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Secured, Intelligent Blood and Organ

Donation Management System - “LifeShare”

P.L. Wijayathilaka P.H. Pahala Gamage K.H.B. De Silva


Faculty of Computing Faculty of Computing Faculty of Computing
Sri Lanka Institute of Information Technology Sri Lanka Institute of Information Technology Sri Lanka Institute of Information Technology
Malabe, Sri Lanka Malabe, Sri Lanka Malabe, Sri Lanka
it17080422@my.sliit.lk it17378130@my.sliit.lk it17153850@my.sliit.lk

A.P.P.S. Athukorala K.A.D.C.P. Kahandawaarachchi K.N. Pulasinghe


Faculty of Computing Faculty of Computing Faculty of Computing
2020 2nd International Conference on Advancements in Computing (ICAC) | 978-1-7281-8412-8/20/$31.00 ©2020 IEEE | DOI: 10.1109/ICAC51239.2020.9357211

Sri Lanka Institute of Information Technology Sri Lanka Institute of Information Technology Sri Lanka Institute of Information Technology
Malabe, Sri Lanka Malabe, Sri Lanka Malabe, Sri Lanka
it17091862@my.sliit.lk chathurangika.k@sliit.lk koliya.p@sliit.lk

Abstract— The scarcity and exigency for blood and organs sole supplier of blood and blood-related products to all
has created many discrepancies in current approaches. These government hospitals and most private sector hospitals. There
have created the criteria for malpractices such as organ are 101 hospital based blood banks and two independent blood
trafficking and black market selling. This research presents a centers affiliated with 19 cluster centers based on
solution with a secured-smart blood and organ donation web geographical distribution. The overall blood transfusion
developed system, allowing both patients and healthcare service in Sri Lanka has been recognized and rewarded several
providers to access information about the blood and organ times[1]. Nevertheless, there is room for improvement and
processing records. The database would be managed using the endeavoring for service excellence in areas of blood and organ
Blockchain technology which could be only accessed by donation management.
authorized users. Finally, tracking all registered donors, the
proposed system generates a smart identity developed by ‘LifeShare’ system is a web application through which
Ethereum Smart Contract (ESC). System predicts blood registered users can check accessibility/availability of their
demand for the future ten years using Linear Regression Model blood requirement. As and when required, users can also send
with 0.998 of high R-squared accuracy value. This reduces online requests for blood to the contributor, thus to coordinate
shortages and wastage of blood. Also, using global positioning with regard to blood necessity. Other than these, the proposed
system and K-Nearest Neighbors Machine Learning algorithm, system automates the matching of blood groups through a
the system finds the best matches among donors and seekers special location tracking system that is integrated to an
according to the nearest location. Further, the system will online/cloud platform. Currently, blood banks in some private
automatically send questionnaires for registered users to hospitals do not have in place, such an advanced and
identify and evaluate their awareness and issues about organ
integrated system, as such, it is expected to introduce the new
donation. Overall, this study aims for a secured and transparent
web application. Thus, it facilitates an innovative and a
online system for blood banks of Asiri Hospital, Lanka
productive blood donation and organ transplantation process in Hospitals, Durdans Hospital etc. Another point is that an
Sri Lankan healthcare sector. effective organ transplant system in local healthcare sector is
at an infant stage with drawbacks, and yet to be improved.
Keywords— Blockchain technology, K-Nearest Neighbor Also, this research seeks to identify the level of
Algorithm, blood prediction, organ transplantation awareness/knowledge, attitude, transparency and
commitment among people by sending notifications to user’s
I. INTRODUCTION account about special notices, system generated user friendly
This paper introduces a good quality framework to cross questionnaires and news updates. An additional feature is
over any barrier between the blood benefactors, the sharing of blood and organ requests in social media or via
individuals deprived of, and keen on blood and organ short message systems (SMS) to spread the message through
donation. Blood donation is one of the most generous and the society. Finally using all these techniques, this proposed
critical commitments an individual can make to the society. It platform will provide a highly efficient and productive service
doesn't hurt a human to donate blood. The donor's body can to people.
recover blood within a few weeks. Sri Lanka is considered as
II. LITERATURE REVIEW
one of the leading models to other regional developing
countries which have achieved strides in the area of blood In literature survey, researchers focused on areas of similar
transfusion in the Asia region. At present, the blood print research in terms of functionalities and areas/aspects. The
storage is managed by the National Transfusion Service, main purpose of this project is to build a blood donation
which is popularly known as the central blood bank. It is the application that is user friendly and has the intelligence. In

