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2000
Volume 18, Issue 9
  • ISSN: 2352-0965
  • E-ISSN: 2352-0973

Abstract

Introduction

Patients’ electronic health records (EHRs) stored in the cloud are more likely to suffer from data breaches. Data security risks arise from EHRs rely on centralised databases, as this approach places the responsibility for data protection on the user. Indeed, it leaves data security to a single organisation, leaving it open to intrusion by its employees. Maintaining the privacy and integrity of patient information is of utmost importance when interacting with and integrating with EHR systems.

Methods

Therefore, in order to find the best blockchain framework for trustworthy electronic health records (EHRs), a precise method for comparing the effects of several current blockchain systems is required. Data from electronic health record applications is encrypted and saved in the cloud using IPFS off-chain as part of this study, following a design that is consistent with patient data management. To secure electronic health record data, the system uses a hierarchical interdependency approach for block construction and framework design.

Results

This research is focused on finding a solution to the issue of privacy leaking in data sharing. To ensure the privacy of user’s data, the healthcare system utilises a multilevel authentication mechanism and an encryption technique that is based on hierarchical interdependency attributes. Smart contracts have been used to establish hierarchical access control for various Internet of Things systems, guaranteeing control over data access. This paper describes about improve the system's scalability, transaction latency, and throughput by implementing a modified proof-of-stake (POS) security protocol in healthcare application 5.0. This helps to secure users' privacy and security.

Conclusion

In comparison to more conventional blockchain solutions, the experimental results demonstrate improvements in efficiency and security in terms of variables such as block size, upload time, transaction range, and evaluation metrics such as transaction delay.

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2024-05-03
2026-01-09
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References

