Enhanced Decentralized Management of Patient-Driven Interoperability Based on Blockchain

In healthcare, interoperability has been focused recently, in which, Electronic Health Record (EHR) is patient-centric. However, patient-centered interoperability brings new challenges and requirements, like security and privacy, advance technology, immutability, transparency and trust among applications. Data related to healthcare is an asset of a patient that must be controlled and owned by patient. In this paper, we have proposed a blockchain based patient-driven interoperability and discussed how we can leverage blockchain. Blockchain facilitates us in data liquidity, data immutability, data aggregation, patient identity, digital access rules, incentives and clinical data volume. Our system provides patients an immutable log and easy access to their health data across the healthcare organizations. Furthermore, patient authorize healthcare organizations to access their health data. Stakeholders (patients and healthcare organization) of EHRs are also incentivized if any organization wants to access their health data.