Abstract
The increasing complexity and fragmentation of healthcare data systems necessitate secure, interoperable frameworks for Electronic Health Record (EHR) management. Blockchain technology, with its inherent immutability, decentralization, and traceability, offers a viable solution for enabling secure cross-institutional data exchange. This paper presents a comprehensive overview of blockchain-based approaches for EHR interoperability, highlights the current challenges in healthcare data exchange, and proposes a security-enhanced model integrating smart contracts and HL7-FHIR protocols. The potential for AI-enhanced blockchains and their application in real-world healthcare scenarios is also explored.
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