Blockchain-Based Electronic Health Record Market Size

The global blockchain-based electronic health record market size was worth USD 1.06 billion in 2024 and is anticipated to expand to around USD 14.85 billion by 2034, registering a compound annual growth rate (CAGR) of 30.2% from 2025 to 2034.

What Is the Blockchain-Based Electronic Health Record Market?

The blockchain-based EHR market encompasses technologies and platforms that integrate blockchain (or distributed ledger technology, DLT) with traditional EHR systems. Unlike conventional centralized databases, blockchain-enabled EHR systems distribute data control and use cryptographic consensus mechanisms to ensure data integrity, provenance, and transparency.

Rather than storing raw clinical data directly on-chain, most implementations record cryptographic hashes and transaction proofs, while the actual data resides securely off-chain in encrypted databases. This hybrid model enables immutable audit trails, verifiable access logs, and smart contracts for managing patient consent and authorization. In essence, blockchain adds a layer of trust and verifiability on top of existing health IT infrastructure.

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Why It Is Important

Healthcare data breaches, fragmented patient histories, and interoperability challenges have long plagued the industry. Blockchain offers a compelling solution by combining security, transparency, and patient-centric control.

Key reasons for its importance include:

• Enhanced Data Security: Immutable ledgers prevent unauthorized tampering and improve resilience against cyberattacks.
• Patient Empowerment: Patients can grant or revoke access to their health data at any time through smart contracts, fostering transparency and control.
• Interoperability: Blockchain enables seamless data exchange across hospitals, labs, insurers, and researchers, facilitating better care coordination.
• Auditability and Compliance: Every data transaction is time-stamped and traceable, simplifying regulatory compliance (HIPAA, GDPR).
• Research and Data Sharing: Secure, patient-consented data sharing accelerates clinical research, real-world evidence generation, and personalized medicine.

Growth Factors

The blockchain-based electronic health record market is expanding due to increasing cybersecurity threats, rising data privacy concerns, and growing global initiatives promoting digital health transformation. Governments and healthcare organizations are investing in interoperable systems to support patient-centric care, while blockchain ensures trust and data immutability. The adoption of telehealth and multi-provider care ecosystems, coupled with regulatory emphasis on consent management and transparency, is accelerating blockchain-EHR integration. Additionally, advancements in hybrid blockchain models, off-chain storage, and privacy-preserving computation enable scalable and compliant solutions. Venture capital funding, enterprise pilots, and national eHealth projects further catalyze growth, making blockchain one of the most promising pillars of next-generation health data management.

Top Companies in the Blockchain-Based Electronic Health Record Market

1. Medicalchain

Specialization: Medicalchain develops blockchain-based systems enabling patients to control and share their health data with doctors, hospitals, and researchers.
Key Focus Areas: Patient data ownership, interoperability, telemedicine integration, and secure record exchange.
Notable Features: Patient-controlled digital health wallets, permissioned blockchain infrastructure, and seamless integration with existing healthcare IT systems.
2024 Revenue / Market Share: Medicalchain is a privately held company with limited public financial disclosures. It operates primarily through pilot projects in Europe and Asia, maintaining a growing niche in patient-centric blockchain healthcare solutions.
Global Presence: Headquartered in the United Kingdom, with collaborations across the UK and global health-tech ecosystems.

2. Patientory

Specialization: Patientory focuses on decentralized health data management through personal health wallets and secure communication between patients and providers.
Key Focus Areas: Patient-owned data, decentralized health applications, and tokenized incentive systems for preventive health.
Notable Features: PTOY token network, secure blockchain infrastructure, and enterprise solutions for healthcare organizations.
2024 Revenue / Market Share: As a private company, revenue details are undisclosed, but Patientory remains a recognized innovator in decentralized patient data management.
Global Presence: Based in the United States, the company collaborates with healthcare providers and blockchain associations across multiple regions.

3. BurstIQ

Specialization: BurstIQ offers a blockchain-powered data exchange network for secure and compliant sharing of healthcare data among enterprises.
Key Focus Areas: Population health, predictive analytics, and data interoperability for healthcare systems and research organizations.
Notable Features: Enterprise-grade architecture compliant with HIPAA and SOC 2 standards, blockchain-based identity management, and smart-contract-enabled consent frameworks.
2024 Revenue / Market Share: Estimated at around USD 3 million in 2024, reflecting strong enterprise traction and commercial partnerships in the U.S. market.
Global Presence: Primarily active in North America, with expanding collaborations in Europe and Asia-Pacific.

4. Guardtime

Specialization: Guardtime provides blockchain-based data integrity solutions using its proprietary Keyless Signature Infrastructure (KSI) technology.
Key Focus Areas: National-scale data verification, cybersecurity, and audit trails for healthcare and government systems.
Notable Features: Integration with national EHR systems, tamper-evident logging, and large-scale data authentication.
2024 Revenue / Market Share: Guardtime’s estimated revenue is in the mid-tens of millions, driven by government contracts and enterprise security projects.
Global Presence: Headquartered in Estonia, with operations spanning Europe, Asia, and the Middle East. It remains a key example of blockchain adoption in national healthcare systems.

5. IBM Corporation

Specialization: IBM integrates blockchain into enterprise-grade health solutions through its IBM Blockchain and IBM Watson Health divisions.
Key Focus Areas: Hybrid cloud-based blockchain platforms, interoperability, data privacy, and AI-driven analytics.
Notable Features: Hyperledger Fabric framework, large-scale integration capabilities, and partnerships with hospitals and research institutions.
2024 Revenue / Market Share: IBM’s total 2024 revenue reached approximately USD 62.8 billion, with blockchain forming a small but strategically significant segment of its healthcare offerings.
Global Presence: Extensive, spanning North America, Europe, and Asia-Pacific, with major clients in government and private healthcare sectors.

