Arquitetura de Blockchain Permissionada para Aplicações Web 3.0: Caso de Uso na Transferência do Cuidado em Saúde
Resumo
Este artigo apresenta uma arquitetura baseada em blockchain permissionada que avança o entendimento científico e a implementação de soluções de saúde distribuídas no contexto da Web 3.0. Diferente de abordagens que tratam tecnologias como blockchain, IA, computação de borda e imersividade de forma isolada, este estudo as integra para enfrentar desafios na transferência de cuidado. Propõe-se uma arquitetura híbrida on-chain/off-chain, com rastreabilidade, governança e segurança entre instituições. A solução incorpora gêmeos digitais, interfaces AR/VR e conectividade 5G/Wi-Fi 6E para apoiar decisões clínicas em tempo real e enriquecer interações entre pacientes e profissionais. A Prova de Conceito (PoC) demonstra como uma blockchain permissionada pode otimizar auditorias, reduzir dependência de intermediários e viabilizar a gestão descentralizada de dados. A análise indica que a arquitetura contribui para sistemas de saúde mais seguros e transparentes.
Palavras-chave:
Blockchain Permissionada, Web 3.0, Gêmeos Digitais, Realidade Aumentada, Realidade Virtual, Computação de Borda, Saúde Digital, Rastreamento de Dados Clínicos, Transferência do Cuidado em Saúde
Referências
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Chengoden, R., Victor, N., Huynh-The, T., Yenduri, G., Jhaveri, R. H., Alazab, M., Bhattacharya, S., Hegde, P., Maddikunta, P. K. R., & Gadekallu, T. R. (2023). Metaverse for healthcare: A survey on potential applications, challenges and future directions. IEEE Access, 11, 12765–12795.
Eren, H., Karaduman, O., & Gençoğlu, M. T. (2025). Security challenges and performance trade-offs in on-chain and off-chain blockchain storage: A comprehensive review. Applied Sciences, 15(6).
Guimarães, T., Silva, H., Peixoto, H., & Santos, M. (2020). Modular blockchain implementation in intensive medicine. Procedia Computer Science, 170, 1059–1064.
Jameil, A. K., & Al-Raweshidy, H. (2024). A digital twin framework for real-time healthcare monitoring: Leveraging AI and secure systems for enhanced patient outcomes. Research Square.
Mello, T. S. d., Miorin, J. D., Camponogara, S., Paula, C. C. d., Pinno, C., & Freitas, E. d. O. (2021). Factors that influence effective intra-hospital care transfer: Integrative review. Research, Society and Development, 10(9), e38910918153.
Muzaffar, M. S. P. A., Afianti, F., & Rokatenda, E. B. (2024). Implementation and performance analysis of non-blockchain-based and blockchain-based business licensing systems using Hyperledger Fabric. The Indonesian Journal of Computer Science, 13(5).
Narayan, A., Weng, K., & Shah, N. (2024). Decentralizing healthcare: History and opportunities of Web3. JMIR Form Res, 8, e52740.
Pandey, A. K., Khan, A. I., Abushark, Y. B., Alam, M. M., Agrawal, A., Kumar, R., & Khan, R. A. (2020). Key issues in healthcare data integrity: Analysis and recommendations. IEEE Access, 8, 40612–40628.
Rane, N., Choudhary, S., & Rane, J. (2023). Enhanced product design and development using artificial intelligence (AI), virtual reality (VR), augmented reality (AR), 4D/5D/6D printing, internet of things (IoT), and blockchain: A review. SSRN Electronic Journal, 1–33.
Raso, E., Loreti, P., Ravaziol, M., & Bracciale, L. (2024). Anonymization and pseudonymization of FHIR resources for secondary use of healthcare data. IEEE Access, 12, 44929–44939.
Rowan, N. J. (2024). Digital technologies to unlock safe and sustainable opportunities for medical device and healthcare sectors with a focus on the combined use of digital twin and extended reality applications: A review. Science of The Total Environment, 926, 171672.
Satybaldy, A., Hasselgren, A., & Nowostawski, M. (2022). Decentralized identity management for e-health applications: State-of-the-art and guidance for future work. Blockchain in Healthcare Today, 5.
Siddiqi, S. J., Saleh, S., Jan, M. A., & Tariq, M. (2025). Securing the vetaverse: Web 3.0 for decentralized digital twin-enhanced vehicle–road safety. Future Generation Computer Systems, 164, 107555.
Singh, S. K., Rathore, S., & Park, J. H. (2020). BlockIoTIntelligence: A blockchain-enabled intelligent IoT architecture with artificial intelligence. Future Generation Computer Systems, 110, 721–743.
Song, Y.-T., & Qin, J. (2022). Metaverse and personal healthcare. Procedia Computer Science, 210, 189–197.
Vasiliu-Feltes, I., Mylrea, M., Zhang, C. Y., Wood, T.-C., & Thornley, B. (2023). Impact of blockchain-digital twin technology on precision health, pharmaceutical industry, and life sciences: Conference proceedings, CONV2X 2023. Blockchain in Healthcare Today, 6. Acesso em: 24 mar. 2025.
