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202     CHAPTER 8 BLOCKCHAIN IN HEALTHCARE: CHALLENGES AND SOLUTIONS





                                                Positioning sensor
                                                 (accelerometer)


                          Blood pressure sensor                      Airflow sensor
                          (Sphygmomanometer)                          (breathing)



                        Pulse and oxygen in                             Electrocardiogram
                       blood sensor (SPO2)                                sensor (ECG)

                                                 Sensor data

                                                                         Galvanic skin
                        Body temperature                                response sensor
                            sensor
                                                                        (GSR-sweating)


                             Wearable sleep                        Electromyography
                             tracking device                         sensor (EMG)

                                                 Smart lenses


             FIG. 8.4
             Overview of different kinds of sensor data.

             main reasons for those breaches, which mentioned in another report by Snell [27], are unintended data
             disclosure (41%), hacking and malware (19%), insider incidents (15%), and physical damage (8%).
             According to past reports, it costs around $380 USD per second for every healthcare record that is
             breached.




             8.2.2 BLOCKCHAIN
             The blockchain technology is a decentralized ledger that can initiate a transaction across a peer-to-peer
             network without any approval from the central authority. Swan [28] defined two versions of blockchain
             in his book: cryptocurrencies was version 1.0 and all other applications were version 2.0. Robert
             Hackett [29] reported in 2016 in the Fortune Magazine, “This coding breakthrough—which consists
             of concatenated blocks of transactions—allows competitors to share a digital ledger across a network of
             computers without the need for a central authority. No single party has the power to tamper with the
             records: the math keeps everyone honest.” Zheng et al. [30] mentioned four key characteristics of
             blockchain technologies, which will directly affect the healthcare industries of the upcoming fourth
             industrial revolution (Industry 4.0): decentralization, persistency, anonymity, and auditable. The
             amount of investment in blockchain technology is shown in Fig. 8.5. Major tools constituting this tech-
             nology are shown in Figs. 8.6–8.9 and Table 8.1.
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