Log in

Smart contract and blockchain-based secured approach for storing and sharing electronic health records

  • Published:
Multimedia Tools and Applications Aims and scope Submit manuscript

Abstract

Electronic Health Records (EHRs) are important data for doctors, patients, and researchers in medical science. EHRs have great medical value in the healthcare industry to improve healthcare services. Therefore, digital health records should be collected, stored, and maintained securely. Smart contract-based blockchain technology provides the most protective way of storing and sharing data. Stored records in blockchain are immutable and are corruption-free results accurate analysis. In this paper, a model is proposed for capturing, storing, and protecting health records in an e-healthcare system through blockchain technology. Transactions are executed in the Ethereum platform through smart contracts written in the Solidity programming language. Health records are stored in a decentralized, distributed digital ledger. The Interplanetary File System (IPFS) is incorporated with the proposed system to store large medical reports in the cloud storage. Transaction deployment cost and information retrieval cost have been calculated. The average transaction costs for doctor and patient registration are 0.00394 ETH and 0.00438 ETH respectively. The performance of the proposed model has been compared with the existing health record systems and shows better performance in terms of cost. Blockchain technology provides better security during health records sharing between patients and medical communities. The model provides smart contract and blockchain-based solutions to ensure immutability, transparency, and traceability of health data.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Algorithm 1
Algorithm 2
Algorithm 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig. 11
Fig. 12
Fig. 13
Fig. 14
Fig. 15
Fig. 16
Fig. 17
Fig. 18
Fig. 19
Fig. 20
Fig. 21

Similar content being viewed by others

Data Availability

Data will be made available on reasonable request.

References

  1. Li H, Yang Y, Dai Y, Yu S, **ang Y (2017) Achieving secure and efficient dynamic searchable symmetric encryption over medical cloud data. IEEE Trans Cloud Comput 8:484–494

    Article  Google Scholar 

  2. Reddy J (2021) Data breaches in healthcare security systems. Master’s thesis, University of Cincinnati

  3. Barman S, Chattopadhyay S, Samanta D (2024) A lightweight authentication protocol for a blockchain-based off-chain medical data access in multi-server environment. SN Comput Sci 5:1–18

    Article  Google Scholar 

  4. Pradhan B, Bhattacharyya S, Pal K (2021) Iot-based applications in healthcare devices. J Healthcare Eng 2021:1–18

    Google Scholar 

  5. Javaid M, Khan IH (2021) Internet of things (iot) enabled healthcare helps to take the challenges of covid-19 pandemic. J Oral Biol Craniofacial Res 11:209–214

    Article  Google Scholar 

  6. Banerjee A et al (2022) Shubhchintak: an efficient remote health monitoring approach for elderly people. Multimed Tools Appl 81:37137–37163

    Article  Google Scholar 

  7. Iot in healthcare market (2020) https://www.marketsandmarkets.com/Market-Reports/iot-healthcare-market-160082804.html. Visited on June, 2022

  8. Tang PC, Fafchamps D, Shortliffe EH (1994) Traditional medical records as a source of clinical data in the outpatient setting., 575 (American Medical Informatics Association

  9. Standards for privacy of individually identifiable health information:final rule,standard 45 cfr parts 160 and 164 (2000) https://www.hhs.gov/sites/default/files/introduction.pdf. Accessed 3 June 2022

  10. Hammond W (1991) Health level 7: an application standard for electronic medical data exchange. Topics Health Record Manag 11:59–66

    Google Scholar 

  11. Set of standards, services and policies that enable secure health information exchange over the internet (2010) https://www.nist.gov/hit/nationwide-health-information-network-nhin. Updated August 25, 2016

  12. Li Y-C et al (2012) A global travelers’ electronic health record template standard for personal health records. J American Med Inf Assoc 19:134–136

    Article  Google Scholar 

  13. Evans RS (2016) Electronic health records: then, now, and in the future. Yearbook Med Inf 25:S48–S61

    Article  Google Scholar 

  14. Mehmood A, Natgunanathan I, **ang Y, Poston H, Zhang Y (2018) Anonymous authentication scheme for smart cloud based healthcare applications. IEEE Access 6:33552–33567

    Article  Google Scholar 

  15. Blockchain technology in healthcare market size by type,by application,by end-use (2020) https://www.gminsights.com/industry-analysis/blockchain-technology-in-healthcare-market. Visited on June, 2022

  16. Wood G et al (2014) Ethereum: a secure decentralised generalised transaction ledger. Ethereum Project Yellow Paper 151:1–32

    Google Scholar 

  17. Liu J et al 2018 Bpds: a blockchain based privacy-preserving data sharing for electronic medical records, IEEE, 1–6

  18. Casino F, Dasaklis TK, Patsakis C (2019) A systematic literature review of blockchain-based applications: current status, classification and open issues. Telematics Inf 36:55–81

