Abstract：
:To achieve confidentiality, authentication, integrity of medical data, and support fine-grained access control, we propose a secure electronic health record (EHR) system based on attribute-based cryptosystem and blockchain technology. In our system, we use attribute-based encryption (ABE) and identity-based encryption (IBE) to encrypt medical data, and use identity-based signature (IBS) to implement digital signatures. To achieve different functions of ABE, IBE and IBS in one cryptosystem, we introduce a new cryptographic primitive, called combined attribute-based/identity-based encryption and signature (C-AB/IB-ES). This greatly facilitates the management of the system, and does not need to introduce different cryptographic systems for different security requirements. In addition, we use blockchain techniques to ensure the integrity and traceability of medical data. Finally, we give a demonstrating application for medical insurance scene.
journal_name
J Med Systjournal_title
Journal of medical systemsauthors
Wang H,Song Ydoi
10.1007/s10916-018-0994-6subject
Has Abstractpub_date
2018-07-05 00:00:00pages
152issue
8eissn
0148-5598issn
1573-689Xpii
10.1007/s10916-018-0994-6journal_volume
42pub_type
杂志文章abstract：:In this study, a classification to be used in physiotherapy was realized by means of Artificial Neural Network (ANN). The aim of the classification was to determine the treatment length and appropriate ultrasound value for the age of physiotherapy patients, the area on which ultrasound will be applied, the fat rate in...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-009-9410-6
更新日期：2011-12-01 00:00:00
abstract：UNLABELLED:An assessment of policy toward the care of seriously mentally ill (SMI) persons residing in a suburban Chicago community was undertaken. Results indicated the SMI population was classically "underserved." Few alternatives to a state inpatient hospital were being utilized. A policy change in SMI care was inst...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1023/a:1020578311537
更新日期：1999-08-01 00:00:00
abstract：:To evaluate risk and vulnerability in the chemotherapy process using a proactive risk analysis method. Healthcare failure mode and effect analysis (HFMEA) was adopted to identify potential chemotherapy process failures. A multidisciplinary team is formed to identify, evaluate, and prioritize potential failure modes ba...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-010-9616-7
更新日期：2012-06-01 00:00:00
abstract：:To obtain indications of the influence of electronic health records (EHR) in managing risks and meeting information system accreditation standard in Australian residential aged care (RAC) homes. The hypothesis to be tested is that the RAC homes using EHR have better performance in meeting information system standards ...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-016-0553-y
更新日期：2016-09-01 00:00:00
abstract：:Hand hygiene compliance is the most significant, modifiable cause of hospital-acquired infections, yet national averages for compliance rates remain unsatisfactory. Noncompliance can contribute to patient mortality, extended hospital stays, higher re-admission rates, and lower reimbursement for hospitals under the Pat...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-015-0253-z
更新日期：2015-06-01 00:00:00
abstract：:The Genetic Diseases Program of the Illinois Department of Public Health has completed the requirements for automation of its newborn screening follow-up services. The integration of two databases containing laboratory and follow-up elements allows the system to: (1) process on-line information about both normal and a...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/BF00997184
更新日期：1988-04-01 00:00:00
abstract：:Medical diagnostic accuracies can be improved when the pattern is simplified through representation by important features. The feature vector, which is comprised of the set of all features used to describe a pattern, is a reduced-dimensional representation of that pattern. By identifying a set of salient features, the...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-008-9152-x
更新日期：2008-12-01 00:00:00
abstract：:In this study, an E-Nose system was realized for the anesthetic dose level prediction. For this purpose, sevoflurane anesthetic agent was measured using the E-Nose system implemented with sensor array of quartz crystal microbalances (QCM). In surgeries, anesthetic agents are given to the patients with carrier gases of...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-007-9087-7
更新日期：2007-12-01 00:00:00
abstract：:In the research of non-invasive cardiac coronary imaging with multi-detector CT (MDCT), it is necessary to use a standard cardiac phantom to perform the mass repetitive experiments. The standard phantom can help to investigate the regularity of a technology, and hence provide the instructions to clinic. In this study,...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-008-9247-4
更新日期：2010-06-01 00:00:00
abstract：:Computer-assisted instruction holds promise for individualizing continuing education programs. This article describes how staff nurse educators are taught how to use the principles of instructional design to write clinical nursing simulations. At the conclusion of a 15-hour workshop participants have written, programm...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/BF00993120
更新日期：1986-04-01 00:00:00
abstract：:This paper focuses on assessing the behavior of a patient over time periods for managing type 2 Diabetes. In some cases, patients with type 2 diabetes not only behave differently from other patients, but the severity of a given health problem varies even for an individual patient. We focus on understanding how and whe...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-012-9894-3
更新日期：2012-11-01 00:00:00
abstract：:Data pertinent to any one hospital patient are often distributed across several independent heterogeneous computer systems serving different functional areas of the hospital. A global, integrated hospital information system can evolve from this situation if existing computer systems are linked by a local area network ...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/BF01080689
更新日期：1983-08-01 00:00:00
abstract：:This work presents a method for liver isolation in magnetic resonance imaging (MRI) abdomen images. It is based on a priori statistical information about the shape of the liver obtained from a training set using the segmentation approach. Morphological watershed algorithm is used as a key technique as it is a simple a...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-008-9131-2
更新日期：2008-08-01 00:00:00
abstract：:Anesthesiologists are dependent on specialized drugs and equipment being immediately available for patient care. Deficiencies in supplies impact on operating room efficiency and patient safety. In our institution, we do not have anesthesia assistants/aides and depend on general aides to stock anesthesia related equipm...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-018-1026-2
