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International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056
Volume: 06 Issue: 03 | Mar 2019 www.irjet.net p-ISSN: 2395-0072
© 2019, IRJET | Impact Factor value: 7.211 | ISO 9001:2008 Certified Journal | Page 3114
An Information Forwarder for Healthcare Service and analysis using
Big Data
Aafaque Muzzam. A1, Arunachalam. V2, Awdhil Iththisham A.Z3, Suresh. S
1,2,3Student, Dept. of Computer Science and Enginering, Panimalar Engineering College, Tamil Nadu, India
4Associate Professor, Dept. of Computer Science and Engineering, Panimalar Engineering College,
Tamil Nadu, India
----------------------------------------------------------------------***---------------------------------------------------------------------
Abstract - Wireless Body Area Networks (WBANs) are
expected to play a major role in the field of patient-health
monitoring in the near future, which gains tremendous
attention amongst researchers in recent years. The advances
in information technology have witnessed great progress on
healthcare technologies in various domains nowadays.
However, these new technologies have also made healthcare
data not only much bigger but also much more difficult to
handle and process. The data collected about the patients in
remote healthcareapplicationsconstitutestobig databecause
it varies with respect to volume, velocity, variety, veracity, and
value. The proposed scheme is based upon the initial cluster
formation, retrieval, and processing of the big data in the
cloud environment. Then, a fuzzy rule-based classifier is
designed for efficient decision making about the data
classification in the proposed scheme. The proposed scheme is
evaluated on various evaluation metrics such as-average
response time, accuracy, computation cost, classificationtime,
and false positive ratio. Various clustering based algorithms
and presented a set of recommendations regarding the use of
various clustering techniques based on fuzzy c-means. These
classifiers can be used for real-time remote healthcare
applications which have not been exploited in the existing
schemes. The results obtained arecomparedwiththestandard
techniques to confirm the effectiveness of the proposed
scheme. We also evaluate its performance in terms of energy
consumption and communication/computation overhead.
Key Words: Big Data Fuzzy rule- based classifier
clustering algorithms average response time accuracy
computation cost classification time
1. INTRODUCTION
Big data in health informaticscanbeusedtopredict
outcome of diseases and epidemics, improve treatment and
quality of life, and prevent premature deaths and disease
development. Big data also provide information about
diseases and warningsignsfortreatmenttobeadministered.
This will help not only to prevent co-morbidities and
mortality but also assists government to save the cost of
medical treatment. It is very useful not only in clinical
medicine for diagnosis/detectionbutalsoinepidemiological
research as the big data will provide huge amount of data.
The government, non-governmental organization and/ or
pharmaceutical companies can use the data to formulate
policies, strategies, intervention or medical treatment such
as drugs development. Big data has implications on
healthcare on patients, providers, researchers, health
professionals.
Nowadays, there is an increasing demand for more
information by the patientsabouttheirhealthcareoptions or
choices, and want participation in their health decision-
making. The big data will help to provide patients with up-
to-date information to assist them to make the best decision
and to comply with the medical treatment.
Cloud computing is one of the fastest growing
technologies of the modern era due to its usage in wide
range of applicationssuchas-remotehealthcare,surveillance
systems, weather forecasting, and efficient drug delivery
systems.
All these applications generate a lot of data which
needs to be handled carefullytohaveenhancedperformance
with respect to parameters such as-cost effectiveness,
reliability, and availability.
In cloud computing environment, users have
flexibility of resource access at any time as all the resources
are located at a centralized location so that theycanavail the
functionalities of all these resources from anywhere. It
allows the users to collect, access, and search the data with
ease from anywhere even on the fly. In all of the above
specified applications, data varieswith respecttoitssizeand
types, as it is collected from different locations and devices.
These devices may be located across the globe in a
heterogeneous environment. The collected data varies in its
velocity, volume, veracity, and value. So, the traditional
storage and computation techniques may not be applicable
to give a high level of performance with respect to
parameters such as-response time, throughput, accuracy,
and false positive ratio.
Moreover, the collected data from differentdevices
is of spatio-temporal nature so, traditional database
procedures to process such a large collectionofdata maynot
work well at all the time. Hence, instead of using the
traditional storage and computing resources, there is a
requirement of an efficient centralized repository such as
cloud where all the data is stored and analyzed so that it can
be accessible from anywhere at any time.
International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056
Volume: 06 Issue: 03 | Mar 2019 www.irjet.net p-ISSN: 2395-0072
© 2019, IRJET | Impact Factor value: 7.211 | ISO 9001:2008 Certified Journal | Page 3115
With an emergence of the Information and
Communication Technology (ICT), remote diagnosis of the
patients is now feasible. As the healthcare data varies in its
size and volume, novel storage andretrieval methodsshould
be used in healthcare related applications so as to provide a
faster access of the data to the patients and doctors as per
their requirements. Remote healthcare is gaining huge
attention and with the evolution ofICTandcloudcomputing,
this task can be realized practically. The data about the
patients can be sent to the cloud from remote areas using
ICT, where the information is extracted out of it and stored
on various clouds based on its context.
