MEPCA: a technical model to improve on-chain Electronic Health Records processing

Abstract

Blockchain technology in healthcare is gaining attention for addressing data privacy, interoperability, and health record integrity issues. Standards like HL7 FHIR and OpenEHR ensure data consistency, but privacy concerns persist under regulations like HIPAA, GDPR, and LGPD. Existing methods often store only data hashes, raising validation risks. The MEPCA model introduces a blockchain-based framework for secure health record management, focusing on on-chain EHR data processing. Key elements include Data Steward, Shared Data Vault, and Zero-Knowledge Proofs of HL7 FHIR fields. Experiments with Fully Homomorphic Encryption show enhanced security and reliability for health records, offering a robust alternative to traditional off-chain approaches.