Advance IoT-based BSN Healthcare System for Emergency Response of Patient with Continuous Monitoring and Motion Detection

82 International Journal for Modern Trends in Science and Technology
Advance IoT-based BSN Healthcare System for
Emergency Response of Patient with Continuous
Monitoring and Motion Detection
Poonam More1
| Kanjana Memane2
|Trupti Londhe3
|H.J.Thanki4
1Student, Department of computer engineering, Jayawantrao sawant college of engineering,Pune,Maharashtra,India
2Student ,Department of computer engineering, Jayawantrao sawant college of engineering,Pune,Maharashtra,India
3Student ,Department of computer engineering, Jayawantrao sawant college of engineering,Pune,Maharashtra,India
4 Professor,Department of computer engineering, Jayawantrao sawant college of engineering,Pune,Maharashtra,India
To Cite this Article
Poonam More, Kanjana Memane, Trupti Londhe and H.J.Thanki, “Advance IoT-based BSN Healthcare System for
Emergency Response of Patient with Continuous Monitoring and Motion Detection”, International Journal for Modern
Trends in Science and Technology, Vol. 02, Issue 12, 2016, pp. 82 - 88.
BSN is a prior and emerging technology in the medical field .BSN care system first deploy light weight ,tiny-
powered sensors on patient body which communicate with each other and the coordinator node which is on
the body.This system mainly focuses on the measurement and estimation of important parameters like
ECG,temperature,level of blood. This real time system focuses on several parameters like patient location,
data storage, motion detection and transmission of data as well as alert messages to first responder and
server of hospital.In this system we are using three types of sensors ECG sensor,temperature sensor and
level sensor which gathers patients information and sends to micro-controller via which it goes to
BTC(Bluetooth Controller) through it is transferred to an Android smart phone of patient via Wi-Fi/Internet it
goes to server and from the server data is sends to doctors Android App. We are additionally using NFC(Near
Field Communication) technology,motion detection of patient by continuous grabbing of feed from
camera.Subsequently, by using this customized algorithm we proposed IOT based healthcare system using
body sensors which efficiently accomplish requirement.
KEYWORDS: BSN (BodySensorNetwork), Data integrity, Client/server, Data privacy, Healthcare
applications, Body area network, Wireless Communication, Motion detection.
Copyright © 2016 International Journal for Modern Trends in Science and Technology
All rights reserved.
I. INTRODUCTION
“Silver tsunami” of an ageing society that within
a few years .The fact that people live longer than
expected should be celebrated as one of the biggest
victory in history. As the saying goes. “Getting old
is better than the alternative”. We will see for the
first time, more people over the age of 65 living on
this earth planet than those under 5 years of age
apart from increased of chronic diseases causing
many aged people to have problems in taking care
of themselves. Accordingly, providing a noble
quality of life for aged people has become a serious
social issue at that moment. Knowing seniors
contributions to the society. F Many people wish to
live in same place to live progressive and
self-reliant life for longer period of time. One
possible way of getting this is to use connected
smart devices that are collectively calls the
“Internet of Things” that are day by day becoming
a reality in the home.
The internet of things have communication with
ABSTRACT
International Journal for Modern Trends in Science and Technology
Volume: 02, Issue No: 12, December 2016
ISSN: 2455-3778
http://www.ijmtst.com

