BESURE: Blockchain-Based Cloud-Assisted eHealth System with Secure Data Provenance

In this paper, we investigate actual cloud-assisted electronic health (eHealth) systems in terms of security, efficiency, and functionality. Specifically, we propose a password-based subsequent-key-locked encryption mechanism to ensure the confidentiality of outsourced electronic health records (EHRs). We also propose a blockchain-based secure EHR provenance mechanism by designing the data structure of the EHR provenance record and deploying a public blockchain and smart contract to secure both EHRs and their provenance records. With the two mechanisms, we develop BESURE (blockchain-based cloud-assisted eHealth system with secure data provenance) to provide a secure EHR storage service with efficient provenance. Security analysis and comprehensive performance evaluation are conducted to demonstrate that BESURE is secure and efficient.