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Blockchain technology provides a tremendous opportunity to transform current personal health record (PHR) systems into a decentralised network infrastructure. However, such technology possesses some drawbacks, such as issues in privacy and storage capacity. Given its transparency and decentralised features, medical data are visible to everyone on the network and are inappropriate for certain medical applications. By contrast, storing vast medical data, such as patient medical history, laboratory tests, X-rays, and MRIs, significantly affect the repository storage of blockchain. This study bridges the gap between PHRs and blockchain technology by offloading the vast medical data into the InterPlanetary File System (IPFS) storage and establishing an enforced cryptographic authorisation and access control scheme for outsourced encrypted medical data. The access control scheme is constructed on the basis of the new lightweight cryptographic concept named smart contract-based attribute-based searchable encryption (SC-ABSE). This newly cryptographic primitive is developed by extending ciphertext-policy attribute-based encryption (CP-ABE) and searchable symmetric encryption (SSE) and by leveraging the technology of smart contracts to achieve the following: (1) efficient and secure fine-grained access control of outsourced encrypted data, (2) confidentiality of data by eliminating trusted private key generators, and (3) multikeyword searchable mechanism. Based on decisional bilinear Diffie–Hellman hardness assumptions (DBDH) and discrete logarithm (DL) problems, the rigorous security indistinguishability analysis indicates that SC-ABSE is secure against the chosen-keyword attack (CKA) and keyword secrecy (KS) in the standard model. In addition, user collusion attacks are prevented, and the tamper-proof resistance of data is ensured. Furthermore, security validation is verified by simulating a formal verification scenario using Automated Validation of Internet Security Protocols and Applications (AVISPA), thereby unveiling that SC-ABSE is resistant to man-in-the-middle (MIM) and replay attacks. The experimental analysis utilised real-world datasets to demonstrate the efficiency and utility of SC-ABSE in terms of computation overhead, storage cost and communication overhead. The proposed scheme is also designed and developed to evaluate throughput and latency transactions using a standard benchmark tool known as Caliper. Lastly, simulation results show that SC-ABSE has high throughput and low latency, with an ultimate increase in network life compared with traditional healthcare systems.

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A master key of special length is manipulated based on the key schedule to create round sub-keys in most block ciphers. A strong key schedule is described as a cipher that will be more resistant to various forms of attacks, especially in related-key model attacks. Rijndael is the most common block cipher, and it was adopted by the National Institute of Standards and Technology, USA in 2001 as an Advance Encryption Standard. However, a few studies on cryptanalysis revealed that a security weakness of Rijndael refers to its vulnerability to related-key differential attack as well as the related-key boomerang attack, which is mainly caused by the lack of nonlinearity in the key schedule of Rijndael. In relation to this, constructing a key schedule that is both efficient and provably secure has been an ongoing open problem. Hence, this paper presents a method to improve the key schedule of Rijndael 128-bit for the purpose of making it more resistance to the related-key differential and boomerang attacks. In this study, two statistical tests, namely the Frequency test and the Strict Avalanche Criterion test were employed to respectively evaluate the properties of bit confusion and bit diffusion. The results showed that the proposed key expansion function has excellent statistical properties and agrees with the concept of Shannon’s diffusion and confusion bits. Meanwhile, the Mixed Integer Linear Programming based approach was adopted to evaluate the resistance of the proposed approach towards the related-key differential and boomerang attacks. The proposed approach was also found to be resistant against the two attacks discovered in the original Rijndael. Overall, these results proved that the proposed approach is able to perform better compared to the original Rijndael key expansion function and that of the previous research.