Secure and Energy-Efficient Framework for Internet of Medical Things (IoMT)-Based Healthcare System

Manufacturing, energy, finance, education, transportation, smart home, and medicine employ IoT technology. IoT solutions can efficiently manage hospital patients and mobile assets to provide high-quality medical services. The Internet of Medical Things (IoMT) integrates IoT with medical equipment to increase patient comfort, cost-effective medical solutions, hospital treatment speed, and personalized healthcare. This work uses Constrained Application Protocol to secure remote patient health data (CoAP). Nevertheless, the CoAP DTLS layer lacks key control, session establishment, and multicast message exchange. Hence, IoMT communication requires an efficient protocol for safe CoAP session formation. Consequently, to address key management and multicast security issues in CoAP, we presented an efficient and secure communication method to establish a secure session key between IoMT devices and distant servers utilizing lightweight, energy efficient, and Secure CoAP Elliptic Curve Cryptography (E2SCEC2). E2SCEC2 can use a smaller key size than Rivest-Shamir-Adleman (RSA) due to its tiny key size. To determine if these algorithms are compatible in limited contexts, the paper examines key creation, signature generation, and verification of E2SCEC2 and RSA algorithms, energy consumption, and radio duty cycle.