Global Blockchain-Based Electronic Health Record Market 2025 – 2034

Reports Description

As per the Blockchain-Based Electronic Health Record Market 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

The Electronic Health Record (EHR) market, powered by blockchain technology, is experiencing rapid growth, with North America being the leading region. There are regulations, security, and quality of data, and an existing electronic health record (EHR) infrastructure that supports this level of growth, along with hospitals and health systems moving quickly to implement a blockchain solution. The market is made up of a variety of segments, and the software segment is the majority slice of the market, since all implementations will be using a blockchain platform to achieve reliable patient data security, access control, and significant interoperability.

The growth factors for this market are the growing patient and provider concerns for data breaches and tamper-proof health records, the continued desire for equitable patient control over access to data, and the backing of regulations like HIPAA in the US and GDPR in Europe for healthcare providers to use more secure data sharing systems. The rise of telehealth, mobile health, and remote care has increased the need for secure, decentralized health record systems. The growing use of smart contracts and blockchain-as-a-service (BaaS) for system deployment is growing at a fast rate, making it more scalable for health systems to implement the new technology at little additional cost.

Key Trends & Drivers                                                                                                  

The Blockchain-Based Electronic Health Record Market Trends present significant growth opportunities due to several factors:

• Rising Data Security and Privacy Concerns: Healthcare security has become a primary concern for providers due to the increasing frequency of healthcare data breaches. Blockchain provides immutable data records, cryptography-enabled encryption, and transparent audit trails to minimize slippage due to tampering or malicious access. International regulations, such as HIPAA and GDPR, mandate tighter controls or evidence of them, and healthcare systems are seeking secure and compliant technologies to meet these requirements. A decentralized database enabled by each entry being a part of a chain not dependent on an anchor ensures that authorized access to a sensitive medical record can be limited to a small audience. The security features of blockchain have encouraged adoption by EHR systems since blockchain promises a trusted pathway to safeguard patient data.

• Growing Demands for Interoperability: Siloed health data across multiple systems and providers often creates limitations when providing patient care, leaving providers incapable of providing care in some cases or engaged in inefficient processes to prioritize patient care. Blockchain provides interoperability through the ability to create a singular ledger of patient activity that is tamper-proof and then leveraged by hospitals, clinics, and insurers. Smart contracts and distributed-access control enable patient records to be shared and accessed securely by any or multiple parties without relying on a centralized method or entity. Using blockchain reduces the busywork often associated with organizing care and reduces administrative waste. As healthcare ecosystems strive toward consolidating digital health systems into one operating ecology, blockchain will provide a robust, flexible solution that can govern decentralized data across disparate systems.

• Patient-Centric Data Ownership Models: Patients are becoming more adamant about greater authority over their personal health information, and blockchain solutions allow fully patient-controlled ownership of their records through consented access and real-time data sharing with their providers. The patient-centered model adds transparency, fosters trust, and is congruous with reforms to the healthcare system, focusing on individuals having the right to access and manage their health information. Decentralized identifiers and access keys guarantee the authenticity and correctness of the data while providing privacy-preserving consent. As healthcare transitions and the model of care becomes more personalized and participatory, patients controlling ownership of their data will be a major driving force behind blockchain EHR adoption.

• Growth in Telehealth and Remote Care: The growth of telehealth, particularly after the COVID-19 pandemic, has led to a boom in remote consultations and digital care management, but managing secure, traceable, and portable health records in a virtual environment is critical. Blockchain technology offers a means to facilitate secure and real-time verifiable data exchange with patients’ and providers’ consent, even across different systems and geographic borders. Blockchain supports remote patient monitoring and cross-border health services based on reputable interoperability across virtual models of care without compromising the integrity of data. As virtual care becomes an ongoing norm, blockchain serves as a primary technology storage method in organizations that can also be used to validate, store, and transfer patients’ medical records securely and safely in a decentralized environment.

Significant Threats

The Blockchain-Based Electronic Health Record Market faces several significant threats that could impact its growth and profitability in the future. Some of these threats include:

• Regulatory Uncertainty and Compliance Concerns: The lack of international regulatory clarity for blockchain in healthcare presents a potentially severe threat. Meeting and maintaining compliance with data protection laws is very complicated, especially with decentralized models for data storage. In addition, without definitive legal directions for data sovereignty, patient consent, and immutable blockchain data storage, healthcare stakeholders may hesitate to implement blockchain systems, fearing compliance issues or negative legal repercussions. Not only do healthcare providers need to maintain compliance with specific governing laws, but each organization or system will also use different practices for compliance and create unique expectations for patient consent, even if adhering to the same law.

