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in
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ring
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I
J
E
CE
)
Vo
l.
10
,
No
.
1
,
Feb
r
u
ar
y
2020
,
p
p
.
4
21
~
426
I
SS
N:
2088
-
8708
,
DOI
: 1
0
.
1
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pp
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426
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1
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.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
SS
N
:
2088
-
8708
I
n
t J
E
lec
&
C
o
m
p
E
n
g
,
Vo
l.
10
,
No
.
1
,
Feb
r
u
ar
y
2
0
2
0
:
421
-
426
422
I
n
t
h
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atio
n
E
x
c
h
an
g
e
S
y
s
te
m
.
c.
Use o
f
b
lo
ck
c
h
a
in
i
n
HI
E
s
y
s
t
e
m
I
n
Hea
lth
ca
r
e
I
n
f
o
r
m
at
io
n
E
x
ch
an
g
e
S
y
s
te
m
,
v
ar
io
u
s
Hea
l
th
ca
r
e
en
tit
ies
li
k
e
Do
cto
r
,
Ph
ar
m
ac
i
s
t
,
Me
d
ical
L
ab
i
n
ch
ar
g
e
a
n
d
in
s
u
r
an
ce
co
m
p
a
n
y
m
a
y
h
a
v
e
to
s
u
b
m
it tr
a
n
s
ac
tio
n
s
w
h
ic
h
m
a
y
r
es
u
lt i
n
c
h
an
g
e
i
n
co
n
ten
t
s
o
f
t
h
e
E
le
ctr
o
n
ic
Me
d
ical
R
ec
o
r
d
s
(
E
MR)
[
4
]
.
T
h
ese
E
MR’s
ar
e
cr
itical
an
d
h
i
g
h
l
y
s
en
s
iti
v
e
p
atien
t
’
s
m
ed
ical
i
n
f
o
r
m
atio
n
w
h
ic
h
n
ee
d
s
to
s
ec
u
r
ed
.
I
t r
eq
u
ir
es t
h
at
th
e
p
ar
ticip
an
ts
p
er
f
o
r
m
i
n
g
tr
a
n
s
ac
ti
o
n
s
s
h
o
u
ld
b
e
k
n
o
w
n
an
d
tr
u
s
ted
b
y
o
th
er
p
ar
ticip
an
t
s
[
5
]
.
C
en
tr
aliza
tio
n
d
o
es
n
o
t
g
u
ar
a
n
tee
in
teg
r
it
y
an
d
d
ata
s
ec
u
r
it
y
s
o
;
th
i
s
p
ap
er
p
r
o
p
o
s
es
a
d
is
tr
ib
u
ted
s
o
lu
tio
n
to
i
m
p
le
m
en
t
s
a
HI
E
S
y
s
te
m
to
s
h
ar
e
E
MR’s
b
et
w
ee
n
v
ar
io
u
s
en
titi
es
p
r
esen
t
i
n
t
h
e
h
ea
lt
h
ca
r
e
u
s
i
n
g
B
lo
ck
c
h
ai
n
.
B
lo
ck
ch
ai
n
is
a
d
is
tr
ib
u
ted
le
d
g
er
w
h
ich
is
u
s
ed
f
o
r
m
a
k
i
n
g
lo
g
s
an
d
s
to
r
in
g
ev
er
y
tr
a
n
s
ac
t
io
n
b
lo
ck
i
n
d
i
s
tr
ib
u
ted
led
g
er
[
2
]
i.e
.
w
h
e
n
ev
er
a
p
ar
ticip
a
n
t
p
er
f
o
r
m
s
a
tr
an
s
ac
tio
n
o
n
E
MR’s
it
w
ill
b
e
r
ec
o
r
d
e
d
in
th
e
led
g
er
.
B
lo
ck
ch
ain
d
ep
en
d
s
o
n
p
r
ev
io
u
s
l
y
k
n
o
w
n
cr
y
p
to
g
r
ap
h
ic
m
et
h
o
d
s
w
h
ic
h
w
il
l
allo
w
e
v
er
y
n
o
d
e
in
t
h
e
n
et
w
o
r
k
to
p
ar
ticip
ate
in
th
e
in
t
er
ac
tio
n
(
e.
g
.
s
to
r
e
in
f
o
r
m
atio
n
,
ex
c
h
a
n
g
e
o
f
i
n
f
o
r
m
atio
n
,
an
d
v
ie
w
th
at
in
f
o
r
m
atio
n
)
,
w
it
h
o
u
t
h
a
v
in
g
p
r
io
r
tr
u
s
t
b
et
w
ee
n
th
e
p
ar
ticip
an
t
s
o
f
t
h
e
n
et
w
o
r
k
.