Poonam More, Kanjana Memane, Trupti Londhe and H.J.Thanki : Advance IoT-based BSN Healthcare System for
Emergency Response of Patient with Continuous Monitoring and Motion Detection
each other and with software running in the
cloudthese devices can act as sensors,monitors
what is happening in environment and in
particular .they can also process information and
take required actions,such as controlling heating
and air conditioning ,locking doors and window
and reminding people to take medications or
encourage them to be active,or simply go for a
walk. IOT has its lots of contribution in medical
field as latest example is BSN technology where it
provides environment ,where vital parameters get
transmitted by medical devices like body sensors
to public cloud and secured private cloud in which
information can be stored, assembled and
analyzed.In this way such type of cloud can store
millions of patients health related data which can
be future analyzed.This paper truly discusses more
about BSN and its application .
II. IOT SERVICES
There are lots of recent researches in medical
field.These researches are done on the basis of new
technology,performance and benefits. The
researches are made with respect to users and
clinical equipments.Day-by-day new mobile
phones are getting launched having there special
features.Many mobile phones and adornments like
wrist watches contain biosensors in them. This
briefly tells us about Medical Health, which uses
smart-phones for consultation and practice of
health related issues. This reduces consultation
errors due to continuous monitoring. IOT health
care applications can be classified in to different
types based on their performance and way of
working[14].
1. Tracing patient's location.
2. Recognition and authorized.
3. Aggregation of data and its sensing.
Health trends can be analyzed and discovered with
respect to the application areas in medical practice.
Some of the applications areas are given below
along with the usage of IOT concept and their
benefits to humans.
1)Wireless monitoring system for patients:
This system is essential for identifying patients
essential parameters and activities remotely with
the help of sensors situated on human body.In this
model the real time data is being shared and send
to the caretakers and doctors.This system is
specially used for the management of disease heart
disease,hypertension, diabetes,asthma,etc. where
patient needs to continuously monitor. Example
:Wireless monitoring electronic device like
defibrillator.
2)Access of Mobile devices:
Access of Mobile devices is completely based on the
mobile technologies that allow hospitalization
systems to be remotely or virtually accessed.All
these hospitalization system can be easily
monitored using an Android application.This
Android application in healthcare is known as
e-health.If this Android application is used for
continuous monitoring and transmission of
health related data then it is known as m-health.
Examples: Android apps.
3)Sensor devices:
The sensor devices are used for capturing and
retrieving the key care constraints and health
management data.This is mainly used for checking
the patient is fit or not.Tracking the patients
movements which can be done by continuous
monitoring with the help of cameras.The data
gathered with the help of sensors,can be evaluated
by the physician. Examples:Wearables shirts, wrist
watches, google, etc.
4) Implicit Consultation :
Implicit Consultation is based on the remotely
consulting the patient with the help of multimedia
audio and video .It also helps in educating people
about their health, medicine delivery and
consultation in the case of emergency.Due to the
consultation time is getting to longer in many
countries,people have to face many
problems.Implicit consultation of a patient can be
done in few seconds.The remote problem detecting
with the help of screen has become common.
Examples:Audio-Video consultation,
Tele-consultations
III. IOT HEALTHCARE SERVICES
1) m-HEALTH using Internet of Things[8]:
m-health is a body sensors mobile , and
communications technologies which provides
health services. In theory, m-IOT works with 4G
networks which connects the 6LoWPAN and it is
related to healthcare connectivity model. for future
internet-based m-health services. m-IOT refers to

medical based IOT services. The m-IOT services
are used for checking the capacity for sensing the
glucose level in blood.The context aware issues
and m-IOT services.
2) Healthcare System for Monitoring Community
Healthcare System for Monitoring of community is
the system in which group of people or community
are covered . This can be used for the people in
government hospital, private hospitals,
residential area, or in rural areas. The
combination of all these network is known as
co-operative network structure. The resident
healthcare system is based on functional model
which is used sharing the data between the
clinical services and facilities for obtaining the
health records.
3) Health Report of Children
It is very important to make people aware about
the children's health .The children healthcare
system tells that the children should have good
nutritional habits. This researches have developed
children healthcare system to serve the need of
children's in a proper manner. This system deals
with educating, empowering the hospitalized
children.
4) Accessing the Wearable Devices:
WSN-based healthcare system use different types
of sensor. These sensors are good enough to
provide the required services to IOT. The sensors
can be integrated together to form a wearable
product. The variable nature of various sensor is a
challenges to integrate to form a wearable product.
Wearable devices have some enticing features with
respect to IOT. This system uses various medical
application through mobile devices like smart
phones and watches.
5) Healthcare System with Indirect Emergency:
In various health issues emergency conditions
elaborated are climatic conditions, accidents
during transportation caused due to vehicle, ship,
train. This service provided is known as indirect
emergency healthcare which provide solution like
availability of information, accident actions and
keep track of records.
IV. IOT IN HEALTHCARE APPLICATION
The various applications of IOT are as follows[12]:
1) ECG Recording :
Electrical activity of heart called as
electrocardiogram is measured by using
electrocardiography. It measures heart bits rate as
well as rhythm of heart which can be further
utilized for detecting diseases. Nowadays IOT
based ECG monitoring system are developed
which consist of transmitter and receiver.This
system also measures cardiac function of heart on
real time bases..
2) BP(Blood Pressure Monitoring):
combination of a KIT blood pressure (BP) meter
and an NFC-enabled KIT mobile phone becomes
part of BP monitoring based on the IOT is
addressed. A motivating summary in which BP
must be regularly controlled remotely is presented
by showing the communications structure
between a health post and the health center. The
question of how the BP device operates depends on
the connection to an Apple mobile computing
device is addressed in. A device for BP data
collection and transmission over an IOT network is
proposed . This device is composed of a BP
apparatus body with a communication module. A
location-smart and intelligent terminal for
carry-on BP monitoring based on the IOT is
proposed .
3) Temperature Monitoring:
Body temperature monitoring is very important
part in healthcare diagnosis as it is sign of
maintenance of body.In the BSN care system
using different sensors or using temperature
sensors temperature of body can be measured.
The m-IOT concept can be checked and verified
using a body temperature sensor that is embedded
in the TelosB mote. A temperature measurement
system is based on a home gateway over the IOT.
The home gateway transmits the patients body
temperature with the help of infrared detection.
Another IOT-based temperature monitoring
system is developed . The main system
components are responsible for temperature
measuring and transmission are the RFID module
and the module for monitoring body temperature.
4) Wheelchair for physically disabled people:
Generally wheelchair system was designed for
physically disabled people.This chair provides full
control for disable people due to which they can
accelerate or improve speed of working[40].This
design is WBAN’s integrated with various
sensors.This system can detect the status of
wheelchair user and also provides chair vibration
control .Best example of wheelchair is wheelchair
designed by Intel’s IOT department.This chair can
gather data of user surrounding which also
provides location of user
5) Improved healthcare using smartphone:
Now a days too much android apps are developing
for smartphones with having their specific
features.There are lots medical apps as well as

