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Updated: Oct 3, 2025

Methodology for Establishing a Community-Wide Life Laboratory for Capturing Unobtrusive and Continuous Remote Activity and Health Data
Published on: July 27, 2018
Patient privacy in smart cities by blockchain technology and feature selection with Harris Hawks Optimization (HHO)
Haedar Al-Safi1,2, Jorge Munilla1,2, Javad Rahebi1,2
1Department of Telecommunication Engineering, Malaga University, Malaga, Spain.
This study introduces a novel two-layer framework using blockchain and machine learning for secure medical data sharing between smart city healthcare centers. The system ensures 100% data confidentiality and improves diagnostic accuracy for conditions like heart disease.
Area of Science:
- Health Informatics
- Cybersecurity in Healthcare
- Artificial Intelligence in Medicine
Background:
- Smart cities require secure and confidential medical data exchange for accurate patient treatment.
- Current methods of sharing medical data between centers often lack adequate confidentiality.
- Protecting patient privacy is a fundamental principle in medical practice.
Purpose of the Study:
- To propose a novel two-layer framework for secure and confidential medical data transmission between healthcare centers.
- To leverage blockchain for secure data transmission and machine learning for enhanced diagnostics.
- To improve the accuracy and reliability of disease diagnosis through collaborative expert opinion and data analysis.
Main Methods:
- A two-layer framework utilizing blockchain for secure data transmission and machine learning for data analysis.
- Patient records are stored in blocks on a blockchain and shared among medical centers.
- A binary version of the HHO algorithm is used for feature selection, and majority voting learning is employed for disease diagnosis.
Main Results:
- The proposed blockchain-based system achieves approximately 100% data confidentiality.
- The framework demonstrates significantly higher reliability and dependability compared to centralized methods.
- For heart disease diagnosis, the method achieved an accuracy of 92.75%, sensitivity of 92.15%, and precision of 95.69%, outperforming other machine learning models.
Conclusions:
- The proposed framework effectively ensures the confidentiality and security of medical data transmission in smart cities.
- The integration of blockchain and machine learning enhances diagnostic accuracy and reliability in healthcare.
- This approach offers a superior alternative to traditional centralized methods for medical data sharing and analysis.
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