According to a study published in Forbes, “The name blockchain is hardly accidental: The digital ledger is often described as a “chain” that’s made up of individual “blocks” of data. As fresh data is periodically added to the network, a new “block” is created and attached to the “chain.” This involves all nodes updating their version of the blockchain ledger to be identical…A majority of nodes must verify and confirm the legitimacy of
the new data before a new block can be added to the ledger.”
Nodes are the backbone of the decentralized networks that make up blockchain. It acts as connection points that store, verify, and transmit data across the system. Where a single authority controls data, blockchain nodes distribute the responsibility across a peer-to-peer network. Each node maintains a copy of the blockchain ledger, either entirely (as in full nodes) or partially (as in light nodes), and validates transactions according to the network's consensus mechanism.
Blockchain technology offers a solution by creating a secure, decentralized infrastructure where authorized providers can access comprehensive patient histories. Each node in the blockchain network maintains a copy of the shared ledger. Applying this to healthcare means that every medical event, from doctor visits to lab results, can be recorded as a transaction on the blockchain, creating an audit trail. Its practical application goes beyond data storage.
Smart contracts, executed by nodes, can automate access controls and maintain compliance with regulations like HIPAA, giving patients greater control over who accesses their medical records. Blockchain can streamline claims processing and payment systems, reducing administrative overhead and accelerating reimbursements. For example, shared smart contracts among manufacturers, distributors, and healthcare organizations can reduce payment disputes and improve supply chain management.
The use of nodes in blockchain technology introduces various risks that can compromise the integrity and functionality of the network. One prominent threat is the 51% attack, where a single entity gains control over the majority of the network's mining power. This allows the attacker to manipulate transactions, reverse them, or double-spend coins, severely undermining trust in the system.
Related: HIPAA Compliant Email: The Definitive Guide
Consensus mechanisms are protocols that enable all nodes in a blockchain network to agree on the validity of transactions and the state of the blockchain. Nodes participate in this process by validating transactions and reaching a majority agreement before new data is accepted into the blockchain.
While technically, only one node can operate a blockchain, having at least two or more nodes is recommended for effective functioning.
To run a blockchain node, you generally need: