HealthChain: A Blockchain-aided Federated Healthcare Management System

Abstract

Privacy and integrity of medical records while preserving and sharing them within any healthcare system is of high importance. Recently, India's Ayushman Bharat Digital Mission (ABDM) aims to address various issues of the existing healthcare systems and proposes a federated healthcare system to bring all the players under a common umbrella. However, it falls short on various aspects, including transparency, auditability, and traceability of activities and information within the system. In this proposal, we aim to bridge these existing gaps and propose an extension of the ABDM proposal by incorporating a blockchain layer instrumented with additional features such as traceable consent management, auditable access logs, etc., while keeping in mind its performance and scalability. We present a proof of concept of our proposal based on Hyperledger Fabric and related backend technologies and manifest experimental results to reinforce the practicality of our proposal.