Uma Solução Baseada em Blockchain para Auditoria em Cenários de Telessaúde Emergencial
Resumo
Cenários de telessaúde emergencial reúnem decisões clínicas sob pressão temporal, equipes geograficamente distribuídas e alto volume de registros simultâneos, impondo requisitos específicos de auditabilidade. Os sistemas tradicionais operam sob um modelo de confiança centralizado, no qual o guardião dos dados é também parte interessada. Este trabalho propõe uma camada de auditoria baseada em Hyperledger Fabric, capaz de fornecer trilhas imutáveis e criptograficamente verificáveis. Foram implementados um chaincode em Go e uma camada de integração REST via Fabric Gateway SDK. Os resultados preliminares, obtidos em rede Fabric minificada, demonstram o fluxo completo da requisição HTTP ao registro no ledger e a recuperação de trilhas de auditoria cronologicamente ordenadas, contendo os valores anteriores e a identidade do responsável por cada alteração.Referências
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Mole, J. S. S. and Shaji, R. S. (2024). Ethereum blockchain for electronic health records: securing and streamlining patient management. Frontiers in Medicine, 11:1434474.
Monaghesh, E. and Hajizadeh, A. (2020). The role of telehealth during COVID-19 outbreak: a systematic review based on current evidence. BMC Public Health, 20(1):1193.
Scheid, E. J., Rodrigues, B. B., Killer, C., Franco, M. F., Rafati, S., and Stiller, B. (2021). Blockchains and distributed ledgers uncovered: Clarifications, achievements, and open issues. In Advancing Research in Information and Communication Technology, volume 600 of IFIP Advances in Information and Communication Technology, pages 289–317. Springer.
Severo, J., Herbert, J., and Franco, M. (2025). Threat modeling in healthcare: An analysis of trends, gaps, and emerging challenges. In Anais da XXII Escola Regional de Redes de Computadores, pages 158–164, Porto Alegre, RS, Brasil. SBC.
Tanwar, S., Parekh, K., and Evans, R. (2020). Blockchain-based electronic healthcare record system for healthcare 4.0 applications. Journal of Information Security and Applications, 50:102407.
Vazirani, A. A., O’Donoghue, O., Brindley, D., and Meinert, E. (2020). Blockchain vehicles for efficient medical record management. npj Digital Medicine, 3(1):1.
Yaqoob, I., Salah, K., Jayaraman, R., and Al-Hammadi, Y. (2022). Blockchain for healthcare data management: opportunities, challenges, and future recommendations. Neural Computing and Applications, 34(14):11475–11490.
Androulaki, E., Barger, A., Bortnikov, V., et al. (2018). Hyperledger Fabric: a distributed operating system for permissioned blockchains. In Proceedings of the Thirteenth EuroSys Conference (EuroSys ’18), pages 1–15. ACM.
Azaria, A., Ekblaw, A., Vieira, T., and Lippman, A. (2016). MedRec: Using blockchain for medical data access and permission management. In 2016 2nd International Conference on Open and Big Data (OBD), pages 25–30.
Bharathi Murthy, C. V. N. U. and Lawanya Shri, M. (2024). Secure sharing architecture of personal healthcare data using private permissioned blockchain for telemedicine. IEEE Access, 12:106645–106657.
Hathaliya, J. J. and Tanwar, S. (2020). An exhaustive survey on security and privacy issues in healthcare 4.0. Computer Communications, 153:311–335.
Kaushal, R., Kumar, N., Kukreja, V., and Boonchieng, E. (2025). Hyperledger fabric based remote patient monitoring solution and performance evaluation. Peer-to-Peer Networking and Applications, 18.
Liang, X., Alam, N., Sultana, T., Bandara, E., and Shetty, S. (2024). Designing a blockchain-empowered telehealth artifact for decentralized identity management and trustworthy communication. Journal of Medical Internet Research, 26:e46556.
Mole, J. S. S. and Shaji, R. S. (2024). Ethereum blockchain for electronic health records: securing and streamlining patient management. Frontiers in Medicine, 11:1434474.
Monaghesh, E. and Hajizadeh, A. (2020). The role of telehealth during COVID-19 outbreak: a systematic review based on current evidence. BMC Public Health, 20(1):1193.
Scheid, E. J., Rodrigues, B. B., Killer, C., Franco, M. F., Rafati, S., and Stiller, B. (2021). Blockchains and distributed ledgers uncovered: Clarifications, achievements, and open issues. In Advancing Research in Information and Communication Technology, volume 600 of IFIP Advances in Information and Communication Technology, pages 289–317. Springer.
Severo, J., Herbert, J., and Franco, M. (2025). Threat modeling in healthcare: An analysis of trends, gaps, and emerging challenges. In Anais da XXII Escola Regional de Redes de Computadores, pages 158–164, Porto Alegre, RS, Brasil. SBC.
Tanwar, S., Parekh, K., and Evans, R. (2020). Blockchain-based electronic healthcare record system for healthcare 4.0 applications. Journal of Information Security and Applications, 50:102407.
Vazirani, A. A., O’Donoghue, O., Brindley, D., and Meinert, E. (2020). Blockchain vehicles for efficient medical record management. npj Digital Medicine, 3(1):1.
Yaqoob, I., Salah, K., Jayaraman, R., and Al-Hammadi, Y. (2022). Blockchain for healthcare data management: opportunities, challenges, and future recommendations. Neural Computing and Applications, 34(14):11475–11490.
Publicado
21/10/2026
Como Citar
ALVES, Victor Octávio Rodrigues; SCHEID, Eder John; FRANCO, Muriel Figueredo.
Uma Solução Baseada em Blockchain para Auditoria em Cenários de Telessaúde Emergencial. In: ESCOLA REGIONAL DE REDES DE COMPUTADORES (ERRC), 23. , 2026, Santa Maria/RS.
Anais [...].
Porto Alegre: Sociedade Brasileira de Computação,
2026
.
p. 192-197.
DOI: https://doi.org/10.5753/errc.2026.36368.
