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FHIRChain: Applying Blockchain to Securely and Scalably Share Clinical Data

Secure and scalable data sharing is essential for collaborative clinical decision making. Conventional clinical data efforts are often siloed, however, which creates barriers to efficient information exchange and impedes effective treatment decision made for patients. This paper provides four contri...

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Detalles Bibliográficos
Autores principales: Zhang, Peng, White, Jules, Schmidt, Douglas C., Lenz, Gunther, Rosenbloom, S. Trent
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Research Network of Computational and Structural Biotechnology 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6082774/
https://www.ncbi.nlm.nih.gov/pubmed/30108685
http://dx.doi.org/10.1016/j.csbj.2018.07.004
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author Zhang, Peng
White, Jules
Schmidt, Douglas C.
Lenz, Gunther
Rosenbloom, S. Trent
author_facet Zhang, Peng
White, Jules
Schmidt, Douglas C.
Lenz, Gunther
Rosenbloom, S. Trent
author_sort Zhang, Peng
collection PubMed
description Secure and scalable data sharing is essential for collaborative clinical decision making. Conventional clinical data efforts are often siloed, however, which creates barriers to efficient information exchange and impedes effective treatment decision made for patients. This paper provides four contributions to the study of applying blockchain technology to clinical data sharing in the context of technical requirements defined in the “Shared Nationwide Interoperability Roadmap” from the Office of the National Coordinator for Health Information Technology (ONC). First, we analyze the ONC requirements and their implications for blockchain-based systems. Second, we present FHIRChain, which is a blockchain-based architecture designed to meet ONC requirements by encapsulating the HL7 Fast Healthcare Interoperability Resources (FHIR) standard for shared clinical data. Third, we demonstrate a FHIRChain-based decentralized app using digital health identities to authenticate participants in a case study of collaborative decision making for remote cancer care. Fourth, we highlight key lessons learned from our case study.
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spelling pubmed-60827742018-08-14 FHIRChain: Applying Blockchain to Securely and Scalably Share Clinical Data Zhang, Peng White, Jules Schmidt, Douglas C. Lenz, Gunther Rosenbloom, S. Trent Comput Struct Biotechnol J Research Article Secure and scalable data sharing is essential for collaborative clinical decision making. Conventional clinical data efforts are often siloed, however, which creates barriers to efficient information exchange and impedes effective treatment decision made for patients. This paper provides four contributions to the study of applying blockchain technology to clinical data sharing in the context of technical requirements defined in the “Shared Nationwide Interoperability Roadmap” from the Office of the National Coordinator for Health Information Technology (ONC). First, we analyze the ONC requirements and their implications for blockchain-based systems. Second, we present FHIRChain, which is a blockchain-based architecture designed to meet ONC requirements by encapsulating the HL7 Fast Healthcare Interoperability Resources (FHIR) standard for shared clinical data. Third, we demonstrate a FHIRChain-based decentralized app using digital health identities to authenticate participants in a case study of collaborative decision making for remote cancer care. Fourth, we highlight key lessons learned from our case study. Research Network of Computational and Structural Biotechnology 2018-07-29 /pmc/articles/PMC6082774/ /pubmed/30108685 http://dx.doi.org/10.1016/j.csbj.2018.07.004 Text en © 2018 The Authors http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Research Article
Zhang, Peng
White, Jules
Schmidt, Douglas C.
Lenz, Gunther
Rosenbloom, S. Trent
FHIRChain: Applying Blockchain to Securely and Scalably Share Clinical Data
title FHIRChain: Applying Blockchain to Securely and Scalably Share Clinical Data
title_full FHIRChain: Applying Blockchain to Securely and Scalably Share Clinical Data
title_fullStr FHIRChain: Applying Blockchain to Securely and Scalably Share Clinical Data
title_full_unstemmed FHIRChain: Applying Blockchain to Securely and Scalably Share Clinical Data
title_short FHIRChain: Applying Blockchain to Securely and Scalably Share Clinical Data
title_sort fhirchain: applying blockchain to securely and scalably share clinical data
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6082774/
https://www.ncbi.nlm.nih.gov/pubmed/30108685
http://dx.doi.org/10.1016/j.csbj.2018.07.004
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