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Cited by 944

The DOI matches its Crossref record; 5 of the 5 references it cites were found in a registry or an index.

Blockchain-based electronic healthcare record system for healthcare 4.0 applications

Tanwar, Sudeep, Parekh, Karan, Evans, Richard·2020·Journal of Information Security and Applications

Abstract

Abstract Modern healthcare systems are characterized as being highly complex and costly. However, this can be reduced through improved health record management, utilization of insurance agencies, and blockchain technology. Blockchain was first introduced to provide distributed records of money-related exchanges that were not dependent on centralized authorities or financial institutions. Breakthroughs in blockchain technology have led to improved transactions involving medical records, insurance billing, and smart contracts, enabling permanent access to and security of data, as well as providing a distributed database of transactions. One significant advantage of using blockchain technology in the healthcare industry is that it can reform the interoperability of healthcare databases, providing increased access to patient medical records, device tracking, prescription databases, and hospital assets, including the complete life cycle of a device within the blockchain infrastructure. Access to patients’ medical histories is essential to correctly prescribe medication, with blockchain being able to dramatically enhance the healthcare services framework. In this paper, several solutions for improving current limitations in healthcare systems using blockchain technology are explored, including frameworks and tools to measure the performance of such systems, e.g., Hyperledger Fabric, Composer, Docker Container, Hyperledger Caliper, and the Wireshark capture engine. Further, this paper proposes an Access Control Policy Algorithm for improving data accessibility between healthcare providers, assisting in the simulation of environments to implement the Hyperledger-based eletronic healthcare record (EHR) sharing system that uses the concept of a chaincode. Performance metrics in blockchain networks, such as latency, throughput, Round Trip Time (RTT). have also been optimized for achieving enhanced results. Compared to traditional EHR systems, which use client-server architecture, the proposed system uses blockchain for improving efficiency and security.

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Metadata

Authors
Tanwar, S., Parekh, K., & Evans, R.
Venue
Journal of Information Security and Applications
Publisher
Elsevier BV
Published
2020-02
Volume
50
Pages
102407
ISSN
2214-2126 (ISSN-L)
OpenAlex
W2990181228
Cited by
944
References
5
FWCI
142.15
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Blockchain-based electronic healthcare record system for healthcare 4.0 applications. https://app.cochat.ai/papers/10.1016/j.jisa.2019.102407
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Tanwar, S., Parekh, K., & Evans, R. (2020). Blockchain-based electronic healthcare record system for healthcare 4.0 applications. Journal of Information Security and Applications. https://doi.org/10.1016/j.jisa.2019.102407

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