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. 2020 Jul 7;22(7):e17508. doi: 10.2196/17508

Table 4.

Health data management systems in the literature vs the requirements.

System Medical record data Real-time data Patient participation Sharing Security Privacy Public insights



Data access Data input Degree 1 Degree 2 Degree 3


Paper-based Allows recording of medical data for eventual use Encounters high delays Does not allow patients to track the use of their medical data Does not allow patients to provide their health conditions

Supports data sharing only within the same hospital Allows data sharing with the patient, patient’s friends, and family

Does not allow data sharing with the patient, patient’s friends, and family Does not provide methods against cybersecurity attacks Does not provide methods for preserving a patient’s privacy Does not support prediction
Computer-based Allows recording of medical data for eventual use Encounters high delays Does not allow patients to track the use of their medical data Does not allow patients to provide their health conditions

Supports data sharing only within the same hospital Allows data sharing with the patient, patient’s friends, and family Allows data sharing with other medical organizations and government Does not provide methods against cybersecurity attacks Does not provide methods for preserving a patient’s privacy Does not support prediction
Client-server–based Allows recording of medical data for eventual use Allows data retrieval in real time Allows patients to access and monitor their medical data Does not allow patients to provide their health conditions

Supports data sharing only within the same hospital Allows data sharing with the patient, patient’s friends, and family Allows data sharing with other medical organizations and government Does not provide methods against cybersecurity attacks Does not provide methods for preserving a patient’s privacy Does not support prediction
Cloud-based Allows recording of medical data for eventual use Allows data retrieval in real time Allows patients to access and monitor their medical data Does not allow patients to provide their health conditions

Supports data sharing only within the same hospital Allows data sharing with the patient, patient’s friends, and family Allows data sharing with other medical organizations and government Does not provide methods against cybersecurity attacks Does not reveal a patient’s identity Does not support prediction
IoTa-based Allows recording of medical data for eventual use Allows data retrieval in real time Allows patients to access and monitor their medical data Allows patients to provide health conditions Supports data sharing only within the same hospital Allows data sharing with the patient, patient’s friends, and family Allows data sharing with other medical organizations and government Does not provide methods against cybersecurity attacks Does not provide methods for preserving a patient’s privacy Provides methods for the prediction of health conditions
Big data analytics Allows recording of medical data for eventual use Allows data retrieval in real time Allows patients to access and monitor their medical data Allows patients to provide health conditions Supports data sharing only within the same hospital Allows data sharing with the patient, patient’s friends, and family Allows data sharing with other medical organizations and government Does not provide methods against cybersecurity attacks Does not reveal a patient’s identity Provides methods for the prediction of health conditions
Blockchain-based Allows recording of medical data for eventual use Allows data retrieval in real time Allows patients to access and monitor their medical data Allows patients to provide health conditions Supports data sharing only within the same hospital Allows data sharing with the patient, patient’s friends, and family Allows data sharing with other medical organizations and government Ensures the protection of medical data against cybersecurity attacks Does not reveal a patient’s identity Provides methods for the prediction of health conditions

aIoT: Internet of Things.