T
h
er
e
is
n
o
ce
n
tr
al
au
th
o
r
it
y
in
a
b
lo
ck
c
h
ai
n
s
y
s
te
m
i
n
s
tead
,
tr
an
s
ac
tio
n
b
lo
ck
s
ar
e
r
ec
o
r
d
ed
an
d
d
is
tr
ib
u
ted
to
all
t
h
e
p
ee
r
s
i
n
t
h
e
n
e
t
w
o
r
k
[
6
]
.
So
,
all
p
ar
ticip
an
ts
in
t
h
e
n
et
w
o
r
k
w
i
ll
k
n
o
w
ev
er
y
i
n
ter
ac
tio
n
w
it
h
b
lo
ck
ch
ai
n
a
n
d
r
eq
u
ir
e
s
it
t
o
b
e
v
er
if
ied
b
ef
o
r
e
ad
d
in
g
to
th
e
b
lo
c
k
ch
ai
n
,
w
h
ic
h
w
ill
e
n
ab
le
tr
u
s
t
-
le
s
s
in
ter
ac
tio
n
b
et
w
ee
n
th
e
p
ee
r
s
in
t
h
e
n
et
w
o
r
k
[
7
]
.
T
h
e
b
l
o
ck
o
n
ce
ad
d
ed
to
th
e
b
lo
ck
ch
a
in
ca
n
n
ei
th
er
b
e
d
elete
d
n
o
r
u
p
d
ated
i.e
.
it is
i
m
m
u
tab
le.
I
n
a
b
lo
ck
ch
a
in
b
ased
HI
E
,
t
h
e
p
atien
t
h
as
t
h
e
o
w
n
er
s
h
ip
o
f
th
e
m
ed
ical
r
ec
o
r
d
s
,
in
co
n
tr
ad
ictio
n
to
tr
ad
itio
n
al
ar
ch
itec
tu
r
e,
w
h
er
e
a
ce
n
tr
al
a
u
t
h
o
r
it
y
co
n
tr
o
ls
ac
ce
s
s
es
an
d
d
is
tr
ib
u
tes
d
a
ta
ac
r
o
s
s
n
e
t
w
o
r
k
[
8
]
.
I
n
th
is
s
y
s
te
m
m
ed
ical
r
ec
o
r
d
ac
ce
s
s
i
s
p
er
m
i
tted
to
o
n
l
y
li
m
i
ted
h
ea
lt
h
ca
r
e
en
titi
e
s
(
p
eo
p
le
o
r
o
r
g
an
izatio
n
s
)
.
Data
s
h
ar
ed
ac
r
o
s
s
t
h
e
b
lo
ck
ch
ain
n
e
t
w
o
r
k
e
n
ab
les
n
ea
r
r
ea
l
ti
m
e
u
p
d
ates
ac
r
o
s
s
all
h
ea
lt
h
ca
r
e
en
t
ities
.
Dis
tr
ib
u
ted
led
g
er
allo
w
s
s
ec
u
r
e
ac
ce
s
s
to
p
atie
n
t
d
ata
[
9]
.
Data
r
ed
u
n
d
an
c
y
i
s
r
ed
u
ce
d
as
t
h
e
s
a
m
e
co
p
y
o
f
d
ata
is
av
ailab
le
to
all
p
ee
r
s
i
n
n
et
w
o
r
k
.
P
r
iv
ac
y
a
n
d
co
n
f
i
d
en
tialit
y
in
b
lo
ck
c
h
ai
n
n
et
wo
r
k
is
m
ai
n
tai
n
ed
b
y
r
estrictin
g
f
e
w
n
o
d
es to
ac
ce
s
s
d
ata.
d.
