Biblio

An electronic medical record (EMR) is the digital medical data of a patient, and they are healthcare system's most valuable asset. In this paper, we introduce a decentralized network using blockchain technology and smart contracts as a solution to manage and secure medical records storing, and transactions between medical healthcare providers. Ethereum blockchain is employed to build the blockchain. Solidity object-oriented language was utilized to implement smart contracts to digitally facilitate and verify transactions across the network (creating records, access requests, permitting access, revoking access, rejecting access). This will mitigate prevailing issues of current systems and enhance their performance, since current EMRs are stored on a centralized database, which cannot guarantee data integrity and security, consequently making them susceptible to malicious attacks. Our proposed system approach is of vital importance considering that healthcare providers depend on various tests in making a decision about a patient's diagnosis, and the respective plan of treatment they will go through. These tests are not shared with other providers, while data is scattered on various systems, as a consequence of these ensuing scenarios, patients suffer of the resulting care provided. Moreover, blockchain can meliorate the motley serious challenges caused by future use of IoT devices that provide real-time data from patients. Therefore, integrating the two technologies will produce decentralized IoT based healthcare systems.

Advances in new Communication and Information innovations has led to a new paradigm known as Internet of Things (IoT). Healthcare environment uses IoT technologies for Patients care which can be used in various medical applications. Patient information is encrypted consistently to maintain the access of therapeutic records by authoritative entities. Healthcare Internet of Things (HIoT) facilitate the access of Patient files immediately in emergency situations. In the proposed system, the Patient directly provides the Key to the Doctor in normal care access. In Emergency care, a Patient shares an Attribute based Key with a set of Emergency Supporting Representatives (ESRs) and access permission to the Doctor for utilizing Emergency key from ESR. The Doctor decrypts the medical records by using Attribute based key and Emergency key to save the Patient's life. The proposed model Secure Information Retrieval using Lightweight Cryptography (SIRLC) reduces the secret key generation time and cipher text size. The performance evaluation indicates that SIRLC is a better option to utilize in Healthcare IoT than Lightweight Break-glass Access Control(LiBAC) with enhanced security and reduced computational complexity.