Modern healthcare systems are characterized as being highly complex and costly. However, this can be reduced through improved health record management, utilization of insurance agencies, and blockchain technology. Blockchain was first introduced to provide distributed records of money-related exchanges that were not dependent on centralized authorities or financial institutions. Breakthroughs in blockchain technology have led to improved transactions involving medical records, insurance billing, and smart contracts, enabling permanent access to and security of data, as well as providing a distributed database of transactions. One significant advantage of using blockchain technology in the healthcare industry is that it can reform the interoperability of healthcare databases, providing increased access to patient medical records, device tracking, prescription databases, and hospital assets, including the complete life cycle of a device within the blockchain infrastructure. Access to patients’ medical histories is essential to correctly prescribe medication, with blockchain being able to dramatically enhance the healthcare services framework. In this paper, several solutions for improving current limitations in healthcare systems using blockchain technology are explored, including frameworks and tools to measure the performance of such systems, e.g., Hyperledger Fabric, Composer, Docker Container, Hyperledger Caliper, and the Wireshark capture engine. Further, this paper proposes an Access Control Policy Algorithm for improving data accessibility between healthcare providers, assisting in the simulation of environments to implement the Hyperledger-based eletronic healthcare record (EHR) sharing system that uses the concept of a chaincode. Performance metrics in blockchain networks, such as latency, throughput, Round Trip Time (RTT). have also been optimized for achieving enhanced results. Compared to traditional EHR systems, which use client-server architecture, the proposed system uses blockchain for improving efficiency and security.

Blockchain-based electronic healthcare record system for healthcare 4.0 applications

Due to the proliferation of ICT during the last few decades, there is an exponential increase in the usage of various smart applications such as smart farming, smart healthcare, supply-chain & logistics, business, tourism and hospitality, energy management etc. However, for all the aforementioned applications, security and privacy are major concerns keeping in view of the usage of the open channel, i.e., Internet for data transfer. Although many security solutions and standards have been proposed over the years to enhance the security levels of aforementioned smart applications, but the existing solutions are either based upon the centralized architecture (having single point of failure) or having high computation and communication costs. Moreover, most of the existing security solutions have focussed only on few aspects and fail to address scalability, robustness, data storage, network latency, auditability, immutability, and traceability. To handle the aforementioned issues, blockchain technology can be one of the solutions. Motivated from these facts, in this paper, we present a systematic review of various blockchain-based solutions and their applicability in various Industry 4.0-based applications. Our contributions in this paper are in four fold. Firstly, we explored the current state-of-the-art solutions in the blockchain technology for the smart applications. Then, we illustrated the reference architecture used for the blockchain applicability in various Industry 4.0 applications. Then, merits and demerits of the traditional security solutions are also discussed in comparison to their countermeasures. Finally, we provided a comparison of existing blockchain-based security solutions using various parameters to provide deep insights to the readers about its applicability in various applications.

Blockchain for Industry 4.0: A Comprehensive Review

In the present era of smart cities and homes, the private information of the patients such as their names, address, and disease is being breached on a regular basis, which indirectly related to the security of electronic health records (EHRs). The existing state-of-the-art schemes handling the security of EHRs have resulted in data being generally inaccessible to patients. These schemes struggle in providing the efficient balance between the data privacy, need for patients, and providers to regularly interact with data. Blockchain technology resolves the aforementioned issues because it shares the data in a decentralized and transactional fashion. This can be leveraged in the healthcare sector to maintain the balance between privacy and accessibility of EHRs. In this paper, we propose a Blockchain-based framework for efficient storage and maintenance of EHRs. This further provides the secure and efficient access to medical data by patients, providers, and third parties, while preserving the patient private information. The goals of this paper are to analyze how our proposed framework fulfills the needs of patients, providers, and third parties, and to understand how the framework maintains the privacy and security concerns in the healthcare 4.0.

