Blockchain-Enabled Multisensor Clinical Laboratory Information System
Keywords:
Blockchain, Sensor, IoT, Information System, EHR, ClinicalAbstract
The purpose of this paper is to design an information system for clinics to implement multiple sensors for laboratory testing and telemedicine use. IoT is adopted in major hospitals but many smaller healthcare organizations have not benefited from the recent innovation due to lack of access to technology [1]. The paper presents the 'sensor lab' information system architecture for small clinics that includes sensors, a secure blockchain cloud to link the sensors and transmit data, and an electronic health record (EHR) analytics tool to evaluate patients’ health conditions. Additionally, costs and benefits for smart clinics are shown to prove the business value of smart clinics. The goal of a smart clinic is to improve outpatient visit efficiency and patient data security, provide telemedicine care management, and reduce clinic expenses.
References
Are Virtual Care Clinics the Wave of the Future? (2016, Aug.). USNews.com.
Retrieved from https://www.usnews. com/news/articles/2016-08-17/are-virtual-care-clinics-the-wave-of-the-future
Clinical Program (2017, May). Bio Sensors International. Retrieved from http://www.biosensors.com/intl/clinical-program
Zweig, M.H. (1988, April ). Evaluation of the Clinical Accuracy of Laboratory Tests. Retrieved April 30, 2017, from https://www.ncbi.nlm.nih.gov/pubmed/3355338
Clinical Lab (2017, May). MedicalPriceOnline.com. Retrieved from https://www. medicalpriceonline.com/medical-equipment/clinical-lab/
The Benefits of Blockchains Across Industries (2016, April). Retrieved from http://www.oracle.com/us/corporate/profit/big-ideas/041316-siyer-2982371.html
Mega Data Breaches Could Drive the Blockchain Revolution. (2017, May). Retrieved from https://www.infosecurity-magazine.com/opinions/data-breaches-Blockchain-revolution/
Introduction to Smart Contracts. (2017, May). Solidity.readthedocs.io. Retrieved from http://solidity.readthedocs.io/en/develop/introduction-to-smart-contracts.html
Yuan, B., Lin, W., & McDonnell, C. (n.d.). Blockchains and Electronic Health Records. Retrieved April 30, 2017, from http://mcdonnell.mit.edu/Blockchain_ehr.pdf
Bulkin, A. (2016, May 03). Explaining Blockchain-how proof of work enables trustless consensus. Retrieved April 30, 2017, from https://keepingstock.net/explaining-Blockchain-how-proof-of-work -enables-trustless-consensus-2abed27f0845-work-enables-trustless-consensus-2abed27f0845
Barton, personal communication, April 28, 2017)
Kott, personal communication, April 17, 2017
Chronic Disease Overview (2017, May). CDC.gov. Retrieved from https://www.cdc.gov/chronicdisease/overview/
Privacy of Individually Identifiable Health Information, 65 FR 82802 (2000).
Wang, Y., Chen, R., Ghosh, J., Denny, J. C., Kho, A., Chen, Y., . . . Sun, J. (2015). Rubik. Proceedings of the 21th ACM SIGKDD International Conference on Knowledge Discovery and Data Mining - KDD 15. doi:10.1145/2783258.2783395
Gruenheid, A. (2016). Data Integration with Dynamic Data Sources (Doctoral dissertation, ETH Zurich).
Szlosek, D. A., & Ferretti, J. M. (2016). Using Machine Learning and Natural Language Processing Algorithms to Automate the Evaluation of Clinical Decision Support in Electronic Medical Record Systems. EGEMs (Generating Evidence & Methods to improve patient outcomes), 4(3). doi:10.13063/2327-9214.1222
Bureau, U. C. (2014, November 25). Ambulatory Health Care Services Receipts and Employment on the Rise. Retrieved May 02, 2017, from https://www.census.gov/newsroom/press-releases/2014/cb14-216.html
Bernstein AB, Hing E, Moss AJ, Allen KF, Siller AB, Tiggle RB. Health care in America:
Trends in utilization. Hyattsville, Maryland: National Center for Health Statistics. 2003.
US Census Bureau. (2014, November 25). Ambulatory Health Care Services Receipts and Employment on the Rise. Retrieved May 02, 2017, from https://www.census.gov/newsroom/press-releases/2014/cb14-216.html
Health Clinics Nationwide Compared to Planned Parenthood Centers (2017, May). LozierInsititute.org. Retrieved from https://lozierinstitute.org/health-clinics-nationwide-compared-to-planned-parenthood-centers/
Suszek, A. (2017, May). Malpractice Claims for Delayed Diagnosis. Retrieved from http://www.alllaw.com/articles/nolo/medical-malpractice/delayed-diagnosis.html
Dietsche, E. (2016, January 14). 60 things to know about the hospital industry | 2016. Retrieved May 02, 2017, from http://www.beckershospitalreview.com/lists/50-things-to-know-about-the-hospital-industry-2016.html
Murray, D. (2004, March). S Corp, C Corp, LLC, LLP-which is best? Retrieved March 5, 2004, from http://www.modernmedicine.com/modern-medicine/content/s-corp-c-corp-llc-llp-which-best
Lok, personal communication, April 17, 2017
Downloads
Published
Issue
Section
License
- Papers must be submitted on the understanding that they have not been published elsewhere (except in the form of an abstract or as part of a published lecture, review, or thesis) and are not currently under consideration by another journal published by any other publisher.
- It is also the authors responsibility to ensure that the articles emanating from a particular source are submitted with the necessary approval.
- The authors warrant that the paper is original and that he/she is the author of the paper, except for material that is clearly identified as to its original source, with permission notices from the copyright owners where required.
- The authors ensure that all the references carefully and they are accurate in the text as well as in the list of references (and vice versa).
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
- The journal/publisher is not responsible for subsequent uses of the work. It is the author's responsibility to bring an infringement action if so desired by the author.