journal article·2023-01-18Open access

Blockchain-Based Internet of Medical Things

Hamed Taherdoost

Applied Sciences· Volume 13· Issue 3

Abstract

IoMT sensor nodes, Internet of Things (IoT) wearable medical equipment, healthcare facilities, patients, and insurance firms are all increasingly being included in IoMT systems. Therefore, it is difficult to create a blockchain design for such systems, since scalability is among the most important aspects of blockchain technology. This realization prompted us to comprehensively analyze blockchain-based IoMT solutions developed in English between 2017 and 2022. This review incorporates the theoretical underpinnings of a large body of work published in highly regarded academic journals over the past decade, to standardize evaluation methods and fully capture the rapidly developing blockchain space. This study categorizes blockchain-enabled applications across various industries such as information management, privacy, healthcare, business, and supply chains according to a structured, systematic evaluation, and thematic content analysis of the literature that is already identified. The gaps in the literature on the topic have also been highlighted, with a special focus on the restrictions posed by blockchain technology and the knock-on effects that such restrictions have in other fields. Based on these results, several open research questions and potential avenues for further investigation that are likely to be useful to academics and professionals alike are pinpointed.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Blockchain Technology Applications and Security · IoT and Edge/Fog Computing · Internet of Things and AI

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Department of Arts, Communications and Social Sciences, University Canada West, Vancouver, BC V6B 1V9, Canada

References (100+)

