Global Blockchain-Based Electronic Health Record Market Size Likely to Grow at a CAGR of 30.2% By 2034

Market Size and Growth

As per the Blockchain-Based Electronic Health Record Market size analysis conducted by the CMI Team, the global Blockchain-Based Electronic Health Record Market is expected to record a CAGR of 30.2% from 2025 to 2034. In 2025, the market size is projected to reach a valuation of USD 1.38 Billion. By 2034, the valuation is anticipated to reach USD 14.85 Billion.

Overview

As per the industry experts at CMI, the primary factor driving the blockchain-based EHR market is the increased demand for secure, interoperable, and patient-controlled health data systems. Due to increased concerns regarding data breaches and unauthorised access to health data, healthcare providers are beginning to look for tamper-proof methods of storing health data.

Blockchain provides users a decentralised, encrypted storage method along with an audit trail of use, which promotes data integrity and compliance with regulations like HIPAA and GDPR. Additionally, increased implementation and utilisation of telehealth services and a push for digital transformation across the healthcare market further increase the need for blockchain-enabled electronic health records.

Key Trends & Drivers

• Increasing Concerns Over Cybersecurity in Healthcare: Due to the rise in cyberattacks against healthcare organisations, data protection has become a critical issue. Data security is now associated with data breaches as a result of data stored in centralised databases, which often lack appropriate data privacy protections to ensure patient privacy. Blockchain presents a tamper-resistant, distributed solution with cryptographic security, immutability, and auditability properties that ensure the impenetrability of EHRs. The robust nature of data protection inherent in blockchain technology aligns with the accelerated adoption of this technology in regions such as the United States and Europe that have stricter compliance regulations for data protection and privacy, in which healthcare compliance organisations have a stronger focus on protecting the digital infrastructure from unauthorised access and manipulation.

• Shift Towards Patient-Controlled Care Models: Healthcare organisations are transitioning towards systems that allow for patient-directed care that includes transparency and personalised care models. Blockchain-based, permission-based models allow patients to own their health records and help link them with healthcare professionals. This shift aligns with the global trend in regulation, with the General Data Protection Regulation (GDPR) in the EU and the recent concept of sustained health records with the Ayushman Bharat Digital Mission creating a clear trend towards patient autonomy over data. By facilitating access to data, continuity of care, and consent management, blockchain can reinforce patient engagement with the system. As organisations shift to patient-directed care and citizenship-oriented health systems, they will progressively adopt the use of decentralised health systems as the digital health landscape rapidly evolves.

• Government and Industry Support for Health IT Innovation: Governments and health organizations view the need to establish some level of support for blockchain integration as a priority, both through grants (both public and private), policy frameworks, and promotion of digital health. Examples of health policies such as the United States HITECH Act, adopted in 2009) the European Union (EU)’s European Health Data Space (EHDS) and India’s national health stack all aimed to support interoperable health data sharing while simultaneously upholding patient citizenship and permissioned access rights and renewing legacy systems. Government and private industry associations (eg, Avaneer Health) also helped leverage group purchasing to enable some degree of blockchain adoption (with few examples of testing pilots across payers, providers, and technology organisations). Government and industry support (regulatory, legal infrastructure, and demonstration aspects) will encourage and support innovation and minimise perceived risks of adoption. National or regional health information exchange networks and systems allowed for a more controlled blockchain implementation model across health organisations, reducing the risks of traditional methodologies.

• Regulatory Complexity and Evolving Legal Environment: The number of potential regulatory interests according to context (geographic and EHR context) that form emergent legal environments makes it challenging to legally adopt blockchain for EHR. Jurisdictions vary in how data privacy, consent, and the legal standing of immutability are handled. Legal obligations regardless of norms such as HIPAA, and the overarching framework of others like the GDPR and sovereign data and regional laws are considered when organizing aspects of a blockchain system, whether something is or is not decentralized will be a consideration in terms of willingness to adopt or facilitate access due to the personal nature of the information within reporting systems. The diversity of applications across different legal jurisdictions may make the natural pattern of adoption hard to fulfill, especially in a multi-provider or cross-border context. Timely regulatory updates may directly contribute positively to the way in which future blockchain solutions are architected and deployed, and which will impact further present and long-term behaviours of market or regional adoption.