This will help in better processing and fast retrieval
of the results. Saria has analyzed that the amount spent on
healthcare in US alone is about $3 trillion per year, but still it
lags behind many countries in terms of quality of life and life
expectancy. This cost could be reduced by the usage of
efficient techniques used for big data analytics in healthcare
applications in cloud environment. This big data can be
analyzed using adaptive techniquesandthenprocesseddata
can be stored on the cloud and retrieved as per the demands
of the users and doctors. As discussed above, the data
collected in healthcare domain has properties such as-
variety, velocity, and volume.
This is because the data is collected from multiple
sources which can be static as well as mobile. Static sources
consist of sensors that are generally placed inside the
hospitals and homes from where the data is gathered and
sent to the cloud. However, by using mobile sensors, a
person can send the streaming data to the cloud even when
that person is mobile by using body sensors. This streaming
mobile data puts additional burden on the service provider
as it needs to be processed in real-time. So, simple
algorithms for handling such a large collectionofdata would
not work well in this environment. Hence, there is a
requirement of efficient mining algorithms to process the
collected data from heterogeneous sources on the cloud
servers.
2. SYSTEM ANALYSIS
2.1 EXISTING SYSTEM
 E-Health Applications in Internet of Vehicles
 Hidden Markov Model (HMM) to recognize the
human behaviour using big data
 Clinical decision support system based on
association rule mining
 Logistic regression model to predict dichotomous
outcomes in healthcare data
2.1.1 DISADVANTAGE OF EXISTING SYSTEM
 Limited to only detecting cardiovascular diseases
from compressed ECG data of patient and cannotbe
used to predict other diseases.
 Suffer from additional delay which is caused
between transmitting the data and receiving the
rules.
2.2 PROPOSED SYSTEM
 In Proposed system the framework is divided into
three layers namely data acquisition layer,
transmission layer, and computational layer.
 The cloud computing is used for management of
health care services which is the basis ofHealthcare
as-a-service (HaaS).
 The cloud services are used for real time storage of
data sensed from patients’ body. This data is
collected through various body sensors which are
deployed in patient’s body, or in the form of
wearable sensors.
2.2.1 ADVANTAGE OF PROPOSED SYSTEM
 As the data is stored on cloud, simultaneousqueries
can be run on it to achieve high throughput with
reduced delay.
 That doctor can input the symptoms of any new
disease that breaks out and then finds only those
persons who are likely to be get affected.
 A new entry is classified into clusters or when
missing data value of the patient is collected.
3. REQUIREMENT SPECIFICATIONS
3.1 HARDWARE REQUIREMENTS
PROCESSOR : Intel Core i3
RAM : 4 GB DDR2 RAM
MONITOR : 15” COLOR
HARD DISK : 100 GB
3.2 SOFTWARE REQUIREMENTS
Front End : ANDROID XML, JAVA
Back End : SQLITE
Operating System : Windows 07
IDE : Eclipse, Android Studio
International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056
Volume: 06 Issue: 03 | Mar 2019 www.irjet.net p-ISSN: 2395-0072
© 2019, IRJET | Impact Factor value: 7.211 | ISO 9001:2008 Certified Journal | Page 3116
4. SYSTEM ARCHITECTURE
Figure 1 Architecture Diagram for Patient Healthcare
System
5. PROJECT DESCRIPTION
5.1 GENERAL
This is a Requirements Specificationdocument fora
new web-based sales system for Solar Based Energy, Inc.
(SBE). SBE is a distributor of alternative energy products
including windmills, photovoltaics and fuel cells. The new
system will upgrade the current websites to provide
customers and employees customized browsing of the
product catalog and the ability to complete product orders
on-line. This document describes the scope, objectives and
goal of the new system. In addition to describing non-
functional requirements, this document models the
functional requirements with use cases, interaction
diagrams, and class models. This document is intended to
direct the design and implementation of the targetsystemin
an object oriented language.
5.2 MODULE DESCRIPTION
5.2.1 DATA ACQUISITION
The data acquisition layer is responsible for
gathering the data of the patients from different
geographical domains. This data can be generated from the
body sensor network,vehicularadhoc network,andnetwork
of devices present in homes or at various hospitals.The data
from vehicular ad-hoc network is generated by the sensors
placed in the vehicles such as hospital vans and ambulances
and network connected to the cloud.
The data gathered from the networks (or devices)
through transmission layer is stored at the cloud andresults
are computed in order to serve the requests from different
clients. The cloud also contains the repository of data
obtained from different hospitals.
5.2.2 CLUSTER FORMATION
The different clouds are divided into various
clusters based on the gathered data. The doctor specifiesthe
number of clusters to be formed at each cloudlet in the
beginning and all the values that are provided to that
cloudlet are classified into various clusters.
Once each cloudletisdivided intoclustersandinitial
data values are stored in respective clusters, any new values
(received at the cloudlet) are stored into clusters according
to their membership. Whenever a new data value is senttoa
cloudlet, its membership is checked with each cluster.
