Security of Healthcare Data Using Blockchains: A Survey

Abstract: 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 blockchain's 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.