A Scalable, Secure, and Efficient Framework for Sharing Electronic Health Records Using Permissioned Blockchain Technology
P. Vinayasree, A. Mallikarjuna Reddy
Abstract
This paper presents a scalable, secure blockchain-based healthcare system architecture that efficiently manages large patient datasets. DHTs and Skip Lists enable efficient data access, while DPoS and PBFT facilitate parallel transaction processing. Adaptive filters, Radix Trees extended by Merkle Trees, and an immutable blockchain ledger secured by Tendermint consensus ensure data integrity and protection against evolving threats. Threshold Cryptography secures consensus participant selection, and Bulletproofs verify transactions, complying with healthcare regulations. ChaCha20, a symmetric stream cipher, encrypts sensitive data, enhancing performance across devices. ABAC manages access rights, ensuring fine-grained control over data accessibility. This architecture offers a comprehensive, efficient, and secure solution for healthcare data management in blockchain environments.