EPR Governance Based on Architectural Techniques and Blockchain and Smart Contracts Technologies

Abstract

This study proposes an archival management method for Electronic Health Records (EHRs) based on architectural techniques and Blockchain and Smart Contracts technologies to ensure governance, security, and privacy in Health 4.0 contexts. Given the increasing relevance of EHRs as sources of information, evidence, and research in digital healthcare ecosystems, the research highlights challenges related to data governance, interoperability, and cybersecurity. Through a qualitative, exploratory approach, the authors present a method structured in seven macro-processes, covering the EHR lifecycle from capture to permanent archival or disposal. The implementation of private Blockchain networks and Smart Contracts automates processes, guarantees data integrity, and strengthens patients' control over their personal data, aligned with legal frameworks for data protection. The findings reinforce the need for innovative archival practices and technological strategies to enhance efficiency, security, and transparency in healthcare information management.