H
y
p
er
led
g
er
f
ab
r
ic
to
s
u
p
p
o
r
t p
r
iv
ate
d
ata
T
h
e
p
r
o
p
o
s
ed
s
y
s
te
m
r
eq
u
ir
e
s
th
at
s
o
m
e
in
f
o
r
m
at
io
n
to
b
e
p
r
iv
ate
t
o
s
o
m
e
p
ar
ticip
an
t
s
an
d
s
h
o
u
ld
n
o
t
b
e
s
ee
n
b
y
o
t
h
er
p
ar
ticip
an
ts
i
n
t
h
e
n
e
t
w
o
r
k
,
f
o
r
e.
g
.
t
h
e
r
esear
ch
o
r
g
an
izat
io
n
s
a
n
d
in
s
u
r
a
n
ce
co
m
p
an
ie
s
n
ee
d
n
o
t
to
k
n
o
w
all
t
h
e
tr
an
s
ac
tio
n
s
i
n
th
e
n
et
w
o
r
k
[
10
]
.
T
h
e
o
th
er
p
er
m
i
s
s
io
n
ed
b
l
o
ck
ch
ai
n
n
et
w
o
r
k
r
eq
u
ir
es
th
at
all
p
ar
ticip
an
ts
s
h
o
u
ld
h
av
e
s
a
m
e
v
ie
w
o
f
t
h
e
d
is
tr
ib
u
ted
-
led
g
er
,
w
h
ic
h
m
ak
es
it
d
if
f
ic
u
lt
to
s
u
p
p
o
r
t
p
r
iv
ate
d
ata
f
o
r
v
ar
io
u
s
d
if
f
er
en
t
p
ar
ticip
an
t
s
w
h
er
ea
s
H
y
p
er
-
led
g
er
f
ab
r
ic
p
r
o
v
i
d
es
a
w
a
y
to
k
ee
p
ce
r
tain
d
ata/tr
an
s
ac
tio
n
s
co
n
f
i
d
en
tial a
m
o
n
g
a
s
u
b
s
et
o
f
m
e
m
b
er
s
in
n
et
w
o
r
k
[
11
].
e.
Ob
j
ec
tiv
es o
f
HI
E
s
y
s
te
m
Secu
r
e,
i
m
m
u
tab
le
an
d
d
ec
en
t
r
alize
d
E
HR
d
atab
ase
w
it
h
p
at
ien
t o
w
in
g
h
er
/ h
is
o
w
n
h
ea
l
t
h
d
ata
E
as
y
to
s
h
ar
e
s
elec
ti
v
e
o
r
all
E
HR
s
as c
o
n
s
e
n
ted
b
y
th
e
p
atie
n
t
Fu
ll
m
ed
ical
h
is
to
r
y
o
f
a
p
atien
t a
t o
n
e
s
i
n
g
le
p
o
in
t
E
as
y
v
er
if
icat
io
n
o
f
m
ed
ical
p
r
escr
ip
tio
n
R
ed
a
cted
E
HR
s
f
o
r
r
esear
ch
p
u
r
p
o
s
es
I
n
cr
ea
s
ed
tr
an
s
p
ar
en
c
y
No
in
s
u
r
an
ce
f
r
au
d
2.
T
E
CH
NO
L
O
G
I
CA
L
DE
T
A
I
L
S
B
a
s
ic
co
n
ce
p
t o
f
h
yp
erled
g
er f
a
b
r
ic
Fab
r
ic
n
et
w
o
r
k
is
d
is
tr
ib
u
ted
p
er
m
i
s
s
io
n
b
ased
w
h
ic
h
r
eq
u
ir
es
its
u
s
er
s
to
s
ig
n
-
u
p
b
ef
o
r
e
u
s
i
n
g
it
.
Usi
n
g
H
y
p
er
led
g
er
m
o
d
ell
in
g
an
d
ac
ce
s
s
co
n
tr
o
l
la
n
g
u
a
g
es,
p
er
m
i
s
s
io
n
i
n
g
o
n
t
h
e
n
et
w
o
r
k
is
co
n
tr
o
lled
[
1
2
]
.
I
t
is
i
m
p
le
m
e
n
tatio
n
o
f
DI
L
(
Dis
tr
ib
u
ted
L
ed
g
er
T
ec
h
n
o
lo
g
y
)
w
h
ic
h
p
r
o
v
id
es
E
n
ter
p
r
is
e
r
ea
d
y
n
et
w
o
r
k
s
ca
lab
ilit
y
,
s
e
c
u
r
it
y
,
p
er
f
o
r
m
an
ce
an
d
co
n
f
id
e
n
tiali
t
y
i
n
f
le
x
ib
le
b
lo
ck
ch
ai
n
ar
ch
itect
u
r
e
[
13
].