apps for patient which helps them.Different
diagnosis apps are available which are used to get
diagnosis and treatment information this kind of
also gives information about dosage of drug to
take. Smartphone can be used for detection of
heart rate, blood pressure etc. Such type of apps
can be used for analysis of wounds of diabetic
patient .Best benefit of this is that it is low cost
solution but it require more power consumption
.This system provides quality care.
6) Managing chronic diseases:
Now a days changing lifestyle, pollution , stress
,consuming of junk food causes people to have
different diseases like hypertension, obesity,
pulmonary problems ,diabetes. Managing the
lifestyle of the patient via continuous engagement,
to help the patient to have proper control or
management on diseases
7) Keeping the fitness record :
Now a days people or most of the youth become to
much aware about their health . They want to stay
healthy and fit. They do their daily exercise and
fitness regimes and use an app or android based
application to store the data and keep record of
their progress. These kind of apps are also used to
keep schedules created by trainers.
V. BENEFITS OF IOT-MEDICAL DEVICES
Different benefits are[14]:
1) Cost minimization for patient :
Here the patient can be monitored from far
distance also.so it minimizes patient travelling
cost and time wastage for multiple visit.Home care
can be taken whenever received .This system
minimizes hospital bill.
2) Earlier services:
This system provides time to time care for patient
requires.Systempatient outcomes can be
increases because doctor can use evidence based
medicine..
3) Disease management on real time basis:
Here the patient are get treated as early as
possible before their health get too much worse.
This totally minimizes cost of care.
4) Quality of life get improved:
This system helps aged people also critically ill
people .now they people can live at any place they
wantswithout any care because from that place
also their help care can be take
VI. CHALLENGES OF IOT SERVICES:
IOT world has challenges in many directions . The
main focus is on providing security and privacy
as this is the essential cause of other challenges
[5]
1) Scalability :
As the many IOT devices gets connected
throughout the wireless network, big volume of
data needs to be processed. The system which
gather, stores, analyses these information from
the IOT devices must be scalable.
2) Interoperability:
This helps in generating common model and
specific standard for IOT devices.This lack of
interoperability is preventing us from moving
towards the aim of truly connected everyday
interoperable smart objects.
3) Patients safety:
Most of the times IOT devices are implantable or
wearable. Any ignorance in security can be proved
to be life threatening and considered very critical .
4) Keeping Security and personal privacy :
The IOT in healthcare should provide
Confidentiality, Integrity, and Availability of
patients ,personal data.Personal detail should not
be leaked
VII. DESIGN CHALLENGES:
As the IOT becoming crucial part of our life. As the
technology is growing at very fast. design
challenges can be met in the early future. These
are:
1.Limited energy
2.Limited memory
3.Limited compute power
VIII. IOT MEDICAL SERVICE REQUIREMENTS[13]:
1) Integrity
Medical data should not change in transmission
path which can be proved to be life taking.

