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Volume 13 | Issue 8 | Year 2026 | Article Id. IJECE-V13I8P106 | DOI : https://doi.org/10.14445/23488549/IJECE-V13I8P106

VitalCare-IoT: An Integrated Wearable–Gateway–Cloud Architecture with Learning-Based Analytics for Continuous Patient Observation and Health Condition Detection

A. Bharath, G. Merlin Sheeba

Received Revised Accepted Published
06 May 2026 11 Jun 2026 30 Jul 2026 31 Aug 2026

Citation :

A. Bharath, G. Merlin Sheeba, "VitalCare-IoT: An Integrated Wearable–Gateway–Cloud Architecture with Learning-Based Analytics for Continuous Patient Observation and Health Condition Detection," International Journal of Electronics and Communication Engineering, vol. 13, no. 8, pp. 79-98, 2026. Crossref, https://doi.org/10.14445/23488549/IJECE-V13I8P106

Abstract

Remote Patient Monitoring (RPM) involves using technology outside traditional healthcare facilities, such as in patients’ homes. This technology allows healthcare providers to gather patient data remotely and track their health immediately. These systems are important for improving patient outcomes, increasing access to care, managing chronic diseases, and providing personalised care cost-effectively. Monitoring patients remotely must be affordable and accessible to everyone. Innovations in technology, including Artificial Intelligence (AI) and the Internet of Things (IoT), are making remote patient monitoring systems a reality. To this end, it has developed a simple yet effective system for monitoring remote patients. This system serves a dual purpose: collecting patient data and using data analytics tools to detect potential diseases. Cloud-based IoT middleware stores the data, which is then analysed using machine learning algorithms to identify possible illnesses. Several algorithms have been proposed for monitoring patients’ vital signs and notifying patients, caregivers, or healthcare professionals. The system features user-friendly mobile and web interfaces for patients, doctors, relatives or caregivers. It can also be integrated with healthcare applications to achieve a cost-effective distant patient observation system.

Keywords

Remote Patient Monitoring, Internet of Things, Artificial Intelligence, Machine Learning, Health sensors.

