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International Journal of Trend in Scientific Research and Development (IJTSRD)
Volume 3 Issue 5, August 2019 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470
@ IJTSRD | Unique Paper ID – IJTSRD26482 | Volume – 3 | Issue – 5 | July - August 2019 Page 755
Internet of Things (IoT) Based Healthcare
Monitoring System using NodeMCU and Arduino UNO
Khin Thet Wai, Nyan Phyo Aung, Lwin Lwin Htay
Department of Electronic Engineering, Technological University, Mandalay, Myanmar
How to cite this paper: Khin Thet Wai |
Nyan Phyo Aung | Lwin Lwin Htay
"Internet of Things (IoT) Based
Healthcare Monitoring System using
NodeMCU and Arduino UNO" Published in
International
Journal of Trend in
Scientific Research
and Development
(ijtsrd), ISSN: 2456-
6470, Volume-3 |
Issue-5, August
2019, pp.755-759,
https://doi.org/10.31142/ijtsrd26482
Copyright © 2019 by author(s) and
International Journalof Trendin Scientific
Research and Development Journal. This
is an Open Access article distributed
under the terms of
the Creative
CommonsAttribution
License (CC BY 4.0)
(http://creativecommons.org/licenses/by
/4.0)
ABSTRACT
Today Internet has become one of the important parts of daily life. It has
changed how people live, work, play and learn. Internet serves for many
purposes educations, finance, Business, Industries, Entertainment, Social
Networking, etc. The IoT is connected objects to the Internet and used to
control of those objects or remote monitoring. A health care monitoring
system is necessary to constantly monitor the patient’s physiological
parameters. The main advantage of this system is that the results can be
viewed at any time and place. The doctors can be notified by using mobile
phones messages if patient health is abnormal. In this system, heartbeat
sensor, temperature sensor and blood pressure sensor are used. The system
can analyze the signal to detect normal or abnormal conditions. Inthesystem,
the internet of things (IoT) is becoming a major platform for many services
and applications. The IoT is generally considered as connecting objects to the
Internet and using that connection for control of those objects or remote
monitoring.
KEYWORDS: Arduino UNO; Blood Pressure Sensor (ASDX 015PGAA5), Heartbeat
sensor, Internet of Things, NodeMCU, Temperature sensor (DS18B20)
I. INTRODUCTION
Today Internet has become one of the important parts of our daily life. It has
changed how people live, work, play and learn. Internet serves for many
purpose educations, finance, Business, Industries, Entertainment, Social
Networking, etc. The IoT is connected objects to the Internet and using that
connection for control of those objects or remote monitoring [1].
A health care monitoring system is necessary to constantly
monitor the patient’s physiological parameters. The main
advantage of this system is the result can be viewed at any
time and place. The doctors can be notified using mobile
phones messages if patient health is abnormal. The system
was using both the sensors like heartbeat sensor,
temperature sensor and blood pressure sensor. The system
can analyze the signal to detect normal or abnormal
conditions. [2]
The blood pressure sensor used to ensure systolic pressure
and diastolic pressure and pulse rate for a few seconds. The
DS18B20 temperature sensor is used tomeasurethesurface
temperature of the skin. Heartbeatsensorisused to measure
heartbeat which normally lies between60-100bpm.Usually,
patients with heart diseases live at home and ask for
healthcare service when they feel sick. In addition, most of
the patients die before theygetanytreatment.Therefore, the
key to improve heart diseases healthcare performance and
reduce the death rate is turning the passivehealthcaremode
into a pervasive way. Therefore, the doctor will decidewhen
to deliver healthcare service based on patients’ real-time
status. The essential part of this pervasive healthcare mode
is the real-time monitoring system. In this paper, an IoT-
based monitoring system is proposed for pervasivediseases
healthcare. Satisfactory work isdonein healthmonitoringby
using IoT and NodeMCU and Arduino UNO. IoT is the
interconnecting of devices and services that reduce human
intervention to live a better life. [3]
II. LITERATURE SURVEY
Several comprehensive reviews about the subject of health
monitoring with wearable sensors have been previously
presented in the literature. Many such reviews focus on
giving a global overview of the topic. One of the related
approaches was automaticKmeenaKumari1,etal.discussed
“Health Care System by Monitoring the Patient Health Using
IoT and GSM” which was capable of detecting multiple
parameters of our body such as blood pressure,
temperature, heart rate, ECG& further transmitting this
information on an internet of things server through
2G/3G/4G GSM technologies.