  1. KruseC.S. MileskiM. VijaykumarA.G. ViswanathanS.V. SuskandlaU. ChidambaramY. Impact of electronic health records on long-term care facilities: Systematic review.JMIR Med. Inform.201753e3510.2196/medinform.795828963091
    [Google Scholar]
  2. DongS. AbbasK. JainR. A survey on distributed denial of service (DDoS) attacks in SDN and cloud computing environments.IEEE Access20197808138082810.1109/ACCESS.2019.2922196
    [Google Scholar]
  3. WangH. WangY. TalebT. JiangX. Editorial: Special issue on security and privacy in network computing.World Wide Web202023295195710.1007/s11280‑019‑00704‑x
    [Google Scholar]
  4. NakamotoS. Bitcoin: A peer-to-peer electronic cash system.Decentralized business review200819
    [Google Scholar]
  5. BaligaA. Understanding blockchain consensus models.Persistent20174114
    [Google Scholar]
  6. ZhangE. LiM. YiuS.M. DuJ. ZhuJ.Z. JinG.G. Fair hierarchical secret sharing scheme based on smart contract.Inf. Sci.202154616617610.1016/j.ins.2020.07.032
    [Google Scholar]
  7. AndroulakiE. BargerA. BortnikovV. CachinC. ChristidisK. De CaroA. Hyperledger fabric: A distributed operating system for permissioned blockchains.arXiv2018180110228v210.1145/3190508.3190538
    [Google Scholar]
  8. MohurleS. PatilM. A brief study of wannacry threat: Ransomware attack.Int. J. Advan. Res. Comp. Sci20178519381940
    [Google Scholar]
  9. BerghelH. Equifax and the latest round of identity theft roulette.Comp.20175012727610.1109/MC.2017.4451227
    [Google Scholar]
  10. ShuJ. JiaX. YangK. WangH. Privacy-preserving task recommendation services for crowdsourcing.IEEE Trans. Serv. Comput.2018141235247
    [Google Scholar]
  11. DannenC. Introducing Ethereum and solidity.BerkeleyApress2017115916010.1007/978‑1‑4842‑2535‑6_9
    [Google Scholar]
  12. YueX. WangH. JinD. LiM. JiangW. Healthcare data gateways: Found healthcare intelligence on Blockchain with novel privacy risk control.J. Med. Syst.2016401021810.1007/s10916‑016‑0574‑627565509
    [Google Scholar]
  13. AzariaA. EkblawA. VieiraT. LippmanA. Medrec: Using Blockchain for medical data access and permission management.IEEE 2nd international conference on open and big data22-24 August, Vienna, Austria, 2016, pp. 25-30.
    [Google Scholar]
  14. IvanD. Moving toward a blockchain-based method for the secure storage of patient records.ONC/NIST Use of Blockchain for Healthcare and Research Workshop.August, Gaithersburg, Maryland, 2016, pp. 1-11.
    [Google Scholar]
  15. DagherG.G. MohlerJ. MilojkovicM. MarellaP.B. Ancile: Privacy-preserving framework for access control and interoperability of electronic health records using blockchain technology.Sustain Cities Soc.20183928329710.1016/j.scs.2018.02.014
    [Google Scholar]
  16. DubovitskayaA. XuZ. RyuS. SchumacherM. WangF. Secure and trustable electronic medical records sharing using Blockchain.AMIA Annu. Symp. Proc.2018201765065929854130
    [Google Scholar]
  17. ChentharaS. AhmedK. WangH. WhittakerF. ChenZ. Healthchain: A novel framework on privacy preservation of electronic health records using blockchain technology.PLoS One20201512e024304310.1371/journal.pone.024304333296379
    [Google Scholar]
  18. RaiB.K. BBTCD: Blockchain based traceability of counterfeited drugs.Health Serv. Outcomes Res. Methodol.20222333735336438614
    [Google Scholar]
  19. ChenT.Y. HuangW.N. KuoP.C. ChungH. ChaoT.W. A Highly Scalable, Decentralized DAG-Based Consensus Algorithm.Available from: https://eprint.iacr.org/2018/1112.pdf
  20. SukhwaniH. MartínezJ.M. ChangX. TrivediK.S. RindosA. Performance modeling of PBFT consensus process for permissioned blockchain network (hyperledger fabric).IEEE 36th symposium on reliable distributed systems (SRDS)26-29 September, Hong Kong, China, 2017, pp. 253-255.
    [Google Scholar]
  21. WangQ. JiT. GuoY. YuL. ChenX. LiP. TrafficChain: A blockchain-based secure and privacy-preserving traffic map.IEEE Access20208605986061210.1109/ACCESS.2020.2980298
    [Google Scholar]
  22. BabuE.S. YadavB.V.R.N. NikhathA.K. NayakS.R. AlnumayW. MediBlocks: Secure exchanging of electronic health records (EHRs) using trust-based blockchain network with privacy concerns.Cluster Comput.20232642217224410.1007/s10586‑022‑03652‑w
    [Google Scholar]
  23. ZhangS. LeeJ. H. Analysis of the main consensus protocols of Blockchain.ICT Express2020629397
    [Google Scholar]
  24. BenetJ. IPFS-content addressed, versionedarXiv201414073561
    [Google Scholar]
  25. ChelladuraiU. PandianS. A novel blockchain based electronic health record automation system for healthcare.J. Ambient Intell. Humaniz. Comput.202213169370310.1007/s12652‑021‑03163‑3
    [Google Scholar]
  26. YazdinejadA. SrivastavaG. PariziR.M. DehghantanhaA. ChooK.K.R. AledhariM. Decentralized authentication of distributed patients in hospital networks using blockchain.IEEE J. Biomed. Health Inform.20202482146215610.1109/JBHI.2020.296964831995507
    [Google Scholar]
  27. YazdinejadA. DehghantanhaA. SrivastavaG. Ap2fl: Auditable privacy-preserving federated learning framework for electronics in healthcare.IEEE Trans. Consum. Electron.ResearchGate202311
    [Google Scholar]
  28. NamakshenasD. YazdinejadA. DehghantanhaA. SrivastavaG. Federated Quantum-Based Privacy-Preserving Threat Detection Model for Consumer Internet of Things.Trans. Consum. Electron.2024110.1109/TCE.2024.3377550
    [Google Scholar]
  29. YazdinejadA. DehghantanhaA. PariziR.M. HammoudehM. KarimipourH. SrivastavaG. Block hunter: Federated learning for cyber threat hunting in blockchain-based iiot networks.IEEE Trans. Industr. Inform.202218118356836610.1109/TII.2022.3168011
    [Google Scholar]
  30. YazdinejadA. DehghantanhaA. PariziR.M. SrivastavaG. KarimipourH. Secure intelligent fuzzy blockchain framework: Effective threat detection in iot networks.Comput. Ind.202314410380110.1016/j.compind.2022.103801
    [Google Scholar]
  31. KhanA.A. WaganA.A. LaghariA.A. GilalA.R. AzizI.A. TalpurB.A. BIoMT: A state-of-the-art consortium serverless network architecture for healthcare system using blockchain smart contracts.IEEE Access202210788877889810.1109/ACCESS.2022.3194195
    [Google Scholar]
  32. KhanA.A. LaghariA.A. LiP. DootioM.A. KarimS. The collaborative role of blockchain, artificial intelligence, and industrial internet of things in digitalization of small and medium-size enterprises.Sci. Rep.2023131165610.1038/s41598‑023‑28707‑936717702
    [Google Scholar]
  33. KhanA.A. ShaikhA.A. LaghariA.A. IoT with multimedia investigation: A secure process of digital forensics chain-of-custody using blockchain hyperledger sawtooth.Arab. J. Sci. Eng.2023488101731018810.1007/s13369‑022‑07555‑1
    [Google Scholar]
  34. SahooS. FajgeA.M. HalderR. CortesiA. A hierarchical and abstraction-based blockchain model.Appl. Sci.2019911234310.3390/app9112343
    [Google Scholar]
  35. ZhangY. KasaharaS. ShenY. JiangX. WanJ. Smart contract-based access control for the internet of things.IEEE Internet Things J.2019621594160510.1109/JIOT.2018.2847705
    [Google Scholar]
  36. AbdiA.I. EassaF.E. JambiK. AlmarhabiK. KhemakhemM. BasuhailA. YaminM. Hierarchical blockchain-based multi-chaincode access control for securing IoT systems.Electronics202211571110.3390/electronics11050711
    [Google Scholar]
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