Fusing Identity Management, HL7 and Blockchain into a Global Healthcare Record Sharing Architecture

Abstract

Healthcare record sharing among various medical roles is a critical and challenging research problem especially in today’s everchanging global IT solutions. The emergence of blockchain as a new enabling technology brought radical changes to numerous business applications, including healthcare. Blockchain is a trusted distributed ledger that forms a decentral-ized infrastructure. There have been several proposals regarding the sharing of critical healthcare records over blockchain infras-tructure without requiring prior knowledge/trust of the parties involved (patients, service providers, and insurance companies). Another yet important issue is to securely share medical records across various countries for travelling patients to ensure an integrated and ubiquitous healthcare service. In this paper, we present a globally integrated healthcare record sharing architec-ture based on blockchain and HL7 client. Healthcare records are stored at the hosting country and are not stored on the blockchain. This architecture avails medical records of travelling patients temporarily and after performing necessary authentication. The actual authorisation process is performed on a federated identity management system, such as, the Shibboleth. Though there are similarities with identity management systems, our system is unique as it involves the patient in the permission process and discloses to them the identities of entities accessed their health records. Our solution also improves performance and guarantees privacy and security through the use of blockchain and identity management system.