A Review of Blockchain Implementation in Medical

Record Systems: Challenges, Opportunities, and

Future Directions
1StNugraha, Dendy Satria
2ndRizki, Asep
Dept.Electrical Engineering
Dept.Electrical Engineering
Universitas Singaperbangsa Karawang
Universitas Singaperbangsa Karawang
Karawang, Indonesia
Karawang, Indonesia
2210631160007@student.unsika.ac.id
2210631160079@ student.unsika.ac.id
3years oldRazikin
4years oldAlhuda, Zaky Hanafian
Dept.Electrical Engineering
Dept.Electrical Engineering
Universitas Singaperbangsa Karawang
Universitas Singaperbangsa Karawang
Karawang, Indonesia
Karawang, Indonesia
2210631160106@ student.unsika.ac.id
2210631160110@ student.unsika.ac.id

Abstract-Implementation of blockchainin the system r
ecord medical have potency to resolve challenge the ther
e is and open opportunitiesnewin theindustryhealth. Arti
clethisreviewthe use ofblockchainin thethe systemrecord
medical,as well aschallengethefaced,opportunitiesthether
e is, anddirectionsthefrontthepossible.Implementationblo
ckchainin thethe systemrecordmedicalcan beincrease the
securityandprivacydata,facilitateExchangethe data aresa
febetweena variety ofsidetheinvolved, andgivethe control
moretopatientsrelatedthe datapersonalthey.However,the
re issomechallengetheneed toovercome,including thescal
abilityblockchain,obedienceregulation,interoperability,in
tegrationwiththe systemthethere is, andthe problemtrust.
Articlethistooidentifysomeopportunitiestheofferedbyimpl
ementation ofblockchainin thethe systemrecordmedical.
For example, Blockchaincan befacilitatecollaborationmu
ltidisciplinarybetweenproviderserviceshealth,researchers,
andpatients. Blockchain alsocan besupport thedevelopm
entthe applicationintelligenceartificial,analysis ofData, a
ndmodelingpredictivetoincrease thetreatmenthealth.The
whole,articlethishighlightsthe importance ofresolvechalle
ngetechnicalrelatedwithimplementation ofblockchainin t
hethe systemrecordmedical.Researchanddevelopmentmo
remorerequiredtooptimizingbenefitsblockchainin theincr
ease thethe quality oftreatmenthealth,efficiencyoperation
al, andsatisfactionpatients.
Keywords-blockchain,health,medical,the record,technology
I. INTRODUCTION
Medical Records are a very important thing for treatment
in carekEmbedded containing personal information. Currentl
y every hospital keeps the patient's medical record without an
integrated with other hospitals, in addition to the managemen
t of permissions from the patient's medical record is still hand
led by the hospital.Patients with serious illnesses such as can
cer, or human rightmenicification virus (HIV) should conduc
t long treatment and rehability and post-care monitoring, if o
ut of town, or other regions and visiting several medical instit
utions for consultations, patients need to share clinical data a
nd must apply to related hospitals for access to their medical
records. It is thisit would be difficult to coordinate because th
e hospital he visited may not know before.
When the application is asserted as the process of sharing
his medical recordings it takes a long time, especially if sent
by post. because if sent by email with the internet is very unp
opised in the hospital as it causes less risk security of the pati
ent's medical recording.Manual medical notes are difficult to
divided and communicated effectively betweenvarious health
care providers. This can inhibit the collaboration of medical t
eams, timely transfer of information, and care coordination.
Lack of coordination may lead to repetition of diagnostic test
s or inefficient treatments, which in turn can increase overall
care.
In theManual medical records require paper use, print
forms, and other related documents. This cost can be
significant especially if the volume of the medical records
generated is large enough. In addition, there is an additional
cost for printing, paper replacement, and maintenance of
pricing equipment.Manual medical records require sufficient
physical storage space to store all medical documents. This
may result in a cost of rent or purchase of storage space. In
addition, care and maintenance of storage space can also
cost, such as temperature control and humidity, fire
protection, and physical security.
