CN109545301A - Shared electronic health record method based on block chain Hyperledger Fabric - Google Patents
Shared electronic health record method based on block chain Hyperledger Fabric Download PDFInfo
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- CN109545301A CN109545301A CN201811409717.6A CN201811409717A CN109545301A CN 109545301 A CN109545301 A CN 109545301A CN 201811409717 A CN201811409717 A CN 201811409717A CN 109545301 A CN109545301 A CN 109545301A
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
- G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06F—ELECTRIC DIGITAL DATA PROCESSING
- G06F21/00—Security arrangements for protecting computers, components thereof, programs or data against unauthorised activity
- G06F21/60—Protecting data
- G06F21/62—Protecting access to data via a platform, e.g. using keys or access control rules
- G06F21/6218—Protecting access to data via a platform, e.g. using keys or access control rules to a system of files or objects, e.g. local or distributed file system or database
- G06F21/6245—Protecting personal data, e.g. for financial or medical purposes
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Abstract
The present invention proposes a kind of shared electronic health record method based on block chain Hyperledger Fabric, this method is on the basis of analyzing the medical links such as hospital department management, patient registration's medical, doctor's interrogation, a set of patient-centered health care is designed, while ensureing patient privacy and the empowerment management strategy and operation flow of enough permissions can be provided for doctor's interrogation.Specifically, this method is by first designing intelligent contract, then creates Web server and provide visualized operation to call the mode for being deployed in intelligent contract on block chain for user, realizes that electronic health record is shared.Generally speaking, the present invention had not only overcome the problem of mutual mistrust between traditional medical system, but also met patient and go to a doctor the demand that the medical record data between data safety storage and medical institutions shares safely.
Description
Technical field
The invention belongs to computer software fields, more particularly to a kind of shared electronic health record based on block chain technology
Method.
Background technique
In recent years, the reform of medicine and hygiene fields produces little effect always, and town dweller still faces many difficulty of getting medical service and asks
Topic.At this stage, the data in domestic medical institutions are only in Internal Transfer.Because the information between situation of all-level hospitals is not smooth, simultaneously
Lack correct Data Share System as guidance, so that diagnosis and treatment doctor because cannot see that the complete diagnosis records of patient, increases
The difficulty precisely treated is added；For medical records storage in hospital system, the storage mode of centralization makes the privacy of patient very simultaneously
It is easy to be stolen by criminal.For either from safety and systematicness, there is presently no one both can guarantee case history number
According to storage safety, while electronic health record can also be promoted to share the model transmitted and application between each hospital.Only by case history reality
The now effective shared and circulation between more medical organizations could help to a greater degree and improve the medical shape of medical treatment of China resident
Condition.
Traditional technology is difficult to accomplish the requirement of this two o'clock, but the appearance of block chain technology has well solved medical information
Safety and shared problem.On the one hand, block chain data can not tamper, ensure that the data being stored in block chain
It is all safe and reliable；On the other hand, the trackability of block chain data also guarantees the data of each write-in block chain
To have that mark is governed, it is any forge it is difficult to realize.In addition, because the data in block chain are distributed storages, it will not be by certain
One mechanism is exclusive, this data sharing between tissue provides condition.In the system development based on block chain, further may be used
Intelligent contract to be deployed in block chain, patient is allowed directly to do effective management to oneself case history.Simultaneously for doctor
It says from birth, if can view the complete diagnosis information of patient from outpatients, this also proposes the accurate diagnosis of doctor
The foundation of science is supplied.
Summary of the invention
The technical problem to be solved by the present invention is to, provide one it is based on block chain, realize believe across electronic health record between tissue
Cease the shared electronic health record method of distributed storage and reading.
The basis of the present invention medical link such as department management, medical, the doctor's interrogation of patient registration in analysis conventional hospital
On, propose a set of detailed process and empowerment management side that electronic health record can be handled using block chain distributed storage characteristic
Method.This method can ensure patient's individual privacy safety but also check that electronic health record provides enough permissions for doctor, realize electricity
Sub- case history is shared.In the service logic design of method, the ownership of electronic health record is returned into patient, patient is to oneself
Case history possess authorization privilege, therefore electronic health record can be shifted with the transfer in the medical place of patient, maximumlly real
Existing information sharing.
