In view of the current development trend of the smart medical industry in the context of the internet of things, this study conducts an evolutionary game analysis on information technology providers, medical institutions, digital medical equipment providers, and medical regulatory agencies in the smart medical industry. This study also analyzes the stable state of the future development of the smart medical industry and performs simulation calculations through MATLAB software. The research results show that the overall development trend of the smart medical industry structure in the future is consistent with the development trend of each industry structure. Under the strategic background of the supervision of medical regulatory agencies, information technology providers and digital medical equipment providers, respectively, provide the smart medical industry with the latest information technology and digital medical equipment to ensure the technical support of the smart medical industry. The smart medical industry provides corresponding medical talents and medical equipment to ensure the demand for talents and equipment of the smart medical industry, so that the structure of the smart medical industry can continuously improve the level of smart medical technology in the future development and ultimately promote the overall development of the smart medical industry.

This paper introduces the application of blockchain technology in the field of IoT medical information, proposes a secure and trustworthy framework for storing and sharing medical information based on blockchain, containing functions such as tamper‐proof storage of IoT medical data, desensitization processing of sensitive information and sharing of medical information security, and predicts the future market state transfer and the construction time of the model framework from the perspective of economics.