An Efficient Secure Sharing of Electronic Health Records Using IoT-Based Hyperledger Blockchain

Abstract

Electronic Health Record (EHR) systems are a valuable and effective tool for exchanging medical information about patients between hospitals and other significant healthcare sector stakeholders in order to improve patient diagnosis and treatment around the world. Nevertheless, the majority of the hospital infrastructures that are now in place lack the proper security, trusted access control, and management of privacy and confidentiality concerns that the current EHR systems are supposed to provide. Goal. For various EHR systems, this research proposes a Blockchain-enabled Hyperledger Fabric Architecture as a solution to this delicate issue. The three steps of the suggested system are the secure upload phase, the secure download phase, and authentication. Patient registration, login, and verification make up the authentication step. The administrator grants authorization to read, edit, delete, or revoke the files following user details verification. In the secure upload phase, feature extraction is carried out first, and then a hashed access policy is created from the extracted feature. Next, the hash value is stored in an IoT-based Hyperledger blockchain. The uploaded EHR files are additionally encrypted before being stored on the cloud server. In the secure download step, the physician uses a hashed access policy to send the request to the cloud and decrypts the corresponding files. The experimental findings demonstrate that the system outperformed cutting-edge techniques. The proposed Modified Key Policy Attribute-Based Encryption performs better for the remaining 10 to 25 mb file sizes. This IoT framework compares MKP-ABE with certain efficiency indicators, such as encryption, decryption period, protection level analysis and encrypted memory use, resource use on decryption, upload time, and transfer time, which are present in the KP-ABE, the ECC, RSA, and AES. Here, the IoT device suggested requires 4008 ms for data encryption and 4138 ms for the data decryption.