In the Healthcare 4.0 era, recent breakthroughs in emerging and disruptive technologies, such as Artificial Intelligence (AI), machine learning and robotics, have significantly changed the way in which healthcare services are delivered to patients. Advancements in patient monitoring systems and wearable devices have created more powerful and flexible real-time remote patient observation. Healthcare provision has experienced remarkable improvements facilitated by cloud computing and wireless technologies, while wireless sensor networks now play an important role in mobile technologies for e-healthcare. In this paper, we propose a mobile-based healthcare system for the Healthcare 4.0 era. The proposed approach enables patients to self-authenticate, using their own mobile and wearable devices, establishing a session key between owned devices. After mutual authentication, the cloud server verifies each user. The security of the approach is described through the AVISPA tool. We analyze the embedded security and functionality which improves the healthcare system and calculate the relative communication and computation costs. Results show that the proposed approach provides greater security compared to other state-of-the-art schemes.

在医疗保健4.0时代，诸如人工智能（AI），机器学习和机器人等新兴和颠覆性技术的最新突破极大地改变了向患者提供医疗保健服务的方式。病人监护系统和可穿戴设备的进步创造了更强大，更灵活的实时远程病人观察。云计算和无线技术推动了医疗保健领域的显着改善，而无线传感器网络现在在电子医疗保健的移动技术中起着重要作用。在本文中，我们提出了适用于医疗保健4.0时代的基于移动的医疗保健系统。所提出的方法使患者能够使用自己的移动和可穿戴设备进行自我认证，从而在拥有的设备之间建立会话密钥。相互认证后，云服务器将验证每个用户。该方法的安全性通过AVISPA工具进行了描述。我们分析了嵌入式安全性和功能，这些功能和功能可改善医疗保健系统，并计算相对的通信和计算成本。结果表明，与其他最新方案相比，该方法提供了更高的安全性。