Efficient and Secure Cross-Domain Sharing of Blockchain Electronic Medical Records Based on Edge Computing

Abstract

In this article, we analysed the problems of electronic medical records (EMRs) and found that the EMRs generated by different hospitals for the same patient are mutually independent and duplication and data sharing are difficult among hospitals. In order to solve this problem, this paper proposes an efficient and secure cross-domain sharing scheme of EMRs based on edge computing. The program allows the doctor to access the personal history EMRs through the patient’s authorization so that the doctor can understand the patient’s history of illness and, on this basis, generate a new medical record for the patient. Then, the doctor sends the EMRs to the edge server, and the server calculates the ciphertext and adds it to the patient’s personal medical record to complete the case update. Analysis shows that this solution can effectively prevent data tampering and forgery through blockchain and avoid privacy leakage problems in plaintext sharing by using searchable encryption and by relying on edge servers to solve nearby computing tasks and divert the computing capacity of cloud servers to improve efficiency. The security proof shows that the scheme satisfies the complex problem of the BDH assumption. Performance analysis shows that the scheme is feasible and efficient.