Blok Zinciri Mimarisi ile Elektronik Tıp Kayıtlarının Modellenmesi Üzerine Bir Araştırma

Yıl 2020, Cilt: 10 Sayı: 1, 35 - 42, 15.01.2020

Ömer Kasım

https://doi.org/10.17714/gumusfenbil.437775

Cited By: 1

Öz

Günümüzde veriler, bilgisayar destekli günlük hayat faaliyetlerinin
neredeyse tamamını kapsamaktadır. Bu durum kişiye ait verilerin oldukça
artmasına neden olmaktadır. Kişisel verilerdeki müthiş artış, depolama ve
yönetim süreçlerinde bulut ortamını gerekli kılmaktadır Kişinin sağlıkla ilgili
hassas verilerinin bulut ortamında saklanması ve korunması kritik öneme
sahiptir. Bu problemin çözümünde farklı yaklaşımlar olsa da Blok Zinciri
mimarisi gizliliği, güvenliği ve ölçeklenebilirliği kapsayan bir çözüm
sunmaktadır. İzinli ve izinsiz olmak üzere iki farklı şekilde tasarlanabilen
Blok Zinciri mimarisinde, veriler bloklar halinde saklanmaktadır. Çalışmada
yapılan araştırma sonucu verilerin blok zinciri içerisinde organize edilmesi
ile elektronik tıbbi kayıtların güvenli bir şekilde oluşturulması, erişilmesi
ve paylaşılmasının mümkün olduğu tespit edilmiştir.

Anahtar Kelimeler

Blok Zinciri, Elektronik Tıp Kayıtları, İzinli Blok Zinciri Mimarisi, İzinsiz Blok Zinciri Mimarisi, Veri Paylaşımı

A Survey on Modeling of Electronic Medical Records with Blockchain Architecture

Öz

Nowadays, the data cover
almost all of the computer-assisted daily life activities. This leads to a
significant increase in the number of data per person. The tremendous increase
in personal data requires a cloud environment during storage and management
processes. Preservation and protection of the sensitive health-related data of
the person in the cloud environment is critical. Although there are different
approaches to solve this problem, Blockchain architecture offers a solution
that covers privacy, security and scalability. In this architecture, which can
be designed in two different ways, with authorized and without permission, the
data are stored in blocks. As a result of this study, it is possible to
securely create, access and share electronic medical records by organizing data
within the block chain.

Anahtar Kelimeler

Blockchain, Electronic Medical Records, Authorized Blockchain Architecture, Without Permission Blockchain Architecture, Data Sharing

