Mahmood A. Al-Shareeda, Murtaja Ali Saare, Selvakumar Manickam
A new technology known as the internet of things (IoT) allows both physical and virtual items to be linked and communicated with one another, creating new digital services that enhance our fineness of sustenance. The IoT system has a number of benefits, but because of its present centralized architecture, there are several problems with regard to data integrity, security, privacy, and single points of failure. The future development of IoT applications is hampered by these difficulties. To tackle these problems, it might be best to integrate the Internet of Things with one of the distributed ledger solutions. The blockchain is one of the most frequent and well-liked varieties of distributed ledger technologies. Numerous advantages can result from integrating blockchain technology with the IoT called blockchain internet of things (BIoT). In this paper, we show a brief overview of blockchain, its components of blockchain, and its features of blockchain. Meanwhile, we describe the architecture of BIoT, Issues of BIoT, and BIoT applications. Additionally, this paper provides a future research challenge and open issues.
Jiawen Kang, Jinbo Wen, Dongdong Ye, Bingkun Lai · 10 authors
Given the revolutionary role of metaverses, healthcare metaverses are emerging as a transformative force, creating intelligent healthcare systems that offer immersive and personalized services. The healthcare metaverses allow for effective decision-making and data analytics for users. However, there still exist critical challenges in building healthcare metaverses, such as the risk of sensitive data leakage and issues with sensing data security and freshness, as well as concerns around incentivizing data sharing. In this paper, we first design a user-centric privacy-preserving framework based on decentralized Federated Learning (FL) for healthcare metaverses. To further improve the privacy protection of healthcare metaverses, a cross-chain empowered FL framework is utilized to enhance sensing data security. This framework utilizes a hierarchical cross-chain architecture with a main chain and multiple subchains to perform decentralized, privacy-preserving, and secure data training in both virtual and physical spaces. Moreover, we utilize Age of Information (AoI) as an effective data-freshness metric and propose an AoI-based contract theory model under Prospect Theory (PT) to motivate sensing data sharing in a user-centric manner. This model exploits PT to better capture the subjective utility of the service provider. Finally, our numerical results demonstrate the effectiveness of the proposed schemes for healthcare metaverses.
Industry 5.0 is seen as the next stage of the industrial revolution. However, the centralized management of the vast amount of data in Industry 5.0 poses significant security challenges. Because blockchain can provide a stable decentralized network for data in Industry 5.0, blockchain technology becomes an ideal solution for the security of data in Industry 5.0. However, with the explosion of data in Industry 5.0, the rapidly growing storage requirements are putting unbearable pressure on nodes and users, making it especially important to address the scalability of the blockchain. While using light nodes can alleviate storage pressure on nodes, it can also lead to data availability attacks. To address the above issues, this paper proposes a blockchain-based trusted data storage mechanism for Industry 5.0. The mechanism combines sharding and two-layer Merkle tree structures, and employs random low-density parity codes to code the tree. It enables light nodes to verify the authenticity of data and solve data availability attacks while improving the throughput of the blockchain. In addition, by using erasure codes to construct low-storage blockchain nodes, the network load of the nodes is effectively reduced, which solves the scalability issues of the blockchain.
Most blockchain systems currently adopt resource-consuming protocols to achieve consensus between miners; for example, the Proof-of-Work (PoW) and Practical Byzantine Fault Tolerant (PBFT) schemes, which have a high consumption of computing/communication resources and usually require reliable communications with bounded delay. However, these protocols may be unsuitable for Internet of Things (IoT) networks because the IoT devices are usually lightweight, battery-operated, and deployed in an unreliable wireless environment. Therefore, this paper studies an efficient consensus protocol for blockchain in IoT networks via reinforcement learning. Specifically, the consensus protocol in this work is designed on the basis of the Proof-of-Communication (PoC) scheme directly in a single-hop wireless network with unreliable communications. A distributed MultiAgent Reinforcement Learning (MARL) algorithm is proposed to improve the efficiency and fairness of consensus for miners in the blockchain system. In this algorithm, each agent uses a matrix to depict the efficiency and fairness of the recent consensus and tunes its actions and rewards carefully in an actor-critic framework to seek effective performance. Empirical results from the simulation show that the fairness of consensus in the proposed algorithm is guaranteed, and the efficiency nearly reaches a centralized optimal solution.