The availability of low-cost single-chip microcontrollers and
advances in wireless communication technology has
encouraged engineers to design low-costembeddedsystems
for healthcare monitoring applications. Such systems have
the ability to process real-time signals generated from
biosensors and transmit the measured signals through the
patient's phone to the medical center's server. [3]
The second is the “IoT-based heart disease monitoring
system for pervasive healthcare service”. In the proposed
paper, a pervasive monitoring system was proposed that
could send a patient’s physical signs to remote medical
applications in real time. The system was mainly composed
of two parts: the data acquisition part and the data
transmission part. The monitoring scheme (monitoring
parameters and frequency for each parameter) was the key
IJTSRD26482
International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD26482 | Volume – 3 | Issue – 5 | July - August 2019 Page 756
point of the data acquisition part, and it was designed based
on interviews with medical experts. Multiple physical signs
(blood pressure, ECG, SpO2, heart rate, pulse rate, blood fat
and blood glucose), as well as an environmental indicator
(patients’ location), were designed tobesampled atdifferent
rates continuously. A sample prototype was implemented to
present an overview of the system. This monitoring system
fulfilled the basic needs of pervasive healthcare for heart
diseases, also took the cost into consideration to ensure the
pervasive mode as economical as possible. Furthermore, it
could also be combined with real-time analysisalgorithmsto
assess patients’ health condition and give warnings to
potential attacks inadvance, which could makethepervasive
healthcare more intelligent. But in the paper, the focus was
based on the monitoring part. Fourdatatransmissionmodes
were presented taking patients’ risk,medical analysisneeds,
demands for communication and computing resources into
consideration. Finally, a sample prototypewasimplemented
to present an overview of the system. [4]
The third related work was “Zigbee and GSM based Patient
Health Monitoring System”. The focus was based on the
monitoring of patients. The patient monitoring system had
been thought of a reliable, energy efficient. It was able to
send parameters of the patient in real time. It enabled the
doctors to monitor patient's health parameters
(temperature, heartbeat, ECG) in real time. Here these
parameters of the patient were measured continuously and
wirelessly transmitted using Zigbee. In the currently
proposed system, the patient health was continuously
monitored and the acquired data were analyzed at a
centralized ARDUINO. If a particular patient's health
parameter fell below the threshold value, an automatedSMS
was sent to the pre-configured Doctor's mobile using a
standard GSM module interfaced to the ARDUINO. Here, the
system was using Zigbee for wireless transmission. The
Doctor could get a record of a particular patient's
information by just accessing the database of the patient on
his PC, which is continuously updated through Zigbee
receiver module. In the proposed system, patient’s
parameters such as ECG, TemperatureandHeartBeat would
be continuously transmitted and monitored through
wireless technology Zigbee. The system was convenientand
efficient in nature and had no influenceon patients'dailylife,
so it increased interaction between patient and doctor,
which made surveillance had real instantaneity. In addition,
it ultimately prevented heart disease and avoided
unexpected tragedy practically. [5]
III. THE PROPOSED SYSTEM
Figure1. Proposed System of (IoT) Based Healthcare
Monitoring System
The proposed system design is devised into three layers:
Network, gateway, and End-user layers and they are
explained in the following sections with figure:
A. End-user layer
This layer includes the end-users (patient and doctor) the
first one has wearable device including temperature sensor
used to read the patient’s temperature and send them
through the other layers to the destination (Doctor) for
monitoring the patient status to make decisions. As stated
before, the patient’s temperature continuously and
periodically each t secondsconfigured in themicrocontroller
software of NodeMCU. The NodeMCU microcontrollerboard
equipped with a low cost Wi-Fi module to enable wireless
connection to a nearby gateway Wi-Fi. The interface and
programming languages used are the Arduino C language.
The Arduino UNO is connected with a blood pressuresensor
to measure a patient’s systolic and diastolic.
As shown in figure 1, the manager (PC based software) is
used to display the collected data from the sensor and send
them Ubidots to the Cloud to be permanently saved for any
future analysis.
1. Temperature Sensor (DS18B20)
The core functionality of DS18B20 is it’s direct to the digital
temperature sensor. It is the ability to operate without an
external power supply. The DS18B20 powers up in a low
power idle state. The normal body temperature is about 37°
C or 98.6 ° F. However, it can be as low as 36.1° C (97°F) in
the early morning and as high as 37.2° C (99° F). The
advantages of a digitaltemperaturesensorareprincipalwith
its precision output. As the sensor outputs a calibrated
digital reading, the output is anexacttemperaturein degrees
Celsius. This means no other components, such as an analog
to digital converter, are required within the electroniccircuit
to calibrate or amplify the signal.
