The current healthcare sector is facing difficulty in satisfying the growing issues, expenses, and heavy regulation of quality treatment. Surely, electronic medical records (EMRs) and protected health information (PHI) are highly sensitive, personally identifiable information (PII). However, the sharing of EMRs, enhances overall treatment quality. A distributed ledger (blockchain) technology, embedded with privacy and security by architecture, provides a transparent application developing platform. Privacy, security, and lack of confidence among stakeholders are the main downsides of extensive medical collaboration. This study, therefore, utilizes the transparency, security, and efficiency of blockchain technology to establish a collaborative medical decision-making scheme. This study considers the experience, skill, and collaborative success rate of four key stakeholders (patient, cured patient, doctor, and insurance company) in the healthcare domain to propose a local reference-based consortium blockchain scheme, and an associated consensus gathering algorithm, proof-of-familiarity (PoF). Stakeholders create a transparent and tenable medical decision to increase the interoperability among collaborators through PoF. A prototype of PoF is tested with multichain 2.0, a blockchain implementing framework. Moreover, the privacy of identities, EMRs, and decisions are preserved by two-layer storage, encryption, and a timestamp storing mechanism. Finally, superiority over existing schemes is identified to improve personal data (PII) privacy and patient-centric outcomes research (PCOR).

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Secure data distribution is critical for data accountability. Surveillance caused privacy breaching incidents have already questioned existing personal data collection techniques. Organizations assemble a huge amount of personally identifiable information (PII) for data-driven market analysis and prediction. However, the limitation of data tracking tools restricts the detection of exact data breaching points. Blockchain technology, an ‘immutable’ distributed ledger, can be leveraged to establish a transparent data auditing platform. However, Art. 42 and Art. 25 of general data protection regulation (GDPR) demands ‘right to forget’ and ‘right to erase’ of personal information, which goes against the immutability of blockchain technology. This paper proposes a GDPR complied decentralized and trusted PII sharing and tracking scheme. Proposed blockchain based personally identifiable information management system (BcPIIMS) demonstrates data movement among GDPR entities (user, controller and processor). Considering GDPR limitations, BcPIIMS used off-the-chain data storing architecture. A prototype was created to validate the proposed architecture using multichain. The use of off-the-chain storage reduces individual block size. Additionally, private blockchain also limits personal data leaking by collecting fast approval from restricted peers. This study presents personal data sharing, deleting, modifying and tracking features to verify the privacy of proposed blockchain based personally identifiable information management system.