This new value is stored in a cluster which has
maximum value of membership function with it. All the new
values are stored in the same manner for each cloudlet
5.2.3 FUZZY CLUSTER FORMATION
Fuzzy cluster formation is used when the rules
specified by the doctor are not crisp. For example, theBlood
Pressure is specified as high. All such type of parameters are
classified using fuzzy membership functions for initial
clustering as well as for storing new data values of the
patients. The fuzzification step is largely dependent on the
shape of its membership function. Normally for faster
computation, triangular membership functions are
preferred.
The parameters such as alcohol, sp02level, blood
pressure, and heart rate are fuzzy and the membership
functions for only these input parameters are considered.
These inputs are combined to form a fuzzy output using a
specified linguistic rule-base. To calculate the value of fuzzy
output, a defuzzification step is performed using the center
of gravity (COG) method. It is the most commonly used
method which gives accurate results for defuzzification.
5.2.4 RETRIEVAL OF RESULTS AND PERFORMANCE
ANALYSIS
The doctor enters the query (symptoms of a
disease) on the cloud. This query is divided into sub-queries
which run on various cloudlets in parallel. Sub-query
contains different rules. These rules are passed onto their
respective cloudlets for processing whose results are
processed. This significantly increases the processing speed
because if the results are to be processed serially, then, one
cloudlet has to wait for the results from another cloudlet.
The results of the sub-queries are combined in
sequential manner in order to reduce the result set by just
taking the common patients.In the end, the information in
final result set is provided to the doctor which contains the
list of probable patients for a particular disease.
6. MODULE EXPLANATION
The cloud is divided into a set of sub-clouds based
on the parameters which are used to find out the list of
patients who are suffering from a particular disease. For
International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056
Volume: 06 Issue: 03 | Mar 2019 www.irjet.net p-ISSN: 2395-0072
© 2019, IRJET | Impact Factor value: 7.211 | ISO 9001:2008 Certified Journal | Page 3117
example, subcloud SA may be an age cloud, sub-cloudSBcan
be Blood Pressure (BP) cloud and similarly othersub-clouds
can also be formed for other. These sub-clouds are the
collection of various parameters that cover most of the
diseases and these sub-clouds are further divided into
different clusters.
The clustering is done based on the modified EM
algorithm by calculating the membership of each value with
specified clusters, and updating the clustersaccordingly.For
example, sub-cloud SA representing age cloud can be
classified into three clusters of different age groupssuchas -
infants, adults and old aged persons (Different clusters
would be formed after consulting withan expert).Moreover,
a fuzzy rule-based classifier has also been presented to
classify fuzzy data and to retrieve fuzzy queries as specified
by the expert. Once the clusters are formed, whenevera new
record is received, cloudlets send different parameters to
their respective sub-clouds, where data is storedindifferent
clusters according to their membership value.
The detaileddescriptionaboutmembershipvalueof
data is given in the next section. The major benefit of using
this scheme of different sub-clouds for storing various
parameters is that it classifies the records intelligently and
retrieve the results quickly. For example, the doctor or the
expert can specify the symptoms (in terms of parameters)
and cloudlets will generate the results based on the
parameters of the patients stored in various sub-clouds.
The novelty of our approach lies in the fact that
whenever a new disease breaks out, the doctors can simply
pass the symptoms for that disease in the system and the
cloud will generate the probable patients which manifest
those symptoms. A doctorcaneasilyquantifytheparameters
according the symptoms of the disease. The parametersthat
cannot be exactly quantified are fuzzified and processed
accordingly. The completeschemeworksasfollows.Initially,
the different parameters are sensed from the patient as
given.
These parameters are common and cover the
symptoms of most of the diseases. It is to be noted that there
can be additional parameters sensed from the patients;
however, for the sake of simplicityonlytheseparameters are
considered in the proposed scheme.
The data about these parameters for individual
patients is assumed to be gathered when the patient
registers itself with the hospital. The doctor then inputs this
data to his system (which can be updated from time to time)
connected to the cloud. As this data is structured, different
programmable context-aware cloudlets are assumed to be
present at the cloud which segregates this data and sends it
to respective sub-clouds. The quantifiable data gathered
from patients gets accumulated in the clusters based on
modified EM algorithm. The fuzzy classifier is used for
retrieving the fuzzy rules specified by the expert. It is also
used for storing fuzzy data values into clusters.
The inference engine used in the proposed scheme
uses a rule-based searching for processing the results. The
doctor passes the rules (as a query) to the inference engine
according to symptoms of various diseases. The results are
extracted from various clusters within the clouds and are
sent back to the doctor. A unique patient id is associated
with each result so that only those patient ids which fall in
the premises specified by the doctor are presented in the
results. However in extreme cases, it is possible that the
information about a parameter (which is specified in the
query by doctor) for a patient is not available at the cloud at
a single point of time. In this case, this patient would not be
included in the results of the query.
7. ALGORITHM EXPLANATION
7.1Cluster Formation:
Clustering is one of the routing design
methodologies, used to effectively manage network energy
and to apply aggregation techniques in the network the
algorithms mostly evaluate thedistance betweena pointand
the cluster centroids to determine the cluster membership.
The output from a clustering algorithm is basically a
statistical description of the cluster centroids with the
number of components in each cluster.