Figure.2 Temperature sensor (DS18B20)[6 Mau]
2. NodeMCU
NodeMCU is similar microcontrollerand it can beconfigured
to connect to the Internet for theInternetof things(IoT).The
NodeMCU development board is an open-source board
based on Esp8266 microcontroller with integrated Wi Fi
transceiver. NodeMCU is a complete environment of
hardware and software for IoT.
International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD26482 | Volume – 3 | Issue – 5 | July - August 2019 Page 757
Figure.3 NodeMCU [7 Hwe]
3. Blood Pressure sensor (ASDXAD015PGAA5)
While measuring blood pressure levels, there are two
different values always in pairs known as the systolic and
diastolic blood pressure. Measuredcommonlyin millimeters
of mercury (mmHg), these contain the systolic pressure on
the upper value followed by the diastolic pressure on the
lower value. The doctor measures the maximum pressure
(systolic) and the lowest pressure (diastolic) made by the
beating of the heart. Both systolic and diastolic pressure
measurements are important-if eitheroneisraised,itmeans
body has high blood pressure (hypertension).
Figure.4 Blood Pressure sensor (ASDXAD015PGAA5)
[8 Hon]
The optimal blood pressure reading is 120/80mm Hg, for
enjoying good health. This reading lowers the risk of stroke,
cardiovascular and renal diseases. This is the ideal blood
pressure for people wishing to have good health. At this
level, the human has a much lower risk of heart disease or
stroke.
4. Heartbeat sensor (AD8232)
Figure.5 Heartbeat sensor (AD8232) [9 Sha]
AD8232 is an integrated front end, suitable for monitoring
heart rate through had jousting bioelectricity signal of the
heart. It aims at monitoring different vital signals and is an
analogy front end of heart rate monitor,featuringlowpower
consumption and single lead. Heartbeat sensor is used to
measure heartbeatwhichnormallyliesbetween60-100bpm.
Heart rate is the speed of the heartbeat measured by the
number of contractions of the heart per minute.
5. Arduino UNO
The Arduino Uno is a microcontroller board based on the
ATmega328 (datasheet). It has 14 digital input/output pins
(of which 6 can be used as PWM outputs), 6 analog inputs, a
16 MHz crystal oscillator, a USB connection, a power jack, an
ICSP header, and a reset button. It contains everything
needed to support the microcontroller; simply connectsitto
a computer with a USB cable or power it with an AC-to-DC
adapter or battery to get started.
Figure.6 Heartbeat sensor (AD8232) [9 Sha]
B. Gateway layer
The gateway layer is a router-based network, which routes
the traffic coming from the microcontroller to the required
Cloud. It is evident that when public Cloud is used then this
layer might contain single or multiple hops, and in the
proposed model, it is fixed to a single router.
C. Network Layer
The Network layer is used for storing the sensor data using
Ubidots and allow users 'doctor or patient' to access
remotely or even to mentoring the patient state from any
available device. The monitoringisdoneusingasmartphone
connected wirelessly to the Ubidots using a wireless router.
IV. Hardware and Software Implementation
Fig. 7 Hardware implementation oftheproposedsystem
International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD26482 | Volume – 3 | Issue – 5 | July - August 2019 Page 758
Hardware implementation of the proposed system is shown
in figure 7. The main component of this circuit is NodeMCU,
temperature sensor, heartbeat sensor, blood pressure
sensor, Arduino UNO and power bank. This NodeMCU is
supplied with dc power. Heartbeat and temperaturesensors
are connected to the NodeMCU. And the blood pressure
sensor is connected to the Arduino UNO, and then the
acquired data connect to the NodeMCU. In NodeMCU, it is
needed to store the three sensors data. These data are
transmitted to the gateway and IoT. Ubidots application is
used in the IoT because it displays the received data. Finally,
the doctor easy to use the PC for monitoring.
Fig. 8,9 show the software development of thesystem.When
the system is started, it will first check the Wi-Fi & internet
connection. After it checks, data in Ubidots arereceived.And
then these data collection and display the device and
variable.
Figure.8 Flow Chart of the heartbeat and temperature
Figure.9 Flow Chart of the blood pressure
V. Simulation Results
After hardware and software implementation of the system,
results are obtained and can be visualized on the Internet
created on Ubidots. Figure.10, the temperature is not
received in Ubidots cloud. This application is the best
connect for the Internet of Things(IoT). Ubidots offers a
platform for developers that enables them to easily capture
sensor data and turn it into useful information. Use the
Ubdiots platform to send datatothecloudfrom anyinternet-
enabled device.
