The Design Blueprint for a Large-Scale Telehealth Platform

Table 1

Blockchain technology comparisons for telehealth platform.

Measurement	Ethereum	Hyperledger	EOS	Tendermint
Blockchain performance
(1) Number of transactions per second (TPS)	15-30	300	500	2,002
(2) Data reading response time of 1,000 records under 10 concurrent sessions	3.72 min	1333 ms	1 ms	3 ms
(3) Insert of one record response time under 10 concurrent sessions with duplication check	209 ms	235 ms	9662 ms	3 ms
(4) Update data in one record response time under 10 concurrent sessions	208 ms	544 ms	260 ms	2 ms
Blockchain mutuality
(5) Mutuality level (5 years)	Y	Y	N	Y
(6) Live application in health technology	Y	Y	Y	Y
Node management
(7) Fault tolerant (nodes)	2	3 (orderer)	(ratio 2/3)	(ratio 2/3)
(8) Restructure blockchain (add nodes)	N	Y	N	N
Application fulfillment
(9) Smart contract language supports	Solidity	Go	C++	Go, Js
(10) Transaction management	N	Y	N	N
(11) Cryptocurrency account balance for trading	Y	N	Y	Y
(12) Access data from smart contract with ranges	N	Y	Y	N
(13) Creating index on data from smart contract	N	N	Y	Y
Blockchain security
(14) Authentication and account management	Y	Y	Y	Y
(15) Encryption data in the smart contract	N	Partial	N	N
(16) Access control on smart contract	N	Y	N	N