Copyright: © 2025 by the authors. Licensee: Pirogov University.
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OPINION

Security of electronic health records: federated blockchain and post-quantum cryptography

About authors

Yaroslavl State Medical University, Yaroslavl, Russia

Correspondence should be addressed: Sergey A. Kostrov
Revolutsionnaya St., 5, Yaroslavl, 150000, Russia; ur.umsy@aesok

About paper

Author contribution: Potapov MP — research planning, analysis, editing; Kostrov SA — data collection, analysis and interpretation, preparing a draft manuscript.

Received: 2025-08-13 Accepted: 2025-10-18 Published online: 2025-11-03
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The article presents a review on the potential of the distributed ledger technology (DLT), particularly federated blockchain, that can be used to create a secure, transparent and patient-managed ecosystem of medical data. The hybrid architecture reviewed uses the blockchain to store immutable metadata and hashes, and manage large amounts of data (for example, diagnostic images) on external cloud storage, which ensures the integrity of data without network overloading. The key aspect of the research is to analyze long-term threats posed by quantum computing that makes current cryptographic standards vulnerable. It is stressed that adoption of post-quantum cryptography (PQC) is required to ensure future security of medical data. An analysis was carried out to compare the leading global (CRYSTALS-Dilithium, Falcon) and Russian (Hypericum, Shipovnik) post-quantum cryptography algorithms.

Keywords: bioethics, blockchain, post-quantum cryptography, electronic health record, distributed ledger, federated computing

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