L
ik
e
o
th
er
b
lo
ck
ch
ai
n
’
s
Fab
r
ic
al
s
o
h
as
led
g
er
w
h
ich
u
s
es
s
m
ar
t
co
n
t
r
ac
t
w
h
ic
h
i
s
ca
lled
a
s
c
h
ain
co
d
e.
Hy
p
er
led
g
e
r
Evaluation Warning : The document was created with Spire.PDF for Python.
I
n
t J
E
lec
&
C
o
m
p
E
n
g
I
SS
N:
2088
-
8708
Hea
lth
ca
r
e
in
fo
r
ma
tio
n
ex
ch
a
n
g
e
u
s
in
g
b
lo
ck
ch
a
in
tech
n
o
lo
g
y
(
A
.
Mu
r
u
g
a
n
)
423
Fab
r
ic
b
lo
ck
ch
ai
n
h
as
co
n
f
ig
u
r
ab
le
an
d
m
o
d
u
lar
ar
ch
itect
u
r
e
w
h
ich
en
ab
les
o
p
ti
m
izat
i
o
n
,
in
n
o
v
at
io
n
a
n
d
v
er
s
atili
t
y
f
o
r
d
if
f
er
e
n
t i
n
d
u
s
tr
ial
u
s
e
-
ca
s
e
s
[
14
]
.
Un
li
k
e
o
th
er
d
is
tr
ib
u
ted
led
g
er
p
latf
o
r
m
H
y
p
er
led
g
er
f
ab
r
i
c
allo
w
s
s
m
ar
t
co
n
tr
ac
t
to
b
e
w
r
itte
n
i
n
v
ar
io
u
s
g
e
n
er
al
p
u
r
p
o
s
e
lan
g
u
a
g
es
s
u
c
h
as
Go
,
No
d
e.
j
s
an
d
J
a
v
a
r
ath
er
th
a
n
u
s
in
g
Do
m
ai
n
-
Sp
ec
if
i
c
L
a
n
g
u
a
g
es (
DS
L
)
.
Un
lik
e
o
t
h
er
p
er
m
is
s
io
n
-
le
s
s
n
et
w
o
r
k
,
Fa
b
r
ic
is
f
u
l
l
y
p
er
m
is
s
io
n
ed
p
latf
o
r
m
; i
t
m
ea
n
s
t
h
at,
all
th
e
p
ar
ticip
a
n
ts
i
n
t
h
e
n
e
t
w
o
r
k
ar
e
k
n
o
w
n
to
ea
ch
o
t
h
er
,
r
ath
er
t
h
an
a
n
o
n
y
m
o
u
s
an
d
th
er
e
f
o
r
e
f
u
ll
y
u
n
tr
u
s
t
ed
.
H
y
p
er
led
g
er
Fab
r
ic
allo
w
s
n
e
w
ar
c
h
itect
u
r
e
ca
l
led
as
ex
ec
u
te
-
o
r
d
er
-
v
alid
ate
f
o
r
tr
an
s
ac
tio
n
s
i
n
th
e
n
et
w
o
r
k
[
15
]
.
T
h
is
ar
ch
ite
ctu
r
e
o
v
er
co
m
es
v
ar
io
u
s
ch
all
en
g
e
s
f
ac
ed
b
y
t
h
e
o
r
d
er
–
ex
ec
u
te
-
m
o
d
el
lik
e
r
esil
ien
c
y
,
f
le
x
ib
ilit
y
,
s
ca
lab
il
it
y
,
p
er
f
o
r
m
an
ce
an
d
co
n
f
id
e
n
tialit
y
b
y
s
ep
ar
atin
g
t
h
e
tr
a
n
s
ac
tio
n
f
lo
w
in
to
th
r
ee
s
tep
s
:
1
.
E
x
ec
u
te
a
tr
an
s
ac
tio
n
an
d
ch
ec
k
it
s
co
r
r
ec
tn
es
s
,
2
.
Or
d
e
r
tr
an
s
ac
tio
n
s
u
s
i
n
g
co
n
s
e
n
s
u
s
p
r
o
to
co
l,
3
.
B
ef
o
r
e
co
m
m
itti
n
g
tr
a
n
s
ac
t
io
n
s
to
t
h
e
led
g
e
r
v
alid
ate
th
e
m
ag
a
in
s
t
an
ap
p
licati
on
-
s
p
ec
i
f
i
c
en
d
o
r
s
e
m
e
n
t
p
o
lic
y
.
