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Item Embargo Blockchain-Based Custody Evidence Management System for Healthcare Forensics(Institute of Electrical and Electronics Engineers Inc., 2025) Jayasinghe R.D.D.L.K; Sasanka M.W.K.L; Athukorala D.A.S.M; Sandeepani M.A.D; Jayakody, A; Senarathna, AAs digital evidence increasingly growing in significance in healthcare forensics, safeguarding sensitive medical data's confidentiality, integrity, and limited access remains to be an important issue. Existing forensic evidence management systems are subject to data breaches and illegal access since they frequently lack significant privacy-preserving measures. In order to overcome such challenges, this research suggests a Blockchain-Based Custody Evidence Management System for Healthcare Forensics, which combines blockchain technology, machine learning, and encryption methods to improve security, privacy, and accessibility. To ensure accurate and efficient gathering of information, machine learning algorithms are used to extract handwritten and printed text from medical photographs. AES encryption ensures safe storage, while Fully Homomorphic Encryption (FHE) is used for dynamic access level control to protect gathered evidence. Identity verification is made possible via a web-based authentication system that uses Zero-Knowledge Proofs (ZKP) to protect privacy by preventing the disclosure of personal data. By preventing unintended modifications, blockchain technology is used to preserve the custody chain's integrity. Furthermore, machine learning-driven PII detection and masking methods balance the requirement for forensic investigation with privacy compliance by controlling data accessibility according to access entitlements. Based on permitted access levels, the system makes it possible to share safe evidence with law enforcement agencies, such as courts, the police, and other forensic groups. Using blockchain to guarantee data immutability, cryptographic security to restrict access, and artificial intelligence (AI) to safeguard data, this approach enhances the privacy, security, and dependability of handling forensic evidence in medical investigations