Figure.11 shows the chart of temperature data in Ubidots
server and NodeMCU display. The result of this research is
successfully obtained the body temperature of the patient.
While the body is measured by a DS18B20 sensor, the
temperature result arrives on the NodeMCU and then, these
data are reached Ubidots server in real time as shown in the
figure. 11.
Figure.10 Ubidots cloud
International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD26482 | Volume – 3 | Issue – 5 | July - August 2019 Page 759
Figure.11 The chart of temperature data
Figure.12 Temperature, Heartbeat and Blood pressure
data on the Ubidots
Figure. 12 shows the comparison of Ubidots server and
NodeMCU.In this figure, the heartbeat, blood pressure and
temperature data are 34.63-degree Celcius,110 mm/Hgand
111.11 bpm in the NodeMCU and Ubidots sever. The
temperature, blood pressure and heartbeat data are
measured from the patient’s body.
VI. CONCLUSION
The proposed system can monitor, diagnose, and advice the
patients all the time. The health parameters data are stored
and published online. Internet of things (IoT) is expected to
rule the world in various fields but more benefit would be in
the field of healthcare. Health monitoring for ICU (Intensive
Care Unit) patients need to monitor vital signs (heart rate,
body temperature, blood pressure, etc...) from time to time.
By using the system, it reduces time and hence the patient
monitoring system is designed. As a result, the doctor can
examine his patient from anywhere and anytime. It can be
allowed the doctors or nurses easily to use the computer for
checking and to save in the database. Based on the work,
doctors have been able to use mobile devices and can be
implemented in a global network with the help of the
NodeMCU.
DS18B20 sensor is placed in chield to measure the
temperature of the human body. At first, 31.94 degree
Celsius is achieved in measurement but it increases to 36.50
degree Celsius after two minutes. Therefore, it can beknown
that the temperature values will be varied according to the
surrounding, weather conditions and age. The results
achieved from this thesis is from a woman of 29 years old.
Temperature and heartbeat sensors are connected to
NodeMCU and then the data is sent to the Ubidots clouds. By
comparing the results of the heartbeat sensor(AD8232)and
watch sensor, it can be seen that the result value of the
AD8232 sensor is a little more. To be concluded, therefore,it
can be said that the AD8232 sensor is more save than watch
sensor. The bloodpressuresensorisconnected with Arduino
Uno and then the data is sent to the Rx pin of NodeMCU from
Tx pin of Arduino Uno. After that BP data from NodeMCU is
sent to the cloud of Ubidots. However, systolic can only be
sent to Ubidots and so it is the drawback of Ubidots. It is
needed to install a cloud application in the doctor’s phone
handset in order to check easily the incoming data.
Acknowledgment
This work is done with my candidate, Mg Nyan Phyo Aung.
The authors would like to thank Dr. Lwin Lwin Htay
Department of Electronic Engineering, Technological
University (Mandalay) for kindly preparing for this paper.
References
[1] Bhoomika. B. K and Dr. K NMuralidhara“SecuredSmart
Healthcare Monitoring System Based on IoT”
International Journalon Recent and Innovation Trends
in Computing and Communication, Volume: 3 Issue: 7,
July 2015.
[2] Abasi Julius1, Zhang Jian-Min2 ”IoT Based Patient
Health Monitoring System Using Lab VIEW and
Wireless Sensor Network” International Journal of
Science and Research (IJSR), Volume 6 Issue 3, March
2017.
[3] K. Meena Kumari1, Dr. Sandeep Kumar2 “Health Care
System by Monitoring the Patient Health UsingIoT and
GSM” International Conference on Innovative
Mechanisms for Industry Applications (ICIMIA
2017),978-1-5090-5960-7/17/$31.00@2017 IEEE
[4] Chao Lia,*, Xiangpei Hua Lili Zhangb, “The IoT-based
heart disease monitoring system for pervasive
healthcare service”, International Conference on
Knowledge-Based and Intelligent Information and
Engineering System, KES2017, 6-8 September 2017,
Marseille, France.
[5] Swayanjeet Sorte* “Zigbee and GSM Based Patient
Health Monitoring System” Internal Journal of
Engineering Science & Research Technology, [Sorte* et
al, 5(9): September 2016].
[6] Maung Aung Soe Phyo. “Design and Construction of
Wireless Emergency Alert System forPatientMonitoring
Using Zigbee Technology” August 2015, Mandalay.