Risk is lost or damage to medical note of the manual is
always there. Documents may be lost due to human errors,
fires, floods, or other natural disasters. If medical records are
damaged or lost, recovery efforts should be involved in
additional costs such as reprints, reproduction, or data
recovery.The search process, recovery, and update medical
records are subject to slower and time consuming. The labor
needed to manage and take care of medical records of the
Mayer may be more, and this can reduce the productivity and
efficiency of the overall health organization. High
operational costs can also arise due to wasted time in
searching and processing medical information.
Because ofthe high cost ofReceive cost of meDISU
current manual, the purpose of this literature review is to
explain the comparison of medical recordsmanualwithDigital
medical records.From this activity is expected to be known to
the things that have been researched and which can be further
developed relatedblockchaimIn the medical record scheme.
Based on the above explanation then can be formulated the
problem of howComparison between the cost of manual

XXX-X-XXXX-XXXX-X/XX/$XX.00 ©2023 IEEE

medical records with medical records using the Technochals
Blockchain.
A. Blockchain
BedLockchain is a revolutionary technology development
that was first introduced along with Bitcoin digital currency i
n 2008 by a person or a group of people using the sambaron
name of Satoshi Nakamoto. Blockchain is designed as proof
of the concept to address the problem of trust in electronic tra
nsactions without the part of the central authority.
Basically, Blockchain is a decentralized and distributed di
gital book that records transactions and transported transactio
ns. It uses a serial data structure consisting of blocks that cont
ain information about the transactions performed. Each block
has a link to the previous block, forming a chain that can not
be changed. Information on blockchain is stored across the p
articipating computer network (Node), not in one single auth
ority.
B. Uniqueness Blockchain
Blockchain is not controlled by one central authority, but
is managed by peer-to-peer (P2P) network consisting of man
y nodes that work together. Each node has a complete copy o
f the Blockchain book, and any new changes or transactions r
equire the majority agreement of the node in the network.All
transactions on blockchain can be seen by all participants in t
he network. Each transaction is recorded permanently in the
block and can be verified by anyone. This provides a high lev
el of transparency and increases trust in the system.
Blockchain uses strong cryptography to protect the integri
ty and data security. Each block is connected to the previous
block through the hash link, making it difficult to manipulate
or change the existing data. In addition, blockchain uses cons
ensus among nodes in the network to validate the transaction
and prevent evil attacks.Once the transaction is recorded in th
e blockchain, it becomes unchangeable and unchanged. This
is because each block is connected to the previous block cryp
tographically, so if there is a change in one block, all the bloc
ks will be affected. It provides a high reliability level and hel
ps prevent data counterfeiting.
In addition to being used in digital currency like Bitcoin,
Blockchain also has potential application wide in various ind
ustries. For example, in finance, supply chains, logistics, heal
th care, elections, and more. This technology can improve se
curity, transparency, efficiency, and trust in various aspects o
f life and business.Thus, the blockchain background is the de
velopment of technology that has the potential to change our
wayinteracting, transfer values, and manage data in a safe, de
centralized, and transaim.
II. METHOD
In theIn this study, we use systematic system lifestration s
ystem or systematic literature review (SLR) to learn and unde
rstand information related to the objectives and research topi
cs. SLR is executed according to prism (File (Formercetic an
d Mets-Analysis). This method involves three main stages, n
amely planning, implementation, and reporting. The planning
stage includes determining the search context of the article an
d formulates the research question. The next stage is to find t
he relevant literature source. The last stage is reporting, wher
e we conclude the results of research and discussion perform
ed.
A. Research question
The list of research questions can be made of
needsResearch on the topic discussed. The following is
thelistResearch questions in this library review:
1) RQ1: What is the object of research in related articles?
2) Rq2:In what activities of blockchain technology are often
used in health field?
1) Rq3:Any of the fuckBenefits and Challenges and the
future of blockchain in the medical record scheme?
B. Process Search
1) Publish or Perish
The search process scientific article in literature review
This is a database search from Scopus through the Harzing's
Publish or Perish software. Publish or Perish is a software
program that takes and analyze academic quotes, designed to
empower individual academics to present their casesto
examine the impact on the best profit. The keyword used in
the related article searches are "Blockchain inhealth"And the
year selected, ie 2016-2023. From search results,
found745Articles analyzingthe articlein the time8year from
the period of 2016-2023. After that, the search results of
articles are stored in the RIS format so that it can be read by
Mendeley to be organized as reference manager.