• Scalability and Integrability Issues: Blockchains, as networks, face natural performance constraints when processing large amounts of healthcare data, such as images and real-time monitoring datasets. Current public blockchain devices may have scalability issues to contend with, specifically with speed to process transactions, as well as providing enough transaction bandwidth to accommodate demand, while also providing user bi-directional interoperability with legacy EHR systems. These obstacles stem from the adoption and implementation of blockchains across large segments of the healthcare ecosystem. Without scalable solutions, blockchain applications may remain restricted to pilot projects or niche products rather than part of clinical integration.

Opportunities

• Expansion of Decentralized Health Data Exchanges: As healthcare systems across the globe advance interoperability efforts, blockchain can serve as a favorable route to decentralized health data exchanges (HIEs). With the permission-based protocol that blockchain offers, access to patient health records would occur in real-time across providers, payers, and patients, which is a major distinction from HIEs using traditional, centralized processes. The advantage of using blockchain HIEs is the opportunity to streamline and reduce administrative burden, eliminate duplicate testing, and enhance patient outcomes. The momentum supported by government initiatives, behavioral health consortia (like Avaneer Health), and health data exchange communities presents a sufficient path forward for using blockchain to build secure, collaborative, and cross-border data exchange networks in decentralized channels. This will especially apply in multi-provider ecosystems, such as with chronic disease care through clinical workflows, platforms, and EHRs.

• Integration with IoMT and Remote Monitoring Systems: As the use cases for Internet of Medical Things (IoMT) devices increase, there is a considerable opportunity for blockchain integration. Using blockchain to log health metrics (real-time data) onto tamper-proof ledgers will enhance the reliability and trustworthiness of data pulled from patients using wearables and other remote monitoring devices. If clinicians can count on and trust the integrity of the health metrics, it will come down to patient consent for the clinician to make informed decisions. With advancements in remote care, especially with chronic disease management that leverages patient continuous monitoring, blockchain may be a secure, scalable, and verifiable platform for HIEs.

Category Wise Insights

By Blockchain Type

• Public Blockchain: Public blockchains offer a transparent and decentralized solution but have drawbacks related to privacy, speed, and regulatory compliance. Public blockchains are also less prevalent in the healthcare sector, specifically in EHR applications, given the nature of having no privacy due to the public data. However, public blockchains work for research or public health reporting with considerations of the integrity of the data. As a trustless design for data collaboration, the public blockchain space is blanketed with potentially bad actors, and as a result, it sees very little adoption when specialists, regulators, and patients are going to be exposed to data with very little or no control mechanisms dictated by HIPAA or GDPR.

• Private Blockchain: Private blockchains allow for EHR systems to have better privacy and compliance by keeping information private to a handful of stakeholders, offering quicker processing speeds and better transactions. Healthcare providers prefer private blockchains so they can retain control over their data and are less likely to breach compliance and governance standards. At the same time, private blockchains will also permit role-based access and internal audits while synchronously using the existing legacy health systems. Large hospitals and health networks with active patient interactions require a private blockspace to secure and scale patient-sensitive data and records protectively.

• Consortium/Permissioned Blockchain: Consortium blockchains offer stakeholders such as hospitals, insurers, and researchers a data platform in an organized but controlled forum. Consortium, as a variant of permissioned blockchain, does a great job of balancing the decentralized but private aspect of the health purge as an evolving ecosystem. The collaborative ecosystem of interoperability, consistent quality of data, and trust among stakeholders creates better conditions for patient care. The Avaneer Health network operates in a controlled forum, utilizing permissioned blockchain to provide streamlined claims management and integration across their platforms.

• Hybrid Blockchain: Hybrid blockchains take advantage of the strengths of both public and private models by introducing selective transparency and control of data. Hybrid blockchains are an alternative that can manage sensitive patient data privately while still allowing required records to be publicly verified. This allows for regulatory compliance and secure sharing of data with third parties with little risk. Hybrid systems are being increasingly accepted in clinical trials, insurance verification, or other situations where partial public access is beneficial without fully exposing patient data.

By Application

• Patient Record Management: This is the clearest application where blockchain provides secure, tamper-proof storage, with controlled access to patient electronic health records. Patients can regain control of their data and give permission to doctors as needed, it prevents duplication, is interoperable, and enhances trust between patients and providers. Areas where blockchain adoption is also increasing are in regions that have a strong digital infrastructure to implement the technology and have supportive regulation.

