A Federated Learning Approach Towards Hybrid Blockchain, Quantum-Key-Encryption based Distributed System: A Futuristic Healthcare Architecture for Smart Cities

In today's rapidly evolving landscape of smart city applications, particularly in sensitive areas like the healthcare sector, safeguarding the security, integrity, and privacy of data has become a significant and challenging concern. Specifically in the healthcare sector, the sharing and access of patient records across various stages of care by doctors, nurses, pharmacies, and diagnostic centers introduce new complexities and potential vulnerabilities. However, these challenges intensify more in the case of distributed healthcare networks where data is fragmented across institutions. This work addresses issues such as data vulnerability and misuse in distributed healthcare environments by proposing a Blockchain-enabled Distributed Healthcare System (BeDHS). The model is designed to facilitate secure, transparent, and privacy-preserving collaboration among healthcare entities. It adopts a hybrid approach, integrating a quantum key-based image encryption technique to enhance the security of health records. The encrypted images are securely stored in the InterPlanetary File System (IPFS) to ensure data integrity and availability. Additionally, a Federated Learning (FL) framework is employed to enable collaborative training of AI models across institutions without exposing sensitive patient data. The proposed BeDHS model is implemented using Solidity-based smart contracts on the Ethereum blockchain, ensuring decentralized and tamper-resistant operations. Simulation results demonstrate that the proposed model outperforms existing healthcare data management systems in terms of efficiency and security. • A blockchain-enabled distributed healthcare system is proposed, where the number of healthcare institutions of a smart city are integrated to form a collaborative and transparent model for sharing health records while maintaining security, privacy, and immutability. • A Quantum-Chaos-Encryption cryptographic technique integrated with blockchain for protecting digital documents and medical images from unauthorized access. • To build a privacy-preserved distributed-collaborative healthcare system, a federated learning approach is incorporated that trains the AI models directly at the data source of multiple healthcare institutions while eliminating the need to transfer between the institutions.