Electronic Health Record Monitoring System and Data Security Using Blockchain Technology
Authors: Akhter Md Hasib Kazi Tamzid , Chowdhury Ixion , Sakib Saadman , Monirujjaman Khan Mohammad , Alsufyani Nawal , Alsufyani Abdulmajeed , Bourouis Sami 
Published: February 2022

Bangladesh should have owned a decentralized medical record server. We face a lot of issues, such as doctor’s appointments, report organization in one spot, and report follow-ups. People now bring a large number of papers to the doctor’s chamber. They carry prescriptions, reports, and X-ray files, among other things. It complicates everyone’s life as a result. All of the reports must be reviewed by doctors on a regular basis. It is difficult to read old reports on a regular basis, and patients do not receive the correct medications or treatment. Doctors also find it extremely difficult to comprehend handwritten prescriptions. Data security, authenticity, time management, and other areas of data administration are dramatically improved when blockchain (smart contract) technology is linked with standard database management solutions. Blockchain is a groundbreaking, decentralized technology that protects data from unauthorized access. After smart contracts are implemented, the management will be satisfied with the patients. As a result, maintaining data privacy and accountability in the system is tough. It signifies that the information is only accessible to those who have been authenticated. This study focuses on limiting third-party engagement in medical health data and improving data security. Throughout the process, this will improve accessibility and time efficiency. People will feel safer during the payment procedure, which is the most significant benefit. A smart contract and a peer-to-peer encrypted technology were used. The hacker will not be able to gain access to this system since this document uses an immutable ledger. They will not be able to change any of the data if they gain access to the system. If the items are found to be defective, the transaction will be halted. Transaction security will be a viable option for recasting these problems using cryptographic methodologies. We developed a website where patients and doctors will both benefit because of the use of blockchain technology to ensure the security of medical data. We have different profiles for doctors and patients. In the patient profile, they can create their own account by using a unique address, name, and age. This unique address will be created from the genesis block. The unique address is completely private to the owner, who will remain fully secure in our network. After creating an account, the patient can view the doctors’ list and they can upload their medical reports such as prescriptions and X-rays. All the records uploaded by the patient will be stored on our local server (Ganache). The records are stored as hashed strings of the data. Those files will also have a unique address, and it will be shown in the patient profile. After granting access, the doctors will be able to view their records in the respective doctor’s profile. For accessing the options such as uploading, viewing, or editing the data, Ethereum currency (a fee) will have to be paid in order to complete the request. On the other hand, doctors can enter their profile using their name and unique address. After logging in, they can view their name, unique address, and the list of patients that have granted access to the doctor to view their files. On our website, the front end is handled by JavaScript, ReactJS, HTML, and CSS. The backend is handled by Solidity. Storage is handled by Ganache as the local host. Finally, this paper will show how to ensure that the procedure is as safe as feasible. We are also maintaining transparency and efficiency here.