The cluster formation techniques have been
extensively exploited in WSNs. Node eccentricity, energy
level of nodes, weighted cost function, received signal
strength, threshold time to form cluster, delay, number of
iterations, stages of rounds, are the parameters considered
in cluster formation. These were the main parameters
considered in cluster formation by thepreviousresearchers.
It is employed with modifications, as per the application
specific algorithms and protocols at present by the
researchers.
7.2Storing of new values:
Once each cloud is divided into clusters and initial
data values are stored in respective clusters, any new values
which come at the cloud are stored intoclustersaccording to
algorithm initially, the individual membership function of
the new value to each cluster is calculated. The maximum
value of membership function is storedina variablemax and
corresponding cluster number is stored in variable. The
cluster having maximum membership functionfinallystores
this new data value.
International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056
Volume: 06 Issue: 03 | Mar 2019 www.irjet.net p-ISSN: 2395-0072
© 2019, IRJET | Impact Factor value: 7.211 | ISO 9001:2008 Certified Journal | Page 3118
6. SAMPLE SNAPSHOTS
Figure 1 Login form of Admin
Figure 2 Login form of Patient
Figure 3 Recorded Inserted Success
Figure 4 Sensing
Figure 5 Security Key File
Figure 6 Home Gateway
International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056
Volume: 06 Issue: 03 | Mar 2019 www.irjet.net p-ISSN: 2395-0072
© 2019, IRJET | Impact Factor value: 7.211 | ISO 9001:2008 Certified Journal | Page 3119
7. CONCLUSIONS
As healthcare applicationsgeneratelargeamountof
data which varies with respect to its volume, variety,
velocity, veracity, and value, there is an imminent
requirement of efficient mining techniques for context-
aware retrieval and processing of this class of data. This
paper proposes a new fuzzy rulebased classifier to provide
Healthcare-as-a-Service (HaaS) and to classify the big data
generated in this environment. The proposed scheme uses
cloud-based infrastructure as a repository for storage and
applying analytical algorithms for retrieval of information
about the patients.
To apply analytics, algorithmsforclusterformation
and data retrieval are designed on the basis of Expectation-
Maximization and fuzzy rule-based classifier. The proposed
approach is compared with existing schemes and its
performance is analyzed with respect to various evaluation
metrics namely-average response time, accuracy,
computation cost, classification time and false positive rate.
The results obtained show that the proposed scheme is
effective in finding out the probable patientssufferingfroma
particular disease. Moreover, the proposed scheme
performed better when compared with its counterparts
namely multi-layer, Bayes network and decision table in
terms of classification time and false positive rate.
8. REFERENCES
1. P. Jiang, J. Winkley, C. Zhao, R. Munnoch, G. Min, and L.T.
Yang, “An Intelligent Information Forwarder for Healthcare
Big Data Systems With Distributed Wearable Sensors,” IEEE
Systems Journal, vol. 10, no. 3, pp. 1147-1159, 2016.
2. Y. Zhang, M. Qiu, C.-W. Tsai, M. M. Hassan, and A. Alamri,
“Health- CPS: Healthcare Cyber-Physical System Assistedby
Cloud and Big Data,” IEEE Systems Journal, vol. 11, no. 1, pp.
88-95, 2017.
3. T.C. Havens, J.C. Bezdek, C. Leckie, L.O. Hall, and M.
Palaniswami, “Fuzzy c-Means Algorithms for Very Large
Data,” IEEE Transactions on Fuzzy Systems, vol.20,no.6, pp.
1130-1146, 2012.
4. S. Fong, R. Wong, and A. Vasilakos, “Accelerated PSO
Swarm Search Feature Selection for Data Stream Mining Big
Data,” IEEE Transactions on Service Computing, vol. 9, no. 1,
pp. 33-45, 2016.
5. J. Stojanovic, D. Gligorijevic, V. Radosavljevic, N. Djuric, M.
Grbovic, and Z. Obradovic, “Modeling Healthcare Quality via
Compact Representations of Electronic Health Records,”
IEEE/ACM Transactions on Computational Biology and
Bioinformatics, vol. 14, no. 3, pp. 545-554, 2017.
6. F. Sufi and I. Khalil, “Diagnosis of Cardiovascular
Abnormalities From Compressed ECG: A Data Mining-Based
Approach,” IEEE Transactions on InformationTechnology in
Biomedicine, vol. 15, no. 1, pp. 33-39, 2011.
7. N. Kumar, N. Chilamkurti, and J.H. Park,“ALCA: Agent
Learning-based Clustering Algorithm in Vehicular Ad Hoc
Networks,” Personal and Ubiquitous Computing, vol.17, no.
8, pp. 1683-1692, 2013.
8. I.A.T. Hashem, I. Yaqoob, N.B. Anuar, S. Mokhtar, A. Gani,
and S.U. Khan, “The Rise of “Big Data” on Cloud Computing:
Review and Open Research Issues,” Information Systems,
vol. 47, pp. 98-115, 2015.
