Blockchain-based Searchable Proxy Re-encryption Scheme for EHR Security Storage and Sharing

The sharing of electronic health records (EHR) has shown significant advantages in the accurate diagnosis of patients and the development of medical institutions. However, due to the privacy and sensitivity of medical data, it is easy to cause security issues such as difficulty in data sharing among different medical institutions and easy leakage of data privacy. Because the blockchain has the characteristics of non-tampering, anonymity, and decentralization. We propose a blockchain-based searchable proxy re-encryption scheme for EHR security storage and sharing. First, we use blockchain and cloud server to store encrypted EHR together to prevent EHR from being tampered with and leaked. Secondly, we use a certificateless encryption and proxy re-encryption based on identity and type scheme as a data sharing protocol. Meanwhile, searchable encryption technology is used to generate a keyword index. Moreover, the proxy node is selected by the delegated proof-of-stake (DPOS) consensus algorithm, which ensures the privacy, immutability and security. It realizes the safe access of third-party data users to medical health data. Finally, security analysis and evaluation show that our scheme can resist identity disguise and replay attacks. In addition, it has stronger security and higher efficiency.