一个混合区块链迁移框架,用于将传统数据库转换为基于区块链的EMR系统
Ahmed Al-Busaidi1, Joseph Mani2, Mohamed Sirajudeen Yoosuf2
1Department of Mathematics and Computer Science, Modern College of Business and Science, Muscat, Oman. 20246403@mcbs.edu.om.
Scientific reports
|February 5, 2026
概括
这项研究引入了一个混合框架,将电子医疗记录 (EMR) 与区块链技术结合起来. 它提高了数据完整性和合规性,同时保持了医疗保健系统的高性能.
科学领域:
- 医疗信息学 医疗信息学
- 计算机科学 计算机科学
- 网络安全 网络安全
背景情况:
- 电子医疗记录 (EMR) 中的传统关系数据库在完整性,可审计性和合规性要求方面扎.
- 现有的系统缺乏强有力的机制,以防改记录和监管在医疗保健的遵守.
研究的目的:
- 建议和评估EMR系统的混合区块链迁移框架.
- 将传统的MySQL EMR与许可区块链 (Hyperledger Fabric) 集成,以提高安全性和合规性.
- 评估混合架构的性能和开销.
主要方法:
- 开发了一个中间件层 (Java Spring Boot) 来监控EMR的变化,并将数据哈希提交到授权区块链中.
- 集成的OpenMRS (基于MySQL的EMR) 与Hyperledger Fabric. 进行了整合.
- 进行基准分析,将混合系统与独立的MySQL和全区块链实现进行比较.
主要成果:
- 混合架构实现了接近本地响应 (2.1 ms延迟) 和高吞吐量 (480 TPS).
- 它证明了增强的数据完整性和可审计性,支持监管合规 (例如,阿曼的PDPL).
- 该系统产生了适度的资源开销 (47%的CPU,1.15GB的RAM).
结论:
- 拟议的混合框架为增强EMR安全性,完整性和合规性提供了可行的解决方案.
- 它平衡了SQL数据库的性能与区块链技术的可审计性.
- 该框架可扩展用于多机构使用,并促进在临床环境中采用区块链.
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