Blockchain-enabled secure EHR sharing with cloud storage using smart contracts and IPFS

Abstract

The purpose of this study is to address the persistent security and privacy challenges in cloud-based Electronic Health Record (EHR) sharing by proposing a blockchain-enabled architecture that integrates decentralized storage and smart contracts. Traditional mobile cloud solutions improve data accessibility but rely on centralized control, making them vulnerable to unauthorized access, single points of failure, and limited patient transparency. To overcome these limitations, this research designs a user-centric access control framework that leverages the Ethereum blockchain, smart contracts, and the InterPlanetary File System (IPFS) within a mobile cloud environment. The methodology involves developing and deploying a prototype on Amazon Web Services, supported by an Android-based mobile application that enables healthcare providers and patients to interact with the blockchain network. Experimental evaluation was conducted using wearable sensor data to test the performance, scalability, and resilience of the proposed system. The findings indicate that the framework ensures secure EHR exchange, enforces fine-grained access policies, and achieves reduced latency compared to conventional centralized approaches. Unauthorized requests were reliably detected and blocked through the smart contract mechanism, while authorized users accessed records with minimal delay. The results also confirm the lightweight overhead of the system, making it practical for mobile healthcare environments. The practical implications of this work lie in offering a tamper-resistant, transparent, and patient-centric solution for medical data sharing, thereby improving trust, reducing administrative overhead, and supporting real-time healthcare services in distributed and resource-constrained settings.