H
y
p
er
le
d
g
er
Fab
r
ic
p
r
o
v
id
es
m
u
lti
-
la
y
er
p
er
m
is
s
io
n
s
w
h
ich
allo
ws
o
w
n
er
o
f
d
ata
to
co
n
tr
o
l
w
h
ic
h
p
ar
t o
f
d
ata
is
ac
ce
s
s
ed
[
16
].
2
.
1
.
F
un
ct
io
na
litie
s
o
f
H
y
perledg
er
F
a
bric
2
.
1
.
1
.
I
dentit
y
m
a
na
g
e
m
e
nt
H
y
p
er
led
g
er
Fab
r
ic
en
ab
les
p
er
m
is
s
io
n
ed
n
et
w
o
r
k
b
y
p
r
o
v
id
in
g
m
e
m
b
er
s
h
ip
id
en
ti
t
y
s
er
v
ices
[
17
]
.
T
h
is
s
er
v
ice
is
r
esp
o
n
s
ib
le
f
o
r
m
an
a
g
i
n
g
u
s
er
I
D’
s
a
n
d
also
au
th
e
n
tica
tes all
n
et
w
o
r
k
p
ar
tic
ip
an
ts
.
2
.
1
.
2
.
P
riv
a
cy
a
nd
c
o
nfident
ia
lity
I
t
allo
w
s
co
m
p
et
in
g
b
u
s
in
e
s
s
es
an
d
a
g
r
o
u
p
th
at
n
ee
d
s
t
h
eir
tr
an
s
ac
tio
n
s
to
b
e
co
n
f
id
en
tial
a
n
d
p
r
iv
ate
to
co
ex
is
t
o
n
o
n
e
n
et
w
o
r
k
.
Me
m
b
er
s
o
f
t
h
e
n
et
w
o
r
k
u
s
e
p
r
iv
ate
ch
a
n
n
el
to
m
ai
n
tai
n
co
n
f
id
e
n
tiali
t
y
an
d
p
r
iv
ac
y
in
tr
an
s
ac
tio
n
s
[
18
]
.
A
m
e
m
b
er
w
h
o
d
o
esn
’
t
h
a
v
e
ac
ce
s
s
to
th
e
p
r
iv
ate
ch
a
n
n
el
w
o
n
’
t
b
e
ab
le
to
s
ee
ch
a
n
n
el
i
n
f
o
r
m
atio
n
,
tr
an
s
ac
tio
n
s
o
n
t
h
at
c
h
an
n
el
a
n
d
m
e
m
b
er
s
o
f
it.
2
.
1
.
3
.
Cha
inco
de
f
un
ct
io
na
lity
C
h
ai
n
co
d
e
w
h
ich
is
also
ca
lled
as
s
m
ar
t
co
n
tr
ac
t
m
a
n
a
g
es
b
u
s
i
n
e
s
s
lo
g
ic
a
g
r
ee
d
b
y
all
t
h
e
p
ar
ticip
an
ts
in
t
h
e
n
et
w
o
r
k
[
1
9
]
.
I
t
is
b
asic
ally
a
p
r
o
g
r
a
m
wr
itten
i
n
p
r
o
g
r
a
m
m
in
g
la
n
g
u
a
g
es
s
u
c
h
as
Go
,
J
av
a
an
d
n
o
d
e.
j
s
.
T
h
is
p
r
o
g
r
a
m
r
u
n
s
o
n
Do
ck
er
co
n
tai
n
er
w
h
ic
h
i
s
s
ec
u
r
ed
an
d
is
o
lated
f
r
o
m
o
th
er
p
ee
r
p
r
o
ce
s
s
es
2
.
1
.
4
.
M
o
du
la
r
d
esig
n
H
y
p
er
led
g
er
Fab
r
ic
p
r
o
v
id
es
f
u
n
ctio
n
al
ch
o
ice
to
n
et
w
o
r
k
d
esig
n
er
s
b
y
i
m
p
le
m
en
tin
g
m
o
d
u
la
r
ar
ch
itect
u
r
e
[
20
]
.
I
t
allo
w
s
p
ar
ticu
lar
al
g
o
r
ith
m
s
e
n
cr
y
p
tio
n
,
o
r
d
er
in
g
an
d
id
en
tit
y
to
b
e
p
lu
g
g
ed
in
to
a
n
y
f
ab
r
ic
n
e
t
w
o
r
k
.
