A blockchain-based scheme for privacy-preserving and secure sharing of medical data

How to alleviate the contradiction between the patient's privacy and the research or commercial demands of health data has become the challenging problem of intelligent medical system with the exponential increase of medical data. In this paper, a blockchain-based privacy-preserving scheme is proposed, which realizes secure sharing of medical data between several entities involved patients, research institutions and semi-trusted cloud servers. And meanwhile, it achieves the data availability and consistency between patients and research institutions, where zero-knowledge proof is employed to verify whether the patient's medical data meets the specific requirements proposed by research institutions without revealing patients’ privacy, and then the proxy re-encryption technology is adopted to ensure that research institutions can decrypt the intermediary ciphertext. In addition, this proposal can execute distributed consensus based on PBFT algorithm for transactions between patients and research institutions according to the prearranged terms. Theoretical analysis shows the proposed scheme can satisfy security and privacy requirements such as confidentiality, integrity and availability, as well as performance evaluation demonstrates it is feasible and efficient in contrast with other typical schemes.