HealthFort: A Cloud-Based eHealth System With Conditional Forward Transparency and Secure Provenance via Blockchain
Why this work is in the frame
A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.
Bibliographic record
Abstract
In this paper, we propose a servers-aided password-based subsequent-key-locked encryption mechanism to ensure the confidentiality of outsourced electronic health records (EHRs). The encryption mechanism achieves conditional forward transparency: a doctor can only access a patient's EHRs related to the current diagnosis with the patient's delegation. It also achieves portability: to delegate a doctor for accessing a specific part of EHRs, the patient only needs to send one key (at most 256 bits) in addition to the delegation information to the doctor; the patient does not need to maintain any secret in a local device. Then, we propose a blockchain-based secure EHR provenance mechanism, where a data structure of EHR provenance record is designed to precisely reflect the EHRs’ provenance information; a smart contract on a public blockchain is deployed to secure both EHRs and the corresponding provenance records. Finally, we develop a cloud-based eHealth system, dubbed HealthFort, based on the two mechanisms. Security analysis and comprehensive performance evaluation are conducted to demonstrate that HealthFort is secure and efficient.
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Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.002 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it