Tracking of Clinical Documentation Based on the Blockchain Technology—A Polish Case Study

Wyciślik, Łukasz; Marcinkowska, Elżbieta

doi:10.3390/su12229517

Cited by 5 publications

(8 citation statements)

References 39 publications

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“…In the first case, the patient's consent to transfer the documents to another medical unit should be recorded, and in the second, at least the reason for the transfer and the recipient of the document should be recorded. Information on the facts of disclosure of medical-records data should be credible and undeniable; therefore, even systems based on blockchain technologies are proposed for their processing [57].…”

Section: Discussionmentioning

confidence: 99%

The Cloud-Enabled Architecture of the Clinical Data Repository in Poland

Wyciślik

Sojka²

2021

Sustainability

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In this article, the authors, using information-systems modeling techniques, and considering current national legal regulations, present the cloud-enabled architecture of a clinical data repository. The patient’s medical record is an important carrier of information necessary for accurate diagnosis and selection of the correct treatment process. Therefore, it is not surprising that since the beginning of the development of computer technologies, databases have been built to enable the management of a patient’s medical records. These systems were most-often deployed locally at individual healthcare units, which carried certain limitations both in terms of the security and availability of the stored information, and the possibility of exchanging it with other clinics. However, recent developments in the standardization of medical information exchange in Poland, together with the revolution in cloud computing, have opened up completely new perspectives for clinical-data-repository implementations helping to make them far more sustainable. Although, the practical aspects of implementing clinical-documentation repositories are studied both in forums of European countries and also around the world; so far, no similar research was conducted with respect to Poland. This study tries to fill that gap by proposing a flexible multi-variant cloud-enabled architecture of the system providing the services of a clinical-data repository. The goal of the work was to propose such a system architecture that allows having a system that is either cloud-agnostic, that uses specifically selected cloud services, or that is even deployable locally. Thanks to the use of cloud computing services, the implemented system is characterized by high availability, scalability, and the possibility of exchanging data between medical institutions, which enables the improvement in the quality of medical processes for the whole Polish population.

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Section: Discussionmentioning

confidence: 99%

The Cloud-Enabled Architecture of the Clinical Data Repository in Poland

Wyciślik

Sojka²

2021

Sustainability

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“…That means the concerned organizations should delete the user data if the user requests for it. Since information inside the blockchain cannot be removed, it directly contradicts with Article 17 [28][29][30][31][32][33]. Technically, the same goes for Article 16 (right to rectification) also since data cannot be edited either [29], [34].…”

Section: ) Data Deletion and Modification (Article 16 17 And 18)mentioning

confidence: 99%

“…Mohammadi et al [66] proposed to include a separate privacy-enhancing layer with their proposed GDPR compliant model. Wyciślik et al [33] highlighted medical documents tracing and auditing systems using blockchain.…”

Section: ) Healthcarementioning

confidence: 99%

“…Second, this paper presents a comprehensive analysis of the GDPR articles that have been explored for compliance issues. We have seen that the right to be forgotten has been explored more and various directions have been proposed [e.g., [28][29][30][31][32][33][34]. Similarly, data processing and controlling role definitions have also been explored vastly [40][41][42][43][44][45][46][47][48][49].…”

Section: Contributionsmentioning

confidence: 99%

“…Patient's clinical documents tracing and auditing system [33] • Blockchain for storing documents and managing patients' consent [33].…”

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confidence: 99%

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Although blockchain-based digital services promise trust, accountability, and transparency, multiple paradoxes between blockchains and GDPR have been highlighted in the recent literature. Some of the recent literature also proposed possible solutions to these paradoxes. This article aims to conduct a systematic literature review on GDPR compliant blockchains and synthesize the findings. In particular, the goal was to identify 1) the GDPR articles that have been explored in prior literature; 2) the relevant research domains that have been explored, and 3) the research gaps. Our findings synthesized that the blockchains relevant GDPR articles can be categorized into six major groups, namely data deletion and modification (Article 16, 17, and 18), protection by design by default (Article 25), responsibilities of controllers and processors (Article 24, 26, and 28), consent management (Article 7), data processing principles and lawfulness (Article 5,6 and 12), and territorial scope (Article 3). We also found seven research domains where GDPR compliant blockchains have been discussed, which include IoT, financial data, healthcare, personal identity, online data, information governance, and smart city. From our analysis, we have identified a few key research gaps and present a future research direction.

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The emergence of blockchain technology has provided new opportunities to create added value in the local economy. This research conducts a comprehensive literature study on blockchain models and value chain concepts to understand their potential contribution in improving the local economy. This research explores various theoretical frameworks, empirical evidence, and practical applications of blockchain technology and value chain analysis. By synthesizing existing knowledge, this research provides insight into how blockchain and value chain approaches can be leveraged to generate economic value at the local level. These findings contribute to a deeper understanding of the mechanisms by which blockchain technology and the value chain concept can drive economic growth and development in local communities.

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Tracking of Clinical Documentation Based on the Blockchain Technology—A Polish Case Study

Cited by 5 publications

References 39 publications

The Cloud-Enabled Architecture of the Clinical Data Repository in Poland

The Cloud-Enabled Architecture of the Clinical Data Repository in Poland

GDPR Compliant Blockchains–A Systematic Literature Review

Menciptakan Value Added bagi Ekonomi Lokal dalam Tinjauan Model Rantai Blok dan Konsep Rantai Nilai: Sebuah studi literatur

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