Androulaki, E., Barger, A., Bortnikov, V., Cachin, C., Christidis, K., Caro, A. D., Enyeart, D., Ferris, C., Laventman, G., Manevich, Y., Muralidharan, S., Murthy, C., Nguyen, B., Sethi, M., Singh, G., Smith, K., Sorniotti, A., Stathakopoulou, C., Vukolić, M., Cocco, S. W., & Yellick, J. (2018). Hyperledger Fabric: A distributed operating system for permissioned blockchains. EuroSys 18, 30:1–30:15. ACM.
Antwi, M., Adnane, A., Ahmad, F., Hussain, R., Habib ur Rehman, M., & Kerrache, C. A. (2021). The case of Hyperledger Fabric as a blockchain solution for healthcare applications. Blockchain: Research and Applications, 2(1), 100012.
Chengoden, R., Victor, N., Huynh-The, T., Yenduri, G., Jhaveri, R. H., Alazab, M., Bhattacharya, S., Hegde, P., Maddikunta, P. K. R., & Gadekallu, T. R. (2023). Metaverse for healthcare: A survey on potential applications, challenges and future directions. IEEE Access, 11, 12765–12795.
Eren, H., Karaduman, O., & Gençoğlu, M. T. (2025). Security challenges and performance trade-offs in on-chain and off-chain blockchain storage: A comprehensive review. Applied Sciences, 15(6).
Guimarães, T., Silva, H., Peixoto, H., & Santos, M. (2020). Modular blockchain implementation in intensive medicine. Procedia Computer Science, 170, 1059–1064.
Jameil, A. K., & Al-Raweshidy, H. (2024). A digital twin framework for real-time healthcare monitoring: Leveraging AI and secure systems for enhanced patient outcomes. Research Square.
Mello, T. S. d., Miorin, J. D., Camponogara, S., Paula, C. C. d., Pinno, C., & Freitas, E. d. O. (2021). Factors that influence effective intra-hospital care transfer: Integrative review. Research, Society and Development, 10(9), e38910918153.
Muzaffar, M. S. P. A., Afianti, F., & Rokatenda, E. B. (2024). Implementation and performance analysis of non-blockchain-based and blockchain-based business licensing systems using Hyperledger Fabric. The Indonesian Journal of Computer Science, 13(5).
Narayan, A., Weng, K., & Shah, N. (2024). Decentralizing healthcare: History and opportunities of Web3. JMIR Form Res, 8, e52740.
Pandey, A. K., Khan, A. I., Abushark, Y. B., Alam, M. M., Agrawal, A., Kumar, R., & Khan, R. A. (2020). Key issues in healthcare data integrity: Analysis and recommendations. IEEE Access, 8, 40612–40628.
Rane, N., Choudhary, S., & Rane, J. (2023). Enhanced product design and development using artificial intelligence (AI), virtual reality (VR), augmented reality (AR), 4D/5D/6D printing, internet of things (IoT), and blockchain: A review. SSRN Electronic Journal, 1–33.
Raso, E., Loreti, P., Ravaziol, M., & Bracciale, L. (2024). Anonymization and pseudonymization of FHIR resources for secondary use of healthcare data. IEEE Access, 12, 44929–44939.
Rowan, N. J. (2024). Digital technologies to unlock safe and sustainable opportunities for medical device and healthcare sectors with a focus on the combined use of digital twin and extended reality applications: A review. Science of The Total Environment, 926, 171672.
Satybaldy, A., Hasselgren, A., & Nowostawski, M. (2022). Decentralized identity management for e-health applications: State-of-the-art and guidance for future work. Blockchain in Healthcare Today, 5.
Siddiqi, S. J., Saleh, S., Jan, M. A., & Tariq, M. (2025). Securing the vetaverse: Web 3.0 for decentralized digital twin-enhanced vehicle–road safety. Future Generation Computer Systems, 164, 107555.
Singh, S. K., Rathore, S., & Park, J. H. (2020). BlockIoTIntelligence: A blockchain-enabled intelligent IoT architecture with artificial intelligence. Future Generation Computer Systems, 110, 721–743.
Song, Y.-T., & Qin, J. (2022). Metaverse and personal healthcare. Procedia Computer Science, 210, 189–197.
Vasiliu-Feltes, I., Mylrea, M., Zhang, C. Y., Wood, T.-C., & Thornley, B. (2023). Impact of blockchain-digital twin technology on precision health, pharmaceutical industry, and life sciences: Conference proceedings, CONV2X 2023. Blockchain in Healthcare Today, 6. Acesso em: 24 mar. 2025.
Publicado
19/05/2025
Como Citar
HONÓRIO DA SILVA, Matheus Lázaro; DE LIMA, Eliomar Araújo; COSTA, Fábio M.; CARVALHO, Sergio T.; GRACIANO-NETO, Valdemar Vicente.
Arquitetura de Blockchain Permissionada para Aplicações Web 3.0: Caso de Uso na Transferência do Cuidado em Saúde. In: WORKSHOP EM BLOCKCHAIN: TEORIA, TECNOLOGIAS E APLICAÇÕES (WBLOCKCHAIN), 8. , 2025, Natal/RN.
Anais [...].
Porto Alegre: Sociedade Brasileira de Computação,
2025
.
p. 168-181.
DOI: https://doi.org/10.5753/wblockchain.2025.9508.
