Abstract
The complete transfer path pays attention to the synergy among medical institutions, the result of treatment and the temporal sequence. However, the patient’s visiting behavior usually spans many medical institutions. It is not only difficult for inter-agency medical records, examination results and treatment process to be transmitted comprehensively and efficiently, but also difficult to trace the origin of the complete transfer path. This paper proposes a blockchain medical asset model to support the analysis of transfer paths across medical institutions. Firstly, this method establishes a sharing mechanism based on blockchain across medical institutions, and proposes a mapping algorithm between visiting data and blockchain assets. To solve the problem of lack of traceability and reduce the cost of using medical assets, the blockchain is used to transfer the status and inspect structure of diagnosis and treatment process among institutions. Then, aiming at the problem of lack of referral for patient transfer paths, a blockchain based full-chain transfer path analysis method is designed to find the optimal transfer paths for local medical institutions and overcome the bottleneck of the lack of referral for medical institutions transfer paths. Experiments show that the blockchain medical asset model proposed in this paper can cover the whole chain data of transfer, and can meet the needs of cross-medical institutions tracing the complete transfer path. The prediction algorithm used in this model has better performance than other prediction algorithms in mining the optimal path.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
United States: Healthcare Information and Management Systems Society, Chicago (1997)
Lowe, H.J., Ferris, T.A., Hernandez, P.M., Weber, S.C.: STRIDE – an integrated standards-based translational research informatics platform. In: AMIA Annual Symposium Proceedings, vol. 2009, pp. 391–395 (2009)
Wang, X., et al.: Translational integrity and continuity: personalized biomedical data integration. J. Biomed. Inform. 42, 100–112 (2009)
Zhou, X., et al.: Development of traditional Chinese medicine clinical data warehouse for medical knowledge discovery and decision support. Artif. Intell. Med. 48, 139–152 (2010)
Chen, Y., Ding, S., Xu, Z., Zheng, H., Yang, S.: Blockchain-based medical records secure storage and medical service framework. J. Med. Syst. 43, 5 (2018). https://doi.org/10.1007/s10916-018-1121-4
Zhou, T., Li, X., Zhao, H.: Med-PPPHIS: blockchain-based personal healthcare information system for national physique monitoring and scientific exercise guiding. J. Med. Syst. 43, 305 (2019). https://doi.org/10.1007/s10916-019-1430-2
Li, C., Cao, Y., Hu, Z., Yoshikawa, M.: Blockchain-based bidirectional updates on fine-grained medical data (2019)
Shae, Z., Tsai, J.J.P.: On the design of a blockchain platform for clinical trial and precision medicine. In: IEEE International Conference on Distributed Computing Systems (2017)
Yue, X., Wang, H., Jin, D., Li, M., Jiang, W.: Healthcare data gateways: found healthcare intelligence on blockchain with novel privacy risk control. J. Med. Syst. 40, 218 (2016). https://doi.org/10.1007/s10916-016-0574-6
Wang, H., Song, Y.: Secure cloud-based ehr system using attribute-based cryptosystem and blockchain. J. Med. Syst. 42, 152 (2018). https://doi.org/10.1007/s10916-018-0994-6
Bocek, T., Rodrigues, B.B., Strasser, T., Stiller, B.: Blockchains everywhere - a use-case of blockchains in the pharma supply-chain. In: Integrated Network and Service Management (2017)
Huang, Y., Wu, J., Long, C.: Drugledger: a practical blockchain system for drug traceability and regulation, In: 2018 IEEE International Conference on Internet of Things (iThings) and IEEE Green Computing and Communications (GreenCom) and IEEE Cyber, Physical and Social Computing (CPSCom) and IEEE Smart Data (SmartData), pp. 1137–1144 (2018)
Malamas, V., Dasaklis, T., Kotzanikolaou, P., Burmester, M., Katsikas, S.: A forensics-by-design management framework for medical devices based on blockchain. In: 2019 IEEE World Congress on Services (SERVICES), pp. 35–40 (2019)
Griggs, K.N., Ossipova, O., Kohlios, C.P., Baccarini, A.N., Hayajneh, T.: Healthcare blockchain system using smart contracts for secure automated remote patient monitoring. J. Med. Syst. 42, 130 (2018). https://doi.org/10.1007/s10916-018-0982-x
Spooner, S.H., Yockey, P.S.: Assessing clinical path effectiveness: a model for evaluation. Nurs. Case Manage. Managing Process Patient Care 1, 188–198 (1996)
Panella, M., Marchisio, S., Stanislao, F.D.: Reducing clinical variations with clinical pathways: do pathways work? Int. J. Qual. Health Care 15, 509–521 (2003)
Nakamoto, S.: Bitcoin: a peer-to-peer electronic cash system. https://bitcoin.org/bitcoin.pdf
Wood, G.: Ethereum: a secure decentralised generalised transaction ledger. Ethereum Proj. Yellow Pap. 151, 1–32 (2014)
Morrison, D.R.: PATRICIA – practical algorithm to retrieve information coded in alphanumeric. J. ACM 15, 514–534 (1968)
Graves, A.: Long short-term memory. In: Graves, A. (ed.) Supervised Sequence Labelling with Recurrent Neural Networks, vol. 385, pp. 37–45. Springer, Heidelberg (2012). https://doi.org/10.1007/978-3-642-24797-2_4
Informatik, F.F.J., Bengio, Y., Frasconi, P., Schmidhuber, J.: Gradient flow in recurrent nets: the difficulty of learning long-term dependencies (2001)
Chao, C., Cao, X., Jian, L., Bo, J., Zho, J., Fei, W.: An RNN architecture with dynamic temporal matching for personalized predictions of Parkinson’s disease (2017)
Che, Z., Purushotham, S., Cho, K., Sontag, D., Yan, L.: Recurrent neural networks for multivariate time series with missing values. Sci. Rep. 8, 6085 (2016)
Maragatham, G., Devi, S.: LSTM model for prediction of heart failure in big data. J. Med. Syst. 43, 1–13 (2019). https://doi.org/10.1007/s10916-019-1243-3
Acknowledgement
This research is supported, in part, by the National Natural Science Foundation, China (No. 61772316); the major Science and Technology Innovation of Shandong Province (No. 2019JZZY010109); the Industrial Experts Program of Spring City; Joint SDU-NTU Centre for Artificial Intelligence Research (C-FAIR) (NSC-2019-011).
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 Springer Nature Singapore Pte Ltd.
About this paper
Cite this paper
Yin, Q., Kong, L., Min, X., Feng, S. (2021). Blockchain Medical Asset Model Supporting Analysis of Transfer Path Across Medical Institutions. In: Sun, Y., Liu, D., Liao, H., Fan, H., Gao, L. (eds) Computer Supported Cooperative Work and Social Computing. ChineseCSCW 2020. Communications in Computer and Information Science, vol 1330. Springer, Singapore. https://doi.org/10.1007/978-981-16-2540-4_22
Download citation
DOI: https://doi.org/10.1007/978-981-16-2540-4_22
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-16-2539-8
Online ISBN: 978-981-16-2540-4
eBook Packages: Computer ScienceComputer Science (R0)