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使用区块链的量子安全患者登录凭证系统,用于电子健康记录共享框架。

Quantum secure patient login credential system using blockchain for electronic health record sharing framework.

作者信息

Natarajan M, Bharathi A, Varun C Sai, Selvarajan Shitharth

机构信息

Research Scholar, Faculty of Information and Communication Engineering, Anna University, Chennai, India.

Bannari Amman Institute of Technology, Sathyamangalam, India.

出版信息

Sci Rep. 2025 Feb 2;15(1):4023. doi: 10.1038/s41598-025-86658-9.

Abstract

Nowadays, most of the medical records are maintained in a digital format known as Electronic Health Records Sharing (EHRS) framework. Patients have individual login credentials for accessing these medical records. In the BCT, the information about the owner of the block and its dependency over other blocks is maintained in itself. Moreover, each block is linked with its nearby blocks, leading to a network controlled by patients responsible for storing and sharing the information. In healthcare, BCT can help with mobile health apps, monitoring equipment, sharing and keeping of clinical trial data, electronic medical records, and insurance information storage. This study proposes a secure Patient Login Credential System (PLCS) for EHRS. The proposed scheme has been included for block encryption with the symmetric and asymmetric cryptography algorithms with respect to the hospital server and patients. Additionally, the Quantum Secure Trust Protocol (QSTP) is integrated to enhance trust and security between the patient-side and hospital-side, maintaining data integrity and confidentiality. Similarly, the Tune Swarm Optimization (TSO) algorithm is utilized to optimize performance metrics. The security analysis for the proposed scheme has been evaluated with basic security assumptions for information systems like, availability, access control, maintaining forward secrecy, and maintaining data integrity. The proposed scheme demonstrated enhanced security and performance, with IDEA achieving encryption in 58 ms and decryption in 278 ms for a 512-bit block, offering the best performance in terms of encryption speed.

摘要

如今,大多数医疗记录以一种称为电子健康记录共享(EHRS)框架的数字格式保存。患者拥有用于访问这些医疗记录的个人登录凭证。在区块链技术(BCT)中,关于区块所有者的信息及其与其他区块的依赖关系都保存在区块本身。此外,每个区块都与其相邻区块相连,形成一个由负责存储和共享信息的患者控制的网络。在医疗保健领域,区块链技术可助力移动健康应用程序、监测设备、临床试验数据的共享与保存、电子病历以及保险信息存储。本研究为电子健康记录共享(EHRS)提出了一种安全的患者登录凭证系统(PLCS)。所提出的方案针对医院服务器和患者,采用对称和非对称加密算法进行区块加密。此外,集成了量子安全信任协议(QSTP)以增强患者端和医院端之间的信任与安全性,维护数据完整性和保密性。同样,利用调谐粒子群优化(TSO)算法来优化性能指标。已根据信息系统的基本安全假设,如可用性、访问控制、保持前向保密性和维护数据完整性,对所提出方案进行了安全分析。所提出的方案展现出增强的安全性和性能,对于512位的区块,国际数据加密算法(IDEA)实现加密耗时58毫秒,解密耗时278毫秒,在加密速度方面表现最佳。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a22d/11788430/d918d86a30dc/41598_2025_86658_Fig1_HTML.jpg

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