[7] Hwer Char. “NodeMCU Development bookand IoT”,July
2017.
[8] Honeywell, Honeywell. “ASDX015PGAA5 Pressure
Sensor Measurement Type”, 1998-2004.
[9] Sharanbasappa Sali. “Health Monitoring System Using
Wireless Sensor Network”, January 2018, pp.04-12.

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Internet of Things IoT Based Healthcare Monitoring System using NodeMCU and Arduino UNO

  • 1. International Journal of Trend in Scientific Research and Development (IJTSRD) Volume 3 Issue 5, August 2019 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470 @ IJTSRD | Unique Paper ID – IJTSRD26482 | Volume – 3 | Issue – 5 | July - August 2019 Page 755 Internet of Things (IoT) Based Healthcare Monitoring System using NodeMCU and Arduino UNO Khin Thet Wai, Nyan Phyo Aung, Lwin Lwin Htay Department of Electronic Engineering, Technological University, Mandalay, Myanmar How to cite this paper: Khin Thet Wai | Nyan Phyo Aung | Lwin Lwin Htay "Internet of Things (IoT) Based Healthcare Monitoring System using NodeMCU and Arduino UNO" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456- 6470, Volume-3 | Issue-5, August 2019, pp.755-759, https://doi.org/10.31142/ijtsrd26482 Copyright © 2019 by author(s) and International Journalof Trendin Scientific Research and Development Journal. This is an Open Access article distributed under the terms of the Creative CommonsAttribution License (CC BY 4.0) (http://creativecommons.org/licenses/by /4.0) ABSTRACT Today Internet has become one of the important parts of daily life. It has changed how people live, work, play and learn. Internet serves for many purposes educations, finance, Business, Industries, Entertainment, Social Networking, etc. The IoT is connected objects to the Internet and used to control of those objects or remote monitoring. A health care monitoring system is necessary to constantly monitor the patient’s physiological parameters. The main advantage of this system is that the results can be viewed at any time and place. The doctors can be notified by using mobile phones messages if patient health is abnormal. In this system, heartbeat sensor, temperature sensor and blood pressure sensor are used. The system can analyze the signal to detect normal or abnormal conditions. Inthesystem, the internet of things (IoT) is becoming a major platform for many services and applications. The IoT is generally considered as connecting objects to the Internet and using that connection for control of those objects or remote monitoring. KEYWORDS: Arduino UNO; Blood Pressure Sensor (ASDX 015PGAA5), Heartbeat sensor, Internet of Things, NodeMCU, Temperature sensor (DS18B20) I. INTRODUCTION Today Internet has become one of the important parts of our daily life. It has changed how people live, work, play and learn. Internet serves for many purpose educations, finance, Business, Industries, Entertainment, Social Networking, etc. The IoT is connected objects to the Internet and using that connection for control of those objects or remote monitoring [1]. A health care monitoring system is necessary to constantly monitor the patient’s physiological parameters. The main advantage of this system is the result can be viewed at any time and place. The doctors can be notified using mobile phones messages if patient health is abnormal. The system was using both the sensors like heartbeat sensor, temperature sensor and blood pressure sensor. The system can analyze the signal to detect normal or abnormal conditions. [2] The blood pressure sensor used to ensure systolic pressure and diastolic pressure and pulse rate for a few seconds. The DS18B20 temperature sensor is used tomeasurethesurface temperature of the skin. Heartbeatsensorisused to measure heartbeat which normally lies between60-100bpm.Usually, patients with heart diseases live at home and ask for healthcare service when they feel sick. In addition, most of the patients die before theygetanytreatment.Therefore, the key to improve heart diseases healthcare performance and reduce the death rate is turning the passivehealthcaremode into a pervasive way. Therefore, the doctor will decidewhen to deliver healthcare service based on patients’ real-time status. The essential part of this pervasive healthcare mode is the real-time monitoring system. In this paper, an IoT- based monitoring system is proposed for pervasivediseases healthcare. Satisfactory work isdonein healthmonitoringby using IoT and NodeMCU and Arduino UNO. IoT is the interconnecting of devices and services that reduce human intervention to live a better life. [3] II. LITERATURE SURVEY Several comprehensive reviews about the subject of health monitoring with wearable sensors have been previously presented in the literature. Many such reviews focus on giving a global overview of the topic. One of the related approaches was automaticKmeenaKumari1,etal.discussed “Health Care System by Monitoring the Patient Health Using IoT and GSM” which was capable of detecting multiple parameters of our body such as blood pressure, temperature, heart rate, ECG& further transmitting this information on an internet of things server through 2G/3G/4G GSM technologies. The availability of low-cost single-chip microcontrollers and advances in wireless communication technology has encouraged engineers to design low-costembeddedsystems for healthcare monitoring applications. Such systems have the ability to process real-time signals generated from biosensors and transmit the measured signals through the patient's phone to the medical center's server. [3] The second is the “IoT-based heart disease monitoring system for pervasive healthcare service”. In the proposed paper, a pervasive monitoring system was proposed that could send a patient’s physical signs to remote medical applications in real time. The system was mainly composed of two parts: the data acquisition part and the data transmission part. The monitoring scheme (monitoring parameters and frequency for each parameter) was the key IJTSRD26482