2) Mendeley
Mendeley is a software that serves as a reference
manager. Based on the definition quoted from the official
site, indicating that Mendeley is a reference management
application as well as social networking, online collaboration
tools and is able to find the latest / current research. At this
stage, the authors Import the search results article from
Publish or Perish and save the files in BIPTEX and RIS
format.
3) Zotero
After collecting data and information, all data that passes
the selection is combined using ZOTERO. ZOTERO allows
to collect, organize, quote, and share research resources and
allow download, recruitment, and indexing full text from
catalogs, databases, websites, and PDFs. At this stage,ie
Importing the article file from Mendeley. The function is to
save the file in the CSV format to be imported to Microsoft
Excel.
4) Microsoft Excel
The next stage, the determination of inclusion criteria and
exclusion criteria (determination) to determine the feasibility
of scientific articles for review or not, using Microsoft Excel.
The feasibility study of the article selected as follows:
a. Articles are used related to the research topics on the
applicationBCin the fieldhealth
b. All articles published in English or English.
c. All articles are accessible in full (PDF complete).
d. Articles published in 2016-2023
From745articlethe, The author decides to focus on
discussing articles related toChallenges, Opportunities and
FutBlockchain in medical record. To know the article
discussingthe, The author does the filtering by reading each
title and abstract from496articleby 20th20-2023, so found
14articles discussingChallenges, Opportunities and Future
Blockchain in Medical Record.
C. Quality Assessment No The author Year
Q Q Q Q Resu
1 2 3 1 lts
In this study, data from the literature study found will be David, S M
evaluated based on the quality of the value assessment Nature, S
criteria and each question will be given the following answer: 7. Megha, S
1. QA1: Is the selected article published in 2020-2023? (Yes Salem, H
2021 1 1 1 1 4
Ayan, E
(1) / No (0)) Mazzara, M
2. QA2: What the selected articles discuss aboutChallenges, 8. Hussien,H m
Opportunities, and Future?(Yes (1) / No (0)) Yasin, S M
2021 1 1 1 1 4
3. QA3: whether the selected article writes the research Udzir, n i
development method inBlockchain in the field of health? Left, m i h
9. Akram, S V
(Yes (1) / No (0)) Malik, P K
4. QA4: Does the article specifically mentionImployment of 2021 1 1 1 1 4
Singh, R
blockchainin theMedical Record Scheme? (Yes (1) / No Anita, G
(0)) 10. Ramzan, S
AQDUS, A
2022 1 1 1 1 4
Then, all QA are summed up to get the value of the Ravi, V
article. The article to be eliminated is an article that obtains a Koundal, D
total value of less than 4. 11. Rahman, M S
Islam, M A
2022 1 1 1 1 4
Uddin, M A
D. Data analysis Stea, G
12. Pilares, I C A
At this stage, data analysis will be made to data collected Azam, S 2022 1 1 1 1 4
at the previous stage to answer any specified research Jonkman, M
questions. 13. Atalarn, M 2022 1 1 1 1 4
14. Share, R
III. RESULTS 2023 1 1 1 1 4
Murugan, a

A. Results of search process

The search process is done in the early stages C. Data analysis results
produce745Literature that has not entered the inclusion
criteria. Next, from745The literature is done several stages of After doing data selection, we found 14articles that
filtering to determine the literature relevant to the research meet the inclusion and exclusion criteria and have been
topic, so it is obtained by the end result of 14the literature. through quality assessment. At this stage, we will analyze
Election 14The literature refers to the prescribed criteria. The 14The data or articles to get answers from any pre-defined
results of the search process can be seen in Table 1. research questions. Of the articles we get, we arefind some
ideas or topics that become in-dealersBlockchainIn the field
of health, including:
TABLE I. RESULTS OF SEARCH PROCESS
 Impact of Blockchain in the field of health
No Description Results
 Challengewith and without blockchain
1. Initial Search Articles (2016-2023) 745
2. Filtering Articles based on Year (2020-2023) 496  Opportunities and future
2. Articles that meet the quality assessment 14 Here is an explanation of each of these topics along
withmethoddevelopmenttheused.
