Secure Sharing of Electronic Medical Records Based on Blockchain and Searchable Encryption
Aomen Zhao, Hongliang Tian · Electronics · 2025
In recent years, Electronic Medical Record (EMR) sharing has played an indispensable role in optimizing clinical treatment plans, advancing medical research in biomedical science. However, existing EMR management schemes often face security risks and suffer from inefficient search performance. To address these issues, this paper proposes a secure EMR sharing scheme based on blockchain and searchable encryption. This scheme implements a decentralized management system with enhanced security and operational efficiency. Considering the scenario of EMRs requiring confirmation of multiple doctors to improve safety, the proposed solution leverages Shamir’s Secret Sharing to enable multi-party authorization, thereby enhancing privacy protection. Meanwhile, the scheme utilizes Bloom filter and vector operation to achieve efficient data search. The proposed method maintains rigorous EMR protection while improving the search efficiency of EMRs. Experimental results demonstrate that, compared to existing methodologies, the proposed scheme enhances security during EMR sharing processes. It achieves higher efficiency in index generation and trapdoor generation while reducing keyword search time. This scheme provides reliable technical support for the development of intelligent healthcare systems.