A Framework for Blockchain-based Secure Management of Mobile Healthcare (mHealth) Systems
Adel Alkhalil, Abdul Razzaq, Aakash Ahmad, Magdy Abdelrhman, Yaser Mohammed Altameemi, Mohammed Altamimi, Zhang Tao · Journal of Web Engineering · 2025
In recent years, several research and development initiatives have focused on developing secure and trustworthy systems for the healthcare industry via pervasive and mobile healthcare (mHealth) solutions. State-of-the-art mHealth solutions primarily rely on centralized storage, such as cloud computing servers, which may escalate the maintenance costs, require ever-increasing storage infrastructure, and pose privacy and security risks to the health-critical data produced, consumed, and transmitted over ad hoc networks. To overcome these limitations, we conducted this study intending to synergize mobile computing (devices to process health-critical data) and blockchain technology (infrastructure to secure storage and retrieval of health-critical data), specifically addressing data security and privacy using a blockchain mHealth system. The research employs an incremental method by (i) developing a framework that acts as a blueprint to architect blockchain-enabled mHealth systems, (ii) implementing a suite of algorithms as a proof-of-concept to automate the framework, and (iii) experimental evaluations to validate the scalability, computation, and energy efficiency of the proposed solution. The proposed framework has been implemented as a frontend using a mobile application interface that exploits the backend via the InterPlanetary File System (IPFS) system and Ethereum blockchain for secure management of mHealth data. We use a case-study-based approach demonstrating how health units, medics, and patients can securely access and distribute health-critical data. For evaluation, we deployed a smart contract prototype on the Ethereum TESTNET network in a Windows environment to test the proposed framework. Results of the evaluation indicate (a) scalability with query response time (range: 10–41 ms), (b) computational performance (CPU utilization: 1.5% – 2.5%), and (c) energy efficiency (gas consumption: 40000 units for 1000 bytes). The proposed solution – framework, algorithms, and experimental evaluation – aims to advance state-of-the-art architecting and implementing cybersecurity mHealth solutions using blockchain technology.