A Scalable Multi-Layered Blockchain Architecture for Enhanced EHR Sharing and Drug Supply Chain Management

Abstract: In recent years, the healthcare sector's transition to digital platforms has intensified concerns over data security, privacy, and scalability. Blockchain technology offers a decentralized, secure, and immutable solution to these challenges. This paper presents a scalable, multi-layered blockchain architecture for secure Electronic Health Record (EHR) sharing and drug supply chain management. The proposed framework introduces five distinct layers that enhance system performance, security, and patient-centric access control. By implementing parallelism, the system significantly increases transaction throughput and reduces network traffic. Our solution ensures data integrity, privacy, and interoperability, making it compatible with existing healthcare systems. Experimental results, conducted using the Caliper benchmark, demonstrate notable improvements in transaction throughput and reduced communication overhead. Additionally, the framework provides transparency and real-time drug supply chain monitoring, empowering decision-makers with critical insights.