RESUMO
Medical records management had always been a challenging in healthcare sector. Traditionally, medical records are handled either manually or electronically that are under the stewardship of hospitals/healthcare institutions. A patient centric approach is the new paradigm where patient is an inherent part of the healthcare ecosystem controlling the access and sharing of his/her personal medical care information. Medical care information requires robust security and privacy. Also there are other issues like confidentiality, interoperability, scalability, cost efficiency and timeliness that need to be addressed. To achieve these objectives, this paper proposes a novel-scalable patient centric yet privacy preserving framework for efficient and secure electronic medical records management. In addition, proposed system generates a unified trusted record and authentication role mapping for enforcing secure access control for medical records using complex encryption algorithms. This paper identifies 13 key performance factors for performance comparison of proposed framework with traditional models. Ethereum and Binance Smart Chain acted as a benchmark platform for performance evaluation of MRBSChain on the basis of three metrics (transaction cost, average block time and deployment cost).At last, a comparative analysis of MRBSChain with other state of art blockchain systems on the basis of execution time is presented in the paper.
