ABSTRACT
Introduction The emergence and rapid spread of the coronavirus disease 2019 (COVID-19) pandemic have revealed the limitations in current healthcare systems to handle patient records securely and transparently, and novel protocols are required to address these shortcomings. An attractive option is the use of Ethereum smart contracts to secure the storage of medical records and concomitant data logs. Ethereum is an open-source platform that can be used to construct smart contracts, which are collections of code that allow transactions under certain parameters and are self-executable. Methods The present study developed a proof-of-concept smart contract that stores COVID-19 patient data such as the patient identifier (ID), variant, chest CT grade, and significant comorbidities. A sample, fictitious patient data for the purpose of testing was configured to a private network. A smart contract was created in the Ethereum state and tested by measuring the time to insert and query patient data. Results Testing with a private, Proof of Authority (PoA) network required only 191 milliseconds and 890 MB of memory per insertion to insert 50 records while inserting 350 records required 674 milliseconds and similar memory per insertion, as memory per insertion was nearly constant with the increasing number of records inserted. Retrieving required 912 MB for a query involving all three fields and no wildcards in a 350-record database. Only 883 MB was needed to procure a similar observation from a 50-record database. Conclusion This study exemplifies the use of smart contracts for efficient retrieval/insertion of COVID-19 patient data and provides a case use of secure and efficient data logging for sensitive COVID-19 data.
ABSTRACT
Contact tracing has widely been adopted to control the spread of Coronavirus-2019 (COVID-19). It enables to identify, assess, and manage people who have been exposed to COVID-19, thereby preventing from its further transmission. Today's most of the contact tracing approaches, tools, and solutions fall short in providing decentralized, transparent, traceable, immutable, auditable, secure, and trustworthy features. In this paper, we propose a decentralized blockchain-based COVID-19 contact tracing solution. Contact tracing can greatly suffice the need for a speedy response to a pandemic. We leverage the immutable and tamper-proof features of blockchain to enforce trust, accountability, and transparency. Trusted and registered oracles are used to bridge the gap between on-chain and off-chain data. With no third parties involved or centralized servers, the users' medical information is not prone to invasion, hacking, or abuse. Each user is registered using their digital medical passports. To respect the privacy of the users, their locations are updated with a time delay of 20 minutes. Using Ethereum smart contracts, transactions are executed on-chain with emitted events and immutable logs. We present details of the implemented algorithms and their testing analysis. We evaluate the proposed approach using security, cost, and privacy parameters to show its effectiveness. The smart contracts code is publicly made available on GitHub.