更新日期：2018-08-01 00:00:00
abstract：:The staff in the neonatal intensive care units is required to have highly specialized training and the using equipment in this unit is so expensive. The random number of arrivals, the rejections or transfers due to lack of capacity and the random length of stays, make the advance knowledge of the optimal staff; equipm...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-009-9259-8
更新日期：2010-08-01 00:00:00
abstract：:Poor adherence to medication is a prevalent issue that affects 50-60% of chronically ill patients. We present Medplan, a platform for patients/caregivers and healthcare professionals (HCPs) that aims to enhance adherence, increase patient medication knowledge, and facilitate communication between patients and HCPs. Th...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-017-0767-7
更新日期：2017-08-01 00:00:00
abstract：:Heterogeneity in the management of the complex medical data, obstructs the attainment of data level interoperability among Health Information Systems (HIS). This diversity is dependent on the compliance of HISs with different healthcare standards. Its solution demands a mediation system for the accurate interpretation...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-014-0028-y
更新日期：2014-08-01 00:00:00
abstract：:Belgium is in a transition phase from paper-based prescriptions to electronic prescriptions (ePrescriptions) during which both the paper and electronic format are valid. Since patients still get a paper proof of the ePrescription, sometimes pharmacists use the ePrescription as paper-based prescription. When the govern...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-019-1456-5
更新日期：2019-10-23 00:00:00
abstract：:A new denoising algorithm using Fast Guided Filter and Discrete Wavelet Transform is proposed to remove Gaussian noise in an image. The Fast Guided Filter removes some part of the details in addition to noise. These details are estimated accurately and combined with the filtered image to get back the final denoised im...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-019-1376-4
更新日期：2019-07-12 00:00:00
abstract：:To effectively control the growth of medical expenditure, Bureau of National Health Insurance (NHI) of Taiwan has taken many measures, including the Reasonable Number of Outpatient Services, Ceiling Price, Global Budgets, Strategic Analysis and the Excellence Plan; however, these measures can only scratch the surface....
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-009-9346-x
更新日期：2011-02-01 00:00:00
abstract：:It is stated that in this century not only the societies, but also the communities have to confront with a reconstruction process due to the rapid developments and reformations. It is believed that it is only possible for the organisations to achieve their goals as long as they adapt to the changes, and they continue ...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-012-9864-9
更新日期：2012-12-01 00:00:00
abstract：:The purpose of this study is to evaluate detector performance using histogram and entropy analysis according to the sensitivity change of the automatic exposure control (AEC). The experiment was performed as follows: The sensitivity of the detector was analyzed through a normalized histogram with sensitivities of S200...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-020-01652-0
更新日期：2020-09-04 00:00:00
abstract：:An electronic decision support system (the EBMeDS system) was integrated in one of the Electronic Medical Records (EMR) of Belgian family physicians (Feb 2010). User acceptance of the system is considered as a necessary condition for the effective implementation of any IT project. Facilitators, barriers and issues of ...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-012-9841-3
更新日期：2012-12-01 00:00:00
abstract：:With the rapid development of the Internet, digitization and electronic orientation are required in various applications of our daily life. For e-medicine, establishing Electronic patient records (EPRs) for all the patients has become the top issue during the last decade. Simultaneously, constructing an integrated EPR...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-010-9527-7
更新日期：2012-04-01 00:00:00
abstract：:One of the most challenging decisions in resource allocations in hospitals is: how to allocate nursing duties on the basis of patients' needs? Patient Dependency Systems, in different forms, can be used to provide information for staffing decisions and budgetary developments. That is why Patient Dependency Systems are...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1023/a:1022609717031
更新日期：1998-08-01 00:00:00
abstract：:This paper presents a novel approach for detection of Fatty liver disease (FLD) and Heterogeneous liver using textural analysis of liver ultrasound images. The proposed system is able to automatically assign a representative region of interest (ROI) in a liver ultrasound which is subsequently used for diagnosis. This ...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-011-9803-1
更新日期：2012-10-01 00:00:00
abstract：:This empirical study of the relationship between nursing care adequacy and nursing care quality demonstrates that a positive relationship exists between the process and outcome dimensions of quality of nursing care. The results from the analysis of national data on nursing homes' deficiencies highlight the importance ...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1023/a:1022579512926
更新日期：2003-06-01 00:00:00
abstract：:The healthcare industry is streamlining processes to offer more timely and effective services to all patients. Computerized software algorithm and smart devices can streamline the relation between users and doctors by providing more services inside the healthcare telemonitoring systems. This paper proposes a multi-sou...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-014-0103-4
更新日期：2014-09-01 00:00:00
abstract：:In our attempt to develop an "Essential Data Set" for a computer based information system to support Maternal & Child Health Care services an analysis of Swedish maternal care services was undertaken. The present study analyses the information system in the domain of maternal and child health care at the primary healt...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/BF00996602
更新日期：1994-10-01 00:00:00
abstract：:Resistance to antiretrovirals (ARVs) is a major problem faced by HIV-infected individuals. Different rule-based algorithms were developed to infer HIV-1 susceptibility to antiretrovirals from genotypic data. However, there is discordance between them, resulting in difficulties for clinical decisions about which treatm...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-017-0802-8
更新日期：2017-08-30 00:00:00
