Volume 18 , Issue 2 , PP: 262-275, 2025 | Cite this article as | XML | Html | PDF | Full Length Article
R. Parthiban 1 * , K. Santhosh Kumar 2
Doi: https://doi.org/10.54216/FPA.180219
The emerging field of healthcare has taken severe measures to safeguard sensitive patient health-related information especially the information taken from the predictive model. In this study, a novel blockchain-based solution is proposed in correlation with the Fuzzy-enhanced CLSTM model (FCLSTM) for storing and transmitting the data securely for heart disease prediction systems by ensuring data integrity, confidentiality, and access control. The proposed model uses a blockchain-based network which is implemented to prevent the tampering or unauthorized access to patients’ health-related data. The process begins with techniques that incorporate the predicted heart disease information from the patient’s data and is encrypted by using the hashing algorithm. A secure hybrid blockchain-based data management framework (SHB-DMF) is designed for exchanging the patient’s health data which enhances scalability and accessibility to the healthcare environment. The system incorporates a SHAES-256 hybrid model for enhancing the data confidentiality and integrity before transmitting to the neural network (FCLSTM). The proposed model uses a smart contract for regulating data access by ensuring the entry of the authorized entities by providing a suitable decrypting mechanism and interacting with the patient’s data. The smart contracts can automate the data retrieval workflows by integrating the blockchain seamlessly with the prediction model. The security process is a three-phase process that includes defining the nodes, selecting of consensus mechanism, and establishing the governance structure for facilitating secure operations. The security and load testing ensure resilience to potential cyber threats and the scalability required for handling high transaction volumes of medical data. Deploying the proposed system provides a robust infrastructure that is tamper-resistant thus advancing the reliability of the cardiovascular prediction system.
Heart Disease Prediction , Blockchain Security , Fuzzy CLSTM , Data Confidentiality , SHAES-256 Encryption , Smart Contracts , Healthcare Scalability
[1] P. Ponikowski et al., "Heart failure: preventing disease and death worldwide," ESC Heart Fail., vol. 1, no. 1, pp. 4–25, 2014.
[2] J. Kulynych and H. T. Greely, "Clinical genomics, big data, and electronic medical records: reconciling patient rights with research when privacy and science collide," J. Law Biosci., vol. 4, no. 1, pp. 94–132, 2017.
[3] K. S. Kumar, T. A. Kumar, A. S. Radhamani, and S. Sundaresan, "Blockchain technology: an insight into architecture, use cases, and its application with industrial IoT and big data," in Blockchain Technology, CRC Press, 2020, pp. 23–42.
[4] C. Castaneda et al., "Clinical decision support systems for improving diagnostic accuracy and achieving precision medicine," J. Clin. Bioinform., vol. 5, pp. 1–16, 2015.
[5] Z. Ashfaq et al., "A review of enabling technologies for Internet of Medical Things (IoMT) ecosystem," Ain Shams Eng. J., vol. 13, no. 4, p. 101660, 2022.
[6] R. Dwivedi, D. Mehrotra, and S. Chandra, "Potential of Internet of Medical Things (IoMT) applications in building a smart healthcare system: A systematic review," J. Oral Biol. Craniofac. Res., vol. 12, no. 2, pp. 302–318, 2022.
[7] I. Yaqoob, K. Salah, R. Jayaraman, and Y. Al-Hammadi, "Blockchain for healthcare data management: opportunities, challenges, and future recommendations," Neural Comput. Appl., pp. 1–16, 2022.
[8] P. Ruan, T. T. A. Dinh, D. Loghin, M. Zhang, and G. Chen, Blockchains: Decentralized and Verifiable Data Systems, Springer Nature, 2022.
[9] C. A. Oster and J. S. Braaten, High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality, Sigma Theta Tau, 2020.
[10] U. Chelladurai and S. Pandian, "A novel blockchain based electronic health record automation system for healthcare," J. Ambient Intell. Humaniz. Comput., vol. 13, no. 1, pp. 693–703, 2022.
