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Go to Editorial ManagerIoHT has several benefits for real-time smart healthcare, but because of its limited processing power, storage capacity, and self-defense capabilities, security issues are growing. Although newer blockchain-based authentication solutions have strong security features due to their tamper-resistant decentralized architecture, they come with a high resource cost, requiring a lot of processing power, more storage, and time-consuming authentication procedures. As such, these difficulties provide barriers to reaching the ideal levels of scalability and temporal efficiency, which are essential for the efficient functioning of large-scale, time-sensitive IoHT systems. To solve these challenges, this paper presents an authentication approach designed especially for IoHT systems. Our work consists four-phase process, which includes setting, registration, login and authentication, and HERs Exchange data. To enhance both efficiency and scalability, the proposed scheme employs a combination of 3-D map dimensions chaotic-based public key cryptosystems, and blockchain-based, fog computing technologies and IPFS. We simulate the proposed work to implement health electronic record (HER) by the Ethereum platform and solidity language, the simulation experiments were tested using the JMeter tool. Showed that the key generation time for chaotic-based is faster than (ECC)—furthermore, the average latency ≈ 3.7 ms. A security analysis of the proposed scheme was implemented by the Scyther tool. The formal security analysis demonstrated that the proposed scheme is secured against potential attacks and supports the scalability of the IoHT system.
This work addresses the critical need for secure and patient-controlled Electronic Health Records (EHR) migration among healthcare hospitals’ cloud servers (HHS). The relevant approaches often lack robust access control and leave data vulnerable during transfer. Our proposed scheme empowers patients to delegate EHR migration to a trusted Third-Party Hospital (TTPH); which is the Certification Authority (CA) while enforcing access control. The system leverages asymmetric encryption utilizing the Elliptic Curve Digital Signature Algorithm (ECDSA), EEC and ECDSA added robust security and lightness EHR sharing. Patient and user privacy is managed due to anonymity through cryptographic hashing for data protection and utilizes mutual authentication for secure communication. Formal security analysis using the Scyther tool and informal analysis was conducted to validate the system’s robustness. The proposed scheme achieved EHR integrity due to the verification of the communicated HHS and ensuring the integrity of the HHS digital certificate during EHR migration. Ultimately, the result achieved in the proposed work demonstrated the scheme’s high balance between data security and accuracy of communication, where the best result obtained represented 7.7/ ms as computational cost and 1248 /bits as communication cost compared with the relevant approaches.