Aitizaz Ali, Bander Ali Saleh Al‐rimy, Faisal S. Alsubaei, Abdulwahab Ali Almazroi · 5 authors
The swift advancement of the Internet of Things (IoT), coupled with the growing application of healthcare software in this area, has given rise to significant worries about the protection and confidentiality of critical health data. To address these challenges, blockchain technology has emerged as a promising solution, providing decentralized and immutable data storage and transparent transaction records. However, traditional blockchain systems still face limitations in terms of preserving data privacy. This paper proposes a novel approach to enhancing privacy preservation in IoT-based healthcare applications using homomorphic encryption techniques combined with blockchain technology. Homomorphic encryption facilitates the performance of calculations on encrypted data without requiring decryption, thus safeguarding the data's privacy throughout the computational process. The encrypted data can be processed and analyzed by authorized parties without revealing the actual contents, thereby protecting patient privacy. Furthermore, our approach incorporates smart contracts within the blockchain network to enforce access control and to define data-sharing policies. These smart contracts provide fine-grained permission settings, which ensure that only authorized entities can access and utilize the encrypted data. These settings protect the data from being viewed by unauthorized parties. In addition, our system generates an audit record of all data transactions, which improves both accountability and transparency. We have provided a comparative evaluation with the standard models, taking into account factors such as communication expense, transaction volume, and security. The findings of our experiments suggest that our strategy protects the confidentiality of the data while at the same time enabling effective data processing and analysis. In conclusion, the combination of homomorphic encryption and blockchain technology presents a solution that is both resilient and protective of users' privacy for healthcare applications integrated with IoT. This strategy offers a safe and open setting for the management and exchange of sensitive patient medical data, while simultaneously preserving the confidentiality of the patients involved.
The recent revolution in Industry 4.0 (IR 4.0) has characterized the integration of advance technologies to bring the fourth industrial revolution to scale the manufacturing landscape. There are different key drivers for this revolution, in this research we have explored the following among them such as, Industrial Internet of Things (IIoT), Deep Learning, Blockchain and Augmented Reality. The emerging concept from blockchain namely “Non-Fungible Token” (NFT) relating to the uniqueness of digital assets has vast potential to be considered for physical assets identification and authentication in the IR 4.0 scenario. Similarly, the data acquired through the deployment of IIoT devices and sensors into smart industry spectrum can be transformed to generated robust analytics for different industry use-cases. The predictive maintenance is a major scenario in which early equipment failure detection using deep learning model on acquired data from IIoT devices has major potential for it. Similarly, the augmented reality can be able to provide real-time visualization within the factory environment to gather real-time insight and analytics from the physical equipment for different purposes. This research initially conducted a survey to analyse the existing developments in these domains of technologies to further widen its horizon for this research. This research developed and deployed a smart contract into an ethereum blockchain environment to simulate the use-case for NFT for physical assets and processes synchronization. The next phase was deploying deep learning algorithms on a dataset having data generated from IIoT devices and sensors. The Feedforward and Convolutional Neural Network were used to classify the target variables in relation with predictive maintenance failure analysis. Lastly, the research also proposed an AR based framework for the visualization ecosystem within the industry environment to effectively visualize and monitory IIoT based equipment’s for different industrial use-cases i.e., monitoring, inspection, quality assurance.
Peng Zhang, A B Kelley, Douglas C. Schmidt, Jules White
Blockchain and distributed ledger technologies (DLT) are emerging decentralized infrastructures touted by researchers to improve existing systems that have been limited by centralized governance and proprietary control. These technologies have shown continued success in sustaining the operational models of modern cryptocurrencies and decentralized finance applications (DeFi). These applications has incentivized growing discussions in their potential applications and adoption in other sectors such as healthcare, which has a high demand for data liquidity and interoperability. Despite the increasing research efforts in adopting blockchain and DLT in healthcare with conceptual designs and prototypes, a major research gap exists in literature: there is a lack of design recommendations that discuss concrete architectural styles and domain-specific considerations that are necessary for implementing health data exchange systems based on these technologies. This paper aims to address this gap in research by introducing a collection of design patterns for constructing blockchain and DLT-based healthcare systems that support secure and scalable data sharing. Our approach adapts traditional software patterns and proposes novel patterns that take into account both the technical requirements specific to healthcare systems and the implications of these requirements on naive blockchain-based solutions.
