BIoMT: A State-of-the-Art Consortium Serverless Network Architecture for Healthcare System Using Blockchain Smart Contracts

Owing to the sensitive nature of healthcare data, the aforementioned approach to transferring patient data to central servers creates serious security and privacy issues. In addition, blockchain distributed ledger technology has introduced immutable storage and decentralized data management capability, which handles a large number of distributed nodes of E-Healthcare transactions via a serverless network, but in a limited manner because of blockchain-enabled resources. In this scenario, the medical industries are concerned about constituting an innovation in health information preservation and exchanging service delivery protocols without the connectivity of an untrusted third-party infrastructure. In this study, we proposed a blockchain hyperledger fabric-enabled consortium architecture called BIoMT, which provides security, integrity, transparency, and provenance to health-related transactions and exchanges sensitive clinical information in a serverless peer-to-peer (P2P) secure network environment. A consensus is designed and created to reduce the rate of blockchain resource constraints on the Internet of Medical Things (IoMT). The privacy of individual health transactions before sharing is protected using the NuCypher Re-Encryption mechanism, which increases security and provides medical ledger integrity and transparency. Smart contracts are created and deployed to automate device registration, exchange transactions, and ledger preservation in immutable storage (filecoin) after cross verification and validation. The experimental results show that the proposed BIoMT reduces the computational cost by 26.13%, and the robust medical node generation increases to 60.37%. Thus, only 31.79% and 74.21% of IoMT-related information and serverless P2P network usage are maintained and saved, respectively.