References

  1. Satvika Anand, and Vijay Nath, “Study and Design of Smart Embedded System for Remote Health Monitoring Using Internet of Things,” Nanoelectronics, Circuits and Communication Systems: Proceeding of NCCS 2017, pp. 409-414, 2018.
    [    CrossRef] [Google Scholar] [Publisher Link]
  2. Divya Gupta et al., “Security Paradigm for Remote Health Monitoring Edge Devices in Internet of Things,” Journal of King Saud University – Computer and Information Sciences, vol. 35, no. 6, pp. 1-9, 2023.
    [CrossRef] [Google Scholar] [Publisher Link]
  3. Anene Nduka et al., “Internet of Things Based Remote Health Monitoring System Using Arduino,” 2019 Third International conference on I-SMAC (IoT in Social, Mobile, Analytics and Cloud) (I-SMAC), Palladam, India, pp. 572-576, 2019.
    [CrossRef] [Google Scholar] [Publisher Link]
  4. Himadri Nath Saha et al., “Health Monitoring using Internet of Things (IoT),” 2017 8th Annual Industrial Automation and Electromechanical Engineering Conference (IEMECON), Bangkok, Thailand, pp. 69-73, 2017.
    [CrossRef] [Google Scholar] [Publisher Link]
  5. Somayeh Iranpak, Asadollah Shahbahrami, and Hassan Shakeri, “Remote Patient Monitoring and Classifying using the Internet of Things Platform Combined with Cloud Computing,” Journal of Big Data, vol. 8, pp. 1-22, 2021.
    [CrossRef] [Google Scholar] [Publisher Link]
  6. Revathi Sundarasekar et al., “Internet of Things with Maximal Overlap Discrete Wavelet Transform for Remote Health Monitoring of Abnormal ECG Signals,” Journal of Medical Systems, vol. 42, no. 11, pp. 1-13, 2018.
    [    CrossRef] [Google Scholar] [Publisher Link]
  7. M.A. Akkaş, R. Sokullu, and H. Ertürk Çetin, “Healthcare and Patient Monitoring Using IoT,” Internet of Things, vol. 11, 2020.
    [    CrossRef] [Google Scholar] [Publisher Link]
  8. Yakub Mohammed et al., “Development and Implementation of an Internet of Things (IOT) Based Remote Patient Monitoring System,” 2019 15th International Conference on Electronics, Computer and Computation (ICECCO), Abuja, Nigeria, pp. 1-6, 2019.
    [CrossRef] [Google Scholar] [Publisher Link]
  9. Jemal H. Abawajy, and Mohammad Mehedi Hassan, “Federated Internet of Things and Cloud Computing Pervasive Patient Health Monitoring System,” IEEE Communications Magazine, vol. 55, no. 1, pp. 48-53, 2017.
    [    CrossRef] [Google Scholar] [Publisher Link]
  10. Jayeeta Saha et al., “Advanced IOT based Combined Remote Health Monitoring, Home Automation and Alarm System,” 2018 IEEE 8th Annual Computing and Communication Workshop and Conference (CCWC), Las Vegas, NV, USA, pp. 602-606, 2018.
    [CrossRef] [Google Scholar] [Publisher Link]
  11. Rao Naveed Bin Rais, Muhammad Sajjad Akbar, and Mohammad Aazam, “Fog-Supported Internet of Things (IoTs) Architecture for Remote Patient Monitoring Systems Using Wireless Body Area Sensor Networks,” 2018 IEEE 16th Intl Conf on Dependable, Autonomic and Secure Computing, 16th Intl Conf on Pervasive Intelligence and Computing, 4th Intl Conf on Big Data Intelligence and Computing and Cyber Science and Technology Congress(DASC/PiCom/DataCom/CyberSciTech), Athens, Greece, pp. 462-466, 2018.
    [CrossRef] [Google Scholar] [Publisher Link]
  12. Chia-Rong Su et al., “A Novel Framework for a Remote Patient Monitoring (RPM) System with Abnormality Detection,” Health Policy and Technology, vol. 8, no. 2, pp. 157-170, 2019.
    [    CrossRef] [Google Scholar] [Publisher Link]
  13. Hassan Harb et al., “A Sensor-Based Data Analytics for Patient Monitoring in Connected Healthcare Applications,” IEEE Sensors Journal, vol. 21, no. 2, pp. 974-984, 2021.
    [    CrossRef] [Google Scholar] [Publisher Link]
  14. Neethu Anna Mathew, and K.M Abubeker, “IoT based Real Time Patient Monitoring and Analysis using Raspberry Pi,” 2017 International Conference on Energy, Communication, Data Analytics and Soft Computing (ICECDS), Chennai, India, pp. 2638-2640, 2017.
    [    CrossRef] [Google Scholar] [Publisher Link]
  15. Jigna Hathaliya et al., “Blockchain-Based Remote Patient Monitoring in Healthcare 4.0,” 2019 IEEE 9th International Conference on Advanced Computing (IACC), Tiruchirappalli, India, pp. 87-91, 2019.
    [    CrossRef] [Google Scholar] [Publisher Link]
  16. Md Ashraf Uddin et al., “A Decentralized Patient Agent Controlled Blockchain for Remote Patient Monitoring,” 2019 International Conference on Wireless and Mobile Computing, Networking and Communications (WiMob), Barcelona, Spain, pp. 1-8, 2019.
    [    CrossRef] [Google Scholar] [Publisher Link]   
  17. Hoe Tung Yew et al., “IoT Based Real-Time Remote Patient Monitoring System,” 2020 16th IEEE International Colloquium on Signal Processing & Its Applications (CSPA), Langkawi, Malaysia, pp. 176-179, 2020.
    [    CrossRef] [Google Scholar] [Publisher Link]
  18. Anand Motwani, Piyush Kumar Shukla, and Mahesh Pawar, “Novel Framework based on Deep Learning and Cloud Analytics for Smart Patient Monitoring and Recommendation (SPMR),” Journal of Ambient Intelligence and Humanized Computing, vol. 14, pp. 5565-5580, 2023.
    [    CrossRef] [Google Scholar] [Publisher Link]
  19. Mohammed Imtyaz Ahmed, and Govindaraj Kannan, “Secure and Lightweight Privacy Preserving Internet of Things Integration for Remote Patient Monitoring,” Journal of King Saud University - Computer and Information Sciences, vol. 34, no. 9, pp. 6895-6908, 2022.
    [    CrossRef] [Google Scholar] [Publisher Link]
  20. Ehsan Moghadas, Javad Rezazadeh, and Reza Farahbakhsh, “An IoT Patient Monitoring based on Fog Computing and Data Mining: Cardiac Arrhythmia Usecase,” Internet of Things, vol. 11, 2020.
    [    CrossRef] [Google Scholar] [Publisher Link]
  21. Kristen N. Griggs et al., “Healthcare Blockchain System Using Smart Contracts for Secure Automated Remote Patient Monitoring,” Journal of Medical Systems, vol. 42, no. 7, 2018.
    [    CrossRef] [Google Scholar] [Publisher Link]
  22. R. Ani et al., “Iot based Patient Monitoring and Diagnostic Prediction Tool Using Ensemble Classifier,” 2017 International Conference on Advances in Computing, Communications and Informatics (ICACCI), Udupi, pp. 1588-1593, 2017.
    [    CrossRef] [Google Scholar] [Publisher Link]
  23. Amandeep Kaur, and Ashish Jasuja, “Health Monitoring based on IoT using Raspberry PI,” 2017 International Conference on Computing, Communication and Automation (ICCCA), Greater Noida, India, pp. 1335-1340, 2017.
    [CrossRef] [Google