    Article  Google Scholar 

  19. Alonso SG, Arambarri J, López-Coronado M, de la Torre Díez I (2019) Proposing new blockchain challenges in ehealth. J Med Syst 43:1–7

    Article  Google Scholar 

  20. Zubaydi HD, Chong Y-W, Ko K, Hanshi SM, Karuppayah S (2019) A review on the role of blockchain technology in the healthcare domain. Electronics 8:679

    Article  Google Scholar 

  21. Liu X, Wang Z, ** C, Li F, Li G (2019) A blockchain-based medical data sharing and protection scheme. IEEE Access 7:118943–118953

    Article  Google Scholar 

  22. Charanya R, Saravanaguru RK, Aramudhan M Design of secure ehealth system through temporal shadow using blockchain. Int J Innovative Technol Exploring Eng (IJITEE) ISSN 2278–3075

  23. Shahnaz A, Qamar U, Khalid A (2019) Using blockchain for electronic health records. IEEE Access 7:147782–147795

    Article  Google Scholar 

  24. Sharma Y, Balamurugan B (2020) Preserving the privacy of electronic health records using blockchain. Procedia Comput Sci 173:171–180

    Article  Google Scholar 

  25. Jabbar R, Fetais N, Krichen M, Barkaoui K (2020) Blockchain technology for healthcare: enhancing shared electronic health record interoperability and integrity, IEEE, 310–317

  26. Gan C, Saini A, Zhu Q, **ang Y, Zhang Z (2021) Blockchain-based access control scheme with incentive mechanism for ehealth systems: patient as supervisor. Multimed Tools Appl 80:30605–30621

    Article  Google Scholar 

  27. Barman S, Chattopadhyay S, Samanta D, Barman S (2022) A blockchain-based approach to secure electronic health records using fuzzy commitment scheme. Security and Privacy 5:e231 https://onlinelibrary.wiley.com/doi/abs/10.1002/spy2.231

  28. Zaabar B, Cheikhrouhou O, Jamil F, Ammi M, Abid M (2021) Healthblock: a secure blockchain-based healthcare data management system. Comput Netw 200:108500

    Article  Google Scholar 

  29. Fatima N, Agarwal P, Sohail SS (2022) Security and privacy issues of blockchain technology in health care—a review. ICT Anal Appl 193–201

  30. Sara AB, Khadija S, Abdessadek A, Khalid A, Bouchaib C (2022) Impact of blockchain technology in healthcare, (EDP Sciences), 43:01007

  31. Haddad A et al (2023) Generic patient-centered blockchain-based ehr management system. Appl Sci 13:1761

    Article  Google Scholar 

  32. Borade S, Paradkar T, Takalkar P, Trivedi A (2023) Blockchain based electronic health record management system. Available at SSRN 4376765

  33. Karmakar A, Ghosh P, Banerjee PS, De D, Pande A (2023) Medichain: medical data fusion using blockchain integrated elastic storage. Multimed Tools Appl 1–23

  34. Samala AD, Rawas S (2024) Transforming healthcare data management: a blockchain-based cloud ehr system for enhanced security and interoperability. Int J Online & Biomed Eng 20

  35. Mauricio D et al (2024) Electronic health record interoperability system in peru using blockchain. Int J Online & Biomed Eng 20

  36. Avaneer health, available at:. https://avaneerhealth.com. Accessed 28 July 2023

  37. akirihealth, available at:. https://builtin.com/company/akiri. Accessed 02 Aug 2023

  38. Mesdicalchain, available at:. https://medicalchain.com Accessed 02 July 2023

  39. Robomeds, available at:. https://robomed.gatech.edu/

  40. Software development doc.ai, available at:. https://www.linkedin.com/company/doc.ai

  41. Burstiq, available at:. https://burstiq.com/. Accessed 02 July 2023

  42. Healthdat marketplace, available at:. https://patientory.com/. Accessed 29 July 2023

  43. Factom: Business processes secured by immutable audit trails on the blockchain, available at:. www.factom.org. Accessed 29 July 2023

  44. Coral health, available at:. https://mycoralhealth.medium.com/. Accessed 12 July 2023

  45. Guardtime, available at:. https://guardtime.com/. Accessed 29 July 2023

  46. Dutta J et al Easypay: a user-friendly blockchain-powered payment gateway. Cluster Comput 1–20

Download references

Acknowledgements

Supported by JGEC.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Subhas Barman.

Ethics declarations

Competing Interests

The authors declare that they have no conflict of interest.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Dutta, J., Barman, S. Smart contract and blockchain-based secured approach for storing and sharing electronic health records. Multimed Tools Appl (2024). https://doi.org/10.1007/s11042-024-19714-7

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s11042-024-19714-7

Keywords

Navigation