• Clinical Trial Data Sharing: Blockchain provides transparency, traceability, and integrity of clinical trial data. Opportunity for change is in the prevention of data manipulation, consent tracking, and regulatory reporting. Pharmaceutical companies and contract research organizations (CROs) both seek to securely manage trial protocol/administration, participant enrollment, and result sharing. This continues to build trust with stakeholders and can accelerate their review and approval timeframes.

• Electronic-prescribing and medical billing: Blockchain can also mitigate fraud, errors, and redundancy in an industry that depends on numerous prescription and billing transactions. A smart contract can streamline authorization requests and payments by reducing the administrative load for providers. It also enables transparent communication and negotiation between pharmacies, payers, and providers. This application is particularly useful in insurance-delivered markets such as the U.S. healthcare system, where it is important for the pharmacy, the prescriber, and the payer to trust the authenticity of prescription claims.

• Medical imaging and diagnostics: Medical imaging creates vast and sensitive data. Blockchain provides a safeguard to prevent errantly exposing imaging data and ensures patient identification with fully authorized personnel, and only authorized personnel can access and/or update the diagnostic record of a patient. Hashing identifies the imaging file with the blockchain record through a preventative method and doesn’t hold all the imaging data on the blockchain, still addressing regulatory actions by making it easy to access prior medical imaging data without compromising efficiency compared with traditional mechanisms while ensuring accurate regulatory and legislative standards of the dating records. Compliance and legislative guidance improve collaborative medicine, especially where radiologists and specialists share diagnostic information.

• Insurance Claims & Fraud Detection: Blockchain technology safeguards against fraudulent claims while also speeding up insurance claims processing through automated and verifiable record sharing. Smart contracts provide automated payouts based on preset conditions, removing the need for human validation and approval. Permissioned access makes sure records cannot be copied while also providing an audit trail. Insurers can use blockchain for customer-facing activities with the same confidence of accuracy, without administrative costs, and this may be the greatest use case for blockchain in developed markets.

• Remote Patient Monitoring (via IoMT): Wearables and IoMT devices are becoming widespread, and blockchain technology will create secure ways to share health and clinical data. It will provide an auditable record of consent history for all biometric data being transmitted across devices and platforms. This can help to support chronic disease management, eldercare and care, and post-discharge monitoring while still ensuring provenance and portability of data in compliance with data protection laws. Using blockchain technologies will enhance the integration of AI to provide a more tailored level of care.

Impact of Recent Tariff Policies

The recent imposition of tariffs has indirectly affected the blockchain-based Electronic Health Record (EHR) space by increasing IT infrastructure costs and supply chain disruptions. Infrastructure budgets will be negatively impacted, as blockchain EHR platforms exist on servers, data storage devices, and networking equipment that rely on components (mostly imported components), many coming with additional tariffs based on their country of supply (China as a primary manufacturer). Healthcare providers are faced with elevated capital expenditures and operational expenses, and they will delay or minimize investments in capital and digital infrastructure.

Budgets are under significant strain, often repurposing budgets from innovation categories, such as blockchain, to medical supplies affected by the same tariffs, and these expenses are much more pressing. Hardware timelines are uncertain due to suppliers reeling from the tariffs and, in many cases, requiring new agreements with regional suppliers. To minimize costs, an increasing number of organizations are considering operational expense-based deployment models (e.g., cloud-based Blockchain-as-a-Service (BaaS)) as a way to mitigate financial exposure.

Report Scope

Regional Analysis

The Blockchain-Based Electronic Health Record Market is segmented into various regions, including North America, Europe, Asia-Pacific, and LAMEA. Here is a brief overview of each region:

• North America: North America is the leader in the blockchain-based EHR marketplace. It benefits from a mature healthcare infrastructure, widespread digital adoption, and a strong regulatory environment through acts such as HIPAA. The majority of the market revenue comes from the U.S. as the government continues to take initiative in providing interoperability amongst healthcare data and increasing cybersecurity in health information technology. Major records exchange participants like IBM, Microsoft, and Change Healthcare have established operations in North America. In addition, the region has many industry consortia like Avaneer Health that are enhancing blockchain to be integrated into the hospital and insurance systems. Overall investments in cloud infrastructure and the rights for patients to own their data should keep doubling back on one another to continue supplying the market in both the public and private healthcare sectors in North America.