Kaynakça

• Azaria, A., Ekblaw, A. ve Vieira, T., 2016. Medrec: Using blockchain for medical data access and permission management, IEEE International Conference on Open and Big Data, 25-30.
• Chang, P.Y., Hwang, M.S. ve Yang, C.C., 2017. A blockchain-based traceable certification system, International Conference on Security with Intelligent Computing and Big-data Services, 363-369.
• Cruz, J.P., Kaji, Y. ve Yanai, N., 2018. RBAC-SC: Role-based access control using smart contract, IEEE Access, 6, 12240-12251.
• Esposito, C., De Santis, A., Tortora, G., Chang, H. ve Choo, K.K.R., 2018. Blockchain: A panacea for healthcare cloud-based data security and privacy?, IEEE Cloud Computing, 5,1, 31-37.
• Hauxe, R., 2006. Health Information Systems—Past, present, future, International Journal of Medical Informatics, 75, 3-4, 268-281.
• He, D., Kumar, N., Wang, H., Wang, L., Choo, K. ve Vinel, A., 2016. A Provably-secure cross-domain handshake scheme with symptoms matching for mobile healthcare social network, IEEE Transactions on Dependable and Secure Computing, 13, 9, 1545-5971.
• Karaarslan, E. ve Akbaş, M.F., 2017. blokzinciri tabanli siber güvenlik sistemleri, Uluslararası Bilgi Güvenliği Mühendisliği Dergisi, 3, 2, 16-21.
• Kosba,A., Miller,A., Shi E. ve Wen, Z., 2016. Hawk: The blockchain model of cryptography and privacy-preserving smart contracts, IEEE Symposium on Security and Privacy, 839-858.
• Kuo, A.M.H., 2011. Opportunities and challenges of cloud computing to improve health care services, Journal of Medical Internet Research, 13, 3.
• Lee, C.H ve Kim, K.H, 2018. Implementation of IoT system using block chain with authentication and data protection, IEEE International Conference on Information Networking, 936-940.
• Lemieux, V.L., 2017. A typology of blockchain recordkeeping solutions and some reflections on their implications for the future of archival preservation, IEEE International Conference on Big Data, 2271-2278.
• Liang, X., Shetty, S,. Tosh, D., Foytik P. ve Zhang, L., 2017. Towards a trusted and privacy preserving membership service in distributed ledger using Intel software guard extensions, International Conference on Information and Communications Security, 304-310.
• Lin, I.C. ve Liao T.C., 2017. A Survey of blockchain security issues and challenges, International Journal of Network Security, 19, 5, 653-659.
• Mandl, K. D., Markwell, D., MacDonald, R., Szolovits, P. ve Kohane, I. S., 2001. Public standards and patients' control: how to keep electronic medical records accessible but private Medical information: access and privacy Doctrines for developing electronic medical records Desirable characteristics of electronic medical records Challenges and limitations for electronic medical records Conclusions Commentary: Open approaches to electronic patient records Commentary: A patient's viewpoint, BMJ, 322,7281, 283-287.
• Mengelkamp, E., Notheisen, B., Beer, C. ve Dauer, D., 2018. A blockchain-based smart grid: towards sustainable local energy markets, Computer Science-Research and Development, 33, 1-2, 207-214.
• Pavel, C. ve Rajcaniova M., 2018. Virtual relationships: short-and long-run evidence from bitcoin and altcoin markets, Journal of International Financial Markets, Institutions and Money, 52, 173-195.
• Poh, G.S., Chin, J., Yau, W. ve Mohamad, M., 2017. Searchable symmetric encryption: designs and challenges, ACM Computing Surveys, 50, 3.
• Sara, S., Kouhizadeh, M. ve Sarkis, J., 2018. Blockchain technology: A panacea or pariah for resources conservation and recycling?, Resources, Conservation and Recycling, 130, 80-81.
• Steward, M., 2005. Electronic Medical Records, Journal of Legal Medicine, 26, 4, 491–506.
• Tang, P.C., Ash, J.S. ve Bates, D.W., 2006. Personal Health Records: Definitions, benefits, and strategies for overcoming barriers to adoption, Journal of the American Medical Informatics Association., 13, 2, 121-126.
• The Office of the National Coordinator for Health Information Technology, (2018, 28 Mayıs). Report on health information blocking, https://www.healthit.gov/sites/default/files/reports/info_blocking_040915.pdf.
• Tschorsch, F. ve Scheuermann, B., 2016. Bitcoin and Beyond: A technical survey on decentralized digital currencies, IEEE Communications Surveys and Tutorials, 18, 3, 2084–2123.
• Xia, Q., Sifah, E., Smahi, A., Amofa, S. ve Zhang, X., 2017. BBDS: Blockchain-based data sharing for electronic medical records in cloud environments, Information, 8, 2, 44.
• Zhang, J., Xue, N. ve Huang, X., 2016. A Secure System for Pervasive Social Network Based Healthcare, IEEE Access, 4, 9239–9250.
• Zhou, X., Chen, S., Liu, B., Zhang, R., Wang, Y., Li, P. ve Yan, X., 2010. Development of traditional chinese medicine clinical data warehouse for medical knowledge discovery and decision support, Artificial Intelligence in Medicine, 48, 2-3, 139-152.
• Zyskind, G., Nathan, O. ve Pentland, A.S., 2015. Decentralizing privacy: Using blockchain to protect personal data, Proceedings of the 2015 IEEE Security and Privacy Workshops, 180–184.