
centric design, and system responsiveness as major
improvements over legacy systems. However, some
concerns regarding the learning curve for smart
contract management and initial integration
complexity were raised, which points to the need for
tailored training and modular deployment strategies.
Overall, the results clearly validate the
effectiveness of the proposed system in enhancing
healthcare data security, minimizing unauthorized
access, reducing operational latency, and ensuring
regulatory compliance. Compared to conventional
systems, the blockchain-based framework offers a
substantial leap in terms of auditability, automation,
and trust all of which are critical in today's evolving
healthcare data landscape.
6 CONCLUSIONS
In an era where digital transformation is redefining
healthcare delivery, the security and privacy of
patient data have become critical challenges that
demand innovative solutions. This research has
demonstrated how blockchain technology, when
carefully integrated with smart contracts, off-chain
storage, and healthcare interoperability standards, can
provide a secure, scalable, and regulation-compliant
framework for managing electronic health records.
By addressing the limitations of conventional
centralized systems and overcoming the drawbacks of
existing blockchain models, the proposed framework
ensures real-time access control, immutable logging,
and patient-centric data governance.
The simulation results confirm that the
architecture effectively reduces data breach risks,
minimizes latency, and enforces privacy compliance
through automated smart contract mechanisms. The
incorporation of HL7/FHIR standards further
facilitates seamless integration with legacy health
information systems, making the model practical for
real-world deployment across various healthcare
environments. Beyond technical efficiency, the
system empowers patients by granting visibility and
control over their data, aligning with modern
principles of digital ethics and data ownership.
Ultimately, this work not only validates
blockchain’s potential in safeguarding healthcare
information but also lays the groundwork for its
broader adoption within digital health ecosystems.
Future research may extend this architecture to
support cross-border data sharing, AI-driven
analytics, and federated learning models, enabling
even greater value from secure and decentralized
healthcare infrastructure.
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