This document proposes an IoT-based smart health care system called the Smart Hospital System (SHS). The SHS uses technologies like RFID, wireless sensor networks, and smart mobile devices to automatically monitor patients, medical staff, and devices in hospitals. It collects environmental and physiological data in real-time using a hybrid sensing network. The data is sent to a control center where it can be accessed locally and remotely through a web interface. A prototype was implemented that demonstrated tracking patients and responding to emergencies like falls. The system aims to improve healthcare efficiency while reducing costs.

1. IoT Based Advanced Smart Health Care System
1V. Naga swetha, 2 Mudda Mercy,
1
PG scholar of Embedded System , 2
Assistant Professor
1, 2
Audisankara College Of Engineering and Technology (Affiliated to JNTU Anantapur).
Abstract—over the last few years, the
convincing forward steps in the development of
Internet-of-Things (IoT) enabling solutions are
spurring the advent of novel and fascinating
applications. Among others, mainly Radio
Frequency Identification (RFID), Wireless
Sensor Network (WSN), and smart mobile
technologies are leading this evolutionary trend.
In the wake of this tendency, this paper proposes
a novel, smart architecture for automatic
monitoring and tracking of patients, personnel,
and biomedical devices within hospitals and
nursing institutes. We proposed Smart Hospital
System (SHS) which relies on different, yet
complementary, technologies, specifically
RFID, WSN, and smart mobile, interoperating
with each other through a
CoAP/6LoWPAN/REST network infrastructure.
The SHS is able to collect, in real time, both
environmental conditions and patients’
physiological parameters via an ultra-low-power
Hybrid Sensing Network (HSN). Sensed data are
delivered to a control center where an advanced
monitoring application makes them easily
accessible by both local and remote users via a
REST web service. The simple proof of concept
implemented to validate the proposed SHS has
highlighted a number of key capabilities and
aspects of novelty which represent a significant
step forward compared to the actual state of art.
Index Terms—WSN, healthcare, smart
environment, hybrid networks.
INTRODUCTION
Improving the efficiency of healthcare
infrastructures and biomedical systems is one of
the most challenging goals of modern-day
society. In fact, the need of delivering quality
care to patients while reducing the healthcare
costs and, at the same time, tackling the nursing
staff shortage problem is a primary issue. As
highlighted in [1], in fact, current procedures for
patient monitoring, care, management, and
supervision are often manually executed by
nursing staff. This represents, defacto, an
efficiency bottleneck which could be cause of
even tragic errors in practices. Recent advances
in the design of Internet of Things
(IoT)technologies are spurring the development
of smart systems to support and improve
healthcare and biomedical-related processes
Automatic identification and tracking of people
and biomedical devices in hospitals, correct
drug-patient associations, real-time monitoring
of patients’ physiological parameters for early
detection of clinical deterioration are only a few
of the possible examples. Furthermore, none of
the available solutions realizes a seamless
integration of different technologies, according
to the so-called Internet of Things (IoT) vision
Basing on this concept, IoT devices will be
remotely accessible though the Internet, thus
allowing the development of innovative
applications able to exploit pervasive collected
data and leverage on the new control possibility
offered by the IoT enabling solutions.
In this work, a novel IoT-aware Smart Hospital
System (SHS) is presented and discussed. It is
able to guarantee innovative services for the
automatic monitoring and tracking of patients,
personnel, and biomedical devices within
hospitals and nursing institutes, by exploiting
the potentialities offered by the jointly use of
different, yet complementary, technologies and
standards, the designed SHS is able to collect, in
real time, both environmental conditions and
patients’ physiological parameters through
TCP/IP. In this way, physiological parameters of
patients can be easily retrieved by PC in the
hospital and delivered to a control center where
an advanced monitoring application makes them
easily accessible by both local and remote users
via a Representational State Transfer
(REST)web service. During normal operations,
therefore, no WSN based transmission is
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2. performed, thus reducing the node power
consumption and limiting the impact on the
network capacity. Details on the implemented
architecture are given in Section V while a
prototype implementation of the proposed SHS
is described and validated in Section VI.
Concluding remarks are drawn in Section VII.
