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Since the last decade, cloud-based electronic health records (EHRs) have gained significant attention to enable remote patient monitoring. The recent development of Healthcare 4.0 using the Internet of Things (IoT) components and cloud computing to access medical operations remotely has gained the researcher's attention from a smart city perspective. Healthcare 4.0 mainly consisted of periodic medical data sensing, aggregation, data transmission, data sharing, and data storage. The sensitive and personal data of patients lead to several challenges while protecting it from hackers. Therefore storing, accessing, and sharing the patient medical information on the cloud needs security attention that data should not be compromised by the authorized user's components of E-healthcare systems. To achieve secure medical data storage, sharing, and accessing in cloud service provider, several cryptography algorithms are designed so far. However, such conventional solutions failed to achieve the trade-off between the requirements of EHR security solutions such as computational efficiency, service side verification, user side verifications, without the trusted third party, and strong security. Blockchain-based security solutions gained significant attention in the recent past due to the ability to provide strong security for data storage and sharing with the minimum computation efforts. The blockchain made focused on bitcoin technology among the researchers. Utilizing the blockchain which secure healthcare records management has been of recent interest. This paper presents the systematic study of modern blockchain-based solutions for securing medical data with or without cloud computing. We implement and evaluate the different methods using blockchain in this paper. According to the research studies, the research gaps, challenges, and future roadmap are the outcomes of this paper that boost emerging Healthcare 4.0 technology.

The emergence of the Industry 4.0 revolution to upgrade the Internet of Things (IoT) standards provides the prominence outcomes for the future wireless communication systems called 5G. The development of 5G green communication systems suffers from the various challenges to fulfill the requirement of higher user capacity, network speed, minimum cost, and reduced resource consumption. The use of 5G standards for Industry 4.0 applications will increase data rate performance and connected device's reliability. Since the arrival of novel Covid-19 disease, there is a higher demand for smart healthcare systems worldwide. However, designing the 5G communication systems has the research challenges like optimum resource utilization, mobility management, cost-efficiency, interference management, spectral efficiency, etc. The rapid development of Artificial Intelligence (AI) across the different formats brings performance enhancement compared to conventional techniques. Therefore, introducing the AI into 5G standards will optimize the performances further considering the various end-user applications. We first present the survey of the terms like 5G standard, Industry 4.0, and some recent works for future wireless communications. The purpose is to explore the current research problems using the 5G technology. We further propose the novel architecture for smart healthcare systems using the 5G and Industry 4.0 standards. We design and implement that proposed model using the Network Simulator (NS2) to investigate the current 5G methods. The simulation results show that current 5G methods for resource management and interference management suffer from the challenges like performance trade-offs.

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