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Security and Privacy for Healthcare Blockchains

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 Added by Rui Zhang
 Publication date 2021
and research's language is English




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Healthcare blockchains provide an innovative way to store healthcare information, execute healthcare transactions, and build trust for healthcare data sharing and data integration in a decentralized open healthcare network environment. Although the healthcare blockchain technology has attracted broad interests and attention in industry, government and academia, the security and privacy concerns remain the focus of debate when deploying blockchains for information sharing in the healthcare sector from business operation to research collaboration. This paper focuses on the security and privacy requirements for medical data sharing using blockchain, and provides a comprehensive analysis of the security and privacy risks and requirements, accompanied by technical solution techniques and strategies. First, we discuss the security and privacy requirements and attributes required for electronic medical data sharing by deploying the healthcare blockchain. Second, we categorize existing efforts into three reference blockchain usage scenarios for electronic medical data sharing, and discuss the technologies for implementing these security and privacy properties in the three categories of usage scenarios for healthcare blockchain, such as anonymous signatures, attribute-based encryption, zero-knowledge proofs, verification techniques for smart contract security. Finally, we discuss other potential blockchain application scenarios in healthcare sector. We conjecture that this survey will help healthcare professionals, decision makers, and healthcare service developers to gain technical and intuitive insights into the security and privacy of healthcare blockchains in terms of concepts, risks, requirements, development and deployment technologies and systems.



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The advancement in the healthcare sector is entering into a new era in the form of Health 4.0. The integration of innovative technologies like Cyber-Physical Systems (CPS), Big Data, Cloud Computing, Machine Learning, and Blockchain with Healthcare services has led to improved performance and efficiency through data-based learning and interconnection of systems. On the other hand, it has also increased complexities and has brought its own share of vulnerabilities due to the heavy influx, sharing, and storage of healthcare data. The protection of the same from cyber-attacks along with privacy preservation through authenticated access is one of the significant challenges for the healthcare sector. For this purpose, the use of blockchain-based networks can lead to a considerable reduction in the vulnerabilities of the healthcare systems and secure their data. This chapter explores blockchains role in strengthening healthcare data security by answering the questions related to what data use, when we need, why we need, who needs, and how state-of-the-art techniques use blockchains to secure healthcare data. As a case study, we also explore and analyze the state-of-the-art implementations for blockchain in healthcare data security for the COVID-19 pandemic. In order to provide a path to future research directions, we identify and discuss the technical limitations and regulatory challenges associated with blockchain-based healthcare data security implementation.
Due to their interesting features, blockchains have become popular in recent years. They are full-stack systems where security is a critical factor for their success. The main focus of this work is to systematize knowledge about security and privacy issues of blockchains. To this end, we propose a security reference architecture based on models that demonstrate the stacked hierarchy of various threats (similar to the ISO/OSI hierarchy) as well as threat-risk assessment using ISO/IEC 15408. In contrast to the previous surveys, we focus on the categorization of security incidents based on their origins and using the proposed architecture we present existing prevention and mitigation techniques. The scope of our work mainly covers aspects related to the decentralized nature of blockchains, while we mention common operational security issues and countermeasures only tangentially.
This paper embodies the usage of Big Data in Healthcare. It is important to note that big data in terms of Architecture and implementation might be or has already or will continue to assist the continuous growth in the field of healthcare. The main important aspects of this study are the general importance of big data in healthcare, the positives big data will help tackle and enhance in this field and not to also forget to mention the tremendous downside big data has on healthcare that is still needed to improve or putting extensive research on. We believe there is still a long way in which institutions and individuals understand the hidden truth about big data. We have highlighted the various ways one could be confidently relied on big data and on the other hand highlighted the weighted importance of big problem big data and expected solutions.
The increased adoption of Artificial Intelligence (AI) presents an opportunity to solve many socio-economic and environmental challenges; however, this cannot happen without securing AI-enabled technologies. In recent years, most AI models are vulnerable to advanced and sophisticated hacking techniques. This challenge has motivated concerted research efforts into adversarial AI, with the aim of developing robust machine and deep learning models that are resilient to different types of adversarial scenarios. In this paper, we present a holistic cyber security review that demonstrates adversarial attacks against AI applications, including aspects such as adversarial knowledge and capabilities, as well as existing methods for generating adversarial examples and existing cyber defence models. We explain mathematical AI models, especially new variants of reinforcement and federated learning, to demonstrate how attack vectors would exploit vulnerabilities of AI models. We also propose a systematic framework for demonstrating attack techniques against AI applications and reviewed several cyber defences that would protect AI applications against those attacks. We also highlight the importance of understanding the adversarial goals and their capabilities, especially the recent attacks against industry applications, to develop adaptive defences that assess to secure AI applications. Finally, we describe the main challenges and future research directions in the domain of security and privacy of AI technologies.
Federated learning (FL) has enabled training models collaboratively from multiple data owning parties without sharing their data. Given the privacy regulations of patients healthcare data, learning-based systems in healthcare can greatly benefit from privacy-preserving FL approaches. However, typical model aggregation methods in FL are sensitive to local model updates, which may lead to failure in learning a robust and accurate global model. In this work, we implement and evaluate different robust aggregation methods in FL applied to healthcare data. Furthermore, we show that such methods can detect and discard faulty or malicious local clients during training. We run two sets of experiments using two real-world healthcare datasets for training medical diagnosis classification tasks. Each dataset is used to simulate the performance of three different robust FL aggregation strategies when facing different poisoning attacks. The results show that privacy preserving methods can be successfully applied alongside Byzantine-robust aggregation techniques. We observed in particular how using differential privacy (DP) did not significantly impact the final learning convergence of the different aggregation strategies.
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