Industries/ Healthcare & Life Sciences/ Medical Records (EHR)

Medical Records (EHR) on PYRAX

Electronic health records are the most valuable and most breached data in healthcare, locked in proprietary EHRs that neither patients nor providers fully control. PYRAX flips the model: records stay encrypted in the patient's custody as off-chain data, only commitments and consent receipts hit the chain, and any authorized party retrieves records through revocable, ZK-gated viewing keys.

Market size
$34.1B EHR market (2024)
Projection
$47.0B by 2030 · ~5.5% CAGR

The market

>130M
U.S. individuals affected by health breaches (2023)
~40%
Patients unable to easily access own records
hours/week
Clinician time lost to record retrieval
10x a card #
Health-record data value on dark markets

Source: Grand View Research, 2024. Figures are indicative and provided for context.

What's broken today

Patients neither own nor can port their own longitudinal record across providers.
Centralized EHR databases are single points of catastrophic breach.
Provider-to-provider record exchange is slow, faxed, or blocked by information-blocking practices.
There is no verifiable, tamper-evident history of who accessed a record and when.

How PYRAX transforms it

Concrete network elements mapped to this business.

PHI stays off-chain — only commitments

The encrypted record lives in patient-controlled storage; the chain holds only a hash commitment, so there is no central record database to breach.

Viewing keys for scoped access

A patient issues a time-boxed, revocable viewing key to a specialist or ER, granting exactly the slices needed and nothing more.

Consent-gated, revocable sharing

Every access grant is an on-chain consent receipt the patient can revoke instantly, and no read is possible without a live grant.

eth_getProof access-log integrity

Each record access is committed and provable, producing a tamper-evident who-saw-what audit trail that satisfies HIPAA accounting-of-disclosures.

Multi-VM contracts for record logic

EVM/WASM/Cairo contracts encode consent policies, break-glass emergency access rules, and cross-institution exchange without a central intermediary.

Buildathon: dApp ideas

Ship-ready concepts for medical records (ehr) on PYRAX.

MyChartKey

01

Patient-owned record wallet that issues and revokes scoped viewing keys to any provider on demand.

viewing-keysconsentpatient

CommitMed

02

Record-commitment registry proving a document's integrity and timeline without storing its contents on-chain.

ZKcommitmentintegrity

BreakGlass

03

Emergency-access contract granting ER staff time-limited entry that is fully logged and auto-expires.

consentWASMaudit

DisclosureLedger

04

HIPAA accounting-of-disclosures dashboard built from eth_getProof access commitments.

eth_getProofauditcompliance

PortMyData

05

Cross-EHR portability tool that reconstructs a longitudinal record from consented provider commitments.

interoperabilityconsentpatient

GrantGuard

06

Consent-management app where every share is revocable and every read requires a live on-chain grant.

consentZKrevocable

PediPass

07

Guardian-managed pediatric records that transition control to the patient at the age of majority via contract logic.

consentEVMpatient

RecordProofAPI

08

Developer SDK for issuing and verifying record commitments and viewing keys in third-party health apps.

SDKviewing-keysintegration