Ensuring Electronic Health Record (EHR) Privacy using Zero Knowledge Proofs (ZKP) and Secure Encryption Schemes on Blockchain

Ranaweera T.A.V.Y, Hewage H.N.H, Hapuhinna H.K.D.W.M.C.B., Preethilal K.L.K.T, Amila Nuwan Senarathne, Laneesha Ruggahakotuwa · 2023

In the haste of EHR digitization, the protection of patient data becomes paramount, casting a spotlight on small healthcare clinics grappling with the threats of an ever more interconnected healthcare sector. That is due to the existing centralized system and traditional password-based authentications which cause a single point of failure. Besides this patient consent for EHR sharing is narrowed to a one-time consent. To overcome these problems, this study suggests a robust solution that makes data sharing utilizing blockchain while achieving privacy using web-based Zero Knowledge Proofs (ZKP) authentication and Homomorphic Encryption (HE). The research also considers securely outsourcing EHRs to research organizations to improve data exchange for research purposes. Along with patient-controlled encryption, consent control, and time-limited data access, it also explores dynamic consent management while complying with healthcare standards. Lastly, this study stream-lines secure data sharing with insurance providers while ensuring patient privacy and defending against insurance fraud.

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