Brogan James, Baskaran Immanuel, Ramachandran Navin
University College London, Centre for Health Informatics & Multiprofessional Education, London, United Kingdom.
Albert Einstein College of Medicine, Bronx, United States.
Comput Struct Biotechnol J. 2018 Jul 17;16:257-266. doi: 10.1016/j.csbj.2018.06.004. eCollection 2018.
The on-demand digital healthcare ecosystem is on the near horizon. It has the potential to extract a wealth of information from "big data" collected at the population level, to enhance preventive and precision medicine at the patient level. This may improve efficiency and quality while decreasing cost of healthcare delivered by professionals. However, there are still security and privacy issues that need to be addressed before algorithms, data, and models can be mobilized safely at scale. In this paper we discuss how distributed ledger technologies can play a key role in advancing electronic health, by ensuring authenticity and integrity of data generated by wearable and embedded devices. We demonstrate how the Masked Authenticated Messaging extension module of the IOTA protocol can be used to securely share, store, and retrieve encrypted activity data using a tamper-proof distributed ledger.
按需数字医疗生态系统即将出现。它有潜力从人群层面收集的“大数据”中提取大量信息,以在患者层面加强预防医学和精准医学。这可能会提高效率和质量,同时降低专业人员提供医疗服务的成本。然而,在算法、数据和模型能够大规模安全应用之前,仍有安全和隐私问题需要解决。在本文中,我们讨论分布式账本技术如何通过确保可穿戴设备和嵌入式设备生成的数据的真实性和完整性,在推进电子健康方面发挥关键作用。我们展示了IOTA协议的掩码认证消息扩展模块如何用于使用防篡改分布式账本安全地共享、存储和检索加密的活动数据。