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  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Time-Efficient Auditable Blockchain-based Pharma Drug Supply Chain using Delegated Proof-of-Stake</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Sakshi Sharma</string-name>
          <email>imsakshivk@gmail.com</email>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Arshdeep Bahga</string-name>
          <email>arshdeepbahga@gmail.com</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Trishie Sharma</string-name>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>C. Rama Krishna</string-name>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Cloudemy Technology Labs</institution>
          ,
          <addr-line>Chandigarh</addr-line>
          ,
          <country country="IN">India</country>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>Jain (Deemed-to-be University) Bangalore</institution>
          ,
          <country country="IN">India</country>
        </aff>
      </contrib-group>
      <abstract>
        <p>Blockchain technology was originally designed for maintaining financial ledgers, but over time it has found applications in many different fields including healthcare. There are numerous uses for blockchain innovation in the Pharmacy Industries, including encouraging patients, doctors, customers, and drug store organizations to get the clinical records; medicine sharing, improvement of the supply chain, following and detailing of clinical preliminary information, supplier credentialing, nature of-care following, drug estimating procedure following an unsociable event tracking and assessment. In the existing work, the authors have used the most commonly used agreement protocols are Proof-of-Work, Proof-of-Authority, Proof-of-Ownership, and Practical Byzantine Fault Tolerance for implementing Blockchain-enabled pharmacy supply chains. But these protocols incur a large amount of energy and time consumption along with system compromise at times. Hence, there is a need to practice some new and different types of consensus protocols which can produce secure and accurate results without taking much time and energy. To overcome these drawbacks, we have proposed an approach by using Delegated Proof-ofStake protocol as the consensus mechanism for a Blockchain-based Pharma Drug Supply Chain. The main focus of this paper is to study Delegated Proof-of-Stake as an approach of agreement among the nodes and to compare its efficiency with other existing consensus protocols for their transactions in terms of time consumption. It is clear from the results that there is a considerable divergence in the throughput of the Delegated Proof-of-Stake i.e. 5000-7000 transactions per second where Proof-of-Work gives 300-500 transactions per second and Practical Byzantine Fault Tolerance gives 1600-1900 transactions per second.</p>
      </abstract>
      <kwd-group>
        <kwd>1 DPoS</kwd>
        <kwd>PBFT</kwd>
        <kwd>PoW</kwd>
        <kwd>Pharmacy supply chain</kwd>
        <kwd>Pharma Net</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>1. Introduction</title>
      <p>
        The manufacture and circulation of forged drugs is a vital and increasingly crucial universal
concern, particularly in budding countries. The marketplace worth of pharmaceutical forging has
reached billions of dollars yearly [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ].
      </p>
      <p>Envision a circumstance where your kid is experiencing a perilous sickness. Side effects
incorporate migraine, perspiring, unsettled stomach, and pyrexia. You take your kid to the most
excellent and, confided specialist and governed the medication endorsed by the specialist. At the
moment, you consider slightly hassle-free. Be that as it may, the wellbeing state of your kid doesn't
improve or even disintegrates, or on the other hand far more terrible, your kid dies, in light of the fact
that the medication which you have trusted is forged. It's anything but an inaccessible chance; this is
genuine for the major emerging countries even for some advanced countries. On the worldwide stage,
counterfeit drugs are huge problem. The magnitude, outline, and shade of the drugs, to the bundling
precisely resemble the genuine drug. These fraudulent results by adding little amounts of the active
components or even none at all or far more terrible a few toxic components. It is miserable, however,
the truth of the matter is that India is the heroic centre of assembling counterfeit medications.
Presumably, these counterfeit drugs are representing a severe threat to the purchasers and the drug
store industry.</p>
      <p>
        One of the causes for medicine faking is the inadequate supply chain organization in pharmacy
engineering. Medicine amends rights from producers to wholesalers; distributing authority and then
pharmacists before the consumer gets it. In the existing supply chain framework, data isn't pooled
between frameworks, producers don't have the foggiest idea of what befallen their products, drug
administrative authority has zero ability to see of the framework, reviews are intricate and exorbitant,
and organizations can't follow-up patients [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ].
