<![CDATA[The rise of digital healthcare has intensified concerns over data privacy, particularly in cross-institutional medical data exchanges. This study introduces a blockchain-based protocol leveraging Zero-Knowledge Proofs (ZKP), specifically zk-SNARK, to enable verifiable yet privacy-preserving health data sharing. Built on a permissioned Ethereum blockchain, the protocol ensures that medical data validity can be confirmed without disclosing sensitive content. System implementation involves Python-based zk-circuits, smart contracts in Solidity, and RESTful APIs supporting HL7 FHIR formats for interoperability. Performance evaluations show promising results: proof verification times remained under 100 ms, with average proof sizes below 2 KB, even under complex transaction scenarios. Gas consumption analysis indicates a trade-off—ZKP-enabled transactions consumed approximately 93,000 gas units, compared to 52,800 in baseline cases. Interoperability testing across 10 FHIR-based scenarios resulted in 100% parsing success and an average data integration time of 1.7 seconds. Security assessments under white-box threat models confirmed that sensitive information remains unreconstructable, preserving patient confidentiality. Compared to previous implementations using zk-STARK, this protocol offers a 30% improvement in verification efficiency and a 45% reduction in proof size. The novelty lies in combining lightweight ZKP mechanisms with an interoperability-focused design, tailored for realistic hospital infrastructures. This research delivers a scalable, standards-compliant architecture poised to advance secure digital healthcare ecosystems while complying with regulations like GDPR]]>
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