978-1-7281-8412-8/20/$31.00 ©2020 IEEE

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doing so, it seeks out donations which will no longer be a literature reviewed in this section along with the proposed
matter of risk, thus free of worries. At the beginning of the system provide a reliable and secure system for any
project, some secondary resources supporting this study were stakeholder who can also be a potential user. Especially,
researched. Accordingly, researchers gain insights on existing voluntary blood donors and organ donors feel more confident
functions that helped identify the study framework and scope as they will now be in safe hands during the donation process.
of work.
III. RESEARCH OBJECTIVES
Inventing a Tykn’s digital identity platform [2] suggests
that the healthcare industry could easily and seamlessly be Main objective of this research is to provide unique
verified; this is via digital verifiable credentials issued by platform for both blood and organ donation management with
other organizations. A healthcare facility could trust the advanced security features for the first time in Sri Lanka;
authenticity of a patient credential without even having to also, to minimize death rates associated with organ donations.
check the actual data contained therein. These privacy Secondary objectives are as follows;
maintaining channels for identity management in blockchain- A. Blockchain-based tracking and generating a smart ID:
based devices, would be assured through cryptography and
zero-knowledge proofs. If the signature matches the one in The blockchain technology could help to improve the
patient’s credential, it’s considered as authentic. These process, by providing a more reliable and accurate data in
findings may have been more applicable to ‘LifeShare system’ blood and organ donation. This would secure the blood and
Smart ID which assists disconnected and duplicated patient organ donation process, while protecting sensitive patient and
information records, for widespread integration with a donor details [7]. The system provides access to identity
distributed master identity record. Additionally, users can management commands and stores hash representations of
create an identity profile where access is permitted only to identity data.
authorized users.
B. Automated blood group matching with location tracking
By inventing the Veins Application, Perera suggests that system:
location-based apps are effective in finding the nearest donor
Automated blood group matching finds the best match
for a particular blood donation requirement. Developer
Sachira Fernando (CEO of Inforgrid Holdings) and his team blood donor by global positioning system (GPS) location
were the creators of this project [3]. Also, a similar project service. Application is also geared to locate the best matches
communication is important during an emergency. This among the accessible donors with the assistance of
project is an SMS-based blood donor management application automation algorithm.
launched by Dialog Axiata PLC in collaboration with the C. Predicting future blood supply and demand in Sri
National Blood Transfusion Service (NBTS), Sri Lanka. The Lanka:
objective of the project is to facilitate more donors to add to
the national blood supply system, thereby assist the Sri ‘LifeShare’ aims to supply blood uninterruptedly in
Lankan public in an emergency. ‘SMS Blood’ enables mobile immediate incidents through pre-stored storages. By
users to register as blood donors through SMS. To register for predicting future blood supply and demand, blood shortage
this service, the user must type BLOOD from his Dialog can be estimated in advance. Therefore, by predicting data
Mobile and send to 7777. Upon registering, users can access models and statistics, storing extra blood bags of rare blood
services provided by the NBTS using their Dialog mobile by groups can be planned for future 10 years.
dialing #770#; users can even locate the nearest blood
donation center and view their donation history [4]. D. Evaluating previous organ donation failures in Sri
Lanka and finding solutions via features of the proposed
Pacheco concludes that, he successfully developed a system:
‘Characterizing Organ Donation Awareness’ from social
media. Approximately 22 people die every day in the USA The current research seeks to identify the level of
due to lack of organs for transplant. Research available to date knowledge, attitude, transparency and commitment among
suggests that the most effective solution is to increase organ people by updating special notices and news. Questionnaires
donor rates from expanding the donor eligibility criteria are generated for five main solid organs such as kidney,
(donor pool) to perform mass media campaigns. Hypothesis is lungs, liver, heart and pancreas. System analyzes responses
that social media can be utilized as a sensor, to characterize for each questionnaire and thus, can support to improve the
organ donation awareness and population engagement when quality of service.
donating for each different organ. This paper aims at exploring
the extent in which social media, such as Twitter, may be used IV. METHODOLOGY
to sense the population regarding organ donation awareness
[6]. High Level Architecture of overall research contains an
unique web-based system which supports to both desktops
Xiaochu reveals that the need for, and services of and mobiles. Users are mainly donors, seekers and healthcare
predicting blood supply and demand will be increasingly personals. Seekers may be either healthcare
important in the next 20 years, with population ageing in personals/officers or general seekers. The proposed system
China. As a result, this will increase demand for blood sets out the procedural approach of how to bridge the gap
products, which may lead to severe disruption of blood supply between the recipient, donor, and blood banks. This new
and demand. This study aims to predict changes in blood application will provide a common ground for all three
supply and demand by 2035 in China [8]. It should be parties (i.e. recipient, donor, and blood banks) and thereby
emphasized that this study would have been more reliable, if
will ensure fulfillment of demand for blood requested by the
it had rare blood type predictions incorporated into the study,
when compared to the proposed ‘LifeShare’ system. Various