Show source-provided references
1. Big Data in home healthcare: A new frontier in personalized medicine. Medical emergency services and prediction of hypertension risks10.1080/20479700.2018.1548158 ↗
2. Blockchain technology in healthcare: Challenges and opportunities10.1080/20479700.2020.1843887 ↗
3. A critical review of emerging technologies for tackling COVID-19 pandemic10.1002/hbe2.237 ↗
4. Weber, I., Xu, X., Riveret, R., Governatori, G., Ponomarev, A., and Mendling, J. (2016). International Conference on Business Process Management, Springer.
5. Health care service delivery based on the Internet of things: A systematic and comprehensive study10.1002/dac.4179 ↗
6. An emerging era in the management of Parkinson’s disease: Wearable technologies and the internet of things10.1109/JBHI.2015.2461555 ↗
7. Farahani, B., Firouzi, F., and Chakrabarty, K. (2020). Intelligent Internet of Things, Springer.10.1007/978-3-030-30367-9 ↗
8. Information and communications technologies for sustainable development goals: State-of-the-art, needs and perspectives10.1109/COMST.2018.2812301 ↗
9. PremaLatha, V., Sreedevi, E., and Sivakumar, S. (2019, January 21–22). Contemplate on internet of things transforming as medical devices-The internet of medical things (IOMT). Proceedings of the 2019 International Conference on Intelligent Sustainable Systems (ICISS), Palladam, India.10.1109/ISS1.2019.8908090 ↗
10. Adeniyi, E.A., Ogundokun, R.O., and Awotunde, J.B. (2021). IoT in Healthcare and Ambient Assisted Living, Springer.
11. Yeole, A.S., and Kalbande, D.R. (2016, January 21–22). Use of Internet of Things (IoT) in healthcare: A survey. Proceedings of the ACM Symposium on Women in Research 2016, Indore, India.10.1145/2909067.2909079 ↗
12. A survey of healthcare Internet of Things (HIoT): A clinical perspective10.1109/JIOT.2019.2946359 ↗
13. Awotunde, J.B., Ogundokun, R.O., and Misra, S. (2021). Efficient Data Handling for Massive Internet of Medical Things, Springer.
14. Complementing IoT services through software defined networking and edge computing: A comprehensive survey10.1109/COMST.2020.2997475 ↗
15. Privacy-preserving image retrieval for medical IoT systems: A blockchain-based approach10.1109/MNET.001.1800503 ↗
16. Blockchain-enabled internet of medical things to combat COVID-1910.1109/IOTM.0001.2000087 ↗
17. Securing internet of medical things with friendly-jamming schemes10.1016/j.comcom.2020.06.026 ↗
18. Blockchain for IoT-based healthcare: Background, consensus, platforms, and use cases10.1109/JSYST.2020.2963840 ↗
19. Securing IoTs in distributed blockchain: Analysis, requirements and open issues10.1016/j.future.2019.05.023 ↗
20. Blockchain: Securing internet of medical things (IoMT)
21. Recent advances in the internet-of-medical-things (IoMT) systems security10.1109/JIOT.2020.3045653 ↗
22. Survey of main challenges (security and privacy) in wireless body area networks for healthcare applications10.1016/j.eij.2016.11.001 ↗
23. Blockchain and smart contract for access control in healthcare: A survey, issues and challenges, and open issues10.1016/j.jnca.2020.102950 ↗
24. Privacy preservation in blockchain based IoT systems: Integration issues, prospects, challenges, and future research directions10.1016/j.future.2019.02.060 ↗
25. Block what? The unrealized potential of blockchain in healthcare10.1097/01.NUMA.0000557782.47673.80 ↗
26. What’s new in academic medicine? Blockchain technology in health-care: Bigger, better, fairer, faster, and leaner10.4103/IJAM.IJAM_12_18 ↗
27. Potentials of blockchain for healthcare: Case of Tunisia
28. Bryatov, S., and Borodinov, A. (2019, January 21–24). Blockchain technology in the pharmaceutical supply chain: Researching a business model based on hyperledger fabric. Proceedings of the International Conference on Information Technology and Nanotechnology (ITNT), Samara, Russia.10.18287/1613-0073-2019-2416-134-140 ↗
29. and E. E-residency and blockchain10.1016/j.clsr.2017.03.016 ↗
30. Blockchain’s roles in strengthening cybersecurity and protecting privacy10.1016/j.telpol.2017.09.003 ↗
31. A general framework for secure sharing of personal health records in cloud system10.1016/j.jcss.2017.03.002 ↗
32. Topical collection on “smart and interactive healthcare systems”10.1007/s10916-017-0766-8 ↗
33. Liang, X., Zhao, J., Shetty, S., Liu, J., and Li, D. (2017, January 8–13). Integrating blockchain for data sharing and collaboration in mobile healthcare applications. Proceedings of the 2017 IEEE 28th Annual International Symposium on Personal, Indoor, and Mobile Radio Communications (PIMRC), Montreal, QC, Canada.10.1109/PIMRC.2017.8292361 ↗
