The　management　of　Electronic　Health　Records　(EHR)　presents　challenges　in　terms　of　access　control　and　data　management.　Traditional　access　control　methods　often　lack　the　granularity　required　to　effectively　manage　sensitive　EHR　data　as　lack　of　the　context　or　purpose　behind　each　request.　Moreover,　EHR　data　is　usually　located　in　centralized　cloud　servers,　which　poses　a　significant　risk　of　a　single　point　of　failure.　Purpose-Based　Access　Control　(PBAC)　with　blockchain　allows　for　more　fine-grained　control　over　access　to　EHR　by　taking　into　account　the　purpose　of　the　access　request　which　allows　for　a　more　tailored　approach　to　the　access　control　of　EHR　data.　This　study　presents　PBAC　with　blockchain　as　a　solution　to　address　the　shortcomings　of　EHR　management.　We　formulated　access　policies　in　between　Medical　Data　Owner　(MDO)　and　Medical　Data　Requester　(MDR)　within　the　framework　of　PBAC　and　implemented　it　through　smart　contracts　to　streamline　the　processes　of　EHR　user　registration　and　verification,　EHR　access　requests,　and　access　revocation.　These　smart　contracts　enforce　access　control　policies,　grant　and　facilitate　payment　transfers　effectively　in　case　of　necessary　tradeoffs　or　revocation.　EHR　data　is　stored　on　IPFS,　and　only　corresponding　hashes　are　recorded　on　the　blockchain　for　better　EHR　management　and　scalability.　The　performance　evaluation　shows　better　efficiency　of　the　proposed　framework.