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All Journal Bulletin of Electrical Engineering and Informatics PROSIDING CSGTEIS 2013 EMITTER International Journal of Engineering Technology JOIV : International Journal on Informatics Visualization INOVTEK Polbeng - Seri Informatika J-Dinamika: Jurnal Pengabdian Kepada Masyarakat GUYUB: Journal of Community Engagement The Indonesian Journal of Computer Science
Idris Winarno
Politeknik Elektronika Negeri Surabaya
Religion Humanities Civil Engineering, Building, Construction & Architecture Computer Science & IT Economics, Econometrics & Finance Education Electrical & Electronics Engineering Engineering Environmental Science Industrial & Manufacturing Engineering Mechanical Engineering Social Sciences Other

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Journal : Bulletin of Electrical Engineering and Informatics

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Event-driven integration of electronic medical records with blockchain and InterPlanetary file system Arissabarno, Cahyo; Sukaridhoto, Sritrusta; Winarno, Idris; Putri Nourma Budiarti, Rizqi
Bulletin of Electrical Engineering and Informatics Vol 14, No 3: June 2025
Publisher : Institute of Advanced Engineering and Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/eei.v14i3.9355

Abstract

The integrity, security, and accessibility of electronic medical record (EMR) are often compromised by traditional systems, which struggle to ensure data integrity, transparent audit trails, and secure long-term storage. This research addresses these challenges by integrating EMR with a private blockchain and InterPlanetary file system (IPFS) cluster, using change data capture (CDC) for real-time updates and integrate with existing EMR systems, avoiding the need for building new EMR software. Implemented in the OpenEMR framework, the system's performance is evaluated across various processes, including document uploading, sharing, access, deletion, and integrity verification. Testing with anonymized medical records in PDF formats ranging from 1 MB to 100 MB shows that uploading to IPFS takes 0.7 seconds per MB, blockchain transaction processing averages 4.2 seconds, CDC time is 1.1 seconds per MB, and OpenEMR uploads average 0.98 seconds per MB. These results demonstrate significant improvements in data security, integrity, and availability, following the CIA triad principles. The system provides a traceable and secure solution for EMR management.
Co-Authors Abd. Rasyid Syamsuri Afifah, Izza Nur Afis Asryullah Pratama Alfandino Rasyid Ali Ridho Barakbah Amang Sudarsono, Amang Arissabarno, Cahyo Arna Fariza Ata Amrullah Ayub, Waqas Bambang Sumantri Bima Sena Bayu Dewantara Budiarti, Rizqi Putri Nourma Dadet Pramadihanto Entin Martiana Kusumaningtyas Evianita Dewi Fajrianti Gunawan, Agus Indra Hamida, Silfiana Nur Hary Oktavianto Huda, Achmad Thorikul iwan Syarif Jamal Abdul Nasyir Jamal Abdul Nasyir Jamal Abdul Nasyir M Udin Harun Al Rasyid, M Udin Harun Marlisa Sigita Marlisa Sigita, Marlisa Muhammad Alfian Muzaki Nurus Sani Muzaki Nurus Sani, Muzaki Nurus Nurazmi, Talita Iza Primajaya, Grezio Arifiyan Rachmawati, Oktavia Citra Resmi Rudi Kurniawan Sesulihatien, Wahjoe Tjatur Setiawardhana, Setiawardhana Sritrusta Sukaridhoto Suasono, Zaikhul Sulthon Sudarsono , Amang Susanti, Puspasari Tessy Badriyah, Tessy Tri Harsono Udin Harun Al-Rasyid Udin Harun Al-Rasyid Utomo, Agus Priyo Wahjoe Tjatur Sesulihatien Wiratmoko Yuwono Yunia Ikawati