Abstract

Electronic Health Records (EHRs) play a vital role in the healthcare domain for the patient survival system. They can include detailed information such as medical histories, medications, allergies, immunizations, vital signs, and more. It can help to reduce medical errors, improve patient safety, and increase efficiency in healthcare delivery. EHR approaches are proven to be an efficient and successful way of sharing patients' personal health information. These kinds of highly sensitive information are vulnerable to privacy and security associated threats. As a result, new solutions must develop to meet the privacy and security concerns in health information systems. Blockchain technology has the potential to revolutionize the way electronic health records (EHRs) are stored, accessed, and utilized by healthcare providers. By utilizing a distributed ledger, blockchain technology can help ensure that data is immutable and secure from tampering. In this article, a Hyperledger consortium network has been developed for sharing health records with enhanced privacy and security. The attribute based access control (ABAC) mechanism is used for controlling access to electronic health records. The use of ABAC on the network provides EHRs with an extra layer of security and control, ensuring that only authorized users have access to sensitive data. By using attributes such as user identity, role, and health condition, it is possible to precisely control access to records on blockchain. Besides, a Gaussian naïve Bayes algorithm has been integrated with this consortium network for prediction of cardiovascular disease. The prediction of cardiovascular is difficult due to its correlated risk factors. This system is beneficial for both patients and physicians as it allows physicians to quickly identify high-risk patients and easily provide them with patient severity level using feature weight prediction algorithms. Dynamic emergency access control privileges are used for the emergency team and will be withdrawn once the emergency has been resolved, depending on the severity score. The system is implemented with the following medical datasets: the heart disease dataset, the Pima Indian diabetes dataset, the stroke prediction dataset, and the body fat prediction dataset. The above datasets are obtained from the Kaggle repository. This system evaluates system performance by simulating various operations using the Hyperledger Caliper benchmarking tool. The performance metrics such as latency, transaction rate, resource utilization, etc. are measured and compared with the benchmark.

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