A Secure and Lightweight Blockchain Framework for Healthcare Data Exchange Using CBOR Compression and Smart Contract Validation

Abstract

The growing adoption of digital medical health care systems makes it necessary to build efficient, secure, and interoperable medical information exchange services. Nevertheless, existing traditional healthcare systems are centralized, inefficient in communication, vulnerable in terms of the integrity of data, and lack transparency. In this study, a novel blockchain-based secure framework is proposed with the integration of Ethereum smart contracts, CBOR compression, AES-256 GCM encryption, and SHA-256 validation. A multispecialty hospital dataset including patients’ information, laboratory information, prescriptions, and billing details is used in testing. A study obtained a compression rate of 7.22, validation speed of 0.0039 ms, encryption in 0.36 ms, average API latency of 98.47 ms, and throughput capacity of 52.9 TPS with a blockchain-based proposed system. Security analysis proved that this system provides security in terms of encryption, tamper resistance, access control, and immutability. The study also contributes a new model of communication within the health sector, which is both lightweight and secure, and increases blockchain performance and security.