• Interoperability Strain Across Healthcare Ecosystems: Interoperability is a chronic issue in healthcare, where siloed data exists within incompatible systems. Blockchain’s ability to act as a neutral and secure ledger is an appealing solution. However, the integration of existing EHRs and health information exchanges is often not straightforward. In most cases, connection to legacy systems will require the creation of custom interfaces and APIs or the compliance with standards (e.g., HL7 FHIR). There appears to be an increasing demand for cooperative data exchange; however, a lack of technical consistency inhibits the ability to execute in real-time. As the need for interoperability increases, stakeholders in the space need to focus on closing the technical and process gaps in order to achieve meaningful uptake.

Report Scope

SWOT Analysis

• Strength: Blockchain provides data security, integrity, and transparency on an unprecedented scale, a key attribute in managing sensitive patients. Its decentralized approach secures against unauthorized access and tampering, enabling automated consent and real-time data sharing using smart contracts. While adopting blockchain would conform to HIPAA and EU GDPR, many app permissions do not, and users often are unfamiliar with the extent of the application’s access to their data. Trust in interacting with data also needs assurance, as this is invaluable, and patients need assurance that their information is secure outside strict regimens. Given that patient-centred healthcare models emphasize shared data, the strength of blockchain data is the ability to enable secure, verifiable, and permissioned exchange of health data across stakeholders, including users, providers, and insurers.

• Weakness: Technological and operational weaknesses in the healthcare blockchain market arise primarily from scalability issues and high implementation costs. It is inefficient and impractical to store large clinical datasets through blockchain, such as imaging or genomics, resulting in complicated hybrid solutions to store data on-chain. Integrating EHR data with existing systems also poses a barrier because of the lack of standards designated by the industry organizations, competing protocols, and limited access to suppliers of blockchain technology at the intersection of healthcare and IT. These factors render the wide adoption of blockchain very difficult for blockchain technologies now and in many cases, resource-constrained environments. Further, it is complicated at the system architecture level, and it is difficult to get personnel with a steep learning curve into the organizational norm.

• Opportunity: The opportunity for combining blockchain with IoMT, telehealth, and decentralized clinical trials is significant. As remote care becomes more common and personalized medicine becomes commonplace, blockchain could potentially protect data from multiple sources while maintaining consent and access control. Developing markets with increasing digital health infrastructure, such as India and Southeast Asia, also showed a high potential for adoption. Supportive policies from governments, public-private partnerships, and an increased need to exchange cross-border health data also provide further opportunities to scale blockchain-based EHR as an international practice.

• Threat: The uncertainty of the global regulatory frameworks for blockchain presents an enormous threat to the emerging market. Perceptions regarding data ownership, consent, and immutability in blockchain may differ among jurisdictions, impacting adoption in a multi-country manner. Furthermore, centralized cloud-based EHR platforms with less stringent criteria may stifle the adoption of blockchain-based platforms. The energy use of blockchain platforms and public perception of data in public domains are additional risks to the growth of blockchain technology as it relates to EHR technologies. All of these factors may lead to reluctance among stakeholders to invest in blockchain technology at the highest levels and risk full innovation in the healthcare ecosystem.

List of the prominent players in the Blockchain-Based Electronic Health Record Market:

• IBM Corporation
• Oracle Corporation
• Microsoft Corporation (Azure Blockchain)
• Guardtime
• Change Healthcare
• Patientory Inc.
• Medicalchain SA
• Healthereum LLC
• Factom Inc.
• Hashed Health
• BurstIQ Inc.
• Blockpharma
• Coral Health
• PokitDok (acquired by Change Healthcare)
• Solve Care
• Doc ai (now part of Sharecare)
• Avaneer Health
• Chronicled
• SimplyVital Health
• Embleema Inc.
• Others

The Blockchain-Based Electronic Health Record Market is segmented as follows:

By Blockchain Type

• Public Blockchain
• Private Blockchain
• Consortium/Permissioned Blockchain
• Hybrid Blockchain

By Application

• Patient Record Management
• Clinical Trial Data Sharing
• E-prescription & Medical Billing
• Medical Imaging & Diagnostics
• Insurance Claim & Fraud Detection
• Remote Patient Monitoring (via IoMT)

Regional Coverage:

North America

• U.S.
• Canada
• Mexico
• Rest of North America

Europe

• Germany
• France
• U.K.
• Russia
• Italy
• Spain
• Netherlands
• Rest of Europe

Asia Pacific

• China
• Japan
• India
• New Zealand
• Australia
• South Korea
• Taiwan
• Rest of Asia Pacific

The Middle East & Africa

• Saudi Arabia
• UAE
• Egypt
• Kuwait
• South Africa
• Rest of the Middle East & Africa

Latin America

• Brazil
• Argentina
• Rest of Latin America