9. D. Lin, X. Wu, F. Labeau, and A. Vasilakos, “Internet of
Vehicles for E-Health Applications in ViewofEMIonMedical
Sensors,” Journal of Sensors, 2015, DOI:
10.1155/2015/315948.
10. Forkan, I. Khalil, and Z. Tari, “CoCaMAAL: A Cloud-
oriented Context-aware Middleware in Ambient Assisted
Living,” Future Generation Computer Systems, vol. 35, pp.
114-127, 2014.

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IRJET- An Information Forwarder for Healthcare Service and analysis using Big Data

  • 1. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056 Volume: 06 Issue: 03 | Mar 2019 www.irjet.net p-ISSN: 2395-0072 © 2019, IRJET | Impact Factor value: 7.211 | ISO 9001:2008 Certified Journal | Page 3114 An Information Forwarder for Healthcare Service and analysis using Big Data Aafaque Muzzam. A1, Arunachalam. V2, Awdhil Iththisham A.Z3, Suresh. S 1,2,3Student, Dept. of Computer Science and Enginering, Panimalar Engineering College, Tamil Nadu, India 4Associate Professor, Dept. of Computer Science and Engineering, Panimalar Engineering College, Tamil Nadu, India ----------------------------------------------------------------------***--------------------------------------------------------------------- Abstract - Wireless Body Area Networks (WBANs) are expected to play a major role in the field of patient-health monitoring in the near future, which gains tremendous attention amongst researchers in recent years. The advances in information technology have witnessed great progress on healthcare technologies in various domains nowadays. However, these new technologies have also made healthcare data not only much bigger but also much more difficult to handle and process. The data collected about the patients in remote healthcareapplicationsconstitutestobig databecause it varies with respect to volume, velocity, variety, veracity, and value. The proposed scheme is based upon the initial cluster formation, retrieval, and processing of the big data in the cloud environment. Then, a fuzzy rule-based classifier is designed for efficient decision making about the data classification in the proposed scheme. The proposed scheme is evaluated on various evaluation metrics such as-average response time, accuracy, computation cost, classificationtime, and false positive ratio. Various clustering based algorithms and presented a set of recommendations regarding the use of various clustering techniques based on fuzzy c-means. These classifiers can be used for real-time remote healthcare applications which have not been exploited in the existing schemes. The results obtained arecomparedwiththestandard techniques to confirm the effectiveness of the proposed scheme. We also evaluate its performance in terms of energy consumption and communication/computation overhead. Key Words: Big Data Fuzzy rule- based classifier clustering algorithms average response time accuracy computation cost classification time 1. INTRODUCTION Big data in health informaticscanbeusedtopredict outcome of diseases and epidemics, improve treatment and quality of life, and prevent premature deaths and disease development. Big data also provide information about diseases and warningsignsfortreatmenttobeadministered. This will help not only to prevent co-morbidities and mortality but also assists government to save the cost of medical treatment. It is very useful not only in clinical medicine for diagnosis/detectionbutalsoinepidemiological research as the big data will provide huge amount of data. The government, non-governmental organization and/ or pharmaceutical companies can use the data to formulate policies, strategies, intervention or medical treatment such as drugs development. Big data has implications on healthcare on patients, providers, researchers, health professionals. Nowadays, there is an increasing demand for more information by the patientsabouttheirhealthcareoptions or choices, and want participation in their health decision- making. The big data will help to provide patients with up- to-date information to assist them to make the best decision and to comply with the medical treatment. Cloud computing is one of the fastest growing technologies of the modern era due to its usage in wide range of applicationssuchas-remotehealthcare,surveillance systems, weather forecasting, and efficient drug delivery systems. All these applications generate a lot of data which needs to be handled carefullytohaveenhancedperformance with respect to parameters such as-cost effectiveness, reliability, and availability. In cloud computing environment, users have flexibility of resource access at any time as all the resources are located at a centralized location so that theycanavail the functionalities of all these resources from anywhere. It allows the users to collect, access, and search the data with ease from anywhere even on the fly. In all of the above specified applications, data varieswith respecttoitssizeand types, as it is collected from different locations and devices. These devices may be located across the globe in a heterogeneous environment. The collected data varies in its velocity, volume, veracity, and value. So, the traditional storage and computation techniques may not be applicable to give a high level of performance with respect to parameters such as-response time, throughput, accuracy, and false positive ratio. Moreover, the collected data from differentdevices is of spatio-temporal nature so, traditional database procedures to process such a large collectionofdata maynot work well at all the time. Hence, instead of using the traditional storage and computing resources, there is a requirement of an efficient centralized repository such as cloud where all the data is stored and analyzed so that it can be accessible from anywhere at any time.
