A comprehensive review of how blockchain-based distributed ledger technologies can secure health data, enable scalable architectures, and address evolving regulatory hurdles. Blockchain Distributed Ledger Technology is transforming conventional structures and unlocking previously unattainable opportunities across diverse sectors. The paper highlights new developments, opportunities, and trends while emphasizing the revolutionary potential of BDLT. It argues that secure, automated, and dependable ecosystem management hinges on innovations like Denaturalized Finance (Defi), chaincode, and BDLT interfaces with the Internet of Things (IoT).

The paper also examines hybrid blockchain models that merge private and public blockchain advantages to improve scalability, privacy, and performance. Hyperledger is highlighted as a modular framework that enables enterprise-level blockchain solutions. Thus, Ethereum is a flexible platform with strong chaincode capabilities that facilitate the creation of Distributed Applications (DApps). Such opportunities for advancements are evaluated closely in order to demonstrate how they contribute to practical uses and innovations unique to a given sector.

Blockchain-based distributed ledger technologies offer mechanisms to safeguard health data and enable scalable health IT architectures. They also help address evolving regulatory hurdles in data sharing and privacy. This review highlights how enterprise-grade frameworks support secure data exchange and governance across healthcare ecosystems.

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