T
h
is
r
esu
lts
i
n
u
n
iv
er
s
a
l
ar
ch
itectu
r
e
f
o
r
b
l
o
ck
ch
ai
n
w
h
ic
h
ca
n
b
e
ad
o
p
t
ed
b
y
an
y
p
u
b
lic
o
r
in
d
u
s
tr
y
d
o
m
ain
w
it
h
t
h
e
g
u
ar
an
tee
t
h
at
t
h
e
n
et
w
o
r
k
w
ill
b
e
in
ter
-
o
p
er
ab
le
ac
r
o
s
s
r
eg
u
lato
r
y
,
m
ar
k
e
t
a
n
d
g
eo
g
r
ap
h
ical
b
o
u
n
d
ar
ies [
2
1
].
2
.
2
.
H
y
perledg
er
co
m
po
s
er
H
y
p
er
led
g
er
C
o
m
p
o
s
er
is
a
s
e
t
o
f
co
llab
o
r
atio
n
to
o
ls
f
o
r
b
u
ild
in
g
b
lo
ck
c
h
ai
n
b
u
s
in
e
s
s
n
et
w
o
r
k
s
th
a
t
m
ak
e
s
it
s
i
m
p
le
a
n
d
f
a
s
t
f
o
r
b
u
s
i
n
es
s
o
w
n
er
s
an
d
d
e
v
el
o
p
er
s
to
cr
ea
te
s
m
ar
t
co
n
tr
ac
ts
an
d
b
lo
ck
c
h
ai
n
ap
p
licatio
n
s
to
s
o
lv
e
b
u
s
i
n
es
s
p
r
o
b
lem
s
.
I
t
s
u
p
p
o
r
ts
ex
i
s
t
in
g
H
y
p
er
led
g
er
f
ab
r
ic
b
lo
ck
ch
ain
r
u
n
t
i
m
e
a
n
d
in
f
r
astru
ct
u
r
e,
w
h
ic
h
s
u
p
p
o
r
t
p
lu
g
g
ab
le
co
n
s
cio
u
s
p
r
o
to
co
l
w
h
ic
h
e
n
s
u
r
es
t
h
at
tr
a
n
s
a
ctio
n
s
ar
e
v
alid
ated
ac
co
r
d
in
g
to
th
e
p
o
lic
y
d
esi
g
n
ed
b
y
p
ar
ticip
an
ts
o
f
th
e
b
u
s
i
n
ess
n
e
t
w
o
r
k
.
3.
SYST
E
M
DE
SI
G
N
3
.
1
.
Sy
s
t
e
m
o
v
er
v
iew
T
h
e
F
ig
u
r
e
1
s
h
o
w
s
a
s
y
s
t
e
m
o
v
er
v
ie
w
o
f
p
er
s
o
n
al
h
e
alth
ca
r
e
in
f
o
r
m
atio
n
ex
c
h
an
g
e
s
y
s
te
m
.
I
t
co
n
s
is
t
o
f
f
o
llo
w
i
n
g
e
n
titi
es
w
h
ic
h
in
c
lu
d
ed
,
n
a
m
el
y
p
atien
t,
e
m
er
g
en
c
y
co
n
tact,
h
o
s
p
itals
,
i
n
s
u
r
an
c
e
co
m
p
a
n
y
,
r
esear
c
h
o
r
g
an
iza
tio
n
,
d
o
cto
r
,
p
h
ar
m
ac
is
t a
n
d
th
e
p
atien
ts
p
r
iv
ate
b
lo
ck
c
h
ai
n
n
e
t
w
o
r
k
.
3
.
2
.
H
I
E
Sy
s
t
e
m
E
ntit
ies
3
.
1
.
1
.
P
a
t
ient
/
u
s
er
P
atien
t/Us
er
i
s
th
e
o
w
n
er
o
f
th
e
n
et
w
o
r
k
a
n
d
h
as
co
m
p
let
e
co
n
tr
o
l
o
v
er
h
i
s
p
er
s
o
n
al
h
ea
lth
d
ata.
