Hybrid Blockchain Architecture for Medical Record Management
DOI:
https://doi.org/10.26439/interfases2025.n022.8092Keywords:
hybrid blockchain, EHR, private blockchain, public blockchain, interoperability, securityAbstract
This article introduces a hybrid blockchain architecture to enhance Electronic Medical Record (EMR) management and interoperability. It integrates a permissioned public blockchain on Polkadot—managing roles and permissions—with a private blockchain on Hyperledger Fabric responsible for EMR storage. Text data are stored in CouchDB and medical images in IPFS as Non-Fungible Tokens (NFTs), following a patient-centric model. Stress tests yielded average latencies of 2050 ms for EMR creation and 2000 ms for sharing, with 65 % CPU and 170 MB memory usage, indicating system stability and efficiency. The proposed architecture provides a scalable, secure, and interoperable solution suitable for healthcare environments that demand data confidentiality and controlled access.
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