RELATED WORK
Recent advances in micro-electromechanical
systems(MEMS) have opened up great
opportunities for the implementation of smart
environments. Especially in the medical field,
several sensors to evaluate different types of
vital signs (i.e. heartbeat, temperature, ECG,
motion, etc.) have been developed, thus enabling
the design of innovative services able to
substantially improve citizens' healthcare. In this
field, among the several research activities
already presented in the literature. The
Technology is limited to patient/devices
monitoring and tracking in quite small
environments. Another set of related work
proposes the use of WSN technology to
implement solutions able to meet the specific
requirements of pervasive healthcare
applications. In a wireless localization network
able to track the location of patients in indoor
environments and also to monitor their physical
status is presented. A location-aware WSN to
track patients using a ranging algorithm based
on environment and mobility adaptive filter
(REMA) is proposed in warehouse management
system. To the best of authors’ knowledge, only
few attempts have been done to leverage the
combined use of WSN technologies in
healthcare scenarios. In within hospitals. It is
able to collect, in real time, both patients’
physiological parameters and environmental
conditions.
SYSTEM ARCHITECTURE OVERVIEW
This work aims at designing and implementing
an IoT aware Smart Hospital System (SHS)
having, as main peculiarity, the capability to
readily combine different, yet complementary,
technologies enabling novel functionalities.
Basically, the system we envision should be able
to collect, in real time, both environmental
conditions and patients’ physiological
parameters and deliver them to a control center.
At this point, an advanced monitoring
application should analyze the received data and
send alert messages in case of emergency. The
conceived SHS has been put into effect
according to the architecture illustrated in Fig. 1.
Fig. 1.Overview of the Smart Hospital System
(SHS) architecture.
wireless sensor network, named Hybrid Sensing
Network(HSN) hereafter, (2) the IoT Smart
Gateway, and (3) the user interfaces for data
visualization and management. At a finer level
of detail, the proposed SHS assumes that several
6LR are deployed in the hospital to collect data
from the environment, such as temperature,
pressure, and ambient light conditions. In
addition to the sensing capabilities, the main
function of nodes, instead, is to track patients,
nursing staff, and biomedical devices. In
particular, we envision patients wearing a HT
node which are capable to detect important
physiological parameters, such as heartbeat and
movement/motion. Sensed data are periodically
logged on the user memory in the environment
to retrieve and deliver them to the IoT Smart
Gateway on the other hand, with the Internet
through a Local Area Network (LAN).
Experimentation
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3. Web-based graphical interface allows network
operators to manage environmental parameters
of sensor and actuator nodes. The same interface
allows doctors with specific privileges to access
both real time and historical patient data. The
Local Area Network (LAN) and interacting with
the SHS. Obviously, the mobile app should be
properly configured to guarantee the desired
level of security. In the latter case, it is necessary
to provide a stronger communication channel,
since the interaction between the remote
application and the SHS is performed through
the public Internet. To do so, the proposed
solution exploits a Virtual Private Network
(VPN) channel that links the mobile device with
the IoT Smart Gateway. Once this access is
granted, whether local or remote, the user can
act on the system.
Fig. 2.6LRR (6LowPAN Router Reader)
architecture. Red connections show how the on-
board power is routed to the functional blocks.
The board equipped with a 32-bit ARM MCU
operating up to 24 MHz and embedding 16-KB
RAM and256-KB Flash ROM and 24 highly
configurable GPIOs with Schmitt trigger inputs.
Among the exposed GPIOs, the SDA and SCL
lines, an Analog-to-Digital Converter (ADC)
input port. It consists in its intrinsic scalability to
large-scale deployment. Furthermore, as
clarified in the previous sections, the proposed
SHS is able not only to track and monitor
medical devices and hospitalized patients but
also to provide medical staff with advanced
features and services. The HT nodes are able to
transmit both environmental and patient’s
physiological parameters.
CONCLUSION
In this work, a novel, IoT-aware, Smart Hospital
System (SHS) architecture for automatic
monitoring and tracking of patients, personnel,
and biomedical devices within hospitals and
nursing institutes has been proposed. With the
IoT vision in mind, a complex network
infrastructure relying on a CoAP, LoWPAN, and
REST paradigms has been implemented so as to
allow the interoperation among WSN, and smart
mobile technologies.
In particular, taking advantage of the data
transmission, an ultra-low power Hybrid
Sensing Network (HSN) has been implemented.
