Project Idea: Decentralized Personal Health Record

Management System (D-PHRMS) Using Blockchain

Project Overview: The Decentralized Personal Health Record Management

System (D-PHRMS) is a blockchain-based platform that enables users to securely
store, share, and manage their personal health records without relying on a centralized
authority like hospitals or third-party cloud services. The platform ensures privacy,
data integrity, and tamper-proof storage of medical records, which can only be
accessed and shared with healthcare providers or insurance companies with the user's
explicit consent.

Key Features:

1.

User-Centric Health Record Management:

2.
1. Each user has their own decentralized account (wallet) where they can upload
medical records, prescriptions, diagnostic reports, and health history.
2. All records are encrypted and stored in a decentralized manner using blockchain.
3. Users have full control over who can access their health data.
3.

Data Privacy & Security:

4.

1. The system uses encryption to store medical data.

2. Blockchain ensures data immutability, meaning no one can alter the records once
they are uploaded.
3. Access control: Health data can only be accessed or shared by healthcare providers
or insurers with the patient's approval via private keys.

5.

Blockchain Technology:

6.

1. Use of smart contracts to automate processes like granting access to health records
based on predefined conditions (e.g., giving temporary access to a doctor).
2. Decentralized storage (like IPFS) to store the actual health records, ensuring that no
single party can tamper with or lose the data.
3. Use blockchain to create an immutable log of all actions performed on the records
(e.g., when and who accessed the records).
 7.

Integration with IoT Health Devices:

8.

1. Integration with IoT-based health devices (such as smartwatches, fitness trackers) to

automatically upload real-time health data (e.g., heart rate, blood pressure) to the
user's health record on the blockchain.
2. IoT data helps doctors analyze patients' real-time health stats, especially for chronic
conditions.

9.

AI-Based Health Insights:

10.

1. Use machine learning algorithms to analyze the health data of users and generate
personalized health insights or predictive analytics (e.g., risk of certain diseases
based on health patterns).
2. The AI module could also suggest lifestyle changes based on trends in the user's
health metrics.

11.

Interoperability:

12.

1. The system should allow interoperability with existing hospital management

systems, meaning doctors and healthcare institutions can request access to a
patient’s data via the system.
2. Users can share access with doctors, specialists, or other health facilities through
secure sharing links.

13.

Insurance Claim Automation:

14.

1. Integration with health insurance providers, allowing patients to share their verified
health records with insurers securely to process claims faster using smart contracts.
2. Automating claim settlements based on predefined policy terms and medical
history.

15.

Mobile & Web Interface:

 16.

1. A mobile app or web interface where users can manage their health records,
approve data access requests, view health insights, and share data securely with
healthcare professionals.
2. The app should support two-factor authentication for additional security.

Technology Stack:

1. Blockchain: Ethereum or Hyperledger for the blockchain implementation and smart contract
development.
2. Programming Language:

1. Backend: Solidity (for Ethereum smart contracts), Node.js, or Python (for backend
APIs).
2. Frontend: React.js or Angular for the web interface.
3. Mobile App: Flutter or React Native for mobile development.

3. Storage: IPFS (InterPlanetary File System) or Swarm for decentralized file storage.
4. IoT: Integration with health devices via APIs (like Fitbit, Apple HealthKit, etc.).
5. AI/ML Framework: TensorFlow or PyTorch for predictive analytics and personalized health
insights.
6. Database: NoSQL database (e.g., MongoDB) for off-chain data management.
7. Encryption: AES-256 encryption for sensitive data storage and access control.

System Architecture:

1. User Layer:

1. Mobile or web interface for users to upload and manage health records.

2. Blockchain Layer:

1. Smart contracts for access control, record validation, and logging actions.

3. IoT Layer:

1. IoT devices connected to users’ health profiles, feeding real-time data into the
system.

4. AI Layer:

1. AI engine analyzing user data and providing health insights or predictions.

5. Decentralized Storage Layer:

 1. Encrypted health records stored on decentralized networks (like IPFS).

Advantages:
 Patient Empowerment: Users have complete ownership and control of their medical data.
 Enhanced Security: Blockchain ensures data integrity and prevents unauthorized access or
tampering.
 Interoperability: Seamlessly integrates with various healthcare systems and devices, offering
a unified health record.
 Cost-Efficiency: By automating processes like insurance claims and reducing reliance on
third-party cloud providers, it lowers administrative costs.

Challenges:
 Adoption: Healthcare providers and patients need to adopt and trust blockchain-based
systems.
 Scalability: Managing large volumes of health records on a decentralized platform might
pose scaling challenges.
 Legal & Regulatory Compliance: Ensuring that the system complies with health data
regulations like HIPAA, GDPR, etc.

Project Report Structure:

1. Introduction: Define the problem of centralized health record management and how
blockchain can address it.
2. Objectives: Outline the project’s key goals, such as improving data privacy, security, and
accessibility.
3. Literature Review: Discuss existing systems for electronic health records and blockchain
applications in healthcare.
4. System Design: Present the architecture, flowcharts, and blockchain implementation.
5. Technology Stack: Explain the tools, frameworks, and languages used.
6. Implementation: Detailed description of each feature (e.g., smart contracts, IoT integration).
7. AI Module: Discuss how health data is analyzed using machine learning.
8. Testing: Test cases for each module, especially blockchain and access control mechanisms.
9. Challenges and Limitations: Discuss any issues faced during development and potential
improvements.
10. Conclusion: Summarize the benefits and the future scope of decentralized health record
management.
11. References: Cite relevant research papers, documentation, and tools used.

This project merges emerging technologies like blockchain, IoT, and AI to solve
real-world problems in healthcare while maintaining a strong focus on privacy and
security. It’s innovative, practical, and aligned with current technological trends,
making it a unique choice for a final year BCA project.