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<p>The advent of Internet of Things (IoT) technologies in healthcare has heightened risks to Electronic Health Records (EHRs), including authentication vulnerabilities and data privacy concerns. This study proposes a novel blockchain-based node authentication algorithm for IoT healthcare, integrating Hyperledger Fabric, Homomorphic Encryption, and Recurrent Neural Networks (RNN). Employing a dual-layer security approach, the methodology utilizes a challenge-response mechanism and dynamic key exchange to ensure tamper-proof data transmission. Encrypted processing preserves confidentiality, while machine learning enhances anomaly detection accuracy to 99.01%, achieving a security rate of 99%. Comprehensive evaluations demonstrate significant improvements in efficiency, scalability, and robustness, addressing latency and computational overhead challenges. By fusing blockchain’s immutability with intelligent encryption and authentication, this solution revolutionizes EHR protection in IoT environments and scalable healthcare data management.</p>

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Blockchain-based node authentication algorithm for securing electronic health record data transmission

  • 期刊论文

  • 发表日期：

    2025年8月19日

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  • Rohit Malik,
  • Sakshi Dua,
  • Preety Shoran

摘要

The advent of Internet of Things (IoT) technologies in healthcare has heightened risks to Electronic Health Records (EHRs), including authentication vulnerabilities and data privacy concerns. This study proposes a novel blockchain-based node authentication algorithm for IoT healthcare, integrating Hyperledger Fabric, Homomorphic Encryption, and Recurrent Neural Networks (RNN). Employing a dual-layer security approach, the methodology utilizes a challenge-response mechanism and dynamic key exchange to ensure tamper-proof data transmission. Encrypted processing preserves confidentiality, while machine learning enhances anomaly detection accuracy to 99.01%, achieving a security rate of 99%. Comprehensive evaluations demonstrate significant improvements in efficiency, scalability, and robustness, addressing latency and computational overhead challenges. By fusing blockchain’s immutability with intelligent encryption and authentication, this solution revolutionizes EHR protection in IoT environments and scalable healthcare data management.