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区块链中的电子健康记录:系统评价。

Electronic health records in a Blockchain: A systematic review.

机构信息

Universidade do Vale do Rio dos Sinos (UNISINOS), Brazil.

出版信息

Health Informatics J. 2020 Jun;26(2):1273-1288. doi: 10.1177/1460458219866350. Epub 2019 Sep 30.

Abstract

Blockchain could reinvent the way patient's electronic health records are shared and stored by providing safer mechanisms for health information exchange of medical data in the healthcare industry, by securing it over a decentralized peer-to-peer network. Intending to support and ease the understanding of this distributed ledger technology, a solid Systematic Literature Review was conducted, aiming to explore the recent literature on Blockchain and healthcare domain and identify existing challenges and open questions, guided by the raise of research questions regarding EHR in a Blockchain. More than 300 scientific studies published in the last ten years were surveyed, resulting in an up-to-date taxonomy creation, challenges and open questions identified, and the most significant approaches, data types, standards and architectures regarding the use of Blockchain for EHR were assessed and discussed.

摘要

区块链可以通过提供更安全的医疗数据信息交换机制,在去中心化的点对点网络上保护医疗记录,从而重新定义患者电子健康记录的共享和存储方式。为了支持和简化对这种分布式账本技术的理解,进行了一项扎实的系统文献综述,旨在探索最近关于区块链和医疗保健领域的文献,并确定现有的挑战和开放性问题,这些问题是由区块链中电子健康记录提出的研究问题引发的。调查了过去十年中发表的 300 多项科学研究,创建了最新的分类法,确定了挑战和开放性问题,并评估和讨论了使用区块链进行电子健康记录的最重要方法、数据类型、标准和架构。

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