Secured framework for IoT based healthcare application

The Internet of Things (IoT) allows continuous health monitoring through the interconnection of wearable and medical devices with computing and storage infrastructures. As cyber threats grow and the sensitivity of healthcare information increases, data integrity, privacy, and access control become critical concerns in digital healthcare environments. This paper proposes a secure IoT-based healthcare framework that integrates machine learning and blockchain techniques for data protection and intelligent health risk assessment.The proposed framework uses cryptographic hashing, Merkle tree construction, digital signatures, and a threshold-based blockchain validation mechanism to enhance the integrity and secure handling of healthcare data in a permissioned simulation environment. The blockchain validation mechanism is evaluated through simulated tampering, replay, and high-load scenarios to assess the integrity verification capability of the proposed framework.Various machine learning models are trained and evaluated on medical datasets to predict disease risk, and their performance is measured using accuracy, precision, recall, and F1-score metrics. The framework is implemented in Python and deployed in a scalable cloud-based environment. Experimental results demonstrate that the proposed framework improves healthcare data integrity verification and supports reliable predictive performance for secure digital healthcare applications.