Antonio Yaghy, Nicole Rose I. Alberto, Isabelle Rose I. Alberto, Rene S. Bermea · 9 authors
Non-fungible tokens (NFTs) are cryptographic assets recorded on the blockchain that can certify authenticity and ownership, and they can be used to monetize health data, optimize the process of receiving a hematopoietic stem cell transplant, and improve the distribution of solid organs for transplantation. Blockchain technology, including NFTs, provides equitable access to wealth, increases transparency, eliminates personal or institutional biases of intermediaries, reduces inefficiencies, and ensures accountability. Blockchain architecture is ideal for ensuring security and privacy while granting individuals jurisdiction over their own information, making it a unique solution to the current limitations of existing health information systems. NFTs can be used to give patients the option to monetize their health data and provide valuable data to researchers. Wearable technology companies can also give their customers the option to monetize their data while providing data necessary to improve their products. Additionally, the process of receiving a hematopoietic stem cell transplant and the distribution of solid organs for transplantation could benefit from the integration of NFTs into the allocation process. However, there are limitations to the technology, including high energy consumption and the need for regulatory guidance. Further research is necessary to fully understand the potential of NFTs in healthcare and how it can be integrated with existing health information technology. Overall, NFTs have the potential to revolutionize the healthcare sector, providing benefits such as improved access to health information and increased efficiency in the distribution of organs for transplantation.
Summary Healthcare is a vitally important field in the industry and evolving day by day in the aspect of technology, services, computing, and management. Its potential significance can be increased by incorporating Internet of Things (IoT) technology to make it smart in the aspect of automating activities, which is then further reformed in the healthcare domain with the help of blockchain technology. Blockchain technology provides many features to IoT‐based healthcare domain applications such as restructuring by securing traditional practices, data management, data sharing, patient remote monitoring, and drug analysis. In this study, a systematic literature review has been carried out in which a total of 52 studies were selected to conduct systematic literature review from databases PubMed, IEEE Access, and Scopus; the study includes IoT technology and blockchain integration in healthcare domain‐related application areas. This study also includes taxonomy that mentions the aspects and areas in healthcare domain incorporating the traditional system with the integration of IoT and blockchain to provide transparency, security, privacy, and immutability. This study also includes the incorporation of related sensors, platforms of blockchain, the objective focus of selected studies, and future directions by incorporating IoT and blockchain in healthcare domain. This study will help researchers who want to work with IoT and blockchain technology integration in healthcare domain.
This study delves into the integration of Decentralized Finance (DeFi) within metaverses, probing its implications and potential. It elucidates DeFi protocols and the intricacies of metaverses before inspecting their intersection and the resulting economic prospects. The analysis further appraises inherent risks such as financial volatility, security, and regulatory issues. Case studies provide tangible insights into DeFi applications in metaverses. Future trajectories of DeFi in metaverses are projected, underlining the possible impact on the broader financial sector. This paper contributes to burgeoning research at the nexus of blockchain technology, finance, and virtual reality.
In the field of smart communities, significant progress has been made in recent years. The objective of constructing smart communities is to improve the quality of life of their inhabitants. To accomplish this objective, technologies such as Internet of Things (IoT) and Artificial Intelligence (AI) were deployed. The data gathered and processed by IoT devices , particularly those with centralized control, are however susceptible to availability, integrity, and privacy risks. Due to its inherent properties of transparency, immutability, and underlying secure-by-design architecture, Distributed Ledger Technology (DLT) and Smart Contracts enable distributed, decentralized, automated workflows that can be incorporated to automate the management of the next generation of IoT networks. Using a potential use case, a conceptual architecture for securing smart communities with DLT is developed and explained. In this paper, a framework for IoT eco-systems is proposed that provides seamless integration between IoT and DLT to create a decentralized trusted architecture that ensures the trustworthiness of IoT eco-systems at design time and a trust reputation model based on the architecture to protect it at run-time. In addition, the initial implementation steps are described for this framework.
This article discusses Ethereum Ghost Protocol, a technology that promises faster mining speeds. The Ghost protocol enables different crypto miners to create valid blocks concurrently. The article explains why the protocol reduces the delay in traditional blockchains through stale or uncle blocks. It explains why the Ghost Protocol is faster than Bitcoin. It also introduces areas in which Ethereum Ghost Protocol can work, such as insecure environments and Internet of Things (IoT). Besides, the paper defines centralization bias and explains how the Ghost Protocol solves the problem. Since the Ghost Protocol is decentralized and stores information in multiple nodes, it is more secure. Besides, it is scalable and saves storage space. Despite these benefits, this paper discusses two significant challenges, including slow transactions and difficulties in coding. However, the Ghost protocol will enhance cryptocurrency due to the ease of mining, enhanced security, and other benefits to miners. Overall, the paper suggests the need to embrace the Ghost protocol in the blockchain.