  • 2. International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD26482 | Volume – 3 | Issue – 5 | July - August 2019 Page 756 point of the data acquisition part, and it was designed based on interviews with medical experts. Multiple physical signs (blood pressure, ECG, SpO2, heart rate, pulse rate, blood fat and blood glucose), as well as an environmental indicator (patients’ location), were designed tobesampled atdifferent rates continuously. A sample prototype was implemented to present an overview of the system. This monitoring system fulfilled the basic needs of pervasive healthcare for heart diseases, also took the cost into consideration to ensure the pervasive mode as economical as possible. Furthermore, it could also be combined with real-time analysisalgorithmsto assess patients’ health condition and give warnings to potential attacks inadvance, which could makethepervasive healthcare more intelligent. But in the paper, the focus was based on the monitoring part. Fourdatatransmissionmodes were presented taking patients’ risk,medical analysisneeds, demands for communication and computing resources into consideration. Finally, a sample prototypewasimplemented to present an overview of the system. [4] The third related work was “Zigbee and GSM based Patient Health Monitoring System”. The focus was based on the monitoring of patients. The patient monitoring system had been thought of a reliable, energy efficient. It was able to send parameters of the patient in real time. It enabled the doctors to monitor patient's health parameters (temperature, heartbeat, ECG) in real time. Here these parameters of the patient were measured continuously and wirelessly transmitted using Zigbee. In the currently proposed system, the patient health was continuously monitored and the acquired data were analyzed at a centralized ARDUINO. If a particular patient's health parameter fell below the threshold value, an automatedSMS was sent to the pre-configured Doctor's mobile using a standard GSM module interfaced to the ARDUINO. Here, the system was using Zigbee for wireless transmission. The Doctor could get a record of a particular patient's information by just accessing the database of the patient on his PC, which is continuously updated through Zigbee receiver module. In the proposed system, patient’s parameters such as ECG, TemperatureandHeartBeat would be continuously transmitted and monitored through wireless technology Zigbee. The system was convenientand efficient in nature and had no influenceon patients'dailylife, so it increased interaction between patient and doctor, which made surveillance had real instantaneity. In addition, it ultimately prevented heart disease and avoided unexpected tragedy practically. [5] III. THE PROPOSED SYSTEM Figure1. Proposed System of (IoT) Based Healthcare Monitoring System The proposed system design is devised into three layers: Network, gateway, and End-user layers and they are explained in the following sections with figure: A. End-user layer This layer includes the end-users (patient and doctor) the first one has wearable device including temperature sensor used to read the patient’s temperature and send them through the other layers to the destination (Doctor) for monitoring the patient status to make decisions. As stated before, the patient’s temperature continuously and periodically each t secondsconfigured in themicrocontroller software of NodeMCU. The NodeMCU microcontrollerboard equipped with a low cost Wi-Fi module to enable wireless connection to a nearby gateway Wi-Fi. The interface and programming languages used are the Arduino C language. The Arduino UNO is connected with a blood pressuresensor to measure a patient’s systolic and diastolic. As shown in figure 1, the manager (PC based software) is used to display the collected data from the sensor and send them Ubidots to the Cloud to be permanently saved for any future analysis. 1. Temperature Sensor (DS18B20) The core functionality of DS18B20 is it’s direct to the digital temperature sensor. It is the ability to operate without an external power supply. The DS18B20 powers up in a low power idle state. The normal body temperature is about 37° C or 98.6 ° F. However, it can be as low as 36.1° C (97°F) in the early morning and as high as 37.2° C (99° F). The advantages of a digitaltemperaturesensorareprincipalwith its precision output. As the sensor outputs a calibrated digital reading, the output is anexacttemperaturein degrees Celsius. This means no other components, such as an analog to digital converter, are required within the electroniccircuit to calibrate or amplify the signal. Figure.2 Temperature sensor (DS18B20)[6 Mau] 2. NodeMCU NodeMCU is similar microcontrollerand it can beconfigured to connect to the Internet for theInternetof things(IoT).The NodeMCU development board is an open-source board based on Esp8266 microcontroller with integrated Wi Fi transceiver. NodeMCU is a complete environment of hardware and software for IoT.
