Blockchain is the revolutionary invention of the twentieth century that offers a distributed and decentralized setting to communicate among nodes in a list of networks without a central authority. On the other hand, an electronic health records (EHRs) is the electronically stored health information in a digital format.EHRs are normally shared among healthcare stakeholders and facing power failure, data misuse, lack of privacy and security, and audit trail. Blockchain is a leading technology among others to address the limitations related to EHRs. It can provide a safer and secured decentralized environment for exchanging EHRs data. There are three categories of blockchain-based potential solutions have been proposed to handle EHRs: conceptual, prototype, and implemented. This study focused on a Systematic Literature Review (SLR) to find and analyze articles proposed either conceptual or implemented to manage EHRs using blockchain. The study analyzed 99 papers that were described from various publication categories. The deep technical analysis focused on evaluating articles based on privacy, security, scalability, accessibility, cost, consensus algorithms, and type of blockchain used. The SLR found that the blockchain technology is promising to provide decentralization, security, and privacy that traditional EHRs often lack. Moreover, results obtained from the detailed studies would provide potential researchers with a reference as to which type of blockchain to choose for future development. Finally, future research directions, in the end, would direct enthusiasm to combine new blockchain-based systems to properly manage EHRs.