Consortium Blockchain Framework for Secure Digital Medical Record Innovation
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Blockchain, Electronic Medical Records, Consortium, NFC, Smart Contract
Abstract
Healthcare systems face growing challenges in protecting patient information, with more than 276 million healthcare records breached in 2024 alone. This study presents a proof-of-concept consortium blockchain framework that integrates Near Field Communication (NFC) based authentication with smart contract driven consensus to securely verify and synchronize Electronic Medical Records (EMRs) across multiple healthcare facilities. The system was tested in a simulated network of three Virtual Private Servers, achieving an average NFC verification time of 2.9 seconds and a consensus propagation time of 0.4 seconds, demonstrating stable performance suitable for near-real-time operations.Although these results are promising, the evaluation was limited to synthetic datasets, small-scale network conditions,and basic database security configurations. Future work will focus on scaling the system to larger and more diverse networks, strengthening cybersecurity measures, and ensuring full compliance with HIPAA and GDPR standards. By supporting the United Nations’3rd Sustainable Development Goal on Health and the 9th Sustainable Development Goal on Infrastructure and Innovation, this research contributes to the development of secure, interoperable, and sustainable healthcare information systems.
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References
[1] A. Steve, “Healthcare data breach statistics,” The HIPAA Journal, 2024, accessed: Apr. 26, 2025. [Online]. Available: https://www.hipaajournal.com/healthcare-data-breach-statistics/
[2] J. Leng, M. Zhou, J. L. Zhao, Y. Huang, and Y. Bian, “Blockchain security: A survey of techniques and research directions,” IEEE Transactions on Services Computing, vol. 15, no. 4, pp. 2490–2510, 2022.
[3] G. J. Mendis, Y. Wu, J. Wei, M. Sabounchi, and R. Roche, “A blockchain-powered decentralized and secure computing paradigm,” IEEE Transactions on Emerging Topics in Computing, vol. 9, no. 4, pp. 2201–2222, 2021.
[4] F. E. Alzhrani, K. A. Saeedi, and L. Zhao, “A taxonomy for characterizing blockchain systems,” IEEE Access, vol. 10, pp. 110 568–110 589, 2022.
[5] G. Subramanian and A. S. Thampy, “Implementation of blockchain consortium to prioritize diabetes patients’ healthcare in pandemic situations,” IEEE Access, vol. 9, pp. 162 459–162 475, 2021.
[6] M. Murod, S. Anhar, D. Andayani, A. Fitriani, and G. Khanna, “Blockchain based intellectual property management enhancing security and transparency in digital entrepreneurship,” Aptisi Transactions on Technopreneurship (ATT), vol. 7, no. 1, pp. 240–251, 2025.
[7] W. Zou et al., “Smart contract development: Challenges and opportunities,” IEEE Transactions on Software Engineering, vol. 47, no. 10, pp. 2084–2106, 2021.
[8] C. Yang, J. Chen, B. Zeng, and L. Liao, “Overview of blockchain privacy protection,” in Proceedings of the 2022 IEEE 8th International Conference on Big Data Security on Cloud, High Performance and Smart Computing, and Intelligent Data Security (BigDataSecurity/HPSC/IDS), 2022, pp. 212–217.
[9] J. Chen, X. Xia, D. Lo, J. Grundy, X. Luo, and T. Chen, “Defining smart contract defects on ethereum,” IEEE Transactions on Software Engineering, vol. 48, no. 1, pp. 327–345, 2022.
[10] H. Saeed et al., “Blockchain technology in healthcare: A systematic review,” PLoS One, vol. 17, 2022.
[11] L. Zhang, W. Han, S. Chen, and K. K. R. Choo, “An efficient and secure health data propagation scheme using steganography-based approach for electronic health networks,” IEEE/ACM Transactions on Networking, vol. 32, no. 2, pp. 1261–1272, 2024.
[12] L. Da Costa, B. Pinheiro, W. Cordeiro, R. Araujo, and A. Abelem, “Sec-health: A blockchain-based protocol for securing health records,” IEEE Access, vol. 11, pp. 16 605–16 620, 2023.
[13] F. Zidan, D. Nugroho, and B. A. Putra, “Securing enterprises: harnessing blockchain technology against cybercrime threats,” International Journal of Cyber and IT Service Management, vol. 3, no. 2, pp. 168–173, 2023.
[14] I. Handayani, D. Apriani, M. Mulyati, A. R. A. Zahra, and N. A. Yusuf, “Enhancing security and privacy of patient data in healthcare: A smartpls analysis of blockchain technology implementation,” IAIC Transactions on Sustainable Digital Innovation (ITSDI), vol. 5, no. 1, pp. 8–17, 2023.
[15] T. C. Y. Ng, D. Y. W. Liu, and A. C. Y. Leung, “Leveraging blockchain and rfid/nfc technology for secure and traceable logistics for documents with digital twin,” in Proceedings of the 2024 IEEE International Conference on Blockchain (Blockchain 2024), 2024, pp. 428–433.