  • 3. International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD26482 | Volume – 3 | Issue – 5 | July - August 2019 Page 757 Figure.3 NodeMCU [7 Hwe] 3. Blood Pressure sensor (ASDXAD015PGAA5) While measuring blood pressure levels, there are two different values always in pairs known as the systolic and diastolic blood pressure. Measuredcommonlyin millimeters of mercury (mmHg), these contain the systolic pressure on the upper value followed by the diastolic pressure on the lower value. The doctor measures the maximum pressure (systolic) and the lowest pressure (diastolic) made by the beating of the heart. Both systolic and diastolic pressure measurements are important-if eitheroneisraised,itmeans body has high blood pressure (hypertension). Figure.4 Blood Pressure sensor (ASDXAD015PGAA5) [8 Hon] The optimal blood pressure reading is 120/80mm Hg, for enjoying good health. This reading lowers the risk of stroke, cardiovascular and renal diseases. This is the ideal blood pressure for people wishing to have good health. At this level, the human has a much lower risk of heart disease or stroke. 4. Heartbeat sensor (AD8232) Figure.5 Heartbeat sensor (AD8232) [9 Sha] AD8232 is an integrated front end, suitable for monitoring heart rate through had jousting bioelectricity signal of the heart. It aims at monitoring different vital signals and is an analogy front end of heart rate monitor,featuringlowpower consumption and single lead. Heartbeat sensor is used to measure heartbeatwhichnormallyliesbetween60-100bpm. Heart rate is the speed of the heartbeat measured by the number of contractions of the heart per minute. 5. Arduino UNO The Arduino Uno is a microcontroller board based on the ATmega328 (datasheet). It has 14 digital input/output pins (of which 6 can be used as PWM outputs), 6 analog inputs, a 16 MHz crystal oscillator, a USB connection, a power jack, an ICSP header, and a reset button. It contains everything needed to support the microcontroller; simply connectsitto a computer with a USB cable or power it with an AC-to-DC adapter or battery to get started. Figure.6 Heartbeat sensor (AD8232) [9 Sha] B. Gateway layer The gateway layer is a router-based network, which routes the traffic coming from the microcontroller to the required Cloud. It is evident that when public Cloud is used then this layer might contain single or multiple hops, and in the proposed model, it is fixed to a single router. C. Network Layer The Network layer is used for storing the sensor data using Ubidots and allow users 'doctor or patient' to access remotely or even to mentoring the patient state from any available device. The monitoringisdoneusingasmartphone connected wirelessly to the Ubidots using a wireless router. IV. Hardware and Software Implementation Fig. 7 Hardware implementation oftheproposedsystem
  • 4. International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD26482 | Volume – 3 | Issue – 5 | July - August 2019 Page 758 Hardware implementation of the proposed system is shown in figure 7. The main component of this circuit is NodeMCU, temperature sensor, heartbeat sensor, blood pressure sensor, Arduino UNO and power bank. This NodeMCU is supplied with dc power. Heartbeat and temperaturesensors are connected to the NodeMCU. And the blood pressure sensor is connected to the Arduino UNO, and then the acquired data connect to the NodeMCU. In NodeMCU, it is needed to store the three sensors data. These data are transmitted to the gateway and IoT. Ubidots application is used in the IoT because it displays the received data. Finally, the doctor easy to use the PC for monitoring. Fig. 8,9 show the software development of thesystem.When the system is started, it will first check the Wi-Fi & internet connection. After it checks, data in Ubidots arereceived.And then these data collection and display the device and variable. Figure.8 Flow Chart of the heartbeat and temperature Figure.9 Flow Chart of the blood pressure V. Simulation Results After hardware and software implementation of the system, results are obtained and can be visualized on the Internet created on Ubidots. Figure.10, the temperature is not received in Ubidots cloud. This application is the best connect for the Internet of Things(IoT). Ubidots offers a platform for developers that enables them to easily capture sensor data and turn it into useful information. Use the Ubdiots platform to send datatothecloudfrom anyinternet- enabled device. Figure.11 shows the chart of temperature data in Ubidots server and NodeMCU display. The result of this research is successfully obtained the body temperature of the patient. While the body is measured by a DS18B20 sensor, the temperature result arrives on the NodeMCU and then, these data are reached Ubidots server in real time as shown in the figure. 11. Figure.10 Ubidots cloud