It is able to collect the real-time variation of any
critical patients’ physiological parameter as well
as of the environmental conditions. Fig 2.7(a),
the sensed parameters are delivered to a control
center where they are made easily accessible by
both local and remote users via a customized
REST web service. Fig 2.7 (b) and Fig 2.7(c)
shows the Output of Health Monitoring System.
Two different use cases have been implemented
to validate the proposed SHS. The former deals
with patients' monitoring, the latter with the
management of an emergency situation caused
by patient falls promptly detected by 3-axis
acceleration measurements. The achieved results
demonstrate the appropriateness of the proposed
system to perform not only identification and
tracking of patients, nursing staff, and
biomedical devices within hospitals and nursing
institutes, but also to provide power-effective
remote patient monitoring and immediate
handling of emergencies.
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4. Fig 2.7 Experimented Results
Fig. 2.7(a): Raspberry Kit of Health
Monitoring System
Fig.2.7(b): Output of Health Monitoring
System
Fig. 2.7(c): Experimental Results
REFERENCES
[1] A. Redondi, M. Chirico, L. Borsani, M.
Cesana, and M. Tagliasacchi,“An integrated
system based on wireless sensor networks for
patientmonitoring, localization, and tracking,”
Ad Hoc Networks, vol. 11, pp.39-53, 2013.
[2] P. Castillejo, J. -F. Martinez, J. Rodriguez-
Molina, A. Cuerva,“Integration of wearable
devices in a wireless sensor network for an
Ehealthapplication”, IEEE Wireless
Communications, vol. 20, pp. 38-49,
2013.
[3] C. Occhiuzzi, C. Vallese, S. Amendola, S.
Manzari, and G. Marrocco,“NIGHT-Care: A
passive RFID system for remote monitoring
andcontrol of overnight living environment,”
Procedia Computer Science,
vol. 32, pp. 190 – 197, 2014.[4] P. Fuhrer and
D. Guinard, “Building a smart hospital using
RFIDtechnologies”, 1st European Conference
on eHealth (ECEH06), vol. P-91, pp. 131-142,
Oct. 2006.
[5] A.A.N. Shirehjini, A. Yassine, S.
Shirmohammadi, “Equipment locationin
hospitals using RFID-based positioning
system”, IEEE Transactionson Information
Technology in Biomedicine, vol. 16, no. 6, pp.
1058–1069, Nov. 2012.
[6] D. De Donno, L. Catarinucci, and L.
Tarricone, “RAMSES: RFIDaugmented
module for smart environmental sensing,”
IEEETransactions on Instrumentation and
Measurement, vol. 63, no. 7, pp.
1701-1708, July 2014.
[7] D. De Donno, L. Catarinucci, and L.
Tarricone, “A battery-assisted sensor-
enhanced RFID tag enabling heterogeneous
wireless sensornetworks,” IEEE Sensors
Journal, vol. 14, no. 4, pp. 1048-1055, 2014.
[8] R. Colella, D. De Donno, L. Tarricone, and
L. Catarinucci, "Advances inthe design of
smart, multi-function, RFID-enabled devices,"
in 2014IEEE Antennas and Propagation
Society International Symposium,APSURSI
2014, 2014, pp. 1678-1679.
[9] D. Alessandrelli, L. Mainetti, L. Patrono,
G. Pellerano, M. Petracca,M.L. Stefanizzi,
“Implementation and validation of an energy-
efficientMAC scheduler for WSNs by a test
bed approach”, 2012 InternationalConference
on Software, Telecommunications and
Computer Networks
(SoftCOM 2012), art.no. 6347615, 2012.
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5. [10] D. Alessandrelli, L. Mainetti, L. Patrono,
G. Pellerano, M. Petracca,M.L. Stefanizzi,
“Performance evaluation of an energy-efficient
MACscheduler by using a test bed approach”
Journal of CommunicationsSoftware and
Systems, vol. 9, no.1, pp. 84-96, 2013.
AUTHORS PROFILE
v.naga swetha is currently PG
scholar of ES in Audisankara College Of
Engineering and Technology,Gudur
(Autonomous),SPSR Nellore (Dist), Affiliated to
JNTU Anantapur. She received B.TECH degree in
Electronic Instrumentation &Control Engineering
from S.V.University
Mudda Mercy working as Assistant
Professor at Audisankara College Of Engineering
and Technology (Autonomous),Gudur, SPSR
Nellore,AP
ISBN-13: 978-1535448697
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Proceedings of ICRMET-2016
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