Open access
Blockchain Technology Applications and Security
IoT and Edge/Fog Computing
Advanced Steganography and Watermarking Techniques
Javier Arcenegui, Rosario Arjona, Iluminada Baturone
Ethereum is a dynamic blockchain that grows every day thanks to a community that creates and decides on various of its issues. The community participates through Ethereum Improvement Proposals (EIPs) at many levels, from proposals that describe new standards for the creation of new tokens to proposals that define new ways for the Ethereum main network to generate new blocks. This paper describes how an Ethereum Request for Comments (ERC)-type EIP, the ERC-4519, was proposed last year to standardize the way to define non-fungible tokens (NFTs) representing assets that can generate their own Ethereum addresses and obey users and owners. Advantages provided by ERC-4519 in several use cases are illustrated. The examples show the facilities and the security improvements introduced in the management of both physical and digital assets by their owners and users. Particularly, use cases with physical assets such as IoT devices are illustrated.
The data traffic has increased significantly along with the quick development of smart wireless technologies, and current 5G networks are still not completely prepared to handle future huge data traffic in the areas of services, data transfer, data storage, and processing. 6G is expected to offer very high-level extended 5G capabilities, such as a Tbps data transfer rate and a sub-millisecond response time. The main objective of this study is to be aware of new technologies being enhanced day by day and provide existing research content, issues, and directions for the future regarding 6G wireless networks. Therefore, a systematic literature review of research articles is provided by categorizing the selected studies published between 2019 and 2022 in terms of enabling technologies. First, the researcher discussed the need for 6G by predicting the explosive growth of mobile traffic from 2022 to 2030. Second, 6G requirements, trends, and services are addressed and contrasted with 5G in terms of a group of key performance indicators. Third, conduct a comparative analysis of 6G challenges and gaps, such as security and privacy, the need for a decentralized network, Omnipresent service coverage, and storage efficiency. So, it is essential to develop an accurate, faster, and well-organized system for the 6G wireless network. We have presented an efficient and secure mode R6GS, which combines blockchain and 6G to improve security from the lower to upper layers while also improving storage efficiency. Cybertwin technologies are used at the edge layer of the 6G network in the proposed model R6GS to improve security. The smart contracts, IPFS and Ethereum blockchain are used in the proposed R6GS model to enhance the 6G network's data integrity and data storage. It also processes and stores massive amounts of data at various network layers, which removes the large storage capacity issue of traditional P2P and Client/Server (C/S) networks due to centralized servers in 6G technology. For the performance evaluation, the model is evaluated through expert opinion. Moreover, the proposed R6GS model also improves time efficiency through the edge layer, because if a task is available at the edge layer, there is no need to send a request to the core layer. The server at the edge layer efficiently delivers data to end nodes. Furthermore, a taxonomy is presented in this study. To the best of our knowledge, the proposed methodology worked efficiently.
R Harsha, E Indra, Thirugnana Sambandham, K. Panimozhi
The growth of blockchain over the last ten years has been astounding: from bitcoin to over 2,000 altcoins, and from decentralized electronic payments to programmable transactions, by complicated tokens and smart contracts controlled by autonomous entities. The technological aspects of blockchain are developing at the same time as the new generation of blockchain applications are also developing. This paper considers one such sphere, to develop a decentralized solution for accessing Educational Resources which will alleviate the issues due to the single point of failure of centralized systems, democratize access to educational content and provide a facile experience for users who are not exposed to web3 technologies. This platform was developed by implementing Smart Contracts using Solidity and deploying them on the Ethereum blockchain to store educational resource metadata and files on the Inter Planetary File System (IPFS). Interfacing of blockchain and the frontend is done using the web3.js. The platform is more tenacious and fault-tolerant than systems using a centralized architecture and provides a better user experience by incorporating a search mechanism for the files uploaded to the platform. This paper proposes a decentralized platform that allows users to upload educational resources that can be accessed by others and implemented a file meta-data-based search feature to remove the need for users to remember the IPFS hash of a file.