P
atien
t
is
r
esp
o
n
s
ib
le
f
o
r
r
ev
o
k
in
g
,
g
r
a
n
ti
n
g
an
d
d
en
y
in
g
d
ata
ac
ce
s
s
to
th
e
o
th
er
p
ee
r
s
in
t
h
e
n
et
w
o
r
k
s
u
c
h
as
d
o
cto
r
s
,
h
o
s
p
itals
,
in
s
u
r
an
ce
co
m
p
a
n
i
es
a
n
d
r
esear
ch
o
r
g
a
n
izatio
n
s
[
21
]
.
W
h
ile
tak
i
n
g
m
e
d
ical
tr
ea
t
m
en
t
f
r
o
m
d
o
cto
r
’
s
p
atien
t
ca
n
s
h
ar
e
h
is
E
lectr
o
n
ic
Hea
lt
h
R
ec
o
r
d
s
w
ith
t
h
e
d
o
cto
r
b
y
g
r
a
n
ti
n
g
r
ea
d
ac
ce
s
s
r
ig
h
ts
an
d
w
h
en
tr
ea
t
m
en
t
is
co
m
p
l
eted
p
atien
t
ca
n
r
ev
o
k
e
ac
ce
s
s
r
ig
h
t
s
f
r
o
m
d
o
cto
r
to
d
ec
lin
e
f
u
r
th
er
ac
ce
s
s
to
HE
R
.
Si
m
ilar
l
y
,
p
atie
n
t
c
an
g
r
an
t,
d
en
y
o
r
r
ev
o
k
e
ac
ce
s
s
t
o
o
th
er
p
ee
r
s
co
n
n
ec
ted
in
th
e
n
et
w
o
r
k
s
u
ch
as,
r
esear
ch
o
r
g
an
izatio
n
s
,
i
n
s
u
r
a
n
ce
co
m
p
an
ie
s
.
B
esid
es
th
i
s
,
th
e
p
atien
t
ca
n
r
ec
o
r
d
s
o
m
e
p
er
s
o
n
al
in
f
o
r
m
at
io
n
lik
e
d
ail
y
h
ea
lt
h
r
o
u
ti
n
e,
aller
g
ies o
r
an
y
o
th
er
r
elate
d
d
ata
w
h
ic
h
w
ill i
n
i
m
p
r
o
v
in
g
m
ed
ical
tr
ea
t
m
en
t.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
SS
N
:
2088
-
8708
I
n
t J
E
lec
&
C
o
m
p
E
n
g
,
Vo
l.
10
,
No
.
1
,
Feb
r
u
ar
y
2
0
2
0
:
421
-
426
424
3
.
1
.
2
.
Do
ct
o
r/p
ra
ct
it
io
ner
P
atien
t/
User
ca
n
ap
p
o
in
t
a
h
e
alth
ca
r
e
p
r
o
f
ess
io
n
al
s
u
c
h
as
d
o
cto
r
to
g
iv
e
m
ed
ical
tr
ea
tm
en
t
o
r
to
p
er
f
o
r
m
s
o
m
e
m
ed
ical
test
s
a
n
d
g
i
v
e
th
e
m
ac
ce
s
s
to
h
i
s
E
HR
’
s
.
W
h
e
n
m
o
r
e
th
a
n
o
n
e
d
o
cto
r
ar
e
in
v
o
lv
ed
in
p
r
o
v
id
in
g
tr
ea
t
m
e
n
t
to
p
atie
n
t
th
e
d
o
cto
r
m
a
y
r
eq
u
es
t
p
atie
n
t
to
g
i
v
e
p
er
m
is
s
io
n
to
o
th
er
d
o
cto
r
/
d
o
cto
r
s
to
ac
ce
s
s
p
atie
n
ts
m
ed
ical
r
ec
o
r
d
s
.
T
h
e
d
o
cto
r
s
ca
n
r
ea
d
p
r
ev
io
u
s
b
lo
ck
s
co
n
tai
n
i
n
g
m
ed
i
ca
l
r
ec
o
r
d
s
an
d
ca
n
ad
d
n
e
w
b
lo
ck
i
n
th
e
b
lo
ck
c
h
a
in
w
it
h
cu
r
r
en
t
m
ed
ical
r
ec
o
r
d
af
ter
g
etti
n
g
p
er
m
is
s
io
n
f
r
o
m
th
e
p
atien
t.
3
.
1
.
3
.
H
ea
lt
h
ins
ura
nce
co
m
pa
ny
P
atien
t
ca
n
allo
w
Hea
lt
h
I
n
s
u
r
a
n
ce
C
o
m
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s
s
th
eir
E
lectr
o
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ic
Hea
lth
R
e
co
r
d
s
[
22
]
.
