The invention relates to a medical service authenticity verification method based on internet of things. The method comprises the following steps: a medical application server separately performs registration for a patient user, first internet of things equipment associated with the patient user, medical staff and second internet of things equipment associated with the medical staff; the medical application server separately detects geographic locations and working states of the first internet of things equipment and the second internet of things equipment after receiving a service request ofthe patient user, and then authorizes the first internet of things equipment and the second internet of things equipment, thereby confirming the service request of the patient user; the second internet of things equipment is detected through patient user communication equipment after the medical staff arrives the location of the patient user, and the first internet of things equipment is detectedthrough medical staff communication equipment; and the medical application server performs safety verification and service activity authorization according to the detection result. Through the methoddisclosed by the invention, the authenticity of mobile medical service can be effectively verified, and the method has the advantages of high accuracy degree, convenience and flexibility.