[11] T. Lysaght, H. Y. Lim, V. Xafis, and K. Y. Ngiam, "AI-assisted decision-making in healthcare: the application of an ethics framework for big data in health and research," Asian Bioeth. Rev., vol. 11, pp. 299–314, 2019.
[12] P. Szolovits and E. Alsentzer, "Knowledge-based systems in medicine," in Intelligent Systems in Medicine and Health: The Role of AI, Cham: Springer, 2022, pp. 75–108.
[13] E. H. Shortliffe and M. F. Chiang, "Biomedical data: their acquisition, storage, and use," in Biomedical Informatics: Computer Applications in Health Care and Biomedicine, Cham: Springer, 2021, pp. 45–75.
[14] A. K. Nair and J. Sahoo, "Internet of Things in smart and intelligent healthcare systems," in Intelligent Internet of Things for Smart Healthcare Systems, CRC Press, 2023, pp. 1–19.
[15] A. Jaleel et al., "Towards medical data interoperability through collaboration of healthcare devices," IEEE Access, vol. 8, pp. 132302–132319, 2020.
[16] A. I. Kayode, A. Tella, and S. O. Akande, "Ease-of-use and user-friendliness of cloud computing adoption for web-based services in academic libraries in Kwara State, Nigeria," Internet Ref. Serv. Q., vol. 23, no. 3–4, pp. 89–117, 2020.
[17] A. K. Jumani, W. A. Siddique, and A. A. Laghari, "Cloud and machine learning based solutions for healthcare and prevention," in Image Based Computing for Food and Health Analytics: Requirements, Challenges, Solutions and Practices: IBCFHA, Cham: Springer, 2023, pp. 163–192.
[18] O. S. Saleh, O. Ghazali, and M. E. Rana, "Blockchain based framework for educational certificates verification," J. Crit. Rev., 2020.
[19] G. J. Silowash et al., Common Sense Guide to Mitigating Insider Threats, 2012.
[20] D. Pradhan, M. Behera, and M. Gheisari, "Dynamic data placement strategy with network security issues in distributed cloud environment for medical issues: An overview," Recent Adv. Comput. Sci. Commun., vol. 17, no. 6, pp. 25–38, 2024.
[21] P. K. Sadhu et al., "Prospect of internet of medical things: A review on security requirements and solutions," Sensors, vol. 22, no. 15, p. 5517, 2022.
[22] L. Khan and F. Kabir, "In-depth analysis on secure and privacy-preserving smart care homes based on Internet of Medical Things (IoMT)," in 2024 IEEE Int. Conf. Interdiscip. Approaches Technol. Manage. Soc. Innov. (IATMSI), vol. 2, pp. 1–6, 2024.
[23] M. Singer, H. Baer, A. Pavlotski, and D. Long, Introducing Medical Anthropology: A Discipline in Action, Rowman & Littlefield, 2019.
[24] A. H. Ameen, M. A. Mohammed, and A. N. Rashid, "Dimensions of artificial intelligence techniques, blockchain, and cyber security in the Internet of medical things: Opportunities, challenges, and future directions," J. Intell. Syst., vol. 32, no. 1, p. 20220267, 2023.
[25] K. T. Putra et al., "A review on the application of Internet of Medical Things in wearable personal health monitoring: A cloud-edge artificial intelligence approach," IEEE Access, 2024.
[26] O. Ali et al., "A comprehensive review of Internet of Things: Technology stack, middlewares, and fog/edge computing interface," Sensors, vol. 22, no. 3, p. 995, 2022.
[27] H. S. Mahmood, "Conducting in-depth analysis of AI, IoT, web technology, cloud computing, and enterprise systems integration for enhancing data security and governance to promote sustainable business practices," J. Inf. Technol. Inform., vol. 3, no. 2, 2024.