BHEEM: A Blockchain-Based Framework for Securing Electronic Health Records

An exhaustive survey on security and privacy issues in Healthcare 4.0

Internet of Vehicles (IoV) is an emerging concept that is believed to help realize the vision of intelligent transportation systems (ITSs). IoV has become an important research area of impactful applications in recent years due to the rapid advancements in vehicular technologies, high throughput satellite communication, the Internet of Things, and cyber–physical systems. IoV enables the integration of smart vehicles with the Internet and system components attributing to their environments, such as public infrastructures, sensors, computing nodes, pedestrians, and other vehicles. By allowing the development of a common information exchange platform between vehicles and heterogeneous vehicular networks, this integration aims to create a better environment and public space for the people as well as to enhance safety for all road users. Being a participatory data exchange and storage, the underlying information exchange platform of IoV needs to be secure, transparent, and immutable in order to achieve the intended objectives of ITS. In this connection, the adoption of blockchain as a system platform for supporting the information exchange needs of IoV has been explored. Due to their decentralized and immutable nature, IoV applications enabled by blockchain are believed to have a number of desirable properties, such as decentralization, security, transparency, immutability, and automation. In this article, we present a contemporary survey on the latest advancement in blockchain for IoV. Particularly, we highlight the different application scenarios of IoV after carefully reviewing the recent literature. We also investigate several key challenges where blockchain is applied in IoV. Furthermore, we present the future opportunities and explore further research directions of IoV as a key enabler of ITS.

Blockchain for the Internet of Vehicles Towards Intelligent Transportation Systems: A Survey

Applications of Blockchain (BC) technology and Cyber-Physical Systems (CPS) are increasing exponentially. However, framing resilient and correct smart contracts (SCs) for these smart application is a quite challenging task because of the complexity associated with them. SC is modernizing the traditional industrial, technical, and business processes. It is self-executable, self-verifiable, and embedded into the BC that eliminates the need for trusted third-party systems, which ultimately saves administration as well as service costs. It also improves system efficiency and reduces the associated security risks. However, SCs are well encouraging the new technological reforms in Industry 4.0, but still, various security and privacy challenges need to be addressed. In this paper, a survey on SC security vulnerabilities in the software code that can be easily hacked by a malicious user or may compromise the entire BC network is presented. As per the literature, the challenges related to SC security and privacy are not explored much by the authors around the world. From the existing proposals, it has been observed that designing a complex SCs cannot mitigate its privacy and security issues. So, this paper investigates various Artificial Intelligence (AI) techniques and tools for SC privacy protection. Then, open issues and challenges for AI-based SC are analyzed. Finally, a case study of retail marketing is presented, which uses AI and SC to preserve its security and privacy.

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Smart Contract Privacy Protection Using AI in Cyber-Physical Systems: Tools, Techniques and Challenges

Mobile medicine and health care have been adopted on a very large scale with support from the influx of medical devices and increased usability of remote health services. These are combined with an approachable interest of the patients and a readily approachable conscience about their healthcare. This leads to a huge set of medical data. These data sets require secure transfer, archival and access. In this study, we have proposed an efficient approach to preserve the identity and also protect the privacy of clinical data using highly effective encryption scheme. Moreover, we have also discussed an authorization framework using access of varying degrees. Medical records are often accessed by various entities with varying degrees of authorization. In this study, we have implemented the AT&T scheme for managing the access control mechanism of patients data. Further, encryption is undertaken using ARCANA, that provides hierarchically satisfied access to various data resources. It utilizes the XACML access model to formulate the access control framework. The primary reason for using this model is the regulation to access the data through AT&T based on XACML policies. In addition to this, the encrypting of medical data using various authorization techniques have been required for the proper data access regulation. Which may impact trust of the users in the e-health paradigm and in turn increase the large-scale usability.

Prit Italiya

Papers

Smart Contract Privacy Protection Using AI in Cyber-Physical Systems: Tools, Techniques and Challenges

Ensuring Privacy and Security in E- Health Records