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迈向基于智能医院中基于物联网的区块链完整性管理平台的患者生命体征远程监测。

Towards a Remote Monitoring of Patient Vital Signs Based on IoT-Based Blockchain Integrity Management Platforms in Smart Hospitals.

作者信息

Jamil Faisal, Ahmad Shabir, Iqbal Naeem, Kim Do-Hyeun

机构信息

Department of Computer Engineering, Jeju National University, Jejusi 63243, Korea.

出版信息

Sensors (Basel). 2020 Apr 13;20(8):2195. doi: 10.3390/s20082195.

DOI:10.3390/s20082195
PMID:32294989
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7218894/
Abstract

Over the past several years, many healthcare applications have been developed to enhancethe healthcare industry. Recent advancements in information technology and blockchain technologyhave revolutionized electronic healthcare research and industry. The innovation of miniaturizedhealthcare sensors for monitoring patient vital signs has improved and secured the human healthcaresystem. The increase in portable health devices has enhanced the quality of health-monitoringstatus both at an activity/fitness level for self-health tracking and at a medical level, providing moredata to clinicians with potential for earlier diagnosis and guidance of treatment. When sharingpersonal medical information, data security and comfort are essential requirements for interactionwith and collection of electronic medical records. However, it is hard for current systems to meetthese requirements because they have inconsistent security policies and access control structures.The new solutions should be directed towards improving data access, and should be managed bythe government in terms of privacy and security requirements to ensure the reliability of data formedical purposes. Blockchain paves the way for a revolution in the traditional pharmaceuticalindustry and benefits from unique features such as privacy and transparency of data. In this paper,we propose a novel platform for monitoring patient vital signs using smart contracts based onblockchain. The proposed system is designed and developed using hyperledger fabric, which isan enterprise-distributed ledger framework for developing blockchain-based applications. Thisapproach provides several benefits to the patients, such as an extensive, immutable history log, andglobal access to medical information from anywhere at any time. The Libelium e-Health toolkitis used to acquire physiological data. The performance of the designed and developed system isevaluated in terms of transaction per second, transaction latency, and resource utilization usinga standard benchmark tool known as Hyperledger Caliper. It is found that the proposed systemoutperforms the traditional health care system for monitoring patient data.

摘要

在过去几年中,已经开发了许多医疗保健应用程序来促进医疗保健行业的发展。信息技术和区块链技术的最新进展彻底改变了电子医疗保健研究和行业。用于监测患者生命体征的小型化医疗传感器的创新改进并保障了人类医疗保健系统。便携式健康设备的增加提高了自我健康跟踪的活动/健身水平以及医疗水平的健康监测状态质量,为临床医生提供了更多数据,具有早期诊断和治疗指导的潜力。在共享个人医疗信息时,数据安全性和舒适性是与电子病历进行交互和收集的基本要求。然而,当前系统很难满足这些要求,因为它们具有不一致的安全策略和访问控制结构。新的解决方案应旨在改善数据访问,并应由政府根据隐私和安全要求进行管理,以确保用于医疗目的的数据的可靠性。区块链为传统制药行业的革命铺平了道路,并受益于数据隐私和透明度等独特功能。在本文中,我们提出了一种基于区块链使用智能合约监测患者生命体征的新型平台。所提出的系统是使用超级账本织物设计和开发的,超级账本织物是一个用于开发基于区块链的应用程序的企业分布式账本框架。这种方法为患者提供了几个好处,例如广泛的、不可变的历史日志,以及随时随地从任何地方全局访问医疗信息。Libelium电子健康工具包用于获取生理数据。使用称为超级账本卡尺的标准基准工具,从每秒交易数、交易延迟和资源利用率方面评估所设计和开发系统的性能。结果发现,所提出的系统在监测患者数据方面优于传统医疗保健系统。

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