B. Quality Assessment Results 1) The impact ofBlockchain infield ofHealth
Technologyblockchainhas beeninterestingattention
Quality assessment is done by reading the title of the
manyBACHELOR,organization, andthe company,espec
fundacestraction from496articles are selected based
iallyin thethe use ofeyedigital moneylikebitcoin. Blockc
onresultsFiltering Year (2020-2023), soobtained 14articles
that meet the quality assessmentandthere are482article is hainisthe bookbigdecentralizedthecan besavetransaction
eliminated because it does not meetQuality assessment (has a thesafein thenetworkpeer-to-peer,ensuretransparencyan
total value of less than 4). BerikUTIt's 14selected articles are dverification.Purposethe mainfromtechnologyblockchai
evaluated based onassessmentQuality is served in Table 2. nisallowstransactionthesafebetweenthe partieswithoutne
ed tomixhandsideintermediate.Industriesliketechniques,
automotive,computing,aerospace,business,banking,defe
TABLE II. RESULTS PQUALITY FASTNESS
nse, andhealthhas beenexperiencethe impact oftransfor
No The author Year
Q Q Q Q Resu mationalwithadopttechnologysmartlikeblockchain,as we
1 2 3 1 lts
ll aslearningmachine, Internet of Things (IOT),realityVi
1. Capece, G
Lorenzi, F
2020 1 1 1 1 4 rtual, andintelligenceartificial(AI).
2. Bazel, M A 2020 In thesectorhealth, Blockchainhas beenincrease thet
1 1 1 1 4
Mohammed, F ransparencyandcommunicationbetweenpatientsandprovi
3. Haleem, A.
derserviceshealth.However,stillthere arechallenge,likegr
Javaid, M.,
Singh, R. P., 2021 1 1 1 1 4 owthsizeandthe complexity ofnotehealth,the problemdu
Suman, R., plicationdata andthe use ofidentificationthedifferentina
RAB, S variety ofnetwork,as well asneedsan importantwill bese
4. Dewanto, A 2021 1 1 1 1 4 curitydata andprivacypatients.Technologyblockchain,su
5. Telari, T A
2021 1 1 1 1 4
pportedbyIndustry4.0,can beresolvechallengethiswithen
Masoodi, F sureintegritydata andpreventmanipulationon theeachthe
6. Reegu, F 2021 1 1 1 1 4
 point of.Someresearchhas beenreviewthe impact ofthe u
se ofblockchainin thehealth,highlightsbenefitsin thesecu
rity,privacy,shareData, andfacilitatetransactionbetweent
he parties.However,somethe applicationhealthpossiblere
quireconsiderationadditionallikeauthentication,interoper
ability, andrequirementsthe lawtosharenote.[6]
2) Challengewith andwithoutblockchain
Manyresearchersconcludedthatthere issomebarriers
thepreventintroductiontechnologyBlockchaintoin thethe
systemhealth. Thethisanalyzeworksresearchthehavethe
viewsnegativetointroductionBlockchaintoin thethe syste
mhealth.Someresearchersbelievethatinteroperability,sca
lability,storage,acceptancesocial, andstandardizationisc
hallengesthepreventintroductionBlockchaintoin thethe s
ystemhealth.
1. SecurityandPrivacyData:Architecturethe applicatio
nbasedBlockchainwill beeliminateneedssidethe thir
din thedotransaction.The entirethe communitywill b
etakeanswertopverificationtransaction,notsidethe th
irdin thearchitectureBlockchain.Thismeansallnodec
an beaccessthe data aretransmittedbywhoevenin the
node onarchitecturebasedBlockchain,theincrease th
ethe risk ofcompromisetosecurityandprivacydata.A
s aexample,because ofnotthere issidethe third,apatie
ntsneed togiveaccesstothe datatheytousersotherin th
echaintothe case ofemergency.Contactemergencyth
isin thechainthencan begiveaccesstothe datatheytoa
group ofusersotherin thechain, which iscreatethe ris
k ofsecurityandprivacythebig. Which solutioncleari
nhereisincrease thesecuritytolimitsharethe datasuch
that.However,improvementsecuritycan beinhibitDat
a transferbetween theblock, which ismeansreceiver
onlyhaveaccesslimitedornotcompletetodata, which i
snotmeet thepurposeease ofsharedata.Attacksecurit
ythethe generalin thenetworkBlockchainisattack51
%.Attackthisoccurwhen theminersorthe teamminers
have51%blockin thenetwork.Theyhaveauthoritytop
reventtransactionwithnotgiveapprovaltherequired,
which isrisk ofespeciallyin thethe case ofnotemedic
althecan beimpacton thelifeanddeath.