This paper proposes a general and interoperable Web of Things (WoT)-oriented architecture to support a distributed storage application. In particular, the focus is on a distributed ledger service dedicated to machine-to-machine (M2M) transactions occurring in an intelligent ecosystem. For this purpose, the basic functional modules have been characterized and integrated into a comprehensive framework relying on an IOTA approach. Furthermore, a general protocol that is built upon an underlying publish-and-subscribe framework is proposed to support all the application phases. The proposed approach has been validated by a simulation campaign targeting the achievable latency and throughput and, further, by a qualitative analysis of high-level metrics, both pointing out several advantages in terms of interoperability, scalability, and mobility support, together with addressing some constraints affecting service availability and security.
Blockchain 3.0, an advanced iteration of blockchain technology, has emerged with diverse applications encompassing various sectors such as identity authentication, logistics, medical care, and Industry 4.0/5.0. Notably, the integration of blockchain with industrial automation and control systems (IACS) holds immense potential in this evolving landscape. As industrial automation and control systems gain popularity alongside the widespread adoption of 5G networks, Internet of Things (IoT) devices are transforming into integral nodes within the blockchain network. This facilitates decentralized communication and verification, paving the way for a fully decentralized network. This paper focuses on showcasing the implementation and execution results of data preservation from industrial automation and control systems to IOTA, a prominent distributed ledger technology. The findings demonstrate the practical application of IOTA in securely preserving data within the context of industrial automation and control systems. The presented numerical results validate the effectiveness and feasibility of leveraging IOTA for seamless data preservation, ensuring data integrity, confidentiality, and transparency. By adopting IOTA’s innovative approach based on Directed Acyclic Graph (DAG), the paper contributes to the advancement of blockchain technology in the domain of Industry 4.0/5.0.
The Metaverse is rapidly evolving, bringing us closer to its imminent reality. However, the widespread adoption of this new automated technology poses significant research challenges in terms of authenticity, integrity, interoperability, and efficiency. These challenges originate from the core technologies underlying the Metaverse and are exacerbated by its complex nature. As a solution to these challenges, this paper presents a novel framework based on Non-Fungible Tokens (NFTs). The framework employs the Proof-of-Stake consensus algorithm, a blockchain-based technology, for data transaction, validation, and resource management. PoS efficiently consume energy and provide a streamlined validation approach instead of resource-intensive mining. This ability makes PoS an ideal candidate for Metaverse applications. By combining NFTs for user authentication and PoS for data integrity, enhanced transaction throughput, and improved scalability, the proposed blockchain mechanism demonstrates noteworthy advantages. Through security analysis, experimental and simulation results, it is established that the NFT-based approach coupled with the PoS algorithm is secure and efficient for Metaverse applications.
The emergence of Industry 5.0 has highlighted the significance of information usage, processing, and data analysis when maintaining physical assets. This has enabled the creation of the Digital Twin (DT). Information about an asset is generated and consumed during its entire life cycle. The main goal of DT is to connect and represent physical assets as close to reality as possible virtually. Unfortunately, the lack of security and trust among DT participants remains a problem as a result of data sharing. This issue cannot be resolved with a central authority when dealing with large organisations. Blockchain technology has been proposed as a solution for DT information sharing and security challenges. This paper proposes a Blockchain-based solution for digital twin using Ethereum blockchain with performance and cost analysis. This solution employs a smart contract for information management and access control for stakeholders of the digital twin, which is secure and tamper-proof. This implementation is based on Ethereum and IPFS. We use IPFS storage servers to store stakeholders' details and manage information. A real-world use-case of a production line of a smartphone, where a conveyor belt is used to carry different parts, is presented to demonstrate the proposed system. The performance evaluation of our proposed system shows that it is secure and achieves performance improvement when compared with other methods. The comparison of results with state-of-the-art methods showed that the proposed system consumed fewer resources in a transaction cost, with an 8% decrease. The execution cost increased by 10%, but the cost of ether was 93% less than the existing methods.
Due to the significance of trust in Social Internet of Things (SIoT)-based smart marketplaces, several research have focused on trust-related challenges. Trust is necessary for a smooth connection, secure systems, and dependable services during trade operations. Recent SIoT-based trust assessment approaches attempt to solve smart marketplace trust evaluation difficulties by using a variety of direct and indirect trust evaluation techniques and other local trust rating procedures. Nevertheless, these methodologies render trust assessment very sensitive to seller dishonesty, and a dishonest seller may influence local trust scores and at the same time pose a significant trust related threats in the system. In this article, a MarketTrust model is introduced, which is a blockchain-based method for assessing trust in an IoT-based smart marketplace. It has three parts: familiarity, personal interactions, and public perception. A conceptual model, assessment technique, and a global trust evaluation system for merging the three components of a trust value are presented and discussed. Several experiments were conducted to assess the model's security, viability, and efficacy. According to results, the MarketTrust model scored a 21.99% higher trust score and a 47.698% lower average latency than both benchmark models. Therefore, this illustrates that using the proposed framework, a potential buyer can efficiently choose a competent and trustworthy resource seller in a smart marketplace and significantly reduce malicious behavior.
