Connected Blockchain Federations for Sharing Electronic Health Records

With the growing utility of blockchain technology, the desire for reciprocal interactions among different blockchains is growing. However, most operational blockchain networks currently operate in a standalone setting. This fragmentation in the form of isolated blockchains creates interoperability d...

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Main Authors: Faiza Hashim, Khaled Shuaib, Farag Sallabi
Format: Article
Language:English
Published: MDPI AG 2022-09-01
Series:Cryptography
Subjects:
Online Access:https://www.mdpi.com/2410-387X/6/3/47
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author Faiza Hashim
Khaled Shuaib
Farag Sallabi
author_facet Faiza Hashim
Khaled Shuaib
Farag Sallabi
author_sort Faiza Hashim
collection DOAJ
description With the growing utility of blockchain technology, the desire for reciprocal interactions among different blockchains is growing. However, most operational blockchain networks currently operate in a standalone setting. This fragmentation in the form of isolated blockchains creates interoperability difficulties, inhibiting the adoption of blockchains in various ecosystems. Interoperability is a key factor in the healthcare domain for sharing EHRs of patients registered in independent blockchain networks. Each blockchain network could have its own rules and regulations, obstructing the exchange of EHRs for improving diagnosis and treatments. Examples include patients being treated by healthcare providers in different countries or regions, or within one country but with a different set of rules per state or emirate. By contrast, a federation of blockchain networks can provide better communication and service to stakeholders in healthcare. Thus, solutions for facilitating inter-blockchain communication in such a blockchain federation are needed. However, this possibility has not been fully explored, and further investigations are still being conducted. Hence, the present study proposes a transaction-based smart contract triggering system for inter-blockchain communication, enabling EHR sharing among independent blockchains. We use local and global smart contracts that will be executed once a transaction is created in the blockchain. Local smart contracts are used for EHR sharing within the blockchain, whereas global smart contracts are used for EHR sharing among independent blockchains. The experimental setup is conducted using the Hyperledger Fabric blockchain platform. Inter-blockchain communication between two independent fabric networks is conducted through a global smart contract using Hyperledger Cactus for EHR sharing in a health federation setup. To the best of our knowledge, our study is the first to implement an inter-blockchain communication model in the healthcare domain.
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spelling doaj.art-3d56556b4759439eab9634834758fea72023-11-23T15:42:41ZengMDPI AGCryptography2410-387X2022-09-01634710.3390/cryptography6030047Connected Blockchain Federations for Sharing Electronic Health RecordsFaiza Hashim0Khaled Shuaib1Farag Sallabi2Department of Information Systems and Security, College of Information Technology, United Arab Emirates University, Al Ain P.O. Box 15551, United Arab EmiratesDepartment of Information Systems and Security, College of Information Technology, United Arab Emirates University, Al Ain P.O. Box 15551, United Arab EmiratesDepartment of Computer and Network Engineering, College of Information Technology, United Arab Emirates University, Al Ain P.O. Box 15551, United Arab EmiratesWith the growing utility of blockchain technology, the desire for reciprocal interactions among different blockchains is growing. However, most operational blockchain networks currently operate in a standalone setting. This fragmentation in the form of isolated blockchains creates interoperability difficulties, inhibiting the adoption of blockchains in various ecosystems. Interoperability is a key factor in the healthcare domain for sharing EHRs of patients registered in independent blockchain networks. Each blockchain network could have its own rules and regulations, obstructing the exchange of EHRs for improving diagnosis and treatments. Examples include patients being treated by healthcare providers in different countries or regions, or within one country but with a different set of rules per state or emirate. By contrast, a federation of blockchain networks can provide better communication and service to stakeholders in healthcare. Thus, solutions for facilitating inter-blockchain communication in such a blockchain federation are needed. However, this possibility has not been fully explored, and further investigations are still being conducted. Hence, the present study proposes a transaction-based smart contract triggering system for inter-blockchain communication, enabling EHR sharing among independent blockchains. We use local and global smart contracts that will be executed once a transaction is created in the blockchain. Local smart contracts are used for EHR sharing within the blockchain, whereas global smart contracts are used for EHR sharing among independent blockchains. The experimental setup is conducted using the Hyperledger Fabric blockchain platform. Inter-blockchain communication between two independent fabric networks is conducted through a global smart contract using Hyperledger Cactus for EHR sharing in a health federation setup. To the best of our knowledge, our study is the first to implement an inter-blockchain communication model in the healthcare domain.https://www.mdpi.com/2410-387X/6/3/47blockchain integrationblockchain communicationsmart contractselectronic health records (EHRs)blockchain federation
spellingShingle Faiza Hashim
Khaled Shuaib
Farag Sallabi
Connected Blockchain Federations for Sharing Electronic Health Records
Cryptography
blockchain integration
blockchain communication
smart contracts
electronic health records (EHRs)
blockchain federation
title Connected Blockchain Federations for Sharing Electronic Health Records
title_full Connected Blockchain Federations for Sharing Electronic Health Records
title_fullStr Connected Blockchain Federations for Sharing Electronic Health Records
title_full_unstemmed Connected Blockchain Federations for Sharing Electronic Health Records
title_short Connected Blockchain Federations for Sharing Electronic Health Records
title_sort connected blockchain federations for sharing electronic health records
topic blockchain integration
blockchain communication
smart contracts
electronic health records (EHRs)
blockchain federation
url https://www.mdpi.com/2410-387X/6/3/47
work_keys_str_mv AT faizahashim connectedblockchainfederationsforsharingelectronichealthrecords
AT khaledshuaib connectedblockchainfederationsforsharingelectronichealthrecords
AT faragsallabi connectedblockchainfederationsforsharingelectronichealthrecords