2. ManageCapacityStorage,Scalability, and load IOT:
Architecturethe basicBlockchaindesignedin order to
notrequirestoragethebig.However,industryhealthpro
ducetotalthe data arebigeachthe dayandneedprocess
ingand data transferwhen thenetworkBlockchainde
velopingin thethe systemhealth.Thiscreatethe probl
emin theitstoragedata.As aexample,apatientsa singl
ecan behavea variety ofthe datalikereportthe test,sc
anninglikeRay-X, CT scan, MRI scan,historydrug,t
he test,results,operation, andnoteotherthewill beava
ilabletoeachnodein theenvironmentBlockchain. The
datathisfromallpatientstheavailableinallnodewill be
needspacestoragethe verybig.In addition tothat,each
transactionin theenvironmentBlockchainrecorded,
which isonlywill beadd togrowthdata andreduce the
speedsearchandaccesstonote. Bybecause ofthat,net
workBlockchainin thescenariohealthneedstoragethe
bigandnotsuitabletopurposetheaccording tosomeres
earchers.
3. ChallengeStandardization:Requiredstandardizationi
nternationaltoauthenticationandcertificationin theen
vironmentBlockchain.Standardizationtooan importa
nttosupervisionandsecuritynotein thenetworkBlock
chain.Standardizationthe datarequiredIn order for d
ata transfercan becarried outwithsmoothlyandeffect
ive.However,Ironically,the systemhealthfragmented
andeveninin theonethe state,notthere isthe standard
universalthe general.In thethe case ofthis,researcher
sat leastthe currentthisassumestandardizationalltype
s ofnotemedicalinlevelthe globalnotpractical.[3][7]
[11] [12][14]
However,ifnotusing thetechnologyBlockchain,somechal
lengethepossibleariseisas anext:
1. SecurityandPrivacyData:WithouttechnologyBlockc
hain,transactionandExchangethe datastillwill beinv
olvingsidethe third,likeinstitutionsorproviderservice
s.Thiscan beleadthe problemsecurityandprivacyDat
a, wherethe risk ofcompromiseorviolationthe dataca
n beoccur.The controlandprotectionthe datacan bem
oredifficult tocarried outwithoutmechanismtranspar
encyandsecuritythegivenbytechnologyBlockchain.
2. ScalabilityandStorage:The systemhealthproducea n
umber ofbigthe dataeachthe day, andwithgrowthtec
hnologyandof digitizing, data volumekeep onincrea
sed.WithouttechnologyBlockchain,scalabilityandst
oragethe datato bechallenge.Management,storage, a
ndprocessingthe datain thescalebigcan berequireinfr
astructurewhich is expensive andcomplex.
3. Interoperability:The systemhealthoftenfragmenteda
ndusing thea variety ofplatform andthe system.Wit
houttechnologyBlockchain,to achieveinteroperabilit
ybetweenthe systemand the platformdifferentcan be
to bedifficult to.Exchangethe data areefficientandco
ordinationbetweena variety ofentityin theecosystem
healthpossibleto bemorecomplicatedandhampered.
4. Standardization:Standardizationdata andprotocolco
mmunicationan importantin thethe systemhealthtoe
nsureconsistency,uniformity, andinteroperability.W
ithouttechnologyBlockchain,to achievestandardizati
onthe globalconsistentandreceivedthewidein thethe
systemhealthcan beto bedifficult to.Thiscan beinflu
enceintegrationandExchangethe databetweenentityh
ealththedifferent.
5. ReliabilityandReliability:WithouttechnologyBlockc
hain,reliabilityandreliabilityin theExchangeandstora
gethe datapossibleto bethe problem. Audit andverifi
cationtransactionandnotemedicalcan beto bemoredi
fficult to, andthe risk ofcheatingormanipulationthe
datacan beincreased.