I
n
s
u
r
an
ce
co
m
p
a
n
y
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etu
r
n
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ad
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ased
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m
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k
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s
[
23
].
3
.
1
.
4
.
Resea
rc
h o
rg
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t
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R
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lt
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r
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k
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[
23
].
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u
r
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1
.
HI
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EH
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s
3
.
4
.
G
o
a
ls
T
h
e
m
ai
n
g
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al
o
f
t
h
is
p
r
o
p
o
s
ed
s
y
s
te
m
is
to
p
r
o
v
id
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a
w
a
y
t
o
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to
r
e
an
d
s
h
ar
e
th
e
h
ea
lt
h
i
n
f
o
r
m
atio
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in
m
o
r
e
s
ec
u
r
ed
an
d
ef
f
ec
ti
v
e
m
an
n
er
[
24
]
.
T
h
e
p
atien
t’
s
E
H
R
m
u
s
t b
e
co
n
s
is
ten
t,
a
v
ailab
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I
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8708
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to
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p
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So
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p
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p
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s
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m
a
b
ac
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to
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ai
n
p
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tial a
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to
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t
’
s
E
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ic
Me
d
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R
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s
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ca
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b
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d
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e
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w
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r
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d
ev
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[
25]
.
T
h
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m
ed
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r
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r
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tati
v
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ca
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s
ca
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cr
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CO
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an
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s
.
RE
F
E
R
E
NC
E
S
[1
]
X
.
Z
h
a
n
g
,
“
Blo
c
k
c
h
a
in
S
u
p
p
o
rt
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r
F
lex
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le
Qu
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ries
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h
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r
a
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lar
Ac
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e
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El
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M
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Re
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s
(EM
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,
”
2
0
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IEE
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In
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ti
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a
l
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fer
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n
Co
mm
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n
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ti
o
n
s
(
ICC)
,
2
0
1
8
.
[2
]
R
.
J
.
Kra
w
iec
,
e
t
a
l
.
,
“
Blo
c
k
c
h
a
in
:
Op
p
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rtu
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it
ies
f
o
r
h
e
a
lt
h
c
a
re
,
”
2
0
1
6
.
Av
a
il
a
b
le:
h
tt
p
s:
//
ww
w
2
.
d
e
lo
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te.co
m
/u
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n
/p
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e
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li
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-
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c
to
r/article
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f
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h
e
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lt
h
-
c
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re
.
h
tm
l.
[3
]
X
.
L
ian
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,
e
t
a
l
.
,
“
In
teg
ra
ti
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g
b
l
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a
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a
ta
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c
a
re
a
p
p
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c
a
ti
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n
s
,
”
2
0
1
7
IEE
E
2
8
th
A
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n
u
a
l
I
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te
rn
a
ti
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a
l
S
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mp
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m
o
n
Per
so
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l
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In
d
o
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r
,
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d
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Ra
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o
Co
mm
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n
ica
ti
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(
PIM
RC)
,
2
0
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7
.
[4
]
C
.
Esp
o
sit
o
,
e
t
a
l
.
,
“
Blo
c
k
c
h
a
in
:
A
P
a
n
a
c
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a
f
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a
lt
h
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a
re
Clo
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Da
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rit
y
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n
d
P
riv
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c
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?
”
IEE
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Clo
u
d
Co
mp
u
t
in
g
,v
ol
.
5
,
p
p
.
31
-
37
,
2
0
1
8
.
[5
]
W
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it
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p
a
p
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r,
“
M
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lch
a
in
,
”
2
0
1
8
.
A
v
a
il
a
b
le:
h
tt
p
s://
m
e
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lch
a
in
.
c
o
m
/en
/
w
h
it
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p
a
p
e
r/
[6
]
“
H
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p
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g
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r
F
a
b
ric
-
In
tro
d
u
c
t
io
n
,
”
A
v
a
il
a
b
le:
h
tt
p
s://
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e
d
iu
m
.
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/co
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c
ti
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n
-
2
2
8
2
e
9
5
5
c
a
6
e
.
[7
]
“
H
y
p
e
rled
g
e
r
F
a
b
r
ic
A
Blo
c
k
c
h
a
in
P
latf
o
rm
f
o
r
th
e
En
terp
rise
,
”
A
v
a
il
a
b
le:
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