For the design and realization of this method, include the following steps:
Step 1: it establishes for the block chain network between medical organization；
Step 2: each human subject of user implemented between setting tissue, and design the function use for meeting all types of user demand
Example；
Step 3: it is designed as the access control policy of patient's electronic health record privacy in protection block chain network；
Step 4: the Preservation tactics that design patient history sheet is separated with case history details mention to create the doctor of case history
For convenient and safety query scheme；
Step 5: above two strategy is applied in the overall architecture of method, is designed as all types of user operation electronics disease
It goes through and realizes that shared business executes process；
Step 6: according to the overall execution process designed, writing and dispose intelligent contract into block chain network, leads to
The calling to intelligent contract is crossed to operate the function of all types of user and execute process；
Step 7: establishing HTTP server and call intelligent contract, and operated by the form data of cooperation front end page,
To realize the visualized operation of electronic health record.
Detailed description of the invention
Fig. 1 is present system organisational chart.
Fig. 2 is that present system implements architecture diagram.
Fig. 3 is present system overall traffic flow chart.
Specific embodiment
Below in conjunction with Figure of description, the present invention is described in further detail.
The present invention proposes a kind of to manage shared electronic health record method, designed side based on block chain, using patient as core
The specific embodiment of method is as follows:
Step 1: establishing Hyperledger Fabric block chain network, which plays each hospital institution, such as
Shown in attached drawing 1, and the organizational structure for setting this method implementation is by the same section in three hospital organizations Org1, Org2, Org3
Room node Peer1 composition, while these three departments node Peer0.Org1, Peer0.Org2, Peer0.Org3 be in it is same
It in channel C hannel (a kind of Fabric block chain inside communication link), while being each department's node Peer1 inner setting
Including the three classes user agents such as patient Client_pt, doctor Client_dr and department management person Client_mgr, block
Account book data in chain are operated by these three types of users；
Step 2: the system for designing this method implements framework, and as shown in Fig. 2, the method for the present invention divides the implementation of system
It is the manipulable front end page of all types of user for the three-deckers such as expression layer, logic business layer, data access layer: expression layer；
Logic business layer is that different operating functions is set separately in the three classes user in system, and carrys out the use-case to all types of user with this
Further divided；Data access layer mainly establishes the data information operation layer that HTTP server is interacted with Fabric；
Step 3: designing the privacy access control policy of electronic health record, since electronic health record itself includes the privacy of patient
Information, it is necessary to which designing a set of can protect in network the individual privacy of patient Client_pt and mention for doctor Client_dr
For the access control policy of authorization；
Main thinking are as follows: doctor Client_dr is before the case history of access patient Client_pt, it is necessary to patient
Client_pt requests to check the authorization code of case history；After patient Client_pt receives doctor Client_dr request, for doctor
Raw Client_dr matches new case history authorization code, and case history authorization code is written in the grant column list of oneself Medical record, writes
Patient Client_pt sends authorization code Xiang doctor Client_dr after entering successfully；Doctor Client_dr gets case history authorization code
Afterwards, so that it may the case history details of patient Client_pt be accessed using the authorization code；
Step 4: the Preservation tactics that patient history sheet is separated with case history details, the patient in network are designed
The index list of medical record number is only stored in the Medical record that Client_pt possesses, this helps to create the doctor of the case history
Client_dr provides a kind of convenient access mode, and which allows doctor Client_dr not need to request to enter patient again
The Medical record of Client_pt can directly access the case history of oneself creation；
Main thought are as follows: after doctor Client_dr creates case history, by newly-built medical record number and matching authorization
Code (obtains) the Medical record record of deposit patient Client_pt and asking for doctor Client_dr from front doctor to patient's request
It examines in record, doctor next in this way or patient can check medical record information simultaneously by obtaining self-administered record, keep away
Exempt from doctor Client_dr to repeat to request to authorize to patient Client_pt；
Step 5: the function use-case of the system architecture three classes user according to step 1, and combine the disease Step 3: in four
Authorization access and Preservation tactics thought are gone through, designing a set of is that three classes user handles the whole of shared electronic health record in method system
Body executes process, as shown in Fig. 3；
For overall traffic process, this method is broadly divided into three phases to process, i.e. system initialisation phase, just
Examine preparation stage, medical interrogation phase: in system initialisation phase, the predominantly registering and logging of three classes user, Bing Renchu
Beginningization Medical record, department management person initialize the functions such as management agreement；It mainly include department management in the medical preparation stage
Doctor's list and patient registration's list；It mainly include that doctor selects patient to create diagnosis records, so in medical interrogation with regard to the stage
Request patient authorizes it afterwards, and doctor checks that patient's history's diagnosis records and doctor create electronics after receiving authorization
Case history and save case history to patient, doctor, department diagnosis records in；
Step 6: according to the overall execution process of step 5 design, designing different chain code Chaincode, (i.e. intelligence is closed
Above-mentioned process about) is operated, mainly designs data structure and concrete operations function in each chain code Chaincode, most
Afterwards, chain code Chaincode is write and is deployed in Fabric block chain network；
Step 7: establishing the HTTP server of rear end, writes the chain code for being capable of calling and having disposed in Fabric block chain
The back-end operations code of account book data in Chaincode, and write front end page for the data of request and response and come explicitly
Operation data, it is main to implement framework according to the system shown in step 2.
