IEEE J Biomed Health Inform. 2023 May;27(5):2231-2242. doi: 10.1109/JBHI.2022.3183397. Epub 2023 May 4.
As an important carrier of healthcare data, Electronic Medical Records (EMRs) generated from various sensors, i.e., wearable, implantable, are extremely valuable research materials for artificial intelligence and machine learning. The efficient circulation of EMRs can improve remote medical services and promote the development of the related healthcare industry. However, in traditional centralized data sharing architectures, the balance between privacy and traceability still cannot be well handled. To address the issue that malicious users cannot be locked in the fully anonymous sharing schemes, we propose a trackable anonymous remote healthcare data storing and sharing scheme over decentralized consortium blockchain. Through an "on-chain & off-chain" model, it relieves the massive data storage pressure of medical blockchain. By introducing an improved proxy re-encryption mechanism, the proposed scheme realizes the fine-gained access control of the outsourced data, and can also prevent the collusion between semi-trusted cloud servers and data requestors who try to reveal EMRs without authorization. Compared with the existing schemes, our solution can provide a lower computational overhead in repeated EMRs sharing, resulting in a more efficient overall performance.
作为医疗数据的重要载体,来自各种传感器(如可穿戴式、植入式传感器)的电子病历(EMR)是人工智能和机器学习的极有价值的研究材料。EMR 的高效流通可以改善远程医疗服务,促进相关医疗保健行业的发展。然而,在传统的集中式数据共享架构中,隐私和可追溯性之间的平衡仍然难以处理。为了解决恶意用户在完全匿名共享方案中无法被锁定的问题,我们提出了一种基于去中心化联盟区块链的可追踪匿名远程医疗数据存储和共享方案。通过“链上和链下”模型,该方案缓解了医疗区块链的海量数据存储压力。通过引入改进的代理重加密机制,该方案实现了对外包数据的细粒度访问控制,还可以防止半可信云服务器与数据请求者之间的共谋,防止他们未经授权试图泄露 EMR。与现有方案相比,我们的解决方案在重复 EMR 共享中可以提供更低的计算开销,从而实现更高的整体性能。