      </p>
      <p>For the anticipation of forged drugs, pharmaceutical engineering needs a proficient supply chain
management (SCM) system, and the preeminent obtainable answer for building up an ideal SCM
framework is Blockchain innovation.</p>
      <p>
        The significant outcomes of the presented research paper are as per following: (1) A time-efficient
blockchain based pharma drug supply chain framework is recommended that employments the DPoS
consensus protocol given by EOSIO which is a blockchain based vertically and horizontally scalable
architecture [
        <xref ref-type="bibr" rid="ref2">2</xref>
        ], (2) a comparative examination of the Pharma drug supply system, demonstrating
major performance improvements in terms of throughput when contrasted with available consensus
mechanism, (3) deployment of Pharma Net Dapp (Decentralized Application) is given which includes
tasks such as verifying the originality or drug or medicine by entering the details present on the
backside. It provides end-users a portal to make it auditable without the need to register to the system
so that everyone can check the medicines for their originality and hence tackle the counterfeit
problem.
      </p>
      <p>The upcoming of the paper is coordinated as follows: In section 2, we examine the research of
other researchers on blockchain related to the pharmacy supply chain. In Section 3, the portrayal of
deployment work is presented. In section 4, the correlative study and results are discussed and in
section 5 the final observations are listed.</p>
    </sec>
    <sec id="sec-2">
      <title>2. Literature Review</title>
      <p>In this section, various research papers are analysed and presented based on the solutions that
many researchers have provided in an attempt to incorporate Pharmacy Supply Chain and Blockchain
to implement decentralization and transparency of the drug or pharmacy product supplies.</p>
      <p>
        T. Bocek et al. [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ] introduced Modum.io, a start-up that utilizes IoT (Internet of Things) sensor
gadgets utilizing blockchain innovation to declare information permanence and public availability of
temperature records while lessening operational expenses in the Pharmacy supply chain. They used
Ethereum Virtual machine for the publishing of nodes in the ethereum network. Smart contracts were
used to achieve the business logic. Solidity was used to write the smart contracts. The geth Ethereum
customer was not steady during the pilot projects, the server limit must be expanded during DoS
assaults on Ethereum. Go with the fork holding on to perceive how the fork ends up ( DAO (Data
Access Object)) needs to resync the blockchain, which may take a few days. Haq et al. [
        <xref ref-type="bibr" rid="ref3">3</xref>
        ] suggested
using a permissioned ethereum blockchain for implementing a blockchain-based solution for the drug
counterfeiting problem. They have suggested how different systems can be implemented and how
different people will access the system.
      </p>
      <p>
        S Jhangir et al. [
        <xref ref-type="bibr" rid="ref4">4</xref>
        ] proposed a narrative framework for pharmacy supply chain management which
uses an ethereum blockchain. They have used a Proof-of-Concept consensus mechanism. However,
this Blockchain has an adaptability issue, and as a result, the transaction speed might be backed down
in the proposed system. S R Niya et al. [
        <xref ref-type="bibr" rid="ref5">5</xref>
        ] demonstrated the implementation of a Supply Chain
Tracking application which uses Ethereum to implement supply chain. They planned a Decentralized
Application (Dapp) which gives equipment and stage free methodology that deftly empowers
different item mixes and changes to be followed a utilization case-rationalist plan and use. R Kumar
et al. [
        <xref ref-type="bibr" rid="ref6">6</xref>
        ] proposed a methodology which is based on Public Key Infrastructure (PKI) and digital
signature which can prevent replay and man-in-middle attack. This paper aspires to address the
question of drug security utilizing Blockchain and encrypted QR (quick response) code security. The
proposed framework tended to a blockchain based secure establishment for clinical chain supply
among generous individuals. The elicited structure can offer drug safety as well as authenticity to the
creator. This work is only addressing the tracking problem but counterfeiting still exists.