Claims (4)
1. a kind of shared electronic health record method based on block chain Hyperledger Fabric, which is characterized in that the method
Include the following steps:
Step 1: Hyperledger Fabric block chain network, the communication node between hospital institution of having connected are established；Setting side
The organizational structure that method is implemented is made of same department's node Peer1 in three hospital organizations Org1, Org2, Org3, and
These three departments Peer1.Org1, Peer1.Org2, Peer1.Org3 are in the same channel C hannel, in the channel
Block chain account book data can be by distributed storage and reading；
Step 2: in the network to implement this method set three classes user agent: patient Client_pt, doctor Client_dr,
And department management person Client_mgr, the account book data of network are all by these three types of users come practical operation in block chain；Its
Secondary, this method is directed to the function use that the concrete operations design that these three types of users need in system meets different type user respectively
Example；
Step 3: the privacy access control policy of electronic health record is designed.Since electronic health record itself includes the privacy information of patient,
Must design a set of can protect the individual privacy of patient Client_pt in network and provide authorization for doctor Client_dr
Access control policy；
Step 4: the Preservation tactics that design patient history sheet is separated with case history details；Patient Client_pt in network is gathered around
The index list of medical record number is only stored in some Medical records, this helps to create the doctor Client_dr of the case history and provide
A kind of convenient access mode, which allow doctor Client_dr not need to request the case history into patient Client_pt again
It originally can directly access the case history of oneself creation；
Step 5: the function use-case of the three classes user of the system architecture and step 2 according to step 1, and combine Step 3: in four
Case history authorization access and Preservation tactics thought, design a set of entirety that shared electronic health record is handled for three classes user in system
Execute process；
Step 6: it according to the overall execution process of step 5 design, designs different chain code Chaincode (i.e. intelligent contract) and comes
Meet and operate above-mentioned process, main work is data structure and concrete operations letter in each chain code Chaincode of design
Number, each chain code Chaincode possess the account book data of portion oneself；Finally, designed chain code Chaincode is write
And it is deployed in Fabric block chain network；
Step 7: establishing the HTTP server of rear end, writes the chain code Chaincode for being capable of calling and having disposed in Fabric block chain
The back-end operations code of interior account book data, and write front end page for the data of request and response and carry out explicitly operation data.
2. a kind of shared electronic health record method based on block chain Hyperledger Fabric according to claim 1,
It is characterized in that, includes the Fabric block catenary system model established for sharing electronic health record in the method.
3. a kind of shared electronic health record method based on block chain Hyperledger Fabric according to claim 1,
It is characterized in that, the privacy access control policy for the electronic health record for including in the method.
4. a kind of shared electronic health record method based on block chain Hyperledger Fabric according to claim 1,
It is characterized in that, the Preservation tactics that the patient history sheet for including in the method is separated with case history details.
