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基于Hyperledger Fabric的电子病历共享方案

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针对电子病历的存储安全与共享过程中涉及的病历所有权及访问控制问题,提出了一种基于Hy-perledger Fabric的电子病历共享解决方案.在此方案中,电子病历通过智能合约实现的代理重加密技术,根据是否需要共享的条件,被加密并存储在星际文件系统(IPFS)中.病历的IPFS地址将被记录在区块链上,以确保其不可篡改性.在共享病历时,患者将制定严格的访问控制策略,借助基于属性的加密(CP-ABE)和Asmuth-Bloom秘密共享算法,确保电子病历仅能被经过授权的人员访问.同时,参与秘密分发的各方将协作恢复密钥,进而解密病历.所提方案在安全性方面进行了全面阐述,确保电子病历在存储与共享过程中能够抵御各类攻击,保证数据的完整性和隐私性.与其他秘密共享方案相比,所提方案在理论上的时间复杂度上表现出色,为电子病历的安全存储与多人共享提供了高效且可靠的解决方案.
Electronic medical records sharing solution based on Hyperledger Fabric
In addressing the issues of medical record ownership and access control during the storage and sharing pro-cesses of electronic medical record(EMR),an EMR sharing solution based on Hyperledger Fabric was put forward.In this solution,EMR was encrypted and stored in IPFS(inter planetary file system)using proxy re-encryption technology implemented through smart contracts,depending on the conditions for sharing.The IPFS addresses of the records were recorded on the blockchain to ensure their immutability.For sharing EMR,patients established strict access control poli-cies.Through the use of CP-ABE(attribute-based encryption)and the Asmuth-Bloom secret sharing algorithm,the EMR was encrypted so that only authorized personnel can access them.Simultaneously,parties involved in secret sharing col-laborate to recover keys and decrypt the records.The document comprehensively discusses the security aspects of this so-lution,ensuring that EMR can withstand various attacks during storage and sharing,thus guaranteeing data integrity and privacy.Compared to other secret sharing schemes,this solution demonstrates better theoretical time complexity,provid-ing an efficient and reliable solution for secure storage and multi-party sharing of EMR.

Hyperledger Fabricelectronic medical records sharingproxy re-encryptionAsmuth-Bloom secret sharing algorithm

陈嘉莉、马自强、苗莉、李冰雨、岳晓琳

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宁夏大学信息工程学院,宁夏 银川 750021

宁夏大数据与人工智能省部共建协同创新中心,宁夏 银川 750000

北京航空航天大学网络空间安全学院,北京 100083

Hyperledger Fabric 电子病历共享 代理重加密 Asmuth-Bloom秘密共享算法

2024

通信学报
中国通信学会

通信学报

CSTPCD北大核心
影响因子:1.265
ISSN:1000-436X
年,卷(期):2024.45(z1)