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recipient and/or blood bank. The proposed system provides sent to the user. Thereafter, the system will be able to track
one of the best solutions for the Sri Lankan healthcare sector. and locate the user whenever required.
Healthcare personnel send a query using the web
application to find donors of the required blood group. The
query provides two lists of all donors with the required blood
group, together with a notification for those donors who have
their tracking option on. One list includes details of the nearest
donors with location. The other indicates details of non-
nearest donors. The GPS location service tracks location of
donors. In doing so, it aims onwards find the best matches
among the donors available with the help of automation
method. In this method, blood factors of the person who needs
blood, will be compared with those of all donors in the
database. This system deploys of K-Nearest Neighbors
(KNN) ML Algorithm to detect the best matched donors; this
projects a unique feature unlike in other systems. App will
filter only those people who are eligible to donate blood
according to age and the last donated date. Remarkably,
‘LifeShare tracking system’ is also equipped with the feature
to track the blood donation history of a donor. It means that, if
a person donates blood once, then he will not be shown in the
map for the next three months. Such health and safety features
Fig. 1. System Hardware Architecture diagram are inbuilt to the system because it’s not healthy to donate
blood more than once in three months.
System Design: “LifeShare” system has developed for 4
components as follows; C. Predicting future blood supply and demand in Sri Lanka.
The system predicts future blood supply and demand
A. Blockchain-based tracking and generating a ’Smart volume in Sri Lankas’ hospitals. This is carried out
Identity. considering the main three cases as Routine surgery cases,
For blockchain-based component process, the system Emergency surgery cases and Road traffic surgery cases
generates a smart ID for donors and recipients after verifying which usually occur on a daily basis in hospitals of Sri Lanka.
data accuracy. Therefore, users can share their identity with Data sets that created contains linear regression model to
main health organizations by linking their private key which predict the blood according to those cases. In statistics, linear
can retain data non-identifiable to those without the key. The regression models the relationship between a scalar response
donor and recipient records can, be seen as in an integrated and one or more explanatory variables. The case of one
global database based on Blockchain technology, secured with explanatory variable is called simple linear regression. For
cryptographic tools. Confidentiality and privacy can be more than one explanatory variable, the process is called
ensured using encryption tools and techniques[7]. multiple linear regression. This study uses simple linear
regression to predict blood volume. Then the model is
Smart ID uses the Ethereum blockchain model to represent deployed using flask with react JS. Also, react graphs show
an identity using a smart contract; attributes can be added by the predicted output graphically. Other than this, there are four
the identity owner and are stored in hash form. This is the types of blood loss classes in the medicine field. However, in
Smart ID contract as used by the Smart ID instance. It this proposed system, the following average volumes are used
describes core functionalities required as part of a Smart ID for each class; Class 1- 650ml, Class 2 – 1,250ml, Class 3 –
contracts with encryption keys, attributes and endorsements. 1,750ml, Class 4 – 2,500ml[8].
A Smart ID is an ‘Ethereum smart contract’ (ESC) address.
The ESC must be constructed using valid Smart ID bytecode. First, the doctor should select the blood loss class. Then,
Smart ID enables disconnected and duplicated patients concern is the number of patients for the given blood loss
information records, to widespread integration with a according to blood groups. In the next step, the doctor can
distributed master identity record. Users are able to create an save data and predict output for the given blood group or go
identity profile and allow trusted users, including institutions, forward and add the other blood loss class details as in the
to verify its authenticity. Users can then interact between one above scenario. Likewise, the doctor can add details of all
another directly, in safe mode knowing the authenticity of patients according to each blood loss class separately. Finally,
their counterparty. the total blood volume requirement for patients according to
B. Automating blood group matching with the location blood groups can be predicted.
tracking system. D. Evaluating previous organ donation failures in Sri
According to the auto matching function, a person willing Lanka and finding solutions via the system.
to become a blood donor has to perform all compulsory blood
As the public interest for organ donation is relatively low,
tests before donating blood. Then the user can obtain the
once developed this system can help improve the attitude of
medical eligibility details. After all, he must register and input
people towards organ donation. By updating special notices
required details into the system. If the person is found to be an
and news, research seeks to gain insights in identifying the
eligible donor, personal details and eligibility details will be
level of knowledge, attitude, transparency and the extent of
fed into the system database of eligible donors by healthcare
commitment among people. System generates a list of donors
personnel. An email and notification will automatically be
separately, about those who are eligible to donate each organ