      </p>
      <p>
        A Kumar et al. [
        <xref ref-type="bibr" rid="ref7">7</xref>
        ] used Hyperledger fabric v1.0 for the implementation of the drug supply chain
since they want to make a private blockchain that can be accessed by their authorised identities. But if
the system can only be accessed by the authorised users then how the end consumer, that is the public,
will access the system, is not defined. They implemented this blockchain for improving the scalability
issue by increasing the number of transactions per second and achieved 1600 transactions per second
processing speed. R Raj et al. [
        <xref ref-type="bibr" rid="ref8">8</xref>
        ] proposed a blockchain-based solution to prevent medicine faking
and to add tracing ability, security, and vision to the Pharmacy supply chain. Generally,
proof-ofwork is used as a consensus mechanism for blockchain; they modified it to proof-of-ownership. They
used hyperledger fabric for implementation. They only theoretically suggested and validated the
system and designed the algorithms in pseudo-code. End users cannot be a part of the system. M.
Sahoo et al. [
        <xref ref-type="bibr" rid="ref9">9</xref>
        ] used Blockchain technology to explain how to add tracing ability, vision, and
sanctuary to the pharmacy supply chain. They have suggested blockchain as a solution for the
counterfeiting problem and designed the algorithms for each level of transactions and used the elliptic
curve digital signature algorithm (ECDSA) for security enhancement. It is just a proposed system and
is not implemented in reality.
      </p>
      <p>It is perceived from the wide literature review that there are numerous concentrated researches on
blockchain technology and its applications in different fields, where health care and pharmacy supply
chains are the most popular areas of research.</p>
      <p>
        The pharmacy supply chain is suffering from many issues like improper handling of tracking,
security, and counterfeiting of drugs [
        <xref ref-type="bibr" rid="ref9">9</xref>
        ]. Out of these, this research covers the counterfeiting problem.
Many blockchain-based solutions that promise guaranteed solutions to existing problems like
improper tracking and counterfeiting are only suggested in theories but not implemented [
        <xref ref-type="bibr" rid="ref8 ref9">8, 9</xref>
        ].
Previous blockchain implementations only allow limited actors in the system [
        <xref ref-type="bibr" rid="ref3 ref5 ref6">3, 5, 6</xref>
        ]. Implemented
solutions, such as PoW (Proof-of-Work), PBFT (Practical Byzantine Fault Tolerance), PoA
(Proof-ofAuthority), PoC (Proof-of-Concept), and PoO (Proof-of-Ownership) lack in scalability leading to
slow transaction processing in the system [
        <xref ref-type="bibr" rid="ref1 ref3 ref4 ref5 ref7 ref8">1, 3, 4, 5, 7, 8</xref>
        ].
      </p>
      <p>In the following segment, the structural design of the planned Pharma Net Dapp is given along
with the performance parameter that is used to contrast diverse agreement mechanisms.</p>
    </sec>
    <sec id="sec-3">
      <title>3. Proposed Pharma Net Dapp using Delegated Proof-of-Stake</title>
      <p>This segment give details how the planned scheme is implemented and runs on a blockchain based
network.</p>
      <p>3.1.</p>
    </sec>
    <sec id="sec-4">
      <title>System Architecture</title>
      <p>In the planned system, a dashboard in the form of a Dapp, i.e. a web portal, is provided to the users
where they can verify the originality of drugs by entering the details printed on the backside of
medicine as QR code/ Bar code, or for now, simple text-based. Once the drug details are entered using
the dashboard of Dapp, the transactions as a query are forwarded to the EOSIO network. All the
nodes in the EOSIO system first vote for setting the delegates and in the second round, the delegates
will vote to get the chance to publish and verify the block on the blockchain, as it is a DPOS based
blockchain. For every transactional query, the blockchain is mined by delegates for the results and
verified by the winning delegate and then the results are sent back to the portal. If the details of drugs
are present in the system then they will be listed on the portal and if not, then an error will be
generated. The architecture diagram of the proposed work is shown in figure 1.</p>
      <sec id="sec-4-1">
        <title>The workflow of the proposed Pharma Net Dapp system is shown in figure 2.</title>
        <p>1. Creating Manufacturers and Distributors Accounts and linking them: The manufacturers
and distributors accounts turn out to be created using the ‘EOSIO’, a public, private,
permissioned, or permissionless blockchain infrastructure, based on Delegated-Proof-of-Stake
agreement protocol. For Proof of Work , the accounts were created using Ganache and then
added to MetaMask. For PBFT the accounts turn out to be created in hyperlegder fabric.