Spectrum distribution is a classical licensed spectrum accessing method in mobile communication networks. The licensed idle spectrum resources are authorized and distributed from spectrum owners to mobile users. However, the exponential growth of user capacity brings excessive load pressure on the traditional centralized network architecture. With a lack of sufficient supervision and penalty measures, dishonest behaviors of spectrum owners and spectrum users will lead to an unfair status in the distribution process. As a result, the honest participants’ interest will be harmed. As an important supporting infrastructure of Internet of Things technology, 6G cannot completely follow the existing spectrum distribution method. Towards 6G network spectrum distribution, a blockchain-based licensed spectrum fair distribution method is proposed. A lightweight consensus mechanism named proof of trust (PoT) is applied to reduce computational power consumption and consensus time overhead. We deploy the method on the Ethereum test chain; a theoretical analysis and experimental results demonstrate the fairness, effectiveness and security of the method.
Rongxin Xu, Qiujun Lan, Shiva Raj Pokhrel, Gang Li
The Internet of Things (IoT) and distributed ledger technology (DLT) have significantly changed our daily lives. Due to their distributed operational environment and naturally decentralized applications, the convergence of these two technologies indicates a more lavish arrangement for the future. This article develops a comprehensive survey to investigate and illustrate state-of-the-art DLT for various IoT use cases, from smart homes to autonomous vehicles and smart cities. We develop a novel framework for conducting a systematic and comprehensive review of DLT over the IoT by extending the knowledge graph approach. With relevant insights from this review, we extract innovative and pragmatic techniques to DLT design that enable high-performance, sustainable, and highly scalable IoT systems. Our findings support designing an end-to-end IoT-native DLT architecture for the future that fully coordinates network-assisted functionalities.
Ali Shakerian, Ali Eghmazi, Justin Goasdoué, René Landry
This paper proposes a novel Blockchain-based indoor navigation system that combines a foot-mounted dual-inertial measurement unit (IMU) setup and a zero-velocity update (ZUPT) algorithm for secure and accurate indoor navigation in GNSS-denied environments. The system estimates the user's position and orientation by fusing the data from two IMUs using an extended Kalman filter (EKF). The ZUPT algorithm is employed to detect and correct the error introduced by sensor drift during zero-velocity intervals, thus enhancing the accuracy of the position estimate. The proposed Low SWaP-C blockchain-based decentralized architecture ensures the security and trustworthiness of the system by providing an immutable and distributed ledger to store and verify the sensor data and navigation solutions. The proposed system is suitable for various indoor navigation applications, including autonomous vehicles, robots, and human tracking. The experimental results provide clear and compelling evidence of the effectiveness of the proposed system in ensuring the integrity, privacy, and security of navigation data through the utilization of blockchain technology. The system exhibits an impressive ability to process more than 680 transactions per second within the Hyperledger-Fabric framework. Furthermore, it demonstrates exceptional accuracy and robustness, with a mean RMSE error of 1.2 m and a peak RMSE of 3.2 during a 20 min test. By eliminating the reliance on external signals or infrastructure, the system offers an innovative, practical, and secure solution for indoor navigation in environments where GNSS signals are unavailable.
As medical technology advances, there is an increasing need for healthcare providers all over the world to securely share a growing volume of data. Blockchain is a powerful technology that allows multiple parties to securely access and share data. Given the enormous challenge that healthcare systems face in digitizing and sharing health records, it is not unexpected that many are attempting to improve healthcare processes by utilizing blockchain technology. By systematically examining articles published from 2017 to 2022, this review addresses the existing gap by methodically discussing the state, research trends, and challenges of blockchain in medical data exchange. The number of articles on this issue has increased, reflecting the growing importance and interest in blockchain research for medical data exchange. Recent blockchain-based medical data sharing advances include safe healthcare management systems, health data architectures, smart contract frameworks, and encryption approaches. The evaluation examines medical data encryption, blockchain networks, and how the Internet of Things (IoT) improves hospital workflows. The findings show that blockchain can improve patient care and healthcare services by securely sharing data.