[16] Q. Aini, H. D. Purnomo, I. Setyawan, D. Manongga, U. Rahardja, I. Sembiring, S. Maulana et al., “The effect of perceived costs on blockchain adoption intention: an empirical study,” in 2023 11th International Conference on Cyber and IT Service Management (CITSM). IEEE, 2023, pp. 1–6.
[17] U. Nations, “Ensure healthy lives and promote well-being for all at all ages,” https://sdgs.un.org/goals/goal3#targets and indicators, 2025, accessed: Aug. 13, 2025.
[18] U. Nations, “Build resilient infrastructure, promote inclusive and sustainable industrialization and foster innovation,” https://sdgs.un.org/goals/goal9#targets and indicators, 2025, accessed: Aug. 13, 2025.
[19] A. Sutarman, J. Williams, D. Wilson, and F. B. Ismail, “A model-driven approach to developing scalable educational software for adaptive learning environments,” International Transactions on Education Technology (ITEE), vol. 3, no. 1, pp. 9–16, 2024.
[20] O. Bianchi and H. P. Putro, “Artificial intelligence in environmental monitoring: Predicting and managing climate change impacts,” International Transactions on Artificial Intelligence, vol. 3, no. 1, pp. 85–96, 2024.
[21] Y. Qiao, Y. Xue, Y. Zhai, D. Zhang, B. Chen, A. V. Vasilakos, M. S. Hossain, and S. Mumtaz, “A secure and efficient sharing scheme for medical iot data based on consortium blockchain,” IEEE Internet of Things Journal, 2025.
[22] A. K. Gupta, D. Raj, Y. K. Sharma, A. Sharma, M. K. Singh, and A. K. Agrawal, “Electronic healthcare data sharing application based on hyperledger consortium blockchain network,” in 2025 International Conference on Networks and Cryptology (NETCRYPT). IEEE, 2025, pp. 1405–1410.
[23] F. E. Putra, M. Khasanah, and M. R. Anwar, “Optimizing stock accuracy with ai and blockchain for better inventory management,” ADI Journal on Recent Innovation, vol. 6, no. 2, pp. 190–200, 2025.
[24] L. Meria, S. Fabian, T. Mariyanti et al., “Digital transformation and blockchain technology: A viewpoint from emerging markets,” Blockchain Frontier Technology, vol. 4, no. 1, pp. 50–57, 2024.
[25] R. A. Alzahrani and J. M. Easton, “A secure and scalable blockchain framework for data sharing and cost distribution in railway condition monitoring,” IEEE Access, 2025.
[26] D. Apriani, V. T. Devana, A. P. Sagala, P. A. Sunarya, U. Rahardja, and E. P. Harahap, “Security using blockchain-based otp with the concept of iot publish/subscribe,” in AIP Conference Proceedings, vol. 2808, no. 1. AIP Publishing, 2023.
[27] T. Karvinen, “Configuration management of distributed systems over unreliable and hostile networks,” Ph.D. dissertation, University of Westminster, 2023.
[28] R. Widayanti, A. B. Mutiara, and A. Tarigan, “Data governance in blockchain-based systems for internship grade conversion,” Aptisi Transactions on Technopreneurship (ATT), vol. 6, no. 3, pp. 509–521, 2024.
[29] Y. Kushwaha, N. Lal, and M. Manjul, “Securing electronic health records: A blockchain-enhanced attribute-based encryption approach,” in 2024 International Conference on Communication, Control, and Intelligent Systems (CCIS). IEEE, 2024, pp. 1–6.
[30] P. Singh, S. Sagar, S. Singh, H. M. Alshahrani, M. Getahun, and B. O. Soufiene, “Blockchain-enabled verification of medical records using soul-bound tokens and cloud computing,” Scientific Reports, vol. 14, no. 1, p. 24830, 2024.
[31] D. Cahyadi, A. Faturahman, H. Haryani, E. Dolan et al., “Bcs: Blockchain smart curriculum system for verification student accreditation,” International Journal of Cyber and IT Service Management, vol. 1, no. 1, pp. 65–83, 2021.
[32] S. A. Faaroek, A. S. Panjaitan, Z. Fauziah, and N. Septiani, “Design and build academic website with digital certificate storage using blockchain technology,” IAIC Transactions on Sustainable Digital Innovation (ITSDI), vol. 3, no. 2, pp. 175–184, 2022.
[33] M. Rakhmansyah, M. S. Hadi, S. R. P. Junaedi, F. A. Ramahdan, and S. N. W. Putra, “Integrating blockchain and ai in business operations to enhance transparency and efficiency within decentralized ecosystems,” ADI Journal on Recent Innovation, vol. 6, no. 2, pp. 157–167, 2025.