  • 5. International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD26482 | Volume – 3 | Issue – 5 | July - August 2019 Page 759 Figure.11 The chart of temperature data Figure.12 Temperature, Heartbeat and Blood pressure data on the Ubidots Figure. 12 shows the comparison of Ubidots server and NodeMCU.In this figure, the heartbeat, blood pressure and temperature data are 34.63-degree Celcius,110 mm/Hgand 111.11 bpm in the NodeMCU and Ubidots sever. The temperature, blood pressure and heartbeat data are measured from the patient’s body. VI. CONCLUSION The proposed system can monitor, diagnose, and advice the patients all the time. The health parameters data are stored and published online. Internet of things (IoT) is expected to rule the world in various fields but more benefit would be in the field of healthcare. Health monitoring for ICU (Intensive Care Unit) patients need to monitor vital signs (heart rate, body temperature, blood pressure, etc...) from time to time. By using the system, it reduces time and hence the patient monitoring system is designed. As a result, the doctor can examine his patient from anywhere and anytime. It can be allowed the doctors or nurses easily to use the computer for checking and to save in the database. Based on the work, doctors have been able to use mobile devices and can be implemented in a global network with the help of the NodeMCU. DS18B20 sensor is placed in chield to measure the temperature of the human body. At first, 31.94 degree Celsius is achieved in measurement but it increases to 36.50 degree Celsius after two minutes. Therefore, it can beknown that the temperature values will be varied according to the surrounding, weather conditions and age. The results achieved from this thesis is from a woman of 29 years old. Temperature and heartbeat sensors are connected to NodeMCU and then the data is sent to the Ubidots clouds. By comparing the results of the heartbeat sensor(AD8232)and watch sensor, it can be seen that the result value of the AD8232 sensor is a little more. To be concluded, therefore,it can be said that the AD8232 sensor is more save than watch sensor. The bloodpressuresensorisconnected with Arduino Uno and then the data is sent to the Rx pin of NodeMCU from Tx pin of Arduino Uno. After that BP data from NodeMCU is sent to the cloud of Ubidots. However, systolic can only be sent to Ubidots and so it is the drawback of Ubidots. It is needed to install a cloud application in the doctor’s phone handset in order to check easily the incoming data. Acknowledgment This work is done with my candidate, Mg Nyan Phyo Aung. The authors would like to thank Dr. Lwin Lwin Htay Department of Electronic Engineering, Technological University (Mandalay) for kindly preparing for this paper. References [1] Bhoomika. B. K and Dr. K NMuralidhara“SecuredSmart Healthcare Monitoring System Based on IoT” International Journalon Recent and Innovation Trends in Computing and Communication, Volume: 3 Issue: 7, July 2015. [2] Abasi Julius1, Zhang Jian-Min2 ”IoT Based Patient Health Monitoring System Using Lab VIEW and Wireless Sensor Network” International Journal of Science and Research (IJSR), Volume 6 Issue 3, March 2017. [3] K. Meena Kumari1, Dr. Sandeep Kumar2 “Health Care System by Monitoring the Patient Health UsingIoT and GSM” International Conference on Innovative Mechanisms for Industry Applications (ICIMIA 2017),978-1-5090-5960-7/17/$31.00@2017 IEEE [4] Chao Lia,*, Xiangpei Hua Lili Zhangb, “The IoT-based heart disease monitoring system for pervasive healthcare service”, International Conference on Knowledge-Based and Intelligent Information and Engineering System, KES2017, 6-8 September 2017, Marseille, France. [5] Swayanjeet Sorte* “Zigbee and GSM Based Patient Health Monitoring System” Internal Journal of Engineering Science & Research Technology, [Sorte* et al, 5(9): September 2016]. [6] Maung Aung Soe Phyo. “Design and Construction of Wireless Emergency Alert System forPatientMonitoring Using Zigbee Technology” August 2015, Mandalay. [7] Hwer Char. “NodeMCU Development bookand IoT”,July 2017. [8] Honeywell, Honeywell. “ASDX015PGAA5 Pressure Sensor Measurement Type”, 1998-2004. [9] Sharanbasappa Sali. “Health Monitoring System Using Wireless Sensor Network”, January 2018, pp.04-12.