Scaling Blockchains to Support Electronic Health Records for Hospital Systems

Alyssa Donawa, Inema Orukari, Corey E. Baker

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

14 Scopus citations

Abstract

Electronic Health Records (EHRs) have improved many aspects of healthcare and allowed for easier patient management for medical providers. Blockchains have been proposed as a promising solution for supporting Electronic Health Records (EHRs), but have also been linked to scalability concerns about supporting real-world healthcare systems. This paper quantifies the scalability issues and bottlenecks related to current blockchains and puts into perspective the limitations blockchains have with supporting healthcare systems. Particularly we show that well known blockchains such as Bitcoin, Ethereum, and IOTA cannot support transactions of a large scale hospital system such as the University of Kentucky HealthCare system and leave over 7.5M unsealed transactions per day. We then discuss how bottlenecks of blockchains can be relieved with sidechains, enabling well-known blockchains to support even larger hospital systems of over 30M transactions per day. We then introduce the Patient-Healthchain architecture to provide future direction on how scaling blockchains for EHR systems with sidechains can be achieved.

Original languageEnglish
Title of host publication2019 IEEE 10th Annual Ubiquitous Computing, Electronics and Mobile Communication Conference, UEMCON 2019
EditorsSatyajit Chakrabarti, Himadri Nath Saha
Pages550-556
Number of pages7
ISBN (Electronic)9781728138855
DOIs
StatePublished - Oct 2019
Event10th IEEE Annual Ubiquitous Computing, Electronics and Mobile Communication Conference, UEMCON 2019 - New York City, United States
Duration: Oct 10 2019Oct 12 2019

Publication series

Name2019 IEEE 10th Annual Ubiquitous Computing, Electronics and Mobile Communication Conference, UEMCON 2019

Conference

Conference10th IEEE Annual Ubiquitous Computing, Electronics and Mobile Communication Conference, UEMCON 2019
Country/TerritoryUnited States
CityNew York City
Period10/10/1910/12/19

Bibliographical note

Publisher Copyright:
© 2019 IEEE.

Keywords

  • Access Control Lists
  • Blockchain
  • Distributed Systems
  • Electronic Health Records (EHRs)
  • Electronic Medical Records (EMRs)
  • Healthcare
  • Scalability
  • Sidechain
  • Telehealth

ASJC Scopus subject areas

  • Computer Science Applications
  • Computer Networks and Communications
  • Electrical and Electronic Engineering
  • Artificial Intelligence

Fingerprint

Dive into the research topics of 'Scaling Blockchains to Support Electronic Health Records for Hospital Systems'. Together they form a unique fingerprint.

Cite this