Scaling Blockchains to Support Electronic Health Records for Hospital Systems

Alyssa Donawa; Inema Orukari; Corey E. Baker

doi:10.1109/UEMCON47517.2019.8993101

Scaling Blockchains to Support Electronic Health Records for Hospital Systems

Alyssa Donawa
, Inema Orukari
, Corey E. Baker

Computer Science

Producción científica: Conference contribution › revisión exhaustiva

27 Citas (Scopus)

Resumen

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.

Idioma original	English
Título de la publicación alojada	2019 IEEE 10th Annual Ubiquitous Computing, Electronics and Mobile Communication Conference, UEMCON 2019
Editores	Satyajit Chakrabarti, Himadri Nath Saha
Páginas	550-556
Número de páginas	7
ISBN (versión digital)	9781728138855
DOI	https://doi.org/10.1109/UEMCON47517.2019.8993101
Estado	Published - oct 2019
Evento	10th IEEE Annual Ubiquitous Computing, Electronics and Mobile Communication Conference, UEMCON 2019 - New York City, United States Duración: oct 10 2019 → oct 12 2019

Serie de la publicación

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

Conference

Conference	10th IEEE Annual Ubiquitous Computing, Electronics and Mobile Communication Conference, UEMCON 2019
País/Territorio	United States
Ciudad	New York City
Período	10/10/19 → 10/12/19

Nota bibliográfica

Publisher Copyright:
© 2019 IEEE.

ASJC Scopus subject areas

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

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10.1109/UEMCON47517.2019.8993101

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Donawa, A., Orukari, I., & Baker, C. E. (2019). Scaling Blockchains to Support Electronic Health Records for Hospital Systems. En S. Chakrabarti, & H. N. Saha (Eds.), 2019 IEEE 10th Annual Ubiquitous Computing, Electronics and Mobile Communication Conference, UEMCON 2019 (pp. 550-556). Artículo 8993101 (2019 IEEE 10th Annual Ubiquitous Computing, Electronics and Mobile Communication Conference, UEMCON 2019). https://doi.org/10.1109/UEMCON47517.2019.8993101

Donawa, Alyssa ; Orukari, Inema ; Baker, Corey E. / Scaling Blockchains to Support Electronic Health Records for Hospital Systems. 2019 IEEE 10th Annual Ubiquitous Computing, Electronics and Mobile Communication Conference, UEMCON 2019. editor / Satyajit Chakrabarti ; Himadri Nath Saha. 2019. pp. 550-556 (2019 IEEE 10th Annual Ubiquitous Computing, Electronics and Mobile Communication Conference, UEMCON 2019).

@inproceedings{c63c43836ee346e2b22eab1f712b1727,

title = "Scaling Blockchains to Support Electronic Health Records for Hospital Systems",

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.",

keywords = "Access Control Lists, Blockchain, Distributed Systems, Electronic Health Records (EHRs), Electronic Medical Records (EMRs), Healthcare, Scalability, Sidechain, Telehealth",

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Donawa, A, Orukari, I & Baker, CE 2019, Scaling Blockchains to Support Electronic Health Records for Hospital Systems. En S Chakrabarti & HN Saha (eds.), 2019 IEEE 10th Annual Ubiquitous Computing, Electronics and Mobile Communication Conference, UEMCON 2019., 8993101, 2019 IEEE 10th Annual Ubiquitous Computing, Electronics and Mobile Communication Conference, UEMCON 2019, pp. 550-556, 10th IEEE Annual Ubiquitous Computing, Electronics and Mobile Communication Conference, UEMCON 2019, New York City, United States, 10/10/19. https://doi.org/10.1109/UEMCON47517.2019.8993101

Scaling Blockchains to Support Electronic Health Records for Hospital Systems. / Donawa, Alyssa; Orukari, Inema; Baker, Corey E.
2019 IEEE 10th Annual Ubiquitous Computing, Electronics and Mobile Communication Conference, UEMCON 2019. ed. / Satyajit Chakrabarti; Himadri Nath Saha. 2019. p. 550-556 8993101 (2019 IEEE 10th Annual Ubiquitous Computing, Electronics and Mobile Communication Conference, UEMCON 2019).

Producción científica: Conference contribution › revisión exhaustiva

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Donawa A, Orukari I, Baker CE. Scaling Blockchains to Support Electronic Health Records for Hospital Systems. En Chakrabarti S, Saha HN, editores, 2019 IEEE 10th Annual Ubiquitous Computing, Electronics and Mobile Communication Conference, UEMCON 2019. 2019. p. 550-556. 8993101. (2019 IEEE 10th Annual Ubiquitous Computing, Electronics and Mobile Communication Conference, UEMCON 2019). doi: 10.1109/UEMCON47517.2019.8993101

Scaling Blockchains to Support Electronic Health Records for Hospital Systems

Resumen

Serie de la publicación

Conference

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ASJC Scopus subject areas

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