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by using ML with python language. Apart from this, daily As mentioned under Section IV-A, a smart ID is an ESC
organ prediction was carried out using ML model using flask. address. Above Fig.2 smart contract was programmed by
This study uses introducing of special features, integrating the solidity; it connects with the front-end which has given an
same into an online platform. Another special feature is output as a smart ID with a hash value. The smart contract
sharing of requests regarding blood and organs in social media was be constructed using valid Smart ID bytecode. System
or via SMS, to spread the message through the society. provides access to identity management commands and stores
Analyzing responses of questionnaire can help acquire hash representations of identity data. A unique smart ID
knowledge and perception/attitude on donating of blood and number has been generated for all registered blood and organ
organs. By the way of Artificial intelligence (AI), special donors throughout the registered period in the system. System
notices and notifications can be sent to users; these includes updates details of blood and organ requests.
information, circulars and rules about donating blood and
organs.
E. Dataset in detail
This community-based cross-sectional study was
conducted among 250 people living in various districts
throughout Sri Lanka. Accordingly, system analysis was
carried out using pre-tested questionnaires, which included
details on blood and organ donation. system was predicted the
daily blood volume for the hospitals using the dataset that
contains 1000 tuples of data in different hospitals around Sri
Lanka. In the dataset we collected number of routine surgery
cases, Emergency surgery cases, road traffic accident cases as
independent variables and total blood volume as dependent
variables according to the relevant hospital name. Thereafter,
those data were imputed into linear regression algorithm
considering dependent and independent variables.
F. Tools and Technologies
React JS technology has been deployed to develop user
interfaces and Node JS, Java for back end functions. Visual
Studio Code, IntelliJ and Sublime text are tools for React JS, Fig. 3. Blockchain flow diagram
Node JS and Java function implementations. MySQL
workbench and XAMPP used for database connection. Furthermore, blood donors, organ donors, recipients and
Algorithms have been created in python language, by using normal users have separate account logins. In the meantime,
PyCharm. the blockchain process is ongoing through the administration
panel by connecting/linking all accounts. Finally, all
V. RESULTS AND DISCUSSION information analyzed as well as database are stored as blocks
The blockchain technology enabled to improve the blood in the blockchain.
and organ donation process by providing more reliable and 1. Matching results between donors and seekers:
accurate data, while protecting sensitive patient and donor
details. Followed by verifying data accuracy, the system Database includes two tables called donors and seekers. In
generates a smart ID for donors. Donors and seekers can share the matching process, text fields will be filled by using
their identity with main health organizations by linking their seeker’s details and submitted. Then, seeker’s record will be
private key, which can remain data non-identifiable to those added into the system (seeker’s table). Thereafter, the system
without the key. Users can then interact between one another will check the matched donors and display these results. These
directly and safely, knowing the authenticity of their two processes are set to the same onclick method through the
counterparty. The threat of fake identities as well as hacking submit button. Whenever, a blood donor is required,
are unlikely and impossible in blockchain technology. healthcare personnel can access the system to locate and
contact the nearest blood donor, much quickly and easily.
2. Eligibility checking results of donors according to
time:
Time taken to find a donor through the system by
comparing the current process and proposed process is
different. As in the proposed system, automated blood group
matching finds the best match blood donor by GPS location
service. Application is also geared to locate the best matches
among the accessible donors with the assistance of automation
algorithm. So, it will take a minimum time period as about 5
seconds to find donors. Other current system processes take
that minimum time period as above 60 seconds. It has proven
Fig. 2. Screenshot of Smart contract created for smart Id
by our accuracy test. So, the process proposed is effective than
the existing processes.

