Blockchain Technology in Healthcare: Ensuring Integrity, Security, and Performance in a Distributed Ecosystem

Abstract

This paper evaluates the technical feasibility of blockchain technology within the healthcare ecosystem, with a focus on the use of Corda Distributed Ledger Technology (DLT) to ensure data integrity, security, and trustworthiness. Key attributes examined include the guarantee of data integrity—ensuring that transmitted data remains unaltered; authenticity through the implementation of digital signatures and certificates; confidentiality achieved via secure peer-to-peer communication accessible only to authorized parties; and traceability and auditing mechanisms that enable tracking of information changes and accountability. To validate these features, a Corda Distributed Application (CorDapp) was developed to manage the core logic of the healthcare ecosystem. The CorDapp was deployed across nodes and executed within the Corda Network. Its performance was assessed using metrics such as throughput, latency, CPU usage, and memory consumption in both local and cloud network environments. Results demonstrate the feasibility of using Corda blockchain technology in healthcare, effectively addressing critical requirements such as integrity, authenticity, confidentiality, traceability, and auditing while maintaining satisfactory performance across diverse deployment scenarios.