Machine learning for effective EHR management in blockchain-cloud integration
Abstract
Machine learning (ML) techniques have gained prominence in effectively managing Electronic Health Record (EHR) systems within the context of blockchain-cloud integration. This study presents a hybrid Machine Learning approach that combines logistic regression (LR) and random forest (RF) techniques for EHR management, leveraging the data stored in a blockchain-cloud integrated system. The tamper-resistant nature of blockchain ensures the authenticity and security of the stored patient information, serving as a reliable source for learning. The proposed LR+RF model is evaluated against other algorithms, considering various performance metrics. The analysis reveals that the LR+RF model achieves an impressive accuracy rate of 98.37%, indicating its efficacy in accurately classifying EHR data and facilitating effective management. Furthermore, the study compares the performance of blockchain-cloud-based decentralized storage with blockchain-based storage and peer-to-peer storage in terms of latency and throughput. The results demonstrate that the blockchain-cloud integrated decentralized storage surpasses other storage methods, achieving an average throughput of 6.8 units and a latency of 4.7 units. These findings highlight the potential of the proposed LR+RF model for EHR management within a blockchain-cloud integrated environment. The use of blockchain as a secure storage environment ensures the integrity of patient information, while Machine Learning techniques enhance the accuracy of classification.
Keywords
Full Text:
PDFReferences
1. Tang F, Ma S, Xiang Y, et al. An Efficient Authentication Scheme for Blockchain-Based Electronic Health Records. IEEE Access. 2019, 7: 41678-41689. doi: 10.1109/access.2019.2904300
2. Gianfrancesco MA, Tamang S, Yazdany J, et al. Potential Biases in Machine Learning Algorithms Using Electronic Health Record Data. JAMA Internal Medicine. 2018, 178(11): 1544. doi: 10.1001/jamainternmed.2018.3763
3. Shahnaz A, Qamar U, Khalid A. Using Blockchain for Electronic Health Records. IEEE Access. 2019, 7: 147782-147795. doi: 10.1109/access.2019.2946373
4. Premarathne U, Abuadbba A, Alabdulatif A, et al. Hybrid Cryptographic Access Control for Cloud-Based EHR Systems. IEEE Cloud Computing. 2016, 3(4): 58-64. doi: 10.1109/mcc.2016.76
5. Pandey P, Litoriya R. Securing and authenticating healthcare records through blockchain technology. Cryptologia. 2020, 44(4): 341-356. doi: 10.1080/01611194.2019.1706060
6. Yang G, Li C. A design of blockchain-based architecture for the security of electronic health record (EHR) systems. In: 2018 IEEE International conference on cloud computing technology and science (CloudCom). pp. 261-265. IEEE, 2018.
7. Ganiga R, Pai RM, M. M. MP, Sinha RK. Security framework for cloud based electronic health record (EHR) system. International Journal of Electrical and Computer Engineering (IJECE). 2020, 10(1): 455. doi: 10.11591/ijece.v10i1.pp455-466
8. Rahman MS, Khalil I, Mahawaga Arachchige PC, et al. A Novel Architecture for Tamper Proof Electronic Health Record Management System using Blockchain Wrapper. Proceedings of the 2019 ACM International Symposium on Blockchain and Secure Critical Infrastructure. 2019. doi: 10.1145/3327960.3332392
9. Tanwar S, Parekh K, Evans R. Blockchain-based electronic healthcare record system for healthcare 4.0 applications. Journal of Information Security and Applications. 2020, 50: 102407. doi: 10.1016/j.jisa.2019.102407
10. Mayer AH, da Costa CA, Righi R da R. Electronic health records in a Blockchain: A systematic review. Health Informatics Journal. 2019, 26(2): 1273-1288. doi: 10.1177/1460458219866350
11. Shi S, He D, Li L, et al. Applications of blockchain in ensuring the security and privacy of electronic health record systems: A survey. Computers & Security. 2020, 97: 101966. doi: 10.1016/j.cose.2020.101966
12. Gultepe E, Green JP, Nguyen H, et al. From vital signs to clinical outcomes for patients with sepsis: a machine learning basis for a clinical decision support system. Journal of the American Medical Informatics Association. 2014, 21(2): 315-325. doi: 10.1136/amiajnl-2013-001815
13. Wong J, Murray Horwitz M, Zhou L, et al. Using Machine Learning to Identify Health Outcomes from Electronic Health Record Data. Current Epidemiology Reports. 2018, 5(4): 331-342. doi: 10.1007/s40471-018-0165-9
14. Zhang G, Yang Z, Liu W. Blockchain-based privacy preserving e-health system for healthcare data in cloud. Computer Networks. 2022, 203: 108586. doi: 10.1016/j.comnet.2021.108586
15. Ismail L, Materwala H, Hennebelle A. A Scoping Review of Integrated Blockchain-Cloud (BcC) Architecture for Healthcare: Applications, Challenges and Solutions. Sensors. 2021, 21(11): 3753. doi: 10.3390/s21113753
16. Velmurugadass P, Dhanasekaran S, Shasi Anand S, et al. Enhancing Blockchain security in cloud computing with IoT environment using ECIES and cryptography hash algorithm. Materials Today: Proceedings. 2021, 37: 2653-2659. doi: 10.1016/j.matpr.2020.08.519
17. Benil T, Jasper J. Cloud based security on outsourcing using blockchain in E-health systems. Computer Networks. 2020, 178: 107344. doi: 10.1016/j.comnet.2020.107344
18. Bhattacharya P, Tanwar S, Bodkhe U, et al. BinDaaS: Blockchain-Based Deep-Learning as-a-Service in Healthcare 4.0 Applications. IEEE Transactions on Network Science and Engineering. 2021, 8(2): 1242-1255. doi: 10.1109/tnse.2019.2961932
19. Guo R, Shi H, Zhao Q, et al. Secure Attribute-Based Signature Scheme With Multiple Authorities for Blockchain in Electronic Health Records Systems. IEEE Access. 2018, 6: 11676-11686. doi: 10.1109/access.2018.2801266
20. Omar AA, Bhuiyan MZA, Basu A, et al. Privacy-friendly platform for healthcare data in cloud based on blockchain environment. Future Generation Computer Systems. 2019, 95: 511-521. doi: 10.1016/j.future.2018.12.044
21. Hasanova H, Tufail M, Baek UJ, et al. A novel blockchain-enabled heart disease prediction mechanism using machine learning. Computers and Electrical Engineering. 2022, 101: 108086. doi: 10.1016/j.compeleceng.2022.108086
22. MIMIC3c aggregated data. Available online: https://www.kaggle.com/datasets/drscarlat/mimic3c (accessed on 7 December 2023).
DOI: https://doi.org/10.32629/jai.v7i4.1274
Refbacks
- There are currently no refbacks.
Copyright (c) 2024 Birendra Kumar Saraswat, Aditya Saxena, P. C. Vashist
License URL: https://creativecommons.org/licenses/by-nc/4.0/