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used to be. Emergency prediction using blood loss class is a
3.
Location tracking results of donors, hospital, blood function that depends on emergency incidents in hospitals.
banks and centers: Once the user analyzes these details of charts and graphs, they
This locating function is directly connected to donors’ can obtain a clear idea about blood volume needs for patients
details in the donor table. Here, a column named location under emergency cases. Thereafter, based on these data,
includes buttons for each row, and for each donor. When a healthcare users can place orders for blood through the
user click one of these buttons/donors, the system opens the hospital blood bank unit for patients, easily and speedily.
map and shows location of that particular donor. Then the
seekers can search near-by donors by their own mobile
Emergency Blood Volume Prediction
devices. Nevertheless, at this level, seekers will not have
access to personal addresses of donors due to privacy issues. 50000
Instead, seekers can contact the hospital, blood bank or center

Blood Volume (ML)


45000
to which the donor belongs. 40000
35000
30000
25000
20000
15000
10000
5000
0
A+ A- B+ B- O+ O- AB+ AB-
Blood Group

Class1 Class2 Class3 Class4

Fig.6. Emergency Blood volume prediction.

By developing this web-based application system, it will


assist to improve attitude/perception, transparency and
knowledge of people towards organ donation. By sharing
Fig.4. The donor auto matching and tracking process. blood and organ requests in social media or via SMS, it
spread the message through the society. Further, the system
Once values are inserted, users in the healthcare sector will automatically generate and send simple and user-friendly
can predict the daily total blood volume according to those questionnaires for each solid organ (hence for five organs) for
number of cases as follows. Then daily total blood volumes registered people. Purpose is to evaluate their knowledge,
are multiplied from the international blood group distributing issues, failures and likeliness about organ donation. System
percentages. This way, much reliable and accurate blood analyzes responses of questionnaires, therefore, can guide to
volume forecasts/predictions for all blood groups can be make improvements to the process of organ donation. Thus,
obtained. R-squared value should be between 0.5 and 1. it contributes towards reducing death rates and minimizing
According to our research following Fig.5, output was 0.998 organ donation failures. This system generates a list of organ
R-squared value which gave a high Model Accuracy donors who are registered for donation of organs.
(according to the values given by the user for respective Additionally, this generates a separate list of donors who are
cases). eligible to donate organs for five solid organs like kidney,
lungs, liver, heart and pancreas.
Daily Blood Volume Prediction
Organs that people like to donate after death
Blood Volume (ML)

350000
Organ Type

300000 Kidney 70.2


250000
200000 Lungs 51.2
150000 Liver 51.2
100000
50000 Heart 53.2
0
Pancreas 39.5
Day1Day2Day3Day4Day5Day6Day7Day8Day9
Days Don't like to donate 20.5
Actual Blood Volume
Predicted Blood volume 0 50 100
Percentage %
Fig.5. Daily blood volume prediction
Fig. 7. Organ donor percentage for each solid organ
By using this component, the blood bank can predict the
total blood volume for the respective hospital easily than it

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According to the researched data set, system generates the sector, to map blood groups volumes required and location
percentage of organs people who are waiting for a donation. tracking. This study also shows that a high level of awareness
Out of all donors, 80% were aware of organ donation. Among exists about organ donation among people and most
these participants, awareness was highest in the age group participants are willing to donate their organs. As such, the
18–30 years 98.8%, male 57.1%, and female 42.9%. ‘LifeShare’ system provides a unique platform for a
productive blood and organ donation management. With
advanced security features such as minimizing the risk of
Contribution of people to Organ donation
organ trafficking, “LifeShare’ system is a breakthrough in Sri
90 Lanka’s healthcare sector. Imagine a country where no
80 person needs to die with a shortage of blood and organs.
70
Percentage %

60 ACKNOWLEDGEMENT
50
40 80 The author would like to thank Dr. Parakum Pathirana
30 67
20 (CEO of LOLC Technologies) for his initiation, external
35
10 24 supervision and guidance throughout the period of this
0 3 research. As Blockchain Technology is a relatively new area
Aware of Think Aware of Definitely Have
Organ organ the process willing to registered
for medical domain, this work would not probably have been
donation donation is donate to donate successfully completed without his continuous support.
important organs
How they contributed REFERENCES
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