Research Article

[Retracted] Systematic Assessment of the Interoperability Requirements and Challenges of Secure Blockchain-Based Electronic Health Records

Table 3

Interoperable requirements of blockchain-based EHRs.

Ref.Requirements
Conceptual (syntactic and semantic)TechnologicalOrganizational and legal

[35](i) Agreed vocabulary for messages and clinical documents(i) Compatibility of signals, protocols, and technical plug and play(i) Basic business process
(ii) Common terminologies and information models for advanced messages(ii) Cooperation at the business level for knowledge sharing
[29](i) Use standard terms for data correctness(i) To provide adequate healthcare, seamlessly exchange the health data(i) Insurance, claims, and provider information in the supportive and informative infrastructure
[36](i) To evaluate the gaps, data element mapping to the standard terminologies(i) Development of logical models that are independent of platform and programming language constraints(i) Reduction in administrative burden for the reporting of federally mandated program data
[37](i) Consistency in semantics(i) Resolution of technical issues of coding standards(i) Security and privacy of healthcare data
[41](i) Acquisition of common dataset(i) Exchange of data between different nodes of the healthcare system using robust technical standards(i) A good healthcare informatic team to perform all activities
(ii) Obtain the consensus on the dataset from the physicians(ii) A group of healthcare professionals to develop consensus on the specific project
[38](i) Ability to transmit the formatted message between two or more systems(i) Specifying the data elements such as data rules, the definition of allowed values, and data format. (ii) Agreement on the technical data models to manage the data in database management systems(i) Cooperation between the informaticians, EHR IT vendors, industry process engineers, and clinicians
(ii) Ability to understand and utilization of transmitted message
(iii) Building a controlled vocabulary
[40](i) Exchange the clinical database information(i) Adoption of previous standards for the secure transmission of data and to report the clinical data(i) Advanced adoption for government and financial incentives, and partnership between public-private entities
(ii) Identification of patients and healthcare providers
[39](i) The transmitting systems should understand the data without any ambiguity(i) Information transmission between several systems, and the receiving system process information to perform new actions(i) Ensuring different legal frameworks to operate the organizations