Abstract — The current Electronic Health Record (EHR) systems face challenges in security, efficiency, and patient data control. This paper explores an innovative, blockchain-based EHR system designed to enhance data protection, transparency, and accessibility. Utilizing Ethereum smart contracts for automated transactions, InterPlanetary File System (IPFS) for decentralized storage, and artificial intelligence (AI) for personalized healthcare insights, the proposed system significantly improves interoperability, security, and scalability. A role-based access framework empowers patients to manage their health records while ensuring doctors and administrators can securely access and update information. Performance evaluations demonstrate improvements in efficiency, security, and patient autonomy, positioning this system as a transformative step toward decentralized healthcare. Keywords— Blockchain, Electronic Health Records, Smart Contracts, AI in Healthcare, Decentralized Storage, IPFS, Security, Interoperability, Scalability, Compliance.
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