Smart Healthcare System: A Primer (original) (raw)
Abstract
Smart healthcare system also known as Internet of Things (IoT)-based healthcare system is the abbreviation for Self-directed, Motivated, Adaptive, Resource-enriched, and Technologies-embedded (SMART) healthcare. This smart healthcare system is not smart device healthcare, but rather a medical paradigm shift for digital natives. IoT and cloud-based healthcare services promote patients’ monitoring and good healthcare delivery which are important to the 21st century healthcare services. But many healthcare institutions do not understand how germane the application of these technologies is to the healthcare delivery to promote patients’ monitoring and good healthcare delivery which are important to the 21st century healthcare services. The only option left to face the challenges confronting monitoring and delivering of ideal medical services in the 21st century by healthcare providers is the application of these technologies. The understanding of the use of these devices, applications, and services do not only help patients know how to manage their health and life for good purpose but assists healthcare providers to reduce emergency cases, track patients, staff, and inventory; enhance drug management for the overall control of epidemics. Also, the understanding of the use of these technologies helps in simultaneous reporting and monitoring, end-to-end connectivity and affordability, data assortment and analysis, remote medical assistance, tracking and alerts. Devices involving hardware and software technologies for smart healthcare system are revealed to enhance medical service delivery to both in-patients and out-patients. Findings show that cell phone with radio-frequency identification (RFID)-sensor capabilities can serve as a platform for ideal healthcare delivery. Healthcare data insecurity and privacy through multiple devices and protocols are the major limitations of IoT applications in healthcare delivery noticed in the course of this study. This is a serious issue as vital information about patient which is in the cloud can only be accessible through IoT multiple devices and protocols.
Figures (5)
NN Ee Oe EN Device-to-device networks as shown in Fig. 1, allow devices that adhere to a particular communication protoco to communicate and exchange messages to achieve their function. This communication model is commonly used ir applications like home automation systems, which typically use small data packets of between devices with relatively low data rate requirements. Residential IoT devices like light bulbs, light switc information to communicate Nes thermostats, and door locks normally send small amounts of information to each other in a home automation scenario This device-to-device communication approach illustrates many of the interoperability c have a direct relationship, they usually have built-in security and trust mechanisms, bu data models that require redundant development efforts by device manufacturers [7]. hallenges. These devices o manufacturers need to invest in development efforts to implement device-specific d approaches that enable use of standard data formats. ter they also use device-specific This means that the device ata formats rather than oper Fig. 1: Device-to-device communications model Source: https://www.kernelsphere.com/four-internet-things-communications-models/
Fig. 2: Device-to-cloud communications model Source: https://www.kernelsphere.com/four-internet-things-communications-models/
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These are devices that serve as a local gateway between individual IoT devices and a cloud service, but they can also bridge t gateway device with non-IP (In he interoperability gap between devices themse ves. For example, the Smar hat has Z-Wave and Zigbee transceivers installed to communicate with bot connects to the Smart Things cloud service, allowing the user to gain access to the devices using a smart phone app and an Internet connection. This communication model is used in si means a gateway is necessary for legacy [Pv4-only devices and frequently used 0 integrate new smart devices into a legacy sys them. A downside of this approach is that the necessary deve system adds complexity and cost to the overall system. Things hub is a stand-alone h families of devices. It then uations where the smart objects require interoperability ernet Protocol) devices. Sometimes this approach is taken for integrating IPv6-only devices, which services. In other words, this communications model is em with devices that are no opment of the application- natively interoperable with ayer gateway software and
Ihe back-end data-sharing model refers to a communication architecture that enables users to export and analyze smart object data from a cloud service in combination with data from other sources. This architecture supports “the user’s desire for granting access to the uploaded sensor data to third parties”. This approach is an extension of the singl device-to-cloud communication model, which can lead to data silos where “IoT devices upload data only to a single application service provider’’. A back-end sharing architecture allows the data collected from single IoT device dati streams to be aggregated and analyzed as shown in Fig. 4. Effective back-end data-sharing architectures allow users tc move their data when they switch between IoT services, breaking down traditional data silo barriers. The back-end data sharing model suggests a federated cloud services approach or cloud applications programmer interfaces (APIs) are needed to achieve interoperability of smart device data hosted in the cloud. This architecture model is an approach tc achieve interoperability among these back-end systems. “Standard protocols can help but are not sufficient to eliminat data silos because common information models are needed between the vendors.” In other words, this communicatior model is only as effective as the underlying IoT system designs. Back-end data sharing architectures cannot full LHKVTaATLLAMmMQa erlacad eurctam daciane
Fig. 3.1: Smart Healthcare System Framework. [8] recommend the use of environmental or vision based sensors around the home. However, this restricts the usefulness of the system to one physical location. It would be preferable to implement all essential sensors as small, portable, and externally wearable nodes. This would provide patients with a non-intrusive and comfortable solution that is capable of monitoring their health wherever they go. This would make patients more receptive to using health monitoring technology than they would be if implantable sensors or cameras were required. Additionally, repairing or replacing externally wearable nodes would be simple when compared to implanted sensors or vision-based sensors installed in the home [9].
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