Abstract
The transfer of information is a demanding issue, particularly due to the presence of a large number of eavesdroppers on communication channels. Sharing medical service records between different clinical jobs is a basic and testing research topic. The particular characteristics of blockchains have attracted a large amount of attention and resulted in revolutionary changes to various business applications, including medical care. A blockchain is based on a distributed ledger, which tends to improve cyber security. A number of proposals have been made with respect to the sharing of basic medical records using a blockchain without needing earlier information or the trust of patients. Specialist service providers and insurance agencies are not secure against data breaches. The safe sharing of clinical records between different countries, to ensure an incorporated and universal medical service, is also a significant issue for patients who travel. The medical data of patients normally reside on different healthcare units around the world, thus raising many concerns. Firstly, a patient's history of treatment by different physicians is not accessible to the doctor in a single location. Secondly, it is very difficult to secure widespread data residing in different locations. This study proposed record sharing in a chain-like structure, in which every record is globally connected to the others, based on a blockchain under the suggestions and recommendations of the HL7 standards. This study focused on making medical data available, especially of patients who travel in different countries, for a specific period of time after validating the required authentication. Authorization and authentication are performed on the Shibboleth identity management system with the involvement of patient in the sanction process, thereby revealing the patient data for the specific period of time. The proposed approach improves the performance with respect to other record sharing systems, e.g., it reduces the time to read, write, delete, and revoke a record by a noticeable margin. The proposed system takes around three seconds to upload and 7.5 s to download 250 Mb of data, which can contain up to sixteen documents, over a stable network connection. The system has a latency of 413.76 ms when retrieving 100 records, compared to 447.9 and 459.3 ms in previous systems. Thus, the proposed system improved the performance and ensured seclusion by using a blockchain.