A blockchain-based hybrid encryption technique with anti-quantum signature for securing electronic health records

Abstract Electronic health records (EHRs) are important for the efficient management of healthcare data. However, Healthcare data travels across an open route, i.e., the Internet, making EHR security a difficult process to do. This puts healthcare data vulnerable to cyber assaults. A possible method for protecting EHRs is blockchain technology. In this work, we develop an EHR architecture based on blockchain, which ensures all stakeholder's safety and privacy. We analyze various security architectures used for EHRs and the standard encryption system is integrated with quantum computing (QC). To safeguard the conventional traditional encrypting system against quantum assaults, we provide a hybrid signature technique that combines the Elliptic Curve Digital Signature Algorithm (ECDSA) and Dilithium within the anti-quantum lattice-based blind signature. Based on the difficulty of lattice problems over finite fields, Dilithium is a lattice-based signature method that is substantially safe against selected message assaults. The developed technique creates high entropy secret keys using the lattice basis delegation mechanism. The combination of ECDSA and Dilithium provides an efficient and secure signature system that is resilient to quantum attacks. The proposed scheme ensures that only authorized users with a defined role can use the database to access the data. We evaluate the efficiency of our scheme by comparing its performance to other state-of-the-art solutions in terms of transaction throughput, resource utilization, and communication cost. Results demonstrate that the developed technique outperforms the existing techniques in terms of efficiency and security.