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Area of Science:

  • Health Informatics
  • Blockchain Technology
  • Data Interoperability

Background:

  • Electronic health records (EHRs) are widely collected in Taiwan.
  • Current EHR interoperability remains a challenge, leading to inefficient data exchange.
  • Existing systems hinder seamless data sharing among healthcare providers.

Purpose of the Study:

  • To propose a patient-centric blockchain framework for secure EHR sharing.
  • To enhance data accessibility for patients and enable transparent data exchange.
  • To improve the efficiency and security of clinical data sharing.

Main Methods:

  • Utilized expert interviews and collaboration with the Ministry of Health and Welfare (MOHW) Chang-Hua hospital.
  • Developed a framework using smart contracts on an Ethereum-based permissioned blockchain.
  • Integrated the Logical Observation Identifiers Names and Codes (LOINC) standard for data interoperability.

Main Results:

  • A prototype was successfully deployed at Chang-Hua hospital.
  • Demonstrated efficient sharing of health examination reports with suburban clinics.
  • Reduced patient health report access time from next-day to seconds.

Conclusions:

  • The blockchain framework offers a more efficient and private alternative to Taiwan's current client-server EHR systems.
  • The proposed system enhances health record sharing among providers.
  • Patient-centric data management and security are significantly improved.