Blockchain and Self-Sovereign Identity: A Healthcare Use Case
Matheus Lázaro Honório da Silva, Gislainy Crisostomo Velasco, Noelí Antonia Pimentel Vaz, Matheus Brito Martins, P.M.R. Silva, Sérgio T. Carvalho · 2025
This paper proposes an architecture based on permissioned blockchain and self-sovereign digital identity (SSI) to address demands related to privacy, traceability, and decentralized governance in healthcare. Decentralized Identifiers (DIDs) and Verifiable Credentials (VCs) give patients greater control over their clinical data. The hybrid on-chain/off-chain approach enables the recording of immutable events and the management of credential issuance and verification. A functional prototype, SSISH (Self-Sovereign Identity System for Healthcare), demonstrates secure and interoperable workflows for examinations, diagnoses, and treatments. Preliminary results indicate increased transparency and reliability in information exchange, although further evaluation of scalability and governance in real-world environments remains necessary.