Early adoption of Internet of Medical Things (IoMT) are enhancing the healthcare sector in all directions. Though the advances are adding advantages to the existing systems, the security and privacy of medical data remain a challenge. The increase in IoMT and mobile healthcare devices presence on untrusted networks can make the situation more complicated for healthcare system users. Moreover, they are pushing critical data to centralized locations like cloud, where the patient lacking control on his data. In this regard, a secure IoT framework is desirable which is capable of preserving the integrity and confidentiality of the medical data. Due to this, we proposed a novel architecture which leverages blockchain, IPFS, zero-knowledge protocols, and functional encryption technologies to provide decentralised healthcare system privacy and security. The proposed system helps the healthcare system administrators maintain data confidentiality, availability, integrity, and transparency over an untrusted peer-to-peer network without any human interference. Moreover, the system eliminates the requirement for a centralised server for functional encryption operations using hybrid computing paradigms. Finally, the proposed system suggests a novel mechanism to minimise the latency in data sharing over the network without compromising data security and privacy. To describe the working principle of this architecture a logical analysis is carried out which shows that the system is capable of providing the desired security and privacy.

The Internet of Medical Things (IoMT) technology's fast advancements aided smart healthcare systems to a larger extent. IoMT devices, on the other hand, rely on centralized processing and storage systems because of their limited computational and storage capacity. The reliance is susceptible to a single point of failure (SPoF) and erodes the user control over their medical data. In addition, Cloud models result in communication delays, which slow down the system's overall reaction time. To overcome these issues a decentralized distributed smart healthcare system is proposed that eliminates the SPoF and third-party control over healthcare data. Additionally, the proposed Fortified-Chain 2.0 uses a blockchain-based selective sharing mechanism with a mutual authentication technique to solve the issues, such as data privacy, security, and trust management in decentralized peer-to-peer healthcare systems. Also, we suggested a hybrid computing paradigm to deal with latency, computational, and storage constraints. A novel distributed machine learning (ML) module named random forest support vector machine (RFSVM) also embedded into the Fortified-Chain 2.0 system to automate patient health monitoring. In the RFSVM module, a random forest (RF) is used to select an optimal set of features from patients data in real-time environment and also support vector machine (SVM) is used to perform the decision making tasks. The proposed Fortified-Chain 2.0 works on a private blockchain-based distributed decentralised storage system (DDSS) that improves the system-level transparency, integrity, and traceability. Fortified-Chain 2.0 outperformed the existing Fortified-Chain in terms of low latency, high throughput, and availability with the help of a mutual authentication method.

The rapid developments in the Internet of Medical Things (IoMT) help the smart healthcare systems to deliver more sophisticated real-time services. At the same time, IoMT also raises many privacy and security issues. Also, the heterogeneous nature of these devices makes it challenging to develop a common security standard solution. Furthermore, the existing cloud-centric IoMT healthcare systems depend on cloud computing for electrical health records (EHR) and medical services, which is not suggestible for a decentralized IoMT healthcare systems. In this article, we have proposed a blockchain-based novel architecture that provides a decentralized EHR and smart-contract-based service automation without compromising with the system security and privacy. In this architecture, we have introduced the hybrid computing paradigm with the blockchain-based distributed data storage system to overcome blockchain-based cloud-centric IoMT healthcare system drawbacks, such as high latency, high storage cost, and single point of failure. A decentralized selective ring-based access control mechanism is introduced along with device authentication and patient records anonymity algorithms to improve the proposed system's security capabilities. We have evaluated the latency and cost effectiveness of data sharing on the proposed system using Blockchain. Also, we conducted a logical system analysis, which reveals that our architecture-based security and privacy mechanisms are capable of fulfilling the requirements of decentralized IoMT smart healthcare systems. Experimental analysis proves that our fortified-chain-based H-CPS needs insignificant storage and has a response time in the order of milliseconds as compared to traditional centralized H-CPS while providing decentralized automated access control, security, and privacy.

The COVID-19 outbreak highlighted the smart healthcare infrastructure requirement to speed up vaccination and treatment. Present vaccination supply chain models are fragmented in nature, and they are suitable for a pandemic like COVID-19. Most of these vaccination supply chain models are cloud-centric and depend on humans. Due to this, the transparency in the supply chain and vaccination process is questionable. Moreover, we con't trace where the vaccination programs are facing issues in real-time. Furthermore, traditional supply chain models are vulnerable to a single point of failure and lack people-centric service capabilities. This paper has proposed a novel supply chain model for COVID-19 using robust technologies such as Blockchain and the Internet of Things. Besides, it automates the entire vaccination supplication chain, and it records management without compromising data integrity. We have evaluated our proposed model using Ethereum based decentralized application (DApp) to showcase its real-time capabilities. The DApp contains two divisions to deal with internal (intra) and worldwide (inter) use cases. From the system analysis, it is clear that it provides digital records integrity, availability, and system scalability by eliminating a single point of failure. Finally, the proposed system eliminates human interference in digital record management, which is prone to errors and alternation.

Smart healthcare monitoring systems provide better healthcare service by improving the availability and transparency of health data. However, it also posses serious threats to data security and privacy. As medical internet of things (IoT) are connected to other devices through various networks that provide a suitable attack surface for the intruders. Further, the health data are sensitive, and any breach in security may lead to wrong treatment or compromising the privacy of the patients. In this regard, a secure IoT frame is desirable, which is capable of preserving the integrity and confidentiality of the medical data. In this paper, we have proposed a novel architecture which leverages the blockchain technology to enhance the security and privacy of IoT for healthcare applications. In the proposed architecture called smart healthcare system for patients in ICU (SHPI), critical data is processed in edge computing which is located inside the hospital to reduce the communication latency. In order to provide tramper-proof medical records and data confidentiality SHPI uses blockchain technology and cryptographic methods respectively. Also, a data accessing token system is introduced to separate the group of users based on their roles. This system utilizes smart contracts to record every event for providing transparency in medical activities. In order to describe the working principles a logical analysis is carried out, that shows the system is capable of providing the desired security and privacy.