Meningkatkan Keamanan Data Rekam Medis Puskesmas Gajahan Melalui Teknologi Blockchain dengan Impelementasi Penggunaan Metode Smart Contract dan Algoritma Konsesus Proof-of-Work
Keywords:
Keamanan Informasi, Blockchain, Smart contract, Proof of Work, Rekam MedisAbstract
Meningkatnya akan minat digitalisasi akan data rekam medis terutama sejak adanya pandemi COVID-19 menambah minat penggunaan system rekam medis oleh penyediaan layanan kesehatan. Akan tetapi, system ini masih memiliki resiko terkait dengan pelanggaran privasi, penghapusan data dan juga terbatasnya performa. Oleh karena itu beberapa penelitian menunjukkan bahwa teknologi blockchain mampu mengatasi permasalahan ini. Penelitian ini bertujuan untuk mengeksplorasi pemanfaatan teknologi blockchain dalam konteks tersebut, memberikan wawasan baru, dan rekomendasi praktis bagi pengelola. Penelitian ini berhasil menunjukkan bahwa penerapan teknologi blockchain, khususnya dengan metode Smart contract dan algoritma konsensus Proof-of-Work (PoW), dapat secara signifikan meningkatkan keamanan dan efisiensi pengelolaan data rekam medis di Puskesmas Gajahan. Dengan teknologi blockchain, setiap transaksi dan perubahan data direkam secara permanen dan transparan, sehingga memastikan integritas dan kepercayaan terhadap data medis. Penerapan ini juga memberikan keamanan tambahan terhadap ancaman serangan seperti SQL injection dengan memastikan tidak ada koneksi langsung antara aplikasi web dan database. Secara keseluruhan, teknologi blockchain menunjukkan potensi besar dalam meningkatkan perlindungan dan manajemen data sensitif di sektor kesehatan, khususnya di institusi seperti Puskesmas Gajahan.
References
P. Bellavista, C. Esposito, L. Foschini, C. Giannelli, N. Mazzocca, and R. Montanari, "Interoperable blockchains for highly-integrated supply chains in collaborative manufacturing," Sensors, vol. 21, no. 15, p. 4955, 2021.
R. Belchior, A. Vasconcelos, S. Guerreiro, and M. Correia, "A survey on blockchain interoperability: Past, present, and future trends," Comput. Surveys, vol. 54, no. 8, pp. 1–41, 2022.
M. Cheng, H. Y. Chong, and Y. Xu, "Blockchain-smart contracts for sustainable project performance: Bibliometric and content analyses," Environment, Development and Sustainability, vol. 26, pp. 8159–8182, 2024.
S. Cohen, A. Rosenthal, and A. Zohar, "Reasoning about the future in blockchain databases," in 2020 IEEE 36th International Conference on Data Engineering (ICDE), 2020, pp. 1930–1933.
G. Falazi, U. Breitenbücher, F. Leymann, and S. Schulte, "Cross-chain smart contract invocations: A systematic multi-vocal literature review," ACM Comput. Surv., January 2024.
M. Garriga, S. Dalla Palma, M. Arias, A. De Renzis, R. Pareschi, and D. A. Tamburri, "Blockchain and cryptocurrencies: A classification and comparison of architecture drivers," Concurrency and Computation: Practice and Experience, vol. 33, no. 8, p. e5992, 2021.
K. Honari, S. Rouhani, N. E. Falak, Y. Liu, Y. Li, and H. Liang, "Smart contract design in distributed energy systems: A systematic review," Energies, vol. 16, no. 12, p. 4797, 2023.
K. Koç and A. Gürgün, "Drivers for construction stakeholders to adopt smart contracts," Journal of Construction Engineering, Management & Innovation, vol. 3, pp. 101–112, 2020.
A. Kumari, A. Shukla, R. Gupta, S. Tanwar, S. Tyagi, and N. Kumar, "Et-deal: A P2P smart contract-based secure energy trading scheme for smart grid systems," in IEEE INFOCOM 2020 - IEEE Conference on Computer Communications Workshops (INFOCOM WKSHPS), 2020, pp. 1051–1056.
Y. Lan, J. Gao, Y. Li, K. Wang, Y. Zhu, and Z. Chen, "TrustCross: Enabling confidential interoperability across blockchains using trusted hardware," in BRAINS'21, ACM, 2021, pp. 17–23.
C. Li, J. Long, Y. Liu, Q. Li, W. Liu, P. Feng, B. Li, and J. J. Xian, "Mechanism analysis and partition characteristics of a recent highway landslide in Southwest China based on a 3D multipoint deformation monitoring system," Landslides, vol. 18, pp. 2895–2906, 2021.
J. Li and M. Kassem, "Applications of distributed ledger technology (DLT) and blockchain-enabled smart contracts in construction," Automation in Construction, vol. 132, p. 103955, 2021.
W. Lu, X. Li, F. Xue, R. Zhao, L. Wu, and A. G. Yeh, "Exploring smart construction objects as blockchain oracles in construction supply chain management," Automation in Construction, vol. 129, p. 103816, 2021.
W. Nie and L. Liu, "A ring signature trust model for project review based on blockchain smart contract," Tehni?ki Vjesnik, vol. 28, pp. 347–356, 2021.
P. Purwono, P. Dewi, and S. D. Kurniawan, "Pengembangan keamanan sistem rekam medis berbasis blockchain dengan smart contract," Smart Comp, vol. 12, no. 2, 2023.
D. Tith, et al., "Application of blockchain to maintaining patient records in electronic health record for enhanced privacy, scalability, and availability," Healthc. Inform. Res., vol. 26, no. 1, pp. 3–12, 2020.
