Cloud-based personal health record with AI – is it safe?

The authors’ vision is to work for the global implementation of GPOC, which they believe could be of decisive importance for the development and spread of artificial intelligence in medical science and healthcare.

Since 2010, Dr. Niklas Lidströmer has driven the vision of a cloud-based, blockchain-protected, encrypted patient-shared global medical record platform. Originally known as GlobeDoc. The last five years known as Global Patient co-Owned Cloud (GPOC). This initiative is promising for the development and diffusion of artificial intelligence in medical science and healthcare. Dr. Lidströmer belongs to Eric Herlenius’ group at CMM.

The recently published article examines the technical and security prerequisites for GPOC, emphasizing its patient ownership, cloud-based nature, encryption and blockchain protection.

Cloud-based medical patient records are increasing globally. This article series introduces the concept of GPOC for patient records and consists of five parts, where the now published article focuses on a systematic review and meta-analysis. It examines the technical, computer, and security prerequisites, and analyzes twelve factors, including data security, efficiency, cost, cryptography, and access.

The study shows a lack of previous publications on patient co-ownership of health data in medical records, and an absence of global standards in this area. It also emphasizes the importance of patient co-ownership of their medical data. The study presents a patient-centered global medical record with patient ownership, to facilitate patient insight, access, and active participation in healthcare. Furthermore, the article suggests that patient co-ownership of health data constitutes a new human right.

The technical and cryptological prerequisites are carefully examined with a meta-analysis that highlights a possible globally distributed, homomorphically encrypted, and blockchain-protected medical record where the patients are co-owners.

The study, which was carried out in collaboration with the Karolinska University Library, includes an exhaustive review of 16,000 articles, followed by a meta-analysis – the first in this field.

Comparisons were made in encryption, cost (gas), performance, efficiency, blockchain, data transfer, and other vital parameters for network function, stability, and security.

The GPOC series includes four more upcoming articles. It begins with a global GPOC Survey that received responses from all the world’s ministries of health and major international organizations, followed by a review and interview series on relevant ethics, policy and regulation. Subsequently, a Delphi Summit gathered delegates from around the world to discuss the GPOC concept.

Finally, the Technical GPOC Sandbox is presented, which is built on the insights from the entire series and shared openly for global GPOC experimentation, development and realization.