EPR Governance Based on Architectural Techniques and Blockchain and Smart Contracts Technologies

Andréia de Castro Costa Xavier (), Claudio Gottschalg Duque () and Tomas Orlandi ()
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Andréia de Castro Costa Xavier: Universidade de Brasília - UnB, Brasil
Claudio Gottschalg Duque: University of Brasília – UNB, Brazil
Tomas Orlandi: Universidade de Brasília - UNB, Brazil

Management Issues in Healthcare System, 2025, vol. 11, 1-16

Abstract: This study proposes an archival management method for Electronic Health Records (EHRs) based on architectural techniques and Blockchain and Smart Contracts technologies to ensure governance, security, and privacy in Health 4.0 contexts. Given the increasing relevance of EHRs as sources of information, evidence, and research in digital healthcare ecosystems, the research highlights challenges related to data governance, interoperability, and cybersecurity. Through a qualitative, exploratory approach, the authors present a method structured in seven macro-processes, covering the EHR lifecycle from capture to permanent archival or disposal. The implementation of private Blockchain networks and Smart Contracts automates processes, guarantees data integrity, and strengthens patients' control over their personal data, aligned with legal frameworks for data protection. The findings reinforce the need for innovative archival practices and technological strategies to enhance efficiency, security, and transparency in healthcare information management.

Keywords: Blockchain; Document Management; Electronic Health Records; Smart Contracts; Health 4.0; Data Governance; Interoperability (search for similar items in EconPapers)
Date: 2025
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Persistent link: https://EconPapers.repec.org/RePEc:bco:mihsaa::v:11:y:2025:p:1-16

DOI: 10.32038/mihs.2025.11.01

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