Transchain: Blockchain-Based Management of Allografts for Enhancing Data Provenance

Abstract

Recent technological advances have enabled researchers to investigate various novel approaches utilized to manage allograft transplants and overcome the challenges of conventional centralized systems. The rising need for transparency, efficiency, and, especially, security in this highly sensitive medical procedure necessitates the use of decentralized solutions like blockchain rather than existing centralized approaches. However, the current state of research is theoretical and unproven, and allograft management lacks any reliable, cost-effective, or data-proven solution. In this paper, we propose an Ethereum blockchain-based allograft transplantation management system that can address all of those issues linked to the existing solutions. The proposed approach aims to enhance traceability, transparency, and data provenance across the entire allograft transplant process. We present six reliable and cost-efficient algorithms, as well as a comprehensive system architecture, to provide valuable insight into system implementation complexity. We have designed an efficient smart contract implementing the proposed algorithms to ensure flawless execution of allograft donation, transportation, and transplantation. We conduct thorough tests, validation, security, cost, throughput, and latency assessments of the system in order to contrast its effectiveness with existing solutions and results shows that our solution is cost-effective, as well as secure and efficient. We generalized the proposed solution so that, with minimal changes, it could be used for other problems and addressed some of the technical and ethical challenges.