2) Authentication
This ensures the identity of the IOT devices which
are connected
3) Availability
System must survive for healthcare system or
should prevent itself from denial-of-service attack.
4) Data Freshness
there is a need to ensure that no message is old.
Data freshness basically indicate that each data
set is of new data or fresh data.
5) Authorization
Authorization ensures that only authorized
terminals are accessible for network services or
resources.
6) Fault Tolerance
A security scheme should continue to provide
respective security services in the presence of a
fault like a software glitch, a device compromise,
and a device failure
IX. RELATED WORK:
According to world population record of 2013
number of older population has increased in the
developed nations.two thirds of total population of
old people are living in developed nation.older
population in less developed regions is growing
faster .conclusion shows that upto 2050, nearly 8
in 10 of the world’s older population will live in the
less developed regions[2].
Code-Blue is popular healthcare research
project based on BSN healthcare which was
developed at harward sensor network.It is a health
monitoring infrastructure made for continuous
patient monitoring.this system provides security
for all wireless devices, personal computer which
may be used to monitor and treat patients .
Code--Blue supports filteration and aggregation of
events as they flow through network. Code-Blue
can operate on multiple devices. This system lacks
of security also require more data storage[3].
This paper presents a system which uses
removable media or also uses mobile phone for
storing patient biomedical data which is encrypted
form .which can be accesses by authorized
medical staff only for further consultation. Here
the information is stored on removable disk or
data storage so it can be accessed even device is
not working. The system may be implemented in
java. This system is implemented with the
currently available and relatively cheap
technology. This system is more secure than
Code-Blue .This system requires more memory as
well as power consumption[7].
Alarm-net was designed at the university of
Virginia .In this health monitoring of patient in
assisted living and home environment can be
done. It is the network of MICAZ Sensors target,
gateways. This system consist of IPAQ ,PDA’S and
PC’s. .here in this customized dust sensors and
integrated temperature,light ,pulse and body
oxygenation sensors are present .alarm-net
facilitates network and data security for
physiological environment. Alarm-net is
susceptible to confidentiality attack which leaks
resident’s location[8].
Ubimon was proposed in the department of
computing,Imperial college,London.This system
include context awareness aspect. Here the
continuous monitoring of patient is done under
physiological parameter. This system consist of
biosensors which continuously gather, collect and
analyze data.Due to context awareness aspect it
enhances the capturing of any clinical relevant
episode[9].
Mobicare was first designed by chakravorty in
2006.this is the healthcare system which is having
full control on human body via network of sensors.
Due to this health provider have control,access on
patient body on always on basis .In this system
physician can have time time access, review
,update and send patient data from wherever they
want .continuous supervising of patient is done
here. Mobicare is an ongoing project and much
work is left. There are many security issues such
as secure localization[8].
Medisn is network for monitoring patients
physiological data in hospital and during disaster.
This system consist of Physiological Monitors(PM)
which collect ,encrypt and sign patient’s data
before transmitting them to a network of Relay
points(RPs) .Medisn also includes a backend server
that which stores medical information and
presents them to authenticated GUI clients .this
system helps in easily delivering large volumes of
data while meeting the applicants QOS
requirement[11] .

This telemedical system mainly focuses on the
measurement of important parameters like
ECG,temperature,level of blood etc.This system
consists of body area network and an Android
smartphone.The system consist of more patient
localization and data storage, motion of patient
details and transmission of data as well as alert
messages to first responder and server of hospital..
In this two approaches data are transferred to
coordinator node via Bluetooth to an Android
based smartphone[1].
X. PROPOSED SYSTEM:
(Fig I.: Propose System)
We propose the development of an Automated
Epileptic Patient Monitoring System which detects
patients vital statistics like temperature, saline,
etc. also it detect when a patient is having
seizures/epilepsy and sends patients vital
information to doctor via SMS.Also identifies
patient state(conscious,death,sleep) depending on
their motion. and update alarms accordingly
.System Maintain a complete log of patient activity
automatically at doctors end on a PC (A customized
software shall be developed for the same) .It
Creates audio visual alarms at patients end for
nurses or other people to respond and alert them.
System also captures patients image .
XI. FEATURES:
1. System is able to monitor heart rate,
temperature, etc. specs of multiple patients at a
time.
2. The system also sends the vital data (under
shoot or over shoots in values) to administrator
via SMS.
3. Administrator is able to send the
data/commands back to system.
4. The microcontroller hardware board is
connected to the PC where a centralized
database/log of all the activities must be
maintained.
5. A GUI based software, graphically displays all
the vital information in form of graphs.
6. Administrator changes the threshold values for
alarms for individual patients either via SMS or
via direct controlling the GUI based application
provided.
XII. CONCLUSION AND FUTURE WORK
This paper totally fulfills the primary requirements
reliability,scalability and range.We found suitable
Automated Epileptic Patient Monitoring System
that can detect patients vital statistics like
temperature, saline, etc. detect when a patient is
having seizures/epilepsy. The WBAN and Android
smartphone both together are used for performing
information gathering, storing, analysis. Security
and privacy on all levels of the layer of the system
must be further investigated, especially to define
trade-offs with respect to performance and
comfortable use. This system can be further
integrated to other surveillance systems for
security and remote location management. In this
paper we have used the customized algorithm .We
proposed IOT based healthcare system using body
sensors which efficiently accomplish
requirements.
ACKNOWLEDGEMENT
We would like to thank our project guide Prof. H. J.
Thanki, Associate Professor Computer
Department for her valuable co-operation and
guidance that she gave us throughout our Project.
We specially thank our project coordinator Prof. A.
V. Devare for inspiring us and for providing us all
the lab facilities. We would also like to thank to
our HOD Prof. H. A. Hingoliwala and Principal Dr.
M. G. Jadhav and all our friends who have
assisted and helped us throughout our hard work.

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