• Europe: Europe is a fast-growing market and has many regulations, such as GDPR and the European Health Data Space (EHDS) initiative, providing backing to move forward. Countries across Europe, such as Germany, the UK, and the Netherlands, are already piloting blockchain with things like patient consent management, cross-border data sharing, and clinical trials of blockchain use. There is a focus on data privacy and digital sovereignty, which makes public and consortium blockchains most relevant. The fact is that there are digitalization programs in healthcare, with funding provided in public-private partnerships, facilitating growth. The European Commission is also working on frameworks needed for secure health information exchange and provides regulatory and legal backing to substantially access the healthcare psychosocial substantiation for its citizens to improve their health experience. The European Commission is also considering the long-term care of its health systems with aging populations and all the challenges of decentralized health information and research networks.

• Asia-Pacific: The Asia-Pacific region is expected to experience the largest CAGR for blockchain-based EHR solutions amid rising digitization of health care and the support of governments, for instance, China, India, South Korea, and Australia. Emerging economies in Asia are investing in digital health infrastructure to be able to manage large volumes of patients with fragmented systems. National health initiatives such as ‘Ayushman Bharat Digital Mission’ in India are promoting patient-centered data models that position blockchain as a technology option. Well-financed healthcare providers and dynamic start-ups are iteratively piloting blockchain projects incorporating EHR with telemedicine. Regional healthcare demand is escalating with the adoption of IoMT, cross-border medical travel, and the growing middle class seeking access to healthcare.

• LAMEA (Latin America, the Middle East, and Africa): The LAMEA region is starting to explore the adoption of blockchain-based EHR solutions, but early-stage innovation is beginning to advance as interest grows for the modernization of health systems. In Latin America, Brazil and Mexico are registering interest in using blockchain technology in public health solutions for transparency and access. The Middle East, including the UAE and Saudi Arabia, is investing heavily in modernizing health via technology through Vision 2030 initiatives. Africa holds opportunity via health platforms, especially mobile-based solutions that are beginning to integrate blockchain solutions to support rural outreach. Each of LAMEA’s developing regions faces challenges related to infrastructure, but international partnerships and donor-funded health initiatives promote early-stage exploration of blockchain-based EHR solutions.

Key Developments

In recent years, the Blockchain-Based Electronic Health Record Market has experienced several crucial changes as the players in the market strive to grow their geographical footprint and improve their product line and profits by using synergies.

• In 2024, Microsoft expanded its Azure platform with Mission Critical workload support tailored for the healthcare sector. This upgrade enabled healthcare organizations to implement blockchain-integrated EHR systems with enhanced reliability, security, and scalability, critical for managing large volumes of sensitive patient data in production environments.

• In March 2020, IBM partnered with University Health Network in Toronto to launch a blockchain-based mobile app that empowered patients to control access to their health records. The pilot demonstrated blockchain’s ability to manage real-time data permissions, enhancing transparency and trust in patient data sharing.

• In January 2019, IBM, together with Aetna, Anthem, and the Cleveland Clinic, established Avaneer Health—a blockchain consortium focused on building a secure network for healthcare data exchange. The initiative aimed to improve claims processing, provider directories, and real-time access to verified health information.

• In January 2017, IBM Watson Health entered a research partnership with the U.S. FDA to explore blockchain for sharing clinical trial, EHR, and real-world data. The collaboration focused on using blockchain to enhance auditability, patient privacy, and integration across data sources in oncology.

These important changes facilitated the companies to widen their portfolios, to bolster their competitiveness, and to exploit the possibilities for growth available in the Blockchain-Based Electronic Health Record Market. This phenomenon is likely to persist since most companies are struggling to outperform their rivals in the market.

Leading Players

The Blockchain-Based Electronic Health Record Market is highly competitive, with a large number of service providers globally. Some of the key players in the market include:

• 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

These companies implement a series of techniques to penetrate the market, such as innovations, mergers and acquisitions, and collaboration.

The blockchain-based EHR market is fairly fragmented, consisting of a blend of mature technology company competitors and new health-tech startups. Major companies such as IBM, Oracle, and Microsoft (to name a few) provide the starting blockchain infrastructure and enterprise-grade health data services that create competitive pressure through their global presence and ability to integrate services with existing services. Specialized companies such as Patientory, Medicalchain, and Hashed Health develop decentralized patient data platforms, creating interoperable, customizable solutions for healthcare providers and patients.

Most competitive venture strategies can be managed through strategic partnerships, trial programs with hospital systems, and participation in promoting digital health and wellness solutions. Competitors continue to innovate by developing smart contracts, consent protocols, and off-chain storage solutions. Investments related to blockchain technology continue to increase, particularly in North America and Europe, while Asia-Pacific players are gaining traction through public-private partnerships and government initiatives.

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