Leading Trends and Their Impact

1. Hybrid Blockchain Architectures:
   Modern healthcare systems are adopting hybrid models that combine public and private blockchains to balance transparency and data privacy. This ensures scalability and regulatory compliance while maintaining integrity.
2. Regulatory Compliance and Data Privacy:
   Governments are enforcing strict privacy laws like HIPAA and GDPR, prompting blockchain-EHR providers to adopt off-chain storage and encryption methods to protect patient data.
3. FHIR and API Integration:
   The adoption of HL7 FHIR standards enhances interoperability by allowing seamless communication between different healthcare systems and blockchain layers.
4. Privacy-Preserving Computation:
   Advanced cryptographic tools such as zero-knowledge proofs and homomorphic encryption enable secure analytics without exposing raw health data.
5. Government Adoption and National Pilots:
   National healthcare systems are testing blockchain-based EHRs to improve transparency and efficiency. Successful pilots are encouraging broader implementation worldwide.
6. Integration with Value-Based Care Models:
   Blockchain’s immutable audit trails enable verification of patient outcomes and efficient execution of outcome-based contracts, improving healthcare reimbursement accuracy.

Successful Examples Around the World

• Estonia:
  Estonia’s national healthcare system, powered by Guardtime’s KSI blockchain, secures millions of health records, ensuring tamper-proof data integrity and verifiable access control across the nation’s eHealth ecosystem.
• United Kingdom (Medicalchain):
  Medicalchain’s pilots in the UK empower patients with digital health wallets and blockchain-based consent mechanisms, enabling secure sharing of medical data between providers.
• United States (BurstIQ):
  BurstIQ’s enterprise blockchain network supports secure data exchange and analytics for U.S. healthcare organizations, enhancing trust and collaboration across the ecosystem.
• United Arab Emirates:
  Dubai’s blockchain strategy includes a nationwide effort to store and share medical data on blockchain platforms, improving efficiency and healthcare accessibility.
• Singapore and China:
  Governments in Singapore and China have launched blockchain pilots for electronic health records to enhance cross-institutional data exchange and patient data control.

Global Regional Analysis — Government Initiatives and Policies

North America

• United States:
  Blockchain adoption is supported by initiatives promoting interoperability, patient access, and cybersecurity. The Office of the National Coordinator (ONC) encourages the use of blockchain for data integrity and consent management. Health insurers and providers are investing in blockchain platforms to enhance compliance and streamline claims.
• Canada:
  Canada’s digital health framework emphasizes secure data sharing across provinces. Blockchain initiatives are being piloted for EHR integrity and patient identification.

Europe

• European Union:
  The European Data Protection Regulation (GDPR) significantly influences blockchain-EHR design. Solutions prioritize “privacy by design,” storing personal data off-chain and keeping immutable hashes on-chain.
• Estonia:
  A pioneer in blockchain adoption, Estonia’s national EHR system secures millions of patient records using Guardtime’s KSI blockchain. This model has inspired similar initiatives across Europe.
• Nordic Countries:
  Sweden, Denmark, and Finland are exploring blockchain pilots for patient data portability and research data transparency.

Asia-Pacific

• China:
  The Chinese government promotes blockchain as part of its national digital strategy, with applications extending to healthcare data integrity and smart hospital management.
• India:
  India’s National Digital Health Mission aims to digitize health records nationwide. Blockchain-based consent frameworks are being evaluated for patient data security.
• Singapore:
  Singapore is testing blockchain-enabled health record systems within its Smart Nation initiative, emphasizing secure data portability and cross-border healthcare collaboration.

Latin America

• Brazil:
  Brazil is piloting blockchain projects for immunization tracking and EHR verification in public hospitals.
• Chile and Mexico:
  Both countries are exploring blockchain to improve interoperability and reduce administrative inefficiencies within fragmented health systems.

Middle East & Africa

• United Arab Emirates:
  The UAE’s Ministry of Health and Prevention is leading blockchain initiatives for medical record storage and sharing across public and private sectors.
• South Africa:
  Pilot projects in South Africa are exploring blockchain for HIV treatment records and healthcare supply chain integrity.

Policy and Regulatory Impacts

1. Compliance-Driven Design:
   Vendors must meet HIPAA, GDPR, and other data protection standards. As a result, blockchain-EHR solutions often separate on-chain metadata from off-chain personal information to ensure legal compliance.
2. Standardization Initiatives:
   Global frameworks such as HL7 FHIR are shaping blockchain-EHR architectures, ensuring compatibility between health information systems and DLT platforms.
3. Public-Private Collaborations:
   Governments increasingly partner with tech firms to pilot blockchain-enabled health networks. These collaborations accelerate innovation and ensure scalability.
4. Funding and Incentives:
   National digital health programs in the U.S., EU, and Asia-Pacific provide financial incentives for secure, interoperable health record solutions — directly benefiting blockchain providers.
5. Ethical and Governance Considerations:
   Policymakers are addressing issues like data ownership, cross-border data transfer, and consent revocation mechanisms, which are central to blockchain’s ethical deployment in healthcare.

Expanding Applications Beyond Core EHRs

• Consent Management: Automating patient permissions for data sharing and revocation.
• Clinical Trials: Ensuring transparency and authenticity of clinical trial data.
• Medical Supply Chains: Tracking pharmaceuticals and medical devices from origin to end user.
• Healthcare Identity Management: Creating verifiable digital identities for patients and providers.
• Data Marketplaces: Facilitating secure exchange of anonymized health data for research and AI training.

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