2. Design Pharma Net Dapp: A single portal for entering the details to be verified and then
listing the verified drug details has been designed using HTML/CSS and
Javascript/Typescript has been used for scripting the web page as shown in figure 3.</p>
      </sec>
      <sec id="sec-4-2">
        <title>In figure 3, the portal for Pharma Net Dapp displays the following:</title>
        <p>● Public Key of Authority: This is the public key of the authority who is verifying the
particular details of the drugs. This ensures the verified system as the accounts for
manufacturers and distributors are created using the ‘cleos’ (an inbuilt command line for
EOSIO) and they are linked using a set of public and private keys.
● Manufacturer: It is assumed that the manufacturer name/id is listed on the drug that is
desired to be tested. One can enter any name here but if that name is not in the system loaded
then it will create an error and that drug will not be verified.
● Distributor: It is assumed that the distributor name/id is listed on the drug that is desired to
be tested. One can enter any name here but if that name is not in the system loaded then it will
create an error and that drug will not be verified.
● Status: Status will be shown as “verified” if the private key, manufacturer, and distributor
entered are verified by the system. The details will also be listed on the portal for future
reference. But if the drug is not verified, the status will be “not verified” and if tried to verify
it again then it will generate an error.
● Verified Details: A table of all the verified records will be generated and records will keep
adding when they are searched.
3. Selecting the agreement mechanism type: The planned work will be juxtaposed with the
existing agreement protocols, i.e., Proof-of-Work and Practical Byzantine Fault Tolerance,
different methods turn out to be utilized for every one of them.</p>
        <p>●
●
●</p>
        <p>Proof-of-Work: The beginning files (genesis) were produced using ‘Ganache’ and
the descriptions of the accounts created are detailed in it. The accounts are linked
using Metamask using the RPC URL of localhost: 8545.</p>
        <p>Practical Byzantine Fault Tolerance: Hyperledger fabric (v1.4.3) is used to make a
PBFT based blockchain network. As the basic consensus mechanism in Hyperledger
fabric is PBFT, the accounts were created and then the business logic was setup and
achieved using the codechains.</p>
        <p>
          Delegated Proof-of-Stakes: EOSIO (v2.0) blockchain is used as it is based on DPOS
and PBFT. So the network was configured using the DPOS using nodeos. Then the
accounts for the manufacturers and distributors were created using the cleos and
connected by the same private key of authority. Every time this system is tested, we
have to first compile the smart contract that is written in c++ and has the main
business logic. The ‘wasm’ and ‘abi’ files are created after the successful execution
of the smart contract. Then the drugs can be verified via the portal and the same
‘wasm’ and ‘abi’ files are tested on the ‘Testnet’ of the EOSIO network.