34. Zhang, P., Walker, M.A., White, J., Schmidt, D.C., and Lenz, G. (2017, January 12–15). Metrics for assessing blockchain-based healthcare decentralized apps. Proceedings of the 2017 IEEE 19th International Conference on e-Health Networking, Applications and Services (Healthcom), Dalian, China.10.1109/HealthCom.2017.8210842 ↗
35. Witchey, N.J. (2019). Healthcare Transaction Validation via Blockchain, Systems and Methods. (10,340,038), U.S. Patent.
36. Alamri, B., Javed, I.T., and Margaria, T. (2021, January 19–21). A GDPR-compliant framework for IoT-based personal health records using blockchain. Proceedings of the 2021 11th IFIP International Conference on New Technologies, Mobility and Security (NTMS), Paris, France.10.1109/NTMS49979.2021.9432661 ↗
37. Tamper-resistant mobile health using blockchain technology10.2196/mhealth.7938 ↗
38. Blockchain distributed ledger technologies for biomedical and health care applications10.1093/jamia/ocx068 ↗
39. Blockchain applications and use cases in health information technology10.4172/2157-7420.1000276 ↗
40. Implementing blockchains for efficient health care: Systematic review10.2196/12439 ↗
41. Khezr, S., Moniruzzaman, M., Yassine, A., and Benlamri, R. (2019). Blockchain technology in healthcare: A comprehensive review and directions for future research. Appl. Sci., 9.10.3390/app9091736 ↗
42. Blockchain and electronic healthcare records [cybertrust]10.1109/MC.2018.2880021 ↗
43. Blockchain HIE overview: A framework for healthcare interoperability
44. Opportunities for use of blockchain technology in medicine10.1007/s40258-018-0412-8 ↗
45. Blockchain applications for healthcare data management10.4258/hir.2019.25.1.51 ↗
46. Geospatial blockchain: Promises, challenges, and scenarios in health and healthcare10.1186/s12942-018-0144-x ↗
47. The potential of blockchain in education and health care10.1097/01.NEP.0000000000000190 ↗
48. A comprehensive survey on multimodal medical signals fusion for smart healthcare systems10.1016/j.inffus.2021.06.007 ↗
49. Cryptopharmaceuticals: Increasing the safety of medication by a blockchain of pharmaceutical products10.1016/j.xphs.2019.04.025 ↗
50. Is blockchain technology suitable for managing personal health records? Mixed-methods study to test feasibility10.2196/12533 ↗
51. Medblock: Efficient and secure medical data sharing via blockchain10.1007/s10916-018-0993-7 ↗
52. CoviChain: A blockchain based framework for nonrepudiable contact tracing in healthcare cyber-physical systems during pandemic outbreaks10.1007/s42979-021-00746-x ↗
53. Blockchain for decentralized multi-drone to combat COVID-19 and future pandemics: Framework and proposed solutions10.1002/ett.4255 ↗
54. Hassanien, A.E., Dey, N., and Borra, S. (2018). Medical Big Data and Internet of Medical Things: Advances, Challenges and Applications, CRC Press.10.1201/9781351030380 ↗
55. Infrequent pattern mining in smart healthcare environment using data summarization10.1007/s11227-018-2376-8 ↗
56. Dey, N., Hassanien, A.E., Bhatt, C., Ashour, A., and Satapathy, S.C. (2018). Internet of Things and Big Data Analytics Toward Next-Generation Intelligence, Springer.10.1007/978-3-319-60435-0 ↗
57. De-Bruijn graph with MapReduce framework towards metagenomic data classification
58. Mishra, B.S.P., Das, H., Dehuri, S., and Jagadev, A.K. (2018). Cloud Computing for Optimization: Foundations, Applications, and Challenges, Springer.10.1007/978-3-319-73676-1 ↗
59. Lianos, I. (2018). Ph. Hacker, I. Lianos, G. Dimitropoulos & S. Eich, Regulating Blockchain: Political and Legal Challenges, OUP, 2019, Faculty of Laws, UCL.10.1093/oso/9780198842187.001.0001 ↗
60. Sharma, P., Jindal, R., and Borah, M.D. (2019, January 11–13). Blockchain-based integrity protection system for cloud storage. Proceedings of the 2019 4th Technology Innovation Management and Engineering Science International Conference (TIMES-iCON), Bangkok, Thailand.10.1109/TIMES-iCON47539.2019.9024583 ↗
61. The road to scalable blockchain designs
62. Vukolić, M. (2015). International Workshop on Open Problems in Network Security, Springer.
63. Kokoris-Kogias, E., Jovanovic, P., Gasser, L., Gailly, N., Syta, E., and Ford, B. (2018, January 20–24). Omniledger: A secure, scale-out, decentralized ledger via sharding. Proceedings of the 2018 IEEE Symposium on Security and Privacy (SP), San Francisco, CA, USA.10.1109/SP.2018.000-5 ↗
64. Eyal, I., Gencer, A.E., Sirer, E.G., and Van Renesse, R. (2016, January 16–18). {Bitcoin-NG}: A scalable blockchain protocol. Proceedings of the 13th USENIX Symposium on Networked Systems Design and Implementation (NSDI 16), Santa Clara, CA, USA.
65. Equilibria in the Tangle10.1016/j.cie.2019.07.025 ↗
66. A scalable blockchain framework for secure transactions in IoT10.1109/JIOT.2018.2874095 ↗
67. Kim, S., and Deka, G.C. (2020). Advanced Applications of Blockchain Technology, Springer.10.1007/978-981-13-8775-3 ↗
