Soubhagya Ranjan Mallick, Rakesh Kumar Lenka, Srichandan Sobhanayak
Self-collecting Internet of Things (IoT) gadgets have transformed healthcare systems. Centralising IoT healthcare data processing and storage introduces scalability, speed, security, and privacy issues. On the other hand, Blockchain technology attracts interest in the IoT healthcare industries because of its decentralisation, data protection, transparency, and security aspects. Single public blockchain ledgers are inefficient for healthcare IoT security and efficiency due to high transaction fees, limited scalability, and high patient traffic. Specifically, this article focuses on the concerns around privacy, security, performance, scalability, and energy consumption in healthcare blockchain-IoT systems. In this paper, we propose CareChain, an IPFS storage system with two blockchains, one for patients and the other for healthcare providers, to manage healthcare IoT data. The proposed model uses IPFS distributed storage to improve system throughput, reducing transaction latency and blockchain storage overhead. It improves storage requirements, energy efficiency, transaction speed, privacy, and security. It envisions a system-wide data and information security architecture that uses the Elliptic Curve Digital Signature Algorithm (ECDSA) and a device proxy to keep tabs on low-cost devices. The prototype model was tested to investigate its security, efficiency, and energy use. The results show that this system is more robust than the existing healthcare models.