference on e-Health Networking, Applications and Services (Healthcom), Sep. 2016, pp. 1–3. doi: 10.1109/HealthCom.2016.7749510.

T.-T. T. Kuo, H.-E. E. Kim, and L. Ohno-Machado, “Blockchain distributed ledger technologies for biomedical and health care applications,” J. Am. Med. Informatics Assoc., vol. 24, no. 6, pp. 1211–1220, Nov. 2017, doi: 10.1093/jamia/ocx068.