In thewhole,articlethehighlightsthattechnologyBlockcha
inhavepotencytoresolvesomechallengein thethe systemh
ealth,likesecuritydata,scalability,interoperability, andsta
ndardization.However,withouttechnologyBlockchain,ch
allengethestillneed toovercomethrough thethe solutiona
ndapproachanotherrelevantwiththe systemhealththethere
is.[9] [10][13]
3) Opportunitiesas well asdirectionsthe future
In thefield
ofhealth,needstodevelopmentincreasedwithfast.
Currently,requiredfacilitieshealthqualitythesupportedbyt
echnologythe moreadvanced. Inthis is where thethe role
ofblockchain becomescrucialin
thechangesectorhealth.Focusthe systemhealthcurrently
is onapproachthecenteredon thepatientswith
twoaspectthe main,that isservicesThe easy
oneaccessedandsource ofpowerhealththecorresponding.
Withtheblockchain,organizationhealthcan
begivetreatmenttheadequateandfacilitieshealthqualitythe
high.ExchangeHealth information is the
processtaketimeandrepeated, which isimpacton
thecostthe highin theindustryhealth,Howeveritthis can
beresolvedwithfastthrough thetechnologythis.
Blockchain alsoallowsthe communitytoparticipateIn the
programresearchhealthand improveresearchas well
asExchangedata aboutwelfarethe general, which is
onfinallywill beincrease thetreatmenttoa variety
ofgroupthe community.The problemthe mainin
themanagementhealthisprotectiondata,shareData,
andinteroperability,Howeveritthis can
beovercomethrough
theimplementationblockchain.TechnologyIt
improvessecurity,Exchangedata,interoperability,integrit
y,as well asupdatesandaccessdata in real-
timeifimplementedwell. There is
alsoconcernsaboutprotectiondata,especiallyin thethe use
ofmedicinepersonal anddevicewearable. Bybecause
ofThat, blockchainusedtosolvethe problemsecurityin
therecord,send, andaccessdata withhow tothesafeand
easy forpatientsandpowermedical.[1][4] [8][13]
The impact ofcostthe highthementionedin
thesentencetherefer toon thecostthethe highin
theindustryhealth,especiallyrelatedwith the
processExchangeinformationhealththetaketimeandrepea
ted.Afterusing thetechnologyblockchain,there ispotency
toreduce thecostin thesomehow to.Nextissomethe impac
t ofcostafteradopttechnologyblockchainin theindustryhe
alth:
1. Reduction ofcostadministration:Withusing theblock
chaintoExchangeinformationhealth, processadminis
trativethetaketimeandcostcan bereduced. Blockchai
nallowsExchangethe data areefficientandautomatic,
reduce theneedswill bemanual process,documentati
onrepeated, andbureaucracyadministrationthetaketi
me.
2. Reduction ofcostprocessingdata:In thethe systemtra
ditional,processingandstoragethe datahealthoftenti
merequireinfrastructureandsource ofpowerwhich is
expensive.WithBlockchain, Datacan besavedthedist
ributedinthe entirenetwork,reduce thedependencyon
theinfrastructurethe Centralandthe potentialreduce t
hecosttherelated.
3. Reduction ofcostsecuritydata:Protectionthe datahea
lthisaspectan importantin theindustryhealth.Violatio
nsecuritythe datacan beresult incostthesignificant,w
ellin therecoverythe data arelostorin thefinethegive
nbecause ofviolationprivacy.Withusing thetechnolo
gythe blockchainsafeandencrypted,the risk ofviolati
onsecuritycan bereduced, which is onturncan bered
uce thecosttherelatedwithincidentsecuritydata.
