Electronic Health Records Sharing Model Based on Blockchain With Checkable State PBFT Consensus Algorithm

With the popularity of IoT devices and cloud technology in the medical industry. Sharing EHRs (Electronic Health Records) among medical institutions improves the accuracy of medical diagnosis and promotes the development of public medical. However, it is difficult to share EHRs among hospitals, and patients typically don’t know about the usage of their health records. In this paper, we propose a patient-controlled EHRs sharing scheme based on cloud computing collaborating blockchain technology. The medical abstract and the access strategy are stored in the blockchain to avoid being tampered with. To achieve the fine-grained access control, we propose the attribute-based encryption scheme and multi-keyword encryption scheme to encrypt EHRs. Moreover, we proposed a node-state-checkable Practical Byzantine Fault Tolerance consensus algorithm (sc-PBFT) to prevent the Byzantine nodes from sneaking into the consortium blockchain. First, we check the state of the elected master node to avoid the master node having any malicious records. Then, using pre-prepared, prepare, and commit processes to complete the consensus request submitted by the client. At last, the proposed consensus algorithm evaluates the state of the master node according to the completion of the three-stage process to reduce the impact of the malicious node on the whole consortium blockchain. By doing this, the malicious node will be marked and isolated into the isolation area. The experimental results show that the proposed sc-PBFT algorithm has better handling capability and lower consensus latency. Compared with the PBFT algorithm in the case of Byzantine nodes, sc-PBFT not only improves the robustness of the consortium blockchain network but also improves the handling capability.