A Blockchain-Based Secure Inter-Hospital EMR Sharing System

Abstract

In recent years, blockchain-related technologies and applications have gradually emerged. Blockchain technology is essentially a decentralized database maintained by the collective, and it is now widely applied in various fields. At the same time, with the growth of medical technology, medical information is becoming increasingly important in terms of patient identity background, medical payment records, and medical history. Medical information can be the most private information about a person, but due to issues such as operation errors within the network or a hacking attack by a malicious person, there have been major leaks of sensitive personal information in the past. In any case, this has become an issue worth studying to ensure the privacy of patients and protect these medical materials. On the other hand, under the current medical system, the patient’s EMR (electronic medical record) cannot be searched across the hospital. When the patient attends the hospital for treatment, repeated examinations will occur, resulting in a waste of medical resources. Therefore, we propose a blockchain-based secure inter-hospital EMR sharing system in this article. Through the programmatic authorization mechanism by smart contracts, the security of EMR is guaranteed. In addition to the essential mutual authentication, the proposed scheme also provides and guarantees data integrity, nonrepudiation, user untraceability, forward and backward secrecy, and resistance to replay attack.