Artificial intelligence (AI) in healthcare has made it harder to protect patient data, prediction performance, and environmental sustainability in federated learning (FL) systems. A single platform for sustainable healthcare applications, Carbon-Budgeted Green Federated Learning (CB-GFL), merges carbon-aware client selection, blockchain-based auditing, and energy-efficient collaborative learning. The framework integrates (i) a carbon-budget-aware client selection strategy formulated as a 0–1 knapsack optimisation problem with a greedy approximation guarantee of approximately 63.2%; (ii) a blockchain auditing layer consisting of three smart contracts, the Carbon Budget Ledger, Energy Verification Contract, and Incentive/Penalty Contract, secured using SHA-256 hash-based immutable records; and (iii) an ensemble learning model combining LightGBM, XGBoost, and Gradient Boosting with SMOTEENN resampling. All experiments are conducted in a simulated federated environment, with clients executed on a single machine. CB-GFL achieves AUC = 0.9113 on the UCI 4-site benchmark (4 hospitals, 3 countries, n = 920), exceeding the 0.90 threshold, and AUC = 0.7138 on Framingham, consistent with the clinical gold standard of 0.70 to 0.75. In the balanced operating point, experimental findings show 83.61% classification accuracy, 82.34% weighted F1-score, 0.7138 AUC-ROC, and 0.2771 MCC, and 72.07% sensitivity in the screening configuration. The proposed system ensures 100% carbon-budget compliance and a 74-block tamper-resistant blockchain audit trail for energy responsibility. Comparison to 11 benchmark algorithms shows that the dataset's realistic predictive qualities are 0.14–0.29. Additionally, five-fold cross-validation shows steady generalisation with an average accuracy of 84.25% ± 1.03%. The results show that CB-GFL supports sustainable AI adoption and privacy-preserving, carbon-aware, auditable federated healthcare intelligence.
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Bhardwaj et al. (2026) studied this question.
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