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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| Published in: | Computational and structural biotechnology journal Vol. 16; pp. 267 - 278 |
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| Main Authors: | , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
Netherlands
Elsevier B.V
01.01.2018
Research Network of Computational and Structural Biotechnology Elsevier |
| Subjects: | |
| ISSN: | 2001-0370, 2001-0370 |
| Online Access: | Get full text |
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| Abstract | 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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| AbstractList | 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. Keywords: Blockchain, Smart contracts, Decentralized app, Interoperability, Digital health identity, Clinical data sharing, Cancer care 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. 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.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. 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 (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 (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. |
| Author | Zhang, Peng White, Jules Rosenbloom, S. Trent Schmidt, Douglas C. Lenz, Gunther |
| AuthorAffiliation | c Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN, USA a Department of Electrical Engineering and Computer Science, Vanderbilt University, Nashville, TN, USA b Varian Medical Systems, Palo Alto, California, USA |
| AuthorAffiliation_xml | – name: b Varian Medical Systems, Palo Alto, California, USA – name: a Department of Electrical Engineering and Computer Science, Vanderbilt University, Nashville, TN, USA – name: c Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN, USA |
| Author_xml | – sequence: 1 givenname: Peng surname: Zhang fullname: Zhang, Peng email: peng.zhang@vanderbilt.edu organization: Department of Electrical Engineering and Computer Science, Vanderbilt University, Nashville, TN, USA – sequence: 2 givenname: Jules surname: White fullname: White, Jules email: jules.white@vanderbilt.edu organization: Department of Electrical Engineering and Computer Science, Vanderbilt University, Nashville, TN, USA – sequence: 3 givenname: Douglas C. surname: Schmidt fullname: Schmidt, Douglas C. email: d.schmidt@vanderbilt.edu organization: Department of Electrical Engineering and Computer Science, Vanderbilt University, Nashville, TN, USA – sequence: 4 givenname: Gunther surname: Lenz fullname: Lenz, Gunther email: gunther.lenz@varian.com organization: Varian Medical Systems, Palo Alto, California, USA – sequence: 5 givenname: S. Trent surname: Rosenbloom fullname: Rosenbloom, S. Trent email: trent.rosenbloom@vanderbilt.edu organization: Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN, USA |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/30108685$$D View this record in MEDLINE/PubMed |
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| ContentType | Journal Article |
| Copyright | 2018 The Authors 2018 The Authors 2018 |
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| Keywords | Digital health identity Clinical data sharing Smart contracts Blockchain Cancer care Interoperability Decentralized app |
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| SubjectTerms | Blockchain Cancer care case studies Clinical data sharing Decentralized app decision making Digital health identity encapsulation health information health services information exchange information technology Interoperability neoplasms patients Smart contracts |
| Title | FHIRChain: Applying Blockchain to Securely and Scalably Share Clinical Data |
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