68. Croman, K., Decker, C., Eyal, I., Gencer, A.E., Juels, A., Kosba, A., Miller, A., Saxena, P., Shi, E., and Gün Sirer, E. (2016). International Conference on Financial Cryptography and Data Security, Springer.
69. Blockchain for secure ehrs sharing of mobile cloud based e-health systems10.1109/ACCESS.2019.2917555 ↗
70. Block chain based Internet of Medical Things for uninterrupted, ubiquitous, user-friendly, unflappable, unblemished, unlimited health care services (BC IoMT U 6 HCS)10.1109/ACCESS.2020.3040240 ↗
71. A comprehensive review of the COVID-19 pandemic and the role of IoT, drones, AI, blockchain, and 5G in managing its impact10.1109/ACCESS.2020.2992341 ↗
72. BAKMP-IoMT: Design of blockchain enabled authenticated key management protocol for internet of medical things deployment10.1109/ACCESS.2020.2995917 ↗
73. Girardi, F., De Gennaro, G., Colizzi, L., and Convertini, N. (2020). Improving the healthcare effectiveness: The possible role of EHR, IoMT and blockchain. Electronics, 9.10.3390/electronics9060884 ↗
74. Sharma, A., Tomar, R., Chilamkurti, N., and Kim, B.-G. (2020). Blockchain based smart contracts for internet of medical things in e-healthcare. Electronics, 9.10.3390/electronics9101609 ↗
75. Enhancing medical smartphone networks via blockchain-based trust management against insider attacks10.1109/TEM.2019.2921736 ↗
76. Blockchain and IPFS integrated framework in bilevel fog-cloud network for security and privacy of IoMT devices10.1155/2021/7727685 ↗
77. A survey on blockchain-based IoMT systems: Towards scalability10.1109/ACCESS.2021.3117662 ↗
78. Cost-efficient service selection and execution and blockchain-enabled serverless network for internet of medical things10.3934/mbe.2021363 ↗
79. Security, privacy and trust in IoMT enabled smart healthcare system: A systematic review of current and future trends
80. Fog-based secure service discovery for internet of multimedia things: A cross-blockchain approach10.1145/3415151 ↗
81. Blockchain for public health care in smart society10.1016/j.micpro.2020.103524 ↗
82. Sayopillow: Blockchain-integrated privacy-assured iomt framework for stress management considering sleeping habits10.1109/TCE.2020.3043683 ↗
83. Security and blockchain convergence with Internet of Multimedia Things: Current trends, research challenges and future directions10.1016/j.jnca.2020.102918 ↗
84. An intelligent framework using disruptive technologies for COVID-19 analysis10.1016/j.techfore.2020.120431 ↗
85. Ersotelos, N., Bottarelli, M., Al-Khateeb, H., Epiphaniou, G., Alhaboby, Z., Pillai, P., and Aggoun, A. (2020). Blockchain and IoMT against physical abuse: Bullying in schools as a case study. J. Sens. Actuator Netw., 10.10.3390/jsan10010001 ↗
86. Cybersecurity architecture for the internet of medical things and connected devices using blockchain10.4015/S1016237221500137 ↗
87. Agent architecture of an intelligent medical system based on federated learning and blockchain technology
88. Lakhan, A., Mohammed, M., Rashid, A., Kadry, S., Panityakul, T., Abdulkareem, K., and Thinnukool, O. (2021). Smart-contract aware ethereum and client-fog-cloud healthcare system. Sensors, 21.10.3390/s21124093 ↗
89. BEdgeHealth: A decentralized architecture for edge-based IoMT networks using blockchain10.1109/JIOT.2021.3058953 ↗
90. Fortified-chain: A blockchain-based framework for security and privacy-assured internet of medical things with effective access control10.1109/JIOT.2021.3058946 ↗
91. Is blockchain for Internet of Medical Things a panacea for COVID-19 pandemic?10.1016/j.pmcj.2021.101434 ↗
92. Towards design and implementation of security and privacy framework for internet of medical things (iomt) by leveraging blockchain and ipfs technology10.1007/s11227-020-03570-x ↗
93. Blockchain-based trust establishment mechanism in the internet of multimedia things10.1007/s11042-020-09578-y ↗
94. Automatic smart contract generation for internet of media things10.1016/j.icte.2021.08.009 ↗
95. Majeed, A., and Lee, S. (2021). Applications of machine learning and high-performance computing in the era of COVID-19. Appl. Syst. Innov., 4.10.3390/asi4030040 ↗
96. Blockchain-secured recommender system for special need patients using deep learning10.3389/fpubh.2021.737269 ↗
97. Alotaibi, A.S. (2021). Biserial Miyaguchi–Preneel blockchain-based Ruzicka-indexed deep perceptive learning for malware detection in IoMT. Sensors, 21.10.3390/s21217119 ↗
98. Cross-cluster federated learning and blockchain for internet of medical things10.1109/JIOT.2021.3081578 ↗
99. Blockchain and SGX-enabled edge-computing-empowered secure IoMT data analysis10.1109/JIOT.2021.3052604 ↗
100. Medge-chain: Leveraging edge computing and blockchain for efficient medical data exchange10.1109/JIOT.2021.3052910 ↗