  • 2. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056 Volume: 06 Issue: 03 | Mar 2019 www.irjet.net p-ISSN: 2395-0072 © 2019, IRJET | Impact Factor value: 7.211 | ISO 9001:2008 Certified Journal | Page 3115 With an emergence of the Information and Communication Technology (ICT), remote diagnosis of the patients is now feasible. As the healthcare data varies in its size and volume, novel storage andretrieval methodsshould be used in healthcare related applications so as to provide a faster access of the data to the patients and doctors as per their requirements. Remote healthcare is gaining huge attention and with the evolution ofICTandcloudcomputing, this task can be realized practically. The data about the patients can be sent to the cloud from remote areas using ICT, where the information is extracted out of it and stored on various clouds based on its context. This will help in better processing and fast retrieval of the results. Saria has analyzed that the amount spent on healthcare in US alone is about $3 trillion per year, but still it lags behind many countries in terms of quality of life and life expectancy. This cost could be reduced by the usage of efficient techniques used for big data analytics in healthcare applications in cloud environment. This big data can be analyzed using adaptive techniquesandthenprocesseddata can be stored on the cloud and retrieved as per the demands of the users and doctors. As discussed above, the data collected in healthcare domain has properties such as- variety, velocity, and volume. This is because the data is collected from multiple sources which can be static as well as mobile. Static sources consist of sensors that are generally placed inside the hospitals and homes from where the data is gathered and sent to the cloud. However, by using mobile sensors, a person can send the streaming data to the cloud even when that person is mobile by using body sensors. This streaming mobile data puts additional burden on the service provider as it needs to be processed in real-time. So, simple algorithms for handling such a large collectionofdata would not work well in this environment. Hence, there is a requirement of efficient mining algorithms to process the collected data from heterogeneous sources on the cloud servers. 2. SYSTEM ANALYSIS 2.1 EXISTING SYSTEM  E-Health Applications in Internet of Vehicles  Hidden Markov Model (HMM) to recognize the human behaviour using big data  Clinical decision support system based on association rule mining  Logistic regression model to predict dichotomous outcomes in healthcare data 2.1.1 DISADVANTAGE OF EXISTING SYSTEM  Limited to only detecting cardiovascular diseases from compressed ECG data of patient and cannotbe used to predict other diseases.  Suffer from additional delay which is caused between transmitting the data and receiving the rules. 2.2 PROPOSED SYSTEM  In Proposed system the framework is divided into three layers namely data acquisition layer, transmission layer, and computational layer.  The cloud computing is used for management of health care services which is the basis ofHealthcare as-a-service (HaaS).  The cloud services are used for real time storage of data sensed from patients’ body. This data is collected through various body sensors which are deployed in patient’s body, or in the form of wearable sensors. 2.2.1 ADVANTAGE OF PROPOSED SYSTEM  As the data is stored on cloud, simultaneousqueries can be run on it to achieve high throughput with reduced delay.  That doctor can input the symptoms of any new disease that breaks out and then finds only those persons who are likely to be get affected.  A new entry is classified into clusters or when missing data value of the patient is collected. 3. REQUIREMENT SPECIFICATIONS 3.1 HARDWARE REQUIREMENTS PROCESSOR : Intel Core i3 RAM : 4 GB DDR2 RAM MONITOR : 15” COLOR HARD DISK : 100 GB 3.2 SOFTWARE REQUIREMENTS Front End : ANDROID XML, JAVA Back End : SQLITE Operating System : Windows 07 IDE : Eclipse, Android Studio
  • 3. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056 Volume: 06 Issue: 03 | Mar 2019 www.irjet.net p-ISSN: 2395-0072 © 2019, IRJET | Impact Factor value: 7.211 | ISO 9001:2008 Certified Journal | Page 3116 4. SYSTEM ARCHITECTURE Figure 1 Architecture Diagram for Patient Healthcare System 5. PROJECT DESCRIPTION 5.1 GENERAL This is a Requirements Specificationdocument fora new web-based sales system for Solar Based Energy, Inc. (SBE). SBE is a distributor of alternative energy products including windmills, photovoltaics and fuel cells. The new system will upgrade the current websites to provide customers and employees customized browsing of the product catalog and the ability to complete product orders on-line. This document describes the scope, objectives and goal of the new system. In addition to describing non- functional requirements, this document models the functional requirements with use cases, interaction diagrams, and class models. This document is intended to direct the design and implementation of the targetsystemin an object oriented language. 5.2 MODULE DESCRIPTION 5.2.1 DATA ACQUISITION The data acquisition layer is responsible for gathering the data of the patients from different geographical domains. This data can be generated from the body sensor network,vehicularadhoc network,andnetwork of devices present in homes or at various hospitals.The data from vehicular ad-hoc network is generated by the sensors placed in the vehicles such as hospital vans and ambulances and network connected to the cloud. The data gathered from the networks (or devices) through transmission layer is stored at the cloud andresults are computed in order to serve the requests from different clients. The cloud also contains the repository of data obtained from different hospitals. 5.2.2 CLUSTER FORMATION The different clouds are divided into various clusters based on the gathered data. The doctor specifiesthe number of clusters to be formed at each cloudlet in the beginning and all the values that are provided to that cloudlet are classified into various clusters. Once each cloudletisdivided intoclustersandinitial data values are stored in respective clusters, any new values (received at the cloudlet) are stored into clusters according to their membership. Whenever a new data value is senttoa cloudlet, its membership is checked with each cluster. This new value is stored in a cluster which has maximum value of membership function with it. All the new values are stored in the same manner for each cloudlet 5.2.3 FUZZY CLUSTER FORMATION Fuzzy cluster formation is used when the rules specified by the doctor are not crisp. For example, theBlood Pressure is specified as high. All such type of parameters are classified using fuzzy membership functions for initial clustering as well as for storing new data values of the patients. The fuzzification step is largely dependent on the shape of its membership function. Normally for faster computation, triangular membership functions are preferred. The parameters such as alcohol, sp02level, blood pressure, and heart rate are fuzzy and the membership functions for only these input parameters are considered. These inputs are combined to form a fuzzy output using a specified linguistic rule-base. To calculate the value of fuzzy output, a defuzzification step is performed using the center of gravity (COG) method. It is the most commonly used method which gives accurate results for defuzzification. 