4. Reduction ofcosterrorandfraud: Blockchainprovide
s athe systemthetransparentandverifiedtonoteandver
ifytransactionhealth.Withensureintegritydata andaut
henticationidentity,technologyblockchaincan behel
preduce thethe risk oferrorandfraudthecan beleadlo
ssfinancial.Withthus,costtherelatedwithinvestigatio
n,litigation, andrecoverydue toerrorandfraudcan ber
educed.[2][14]
However,an importanttonotethatthe impact
ofcostafterusing thetechnologyblockchain
canvarydependingon theimplementation
ofandenvironmentSpecific.Introductiontechnologynew
like blockchain also possiblerequireinvestationthe
initialthesignificant.However, inperiodlength of,the use
oftechnologythe blockchainefficientandeffectivecan
behelpreduce thecostoperationaland
improveefficiencyin theindustryhealth.[2] [14][5] [6]
III. Conclusion
Conclusionaboutwhich one is one smor ewellbetwe
enusing thetechnologyblockchainornotin theitcostwill bedep
endingon thea variety offactors,including theenvironmentSp
ecificandimplementation oftechnologythe.
In thein conclusion,the use oftechnologyblockchain
in theindustryhealthcan behavepotencytoreduce thecostin the
someaspect,likeadministration,securityData, andefficiencyop
erational.However,evaluationthemoredepthandanalysis oftoc
asesSpecificrequiredtocomparetheaccuratecostwithandwitho
uttechnologyblockchain.
REFERENCES
[1] Haleem, A., Javaid, M., Singh, R. P., Suman, R., & Rab, S. (2021).
Blockchain Technology Applications in Healthcare: An
overview.International Journal of Intelligent Networks,2, 130-139.
[2] Dewanto, A. (2021).Maximum potential of the value of value in a
transaction using blockchain technology atEthereum
Network(Doctoral Dissertation, Uniadistas Indonesia Computer).
[3] Bazel, M A, F Mohammed, And ... 2021. "Blockchain Technology in
Healthcare Big data Management: Benefits, Applications and
Challenges." 2021 1st International ....
https://ieeexplore.ieee.org/abstract/document/9515747/.
[4] Capece, G, and F Lorenzi. 2020. "Blockchain and Healthcare:
Opportunities and Prospects for the EHR." Sustainability.
https://www.mdpi.com/896616.
[5] Farouk, A, A Alamadi, S Ghose, and A Mashatan. 2020. "Blockchain
platform for industrial healthcare: Vision and Future Opportunities."
Computer Communications.
https://www.sciencedirect.com/science/article/pii/s014036641931953
x.
[6] Hussien, H m et al. 2021. "Blockchain Technology in the Healthcare
Industry: Trends and Opportunities." Journal of Industrial ....
https://www.sciencedirect.com/science/article/pii/s2452414x2100017
0.
[7] Megha, s et al. 2021. "Survey on Blockchain Applications for
Healthcare: Reflections and Challenges." ...: Proceedings of the
35th .... https://link.springer.com/chapter/10.1007/978-3-030-75078-
7_32.
[8] Mukherjee, P, and D Singh. 2020. "The Opportunities of Blockchain
in Health 4.0." Blockchain Technology for Industry 4.0: Secure ....
https://link.springer.com/chapter/10.1007/978-981-15-1137-0_8.
[9] Pilares, I C A et al. 2022. "Addressing the Challenges of Electronic
Health Records Using Blockchain and IPFS." Sensors.
https://www.mdpi.com/1649604.
[10] Rahman, M S, M A Islam, M A Uddin, and G Stae. 2022. "A Survey
of Blockchain-Based IOT Ehealthcare: Applications, Research Issues,
and Challenges." Internet of Things.
https://www.sciencedirect.com/science/article/pii/s254266052200050
6.
[11] Ramzan, S et al. 2022. "Healthcare Applications Using Blockchain
Technology: Motivations and Challenges." IEEE Transactions ....
https://ieeexplore.ieee.org/abstract/document/9839538/.
[12] Reegu, F, S M David, and S Nature. 2021. "Interoperability
Challenges in Healthcare Blockchain System-a Systematic Review."
Annals of the Romanian Society for ....
http://annalsofrscb.ro/index.php/journal/article/view/5177.
[13] Shared, R, and A Murugan. 2023. "A Systematic Review of Enabling
Blockchain in Healthcare System: Analysis, Current Status,
Challenges and Future Direction." Materials Today: Proceedings.
https://www.sciencedirect.com/science/article/pii/s221478532104957
9.
[14] Tegi, T A, and F Masoodi. 2021. Blockchain in Healthcare:
Challenges and Opportunities. europepmc.org.
https://europepmc.org/article/ppr/ppr379423.