Journal of Cyber Security and Risk Auditing

Journal of Cyber Security and Risk Auditing

ISSN: 3079-5354 (Online)

Publishing model:

: Open access
Scopus Indexed
2025
14.7

CiteScore

Q1
open accessOpen Access

Article

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Blockchain-IPFS Integrated Permissioned Architecture for Secure, Scalable and Encrypted Healthcare Data Governance

by 

Reema Shaheen Orcid link ;

Adnan Shahid Khan Orcid link ;

Irshad Ahmed Abbasi Orcid link ;

Yonis Gulzar Orcid link

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Published: 2026

Abstract

The widespread adoption of Medical Internet of Things (MIoT) technologies has transformed smart hospitals into highly data-intensive environments. Wearable sensors, intensive care unit (ICU) monitoring devices, and clinical information systems continuously generate massive volumes of sensitive biomedical data. Traditional centralized storage systems, nevertheless, are prone to a single-point-of-failure, limited scalability, limited control over access, and data corruption. This paper suggests a permissioned blockchain-based healthcare data governance framework combining Hyperledger Fabric and InterPlanetary File System (IPFS) to provide scalable, verified, and secure storage of massive medical records. In the suggested implementation, the clinical datasets will be stored off-chain in IPFS and the cryptographic hash of them anchored to the blockchain to allow immutable integrity checking. With smart contracts, role-based access control in a fine-grained manner, and audit logging is carried out automatically. This makes it possible to share data among the healthcare stakeholders with security and traceability. Experimental evaluation conducted using Hyperledger Caliper and Prometheus monitoring tools demonstrates that the proposed architecture achieves transaction throughput of 145-162 TPS, reduces data retrieval latency by approximately 38%, and lowers on-chain storage overhead by nearly 72% compared to conventional blockchain-only storage models. The proposed hybrid framework offers a practical and privacy-preserving solution for managing large-scale healthcare data while supporting regulatory compliance, secure interoperability, and scalable digital hospital ecosystems.

Keywords

Medical Internet of Things (MIoT)Edge Artificial IntelligenceClinical Decision SupportIntrusion Detection SystemCybersecurityand Real-Time Healthcare Monitoring.

Blockchain-IPFS Integrated Permissioned Architecture for Secure, Scalable and Encrypted Healthcare Data Governance is licensed under CC BY 4.0CCBY

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