4. Setup the mining/delegate nodes: The figure of complete nodes for all association is
dissimilar, for existing blockchain, a mean postulation of 10 nodes symbolizes a practical
standard and presents the practical values for approximately every systems [
          <xref ref-type="bibr" rid="ref10">10</xref>
          ]. Keeping this
under deliberation, 10 mining nodes turn out to be setup for Proof-of-Work consensus, and 10
nodes turn out to be setup for Practical Byzantine Fault Tolerance consensus. For PoW, nodes
were created with the Geth console [
          <xref ref-type="bibr" rid="ref11">11</xref>
          ]. For DPoS, nodes were created using the nodeos
docker console of hyperledger fabric. 5 delegate nodes and 5 additional nodes, in simple
mode, were setup for Delegate-Proof-of-Stake mechanism and for generating the nodes; the
nodeos docker console of EOSIO were used.
5. Setup and launch the Pharma Net Dapp: The smart contract has been formed for the
pharmacy drug supply chain and then it will be setup for every agreement mechanism. The
performance is measure using predefined metrics for every consensus mechanism, i.e.
        </p>
        <p>Transaction per Second (TPS).
6. Consumer Enquiry about the drug: The end-user will be able to access the portal and
verify the drug just by entering the details present at the backside.
7. Compare and analyse the results: The performance of each consensus protocol will be then
compared based on the following parameter.</p>
        <p>a. TPS (transactions per second)</p>
        <p>Distinctive</p>
        <p>
          blockchain frameworks demonstrate various speeds for deploying,
summoning, and implementing smart agreements. We observe the throughput in a
timeframe that is the numeral transaction per second [
          <xref ref-type="bibr" rid="ref12">12</xref>
          ]. During a timeframe from ti
to tj, the accompanying equation can be used to determined Transactions per Second
of node u

 =

(   (  ,   )
  −  
(
/ ),
TPS for N nodes can be obtain by taking the average using following equation

=
∑ 

 (
/ )
The subsequent section discusses the outcomes with the comparison study for PoW, PBFT, and DPoS
mechanisms as per the described performance parameters.
        </p>
      </sec>
    </sec>
    <sec id="sec-5">
      <title>4. Results and Discussion</title>
      <p>The planned scheme introduced a conceptualization of a time-efficient Blockchain based Pharma
supply chain portal with an enhanced throughput. The outcomes of this planned scheme are
premeditated on a system with 8 GB RAM and an i5 processor in terms of throughput which is
premeditated in terms of Transaction-per-Second (TPS). The results recorded are tabulated in Table 1.</p>
      <p>
        It is observed that the proposed Pharma Net Dapp system on the Blockchain network was capable
to deal the uppermost number of transactions with the DPoS mechanism as contrast to the PoW and
PBFT consensus, from Table 1. The DPoS mechanism based arrangement achieved a throughput of
6051 TPS; PBFT reached 1892 TPS while PoW possibly can lever only 434 TPS as shown in figure
4. These observations were attained by recording the time taken for a solo transaction on a blockchain
network. Next, this time is transformed in terms of the number of transactions which can be executed
in one second. The total time taken to complete a transaction using DPoS protocol (165.264 μs) is
very less as compared to the PoW (2305.202 μs) and PBFT (528.311 μs) as shown in figure 5. The
cause for the high throughput attained by the DPoS mechanism is its block confirmation time of 1-2
seconds [
        <xref ref-type="bibr" rid="ref2">2</xref>
        ], as compared with PBFT which has a block time of 15 seconds [
        <xref ref-type="bibr" rid="ref13">13</xref>
        ], and PoW having
block time near about 9-10 minutes [
        <xref ref-type="bibr" rid="ref14">14</xref>
        ].
      </p>
    </sec>
    <sec id="sec-6">
      <title>5. Conclusions</title>
      <p>This paper aims on implementation of a blockchain based pharma drug supply system that
amplifies the throughput and makes the end-user capable to audit the medicines without the need to be
a part of the system. The DPoS protocol offers an excellent throughput of 6051 transactions per
second that would help to improve the scalability of the scheme in a Blockchain network. In the
future, IoT devices can be integrated to add other features like traceability of drugs.</p>
    </sec>
    <sec id="sec-7">
      <title>6. References</title>
    </sec>
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