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August 2016
Moving Toward a Blockchain-based Method for
the Secure Storage of Patient Records
Drew Ivan
drew.ivan@
Abstract
Today’s methods of recording and sharing patient data have a number of limitations that
restrict patients’ access to their clinical records, reduce availability of essential data to
care providers, and ultimately present a barrier to transforming U.S. healthcare into a
learning health system. Storing patient healthcare data in a blockchain-based storage
scheme can remediate these shortcomings. This paper discusses blockchain as a novel
approach to secure health data storage, implementation obstacles, and a plan for
transitioning incrementally from current technology to a blockchain solution.
Overview of Today’s Environment
As recently as 2008, less than 10 percent of medical
1
records were stored electronically (Figure 1) . Paper
based records are difficult to move or copy from
their original location to other places of service or
directly to the patient. Today, nearly all medical
records are stored in electronic health record (EHR)
systems, yet data remains largely non-portable.
Several factors contribute to the difficulty of
Figure 1. Adoption of Electronic Health Records
providing and controlling access to healthcare data. in Federal Acute Care Hospitals
Many healthcare providers err on the side of
2
caution when interpreting HIPAA requirements , sharing data only when absolutely
required. This extends to restricting patients and their proxies from accessing data about
their own health. Some institutions perceive data stewardship as a competitive
advantage. Owning the patient’s medical record pr
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