[34] A. Alnuaimi, D. Hawashin, R. Jayaraman, K. Salah, and M. Omar, “Trustworthy healthcare professional credential verification using blockchain technology,” IEEE Access, vol. 11, pp. 109 669–109 688, 2023.
[35] T. Hariguna, Y. Durachman, M. Yusup, and S. Millah, “Blockchain technology transformation in advancing future change,” Blockchain Frontier Technology, vol. 1, no. 01, pp. 13–20, 2021.
[36] T. Hariguna, B. B. Madon, and U. Rahardja, “User’intention to adopt blockchain certificate authentication technology towards education,” in AIP Conference Proceedings, vol. 2808, no. 1. AIP Publishing, 2023.
[37] G. Silva, G. Godwin, and O. Jayanagara, “The impact of ai on personalized learning and educational analytics,” International Transactions on Education Technology (ITEE), vol. 3, no. 1, pp. 36–46, 2024.
[38] D. Martinez, L. Magdalena, and A. N. Savitri, “Ai and blockchain integration: Enhancing security and transparency in financial transactions,” International Transactions on Artificial Intelligence, vol. 3, no. 1, pp. 11–20, 2024.
[39] M. P. Thanigesan and P. Vinothiyalakshmi, “Advanced blockchain-enabled electronic document management system with integrated verification module: A review,” International Journal of Environmental Sciences, pp. 735–752, 2025.
[40] A. S. M. Ali, S. Ali, K. Ziaullah, M.-I. Joo, and H.-C. Kim, “Iomt and blockchain synergy: A novel approach to health data validation and storage,” IEEE Access, 2025.
[41] S. Rana, R. M. Nor, M. E. Hossain, and M. Amiruzzaman, “Enhancing entrepreneurial security in cryptocurrency wallets using cloud technology,” Aptisi Transactions on Technopreneurship (ATT), vol. 7, no. 2, pp. 481–491, 2025.
[42] T. Nurhaeni, L. Nirmalasari, A. Faturahman, and S. Avionita, “Transformation framework design on digital copyright entities using blockchain technology,” Blockchain Frontier Technology, vol. 1, no. 01, pp. 35–43, 2021.
[43] S. Biswas, K. Sharif, F. Li, I. Alam, and S. P. Mohanty, “Daac: Digital asset access control in a unified blockchain based e-health system,” IEEE Transactions on Big Data, vol. 8, no. 5, pp. 1273–1287, 2022.
[44] P. A. Suraya, T. Ramadhan, N. Lutfiani, A. Khoirunisa, and U. Rahardja, “Blockchain, information and speculation calculations in indonesia: Recent work,” in 2022 10th International Conference on Cyber and IT Service Management (CITSM). IEEE, 2022, pp. 1–8.
[45] S. Almarri and M. Frikha, “Authentication and access control mechanisms to secure iot environments: A comprehensive slr,” 2024.
[46] S. Khan, M. Khan, M. A. Khan, M. A. Khan, L. Wang, and K. Wu, “A blockchain-enabled ai-driven secure searchable encryption framework for medical iot systems,” IEEE Journal of Biomedical and Health Informatics, 2025.
[47] S. Kosasi, U. Rahardja, N. Lutfiani, E. P. Harahap, and S. N. Sari, “Blockchain technology-emerging research themes opportunities in higher education,” in 2022 International Conference on Science and Technology (ICOSTECH). IEEE, 2022, pp. 1–8.
[48] N. Yaqub, J. Zhang, M. I. Khalid, W. Wang, M. Helfert, M. Ahmed, and J. Kim, “Blockchain enabled policy-based access control mechanism to restrict unauthorized access to electronic health records,” PeerJ Computer Science, vol. 11, p. e2647, 2025.
[49] F. Ullah, J. He, N. Zhu, A. Wajahat, A. Nazir, S. Qureshi, M. S. Pathan, and S. Dev, “Blockchain-enabled ehr access auditing: Enhancing healthcare data security,” Heliyon, vol. 10, no. 16, 2024.
[50] J. Siswanto, V. A. Goeltom, I. N. Hikam, E. A. Lisangan, and A. Fitriani, “Market trend analysis and data-based decision making in increasing business competitiveness,” Sundara Advanced Research on Artificial Intelligence, vol. 1, no. 1, pp. 1–8, 2025.
[51] N. Dey and S. Ghosh, “Blockchain-enabled healthcare data security and management: Innovations and challenges in the indian context,” in International Conference on Information Systems Security. Springer, 2024, pp. 413–421.
[52] F. H. Bappy, E. Cheon, and T. Islam, “Centralized trust in decentralized systems: Unveiling hidden contradictions in blockchain and cryptocurrency,” in Proceedings of the 2025 ACM Conference on Fairness, Accountability, and Transparency, 2025, pp. 1960–1971.
[53] R. Vayyala, “Ensuring data quality and integrity in modern enterprises,” in Data Governance, DevSecOps, and Advancements in Modern Software. IGI Global Scientific Publishing, 2025, pp. 17–46.
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