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Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110149376A (en) * | 2019-04-30 | 2019-08-20 | 广州科创空间信息科技有限公司 | The method for improving hyperledger composer chain code deployment efficiency |
| CN110706766A (en) * | 2019-08-31 | 2020-01-17 | 华南理工大学 | Electronic medical record management system and referral method based on block chain |
| CN112418890A (en) * | 2020-11-27 | 2021-02-26 | 链亦科技(上海)有限公司 | Block chain-based medicine anti-counterfeiting traceability system and method |
| CN112995226A (en) * | 2021-05-12 | 2021-06-18 | 中航信移动科技有限公司 | User data processing system based on block chain |
| JP2021111119A (en) * | 2020-01-10 | 2021-08-02 | 株式会社日立製作所 | Data administration method and data administration system and terminal |
| CN113555076A (en) * | 2021-08-13 | 2021-10-26 | 同济大学 | Electronic medical record system based on superridger fabric (alliance chain) |
| CN114390062A (en) * | 2021-12-30 | 2022-04-22 | 卓尔智联(武汉)研究院有限公司 | Calling method and device based on block chain, electronic equipment and storage medium |
Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106682530A (en) * | 2017-01-10 | 2017-05-17 | 杭州电子科技大学 | Method and device for medical information sharing privacy protection based on blockchain technology |
| CN107391944A (en) * | 2017-07-27 | 2017-11-24 | 北京太云科技有限公司 | A kind of electronic health record shared system based on block chain |
| CN107480451A (en) * | 2017-08-15 | 2017-12-15 | 济南浪潮高新科技投资发展有限公司 | The solution method of fast verification electronic health record integrality based on block chain technology |
| TW201828242A (en) * | 2017-01-20 | 2018-08-01 | 現代財富控股有限公司 | Electronic medical record system based on blockchain and method thereof |
| CN108449359A (en) * | 2018-04-16 | 2018-08-24 | 济南浪潮高新科技投资发展有限公司 | A kind of electronic health record sharing method and system based on block chain |
| CN108665946A (en) * | 2018-05-08 | 2018-10-16 | 阿里巴巴集团控股有限公司 | A kind of access method and device of business datum |
| CN108737348A (en) * | 2017-04-21 | 2018-11-02 | 中国科学院信息工程研究所 | A kind of internet of things equipment access control method of the intelligent contract based on block chain |
-
2018
- 2018-11-23 CN CN201811409717.6A patent/CN109545301A/en active Pending
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106682530A (en) * | 2017-01-10 | 2017-05-17 | 杭州电子科技大学 | Method and device for medical information sharing privacy protection based on blockchain technology |
| TW201828242A (en) * | 2017-01-20 | 2018-08-01 | 現代財富控股有限公司 | Electronic medical record system based on blockchain and method thereof |
| CN108737348A (en) * | 2017-04-21 | 2018-11-02 | 中国科学院信息工程研究所 | A kind of internet of things equipment access control method of the intelligent contract based on block chain |
| CN107391944A (en) * | 2017-07-27 | 2017-11-24 | 北京太云科技有限公司 | A kind of electronic health record shared system based on block chain |
| CN107480451A (en) * | 2017-08-15 | 2017-12-15 | 济南浪潮高新科技投资发展有限公司 | The solution method of fast verification electronic health record integrality based on block chain technology |
| CN108449359A (en) * | 2018-04-16 | 2018-08-24 | 济南浪潮高新科技投资发展有限公司 | A kind of electronic health record sharing method and system based on block chain |
| CN108665946A (en) * | 2018-05-08 | 2018-10-16 | 阿里巴巴集团控股有限公司 | A kind of access method and device of business datum |
Non-Patent Citations (4)
| Title |
|---|
| 向菲 等: "区块链技术在国外医疗卫生领域中的应用", 《中华医学图书情报杂志》 * |
| 李代丽: "HyperLedger Fabric和区块链是什么关系？", 《网页在线公开：HTTP://BLOG.ITPUB.NET/31547898/VIEWSPACE-2215291/》 * |
| 李春燕: "车载自组织网络中基于区块链的路况预警方案", 《网络与信息安全学报》 * |
| 陈隆轩 等: "区块链技术在电子病历上的应用研究", 《大数据时代》 * |
Cited By (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110149376A (en) * | 2019-04-30 | 2019-08-20 | 广州科创空间信息科技有限公司 | The method for improving hyperledger composer chain code deployment efficiency |
| CN110149376B (en) * | 2019-04-30 | 2021-01-05 | 广州科创空间信息科技有限公司 | Method for improving deployment efficiency of superhedger composer chain codes |
| CN110706766A (en) * | 2019-08-31 | 2020-01-17 | 华南理工大学 | Electronic medical record management system and referral method based on block chain |
| JP2021111119A (en) * | 2020-01-10 | 2021-08-02 | 株式会社日立製作所 | Data administration method and data administration system and terminal |
| JP7295814B2 (en) | 2020-01-10 | 2023-06-21 | 株式会社日立製作所 | Data management method, data management system and terminal |
| CN112418890A (en) * | 2020-11-27 | 2021-02-26 | 链亦科技(上海)有限公司 | Block chain-based medicine anti-counterfeiting traceability system and method |
| CN112995226A (en) * | 2021-05-12 | 2021-06-18 | 中航信移动科技有限公司 | User data processing system based on block chain |
| CN112995226B (en) * | 2021-05-12 | 2021-08-03 | 中航信移动科技有限公司 | User data processing system based on block chain |
| CN113555076A (en) * | 2021-08-13 | 2021-10-26 | 同济大学 | Electronic medical record system based on superridger fabric (alliance chain) |
| CN114390062A (en) * | 2021-12-30 | 2022-04-22 | 卓尔智联(武汉)研究院有限公司 | Calling method and device based on block chain, electronic equipment and storage medium |
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