5.2.4 RETRIEVAL OF RESULTS AND PERFORMANCE ANALYSIS The doctor enters the query (symptoms of a disease) on the cloud. This query is divided into sub-queries which run on various cloudlets in parallel. Sub-query contains different rules. These rules are passed onto their respective cloudlets for processing whose results are processed. This significantly increases the processing speed because if the results are to be processed serially, then, one cloudlet has to wait for the results from another cloudlet. The results of the sub-queries are combined in sequential manner in order to reduce the result set by just taking the common patients.In the end, the information in final result set is provided to the doctor which contains the list of probable patients for a particular disease. 6. MODULE EXPLANATION The cloud is divided into a set of sub-clouds based on the parameters which are used to find out the list of patients who are suffering from a particular disease. For
  • 4. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056 Volume: 06 Issue: 03 | Mar 2019 www.irjet.net p-ISSN: 2395-0072 © 2019, IRJET | Impact Factor value: 7.211 | ISO 9001:2008 Certified Journal | Page 3117 example, subcloud SA may be an age cloud, sub-cloudSBcan be Blood Pressure (BP) cloud and similarly othersub-clouds can also be formed for other. These sub-clouds are the collection of various parameters that cover most of the diseases and these sub-clouds are further divided into different clusters. The clustering is done based on the modified EM algorithm by calculating the membership of each value with specified clusters, and updating the clustersaccordingly.For example, sub-cloud SA representing age cloud can be classified into three clusters of different age groupssuchas - infants, adults and old aged persons (Different clusters would be formed after consulting withan expert).Moreover, a fuzzy rule-based classifier has also been presented to classify fuzzy data and to retrieve fuzzy queries as specified by the expert. Once the clusters are formed, whenevera new record is received, cloudlets send different parameters to their respective sub-clouds, where data is storedindifferent clusters according to their membership value. The detaileddescriptionaboutmembershipvalueof data is given in the next section. The major benefit of using this scheme of different sub-clouds for storing various parameters is that it classifies the records intelligently and retrieve the results quickly. For example, the doctor or the expert can specify the symptoms (in terms of parameters) and cloudlets will generate the results based on the parameters of the patients stored in various sub-clouds. The novelty of our approach lies in the fact that whenever a new disease breaks out, the doctors can simply pass the symptoms for that disease in the system and the cloud will generate the probable patients which manifest those symptoms. A doctorcaneasilyquantifytheparameters according the symptoms of the disease. The parametersthat cannot be exactly quantified are fuzzified and processed accordingly. The completeschemeworksasfollows.Initially, the different parameters are sensed from the patient as given. These parameters are common and cover the symptoms of most of the diseases. It is to be noted that there can be additional parameters sensed from the patients; however, for the sake of simplicityonlytheseparameters are considered in the proposed scheme. The data about these parameters for individual patients is assumed to be gathered when the patient registers itself with the hospital. The doctor then inputs this data to his system (which can be updated from time to time) connected to the cloud. As this data is structured, different programmable context-aware cloudlets are assumed to be present at the cloud which segregates this data and sends it to respective sub-clouds. The quantifiable data gathered from patients gets accumulated in the clusters based on modified EM algorithm. The fuzzy classifier is used for retrieving the fuzzy rules specified by the expert. It is also used for storing fuzzy data values into clusters. The inference engine used in the proposed scheme uses a rule-based searching for processing the results. The doctor passes the rules (as a query) to the inference engine according to symptoms of various diseases. The results are extracted from various clusters within the clouds and are sent back to the doctor. A unique patient id is associated with each result so that only those patient ids which fall in the premises specified by the doctor are presented in the results. However in extreme cases, it is possible that the information about a parameter (which is specified in the query by doctor) for a patient is not available at the cloud at a single point of time. In this case, this patient would not be included in the results of the query. 7. ALGORITHM EXPLANATION 7.1Cluster Formation: Clustering is one of the routing design methodologies, used to effectively manage network energy and to apply aggregation techniques in the network the algorithms mostly evaluate thedistance betweena pointand the cluster centroids to determine the cluster membership. The output from a clustering algorithm is basically a statistical description of the cluster centroids with the number of components in each cluster. The cluster formation techniques have been extensively exploited in WSNs. Node eccentricity, energy level of nodes, weighted cost function, received signal strength, threshold time to form cluster, delay, number of iterations, stages of rounds, are the parameters considered in cluster formation. These were the main parameters considered in cluster formation by thepreviousresearchers. It is employed with modifications, as per the application specific algorithms and protocols at present by the researchers. 7.2Storing of new values: Once each cloud is divided into clusters and initial data values are stored in respective clusters, any new values which come at the cloud are stored intoclustersaccording to algorithm initially, the individual membership function of the new value to each cluster is calculated. The maximum value of membership function is storedina variablemax and corresponding cluster number is stored in variable. The cluster having maximum membership functionfinallystores this new data value.
  • 5. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056 Volume: 06 Issue: 03 | Mar 2019 www.irjet.net p-ISSN: 2395-0072 © 2019, IRJET | Impact Factor value: 7.211 | ISO 9001:2008 Certified Journal | Page 3118 6. SAMPLE SNAPSHOTS Figure 1 Login form of Admin Figure 2 Login form of Patient Figure 3 Recorded Inserted Success Figure 4 Sensing Figure 5 Security Key File Figure 6 Home Gateway
  • 6. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056 Volume: 06 Issue: 03 | Mar 2019 www.irjet.net p-ISSN: 2395-0072 © 2019, IRJET | Impact Factor value: 7.211 | ISO 9001:2008 Certified Journal | Page 3119 7. CONCLUSIONS As healthcare applicationsgeneratelargeamountof data which varies with respect to its volume, variety, velocity, veracity, and value, there is an imminent requirement of efficient mining techniques for context- aware retrieval and processing of this class of data. This paper proposes a new fuzzy rulebased classifier to provide Healthcare-as-a-Service (HaaS) and to classify the big data generated in this environment. The proposed scheme uses cloud-based infrastructure as a repository for storage and applying analytical algorithms for retrieval of information about the patients. To apply analytics, algorithmsforclusterformation and data retrieval are designed on the basis of Expectation- Maximization and fuzzy rule-based classifier. The proposed approach is compared with existing schemes and its performance is analyzed with respect to various evaluation metrics namely-average response time, accuracy, computation cost, classification time and false positive rate. The results obtained show that the proposed scheme is effective in finding out the probable patientssufferingfroma particular disease. Moreover, the proposed scheme performed better when compared with its counterparts namely multi-layer, Bayes network and decision table in terms of classification time and false positive rate. 8. REFERENCES 1. P. Jiang, J. Winkley, C. Zhao, R. Munnoch, G. Min, and L.T. Yang, “An Intelligent Information Forwarder for Healthcare Big Data Systems With Distributed Wearable Sensors,” IEEE Systems Journal, vol. 10, no. 3, pp. 1147-1159, 2016. 2. Y. Zhang, M. Qiu, C.-W. Tsai, M. M. Hassan, and A. Alamri, “Health- CPS: Healthcare Cyber-Physical System Assistedby Cloud and Big Data,” IEEE Systems Journal, vol. 11, no. 1, pp. 88-95, 2017. 3. T.C. Havens, J.C. Bezdek, C. Leckie, L.O. Hall, and M. Palaniswami, “Fuzzy c-Means Algorithms for Very Large Data,” IEEE Transactions on Fuzzy Systems, vol.20,no.6, pp. 1130-1146, 2012. 4. S. Fong, R. Wong, and A. Vasilakos, “Accelerated PSO Swarm Search Feature Selection for Data Stream Mining Big Data,” IEEE Transactions on Service Computing, vol. 9, no. 1, pp. 33-45, 2016. 5. J. Stojanovic, D. Gligorijevic, V. Radosavljevic, N. Djuric, M. Grbovic, and Z. Obradovic, “Modeling Healthcare Quality via Compact Representations of Electronic Health Records,” IEEE/ACM Transactions on Computational Biology and Bioinformatics, vol. 14, no. 3, pp. 545-554, 2017. 6. F. Sufi and I. Khalil, “Diagnosis of Cardiovascular Abnormalities From Compressed ECG: A Data Mining-Based Approach,” IEEE Transactions on InformationTechnology in Biomedicine, vol. 15, no. 1, pp. 33-39, 2011. 7. N. Kumar, N. Chilamkurti, and J.H. Park,“ALCA: Agent Learning-based Clustering Algorithm in Vehicular Ad Hoc Networks,” Personal and Ubiquitous Computing, vol.17, no. 8, pp. 1683-1692, 2013. 8. I.A.T. Hashem, I. Yaqoob, N.B. Anuar, S. Mokhtar, A. Gani, and S.U. Khan, “The Rise of “Big Data” on Cloud Computing: Review and Open Research Issues,” Information Systems, vol. 47, pp. 98-115, 2015. 9. D. Lin, X. Wu, F. Labeau, and A. Vasilakos, “Internet of Vehicles for E-Health Applications in ViewofEMIonMedical Sensors,” Journal of Sensors, 2015, DOI: 10.1155/2015/315948. 10. Forkan, I. Khalil, and Z. Tari, “CoCaMAAL: A Cloud- oriented Context-aware Middleware in Ambient Assisted Living,” Future Generation Computer Systems, vol. 35, pp. 114-127, 2014.