Healthcare in the country is grappling with medical data exchange fragmentation, doctor-to-doctor referral process, secure information transfer between hospitals, and patient-convenient portals to personal records being termed as critical points of vulnerability. Concerns are the isolation of health records within hospitals, risks of information abuse of revealed information, and the absence of adequate security protocols. To address these, the Electronic Health Record (EHR) Architecture based on Blockchain was created in collaboration with the hospital, physician, payer, and patient ecosystem. This paper evaluates the feasibility of applying the architecture to store clinical data in a manner that preserves privacy, provides controlled availability and reconciles competing demands for sharing and confidentiality, and promotes compatibility among disparate clinical and administrative system domains. Privacy, in this context, means detailsis accessible only to particular parties and is inviolate in any way—visible, modified, transmitted, or deleted—while being kept, transported, or processed without authorization by a patient. Availability requires that, despite unforeseen sabotage, malfunction, equipment obsolescence, or malicious behavior, patients and legitimate caregivers have access to required information without impeding workflows. Both practice and literature point out that the creation of this double horizon of privacy and resilience require the active participation of all stakeholders, corporate or individual. Interoperability in legacy practice valleys has centered mainly on plugs between information systems. The patient-care community has been busy in now with enabling patients to enter their healthdetails, with the passing being at their discretion. Our system offers privacy and data integrity through the acquisition of medical data first and then encrypting the data through Attribute-Based Encryption, where the best to sharpen the key is the DES algorithm.
After encryption, the information is kept in a permissioned blockchain, provides layered access control and protection against compromised information. To further support the patient, we have integrated a predictive analytics module in our patient interface that utilizes machine-learning classifiers i.e. Random Forest, Logistic Regression, and Decision Tree to make near disease detection
Introduction
Blockchain is a decentralized, tamper-proof digital ledger introduced in 2008 (Satoshi Nakamoto) that ensures data integrity across distributed systems.
In healthcare, Protected Health Information (PHI) is highly sensitive, and Electronic Health Records (EHRs) serve as comprehensive digital repositories of patient history and data.
Traditional EHR systems face security, accessibility, and interoperability issues.
Blockchain, combined with Attribute-Based Encryption (ABE) and Machine Learning (ML), offers a modern, secure, and intelligent solution.
Core Advantages of Blockchain in Healthcare
Decentralization: Eliminates dependence on a single authority or central server.
Immutability: Medical records cannot be changed without consensus, ensuring auditability.
Transparency & Traceability: Every access and update is logged securely.
Interoperability: Enables seamless and secure data sharing across institutions.
Security Enhancement with ABE
Attribute-Based Encryption allows access control based on roles (e.g., doctor, lab tech, patient).
Sensitive data is encrypted such that only users with matching attributes can decrypt specific parts of the record.
ABE + Blockchain = fine-grained access control + tamper-proof storage.
Intelligence with Machine Learning (ML)
Algorithms Used:
Random Forest
Logistic Regression
Decision Trees
Purpose:
Disease prediction based on symptoms and medical history
Assist doctors in diagnosis
Enable smart, data-driven clinical decisions
II. Background and Motivation
Current challenges in healthcare data systems include:
Data Fragmentation – Patient records scattered across different providers
Security Vulnerabilities – Risk of data breaches and unauthorized access
Limited Interoperability – Lack of unified standards across healthcare systems
System Reliability Issues – Hardware failures can cause data loss
?? Blockchain + ABE + ML addresses these problems by offering a secure, decentralized, interoperable, and intelligent solution.
III. Literature Survey (Key Studies)
Big Data Analytics for Healthcare Opinions – Importance of mining patient feedback for system improvements (Sabarmathi & Chinnaiyan, 2020)
Public Auditability for Cloud Storage – Early models for secure, privacy-preserving cloud auditing (Wang et al., 2011)
BlockVault Framework – A practical blockchain-cloud hybrid system for secure data storage (Malomo et al., 2020)
These works lay the foundation for blockchain-enabled secure healthcare systems.
IV. Methodology: Secure Federated Cloud Storage Protection Strategy
System Modules
Patient
Doctor
Lab Technician
Blockchain Server
Each module has clearly defined roles in data management, encryption, and secure access.
Key Components
Data Collection & Access Management
Secure registration & login
Access permissions controlled via blockchain
Encryption with ABE + DES
Health data is encrypted using ABE
DES algorithm generates encryption keys
Only users with specific attributes can access appropriate data segments
Permissioned Blockchain
Stores encrypted health records
Ensures:
Immutability
Auditability
Availability
Controlled access
Secure Data Sharing & Interoperability
Seamless record sharing among doctors, labs, and patients
Secure APIs and a common blockchain protocol ensure cross-institution compatibility
Disease Prediction using ML
Inputs: Patient symptoms, history
Models trained on real datasets (e.g., Kaggle)
Outputs support early diagnosis and patient-centered care
V. Workflow Overview
Step
Description
1. Registration/Login
Secure sign-up for all stakeholders
2. Data Input
Patients enter symptoms; doctors/labs upload reports
3. Encryption
Medical data encrypted via ABE with DES-generated keys
4. Blockchain Storage
Data stored on permissioned blockchain ledger
5. Access Management
All data access is blockchain-permissioned and logged
6. ML Analytics
Predictive models assist in diagnostics
7. Auditing
Full traceability of data interactions for compliance
Technology Stack
Frontend: Java Swings, Python Tkinter
Backend: MySQL Server 5.0, Blockchain
Development Tools: JDK 1.8, NetBeans 8.2, VS Code
Security: Hybrid Heuristic ABE with DES keys
ML Models: Random Forest, Logistic Regression, Decision Tree (Python, trained on Kaggle datasets)
Platform: Windows OS
Conclusion
This project demonstrates a robust and innovative approach to securing electronic health records (EHRs) using a hybrid strategy that integrates Attribute-Based Encryption (ABE) with Permissioned Blockchain technology. By doing so, the solution effectively addresses core challenges in the healthcare sector related to fragmented patient records, insecure storage, and unauthorized data access. The proposed framework enables reliable, privacy-preserving sharing of medical data among patients, doctors, and lab technicians, ensuring that each stakeholder accesses only the information they are permitted to view.Leveraging blockchain ensures a single, tamper-proof version of the truth for each medical record, substantially reducing the chance of data breaches. and unauthorized modifications.
The use of optimal encryption keys generated by the DES algorithm further enhances data confidentiality, while permissioned access on the blockchain maintains strong integrity and access control.Furthermore, the project incorporates machine learning algorithms—such as Random Forest, Logistic Regression, and Decision Tree—for disease prediction within the patient module. This empowers personalized, data-driven healthcare and can help clinicians make quicker, more precise decisions. based on historical and real-time patient data.By combining state-of-the-art encryption, blockchain, andpredictive analytics, the system not only secures patient information but also promotes data interoperability, patient-centric sharing, and improved accessibility in healthcare environments—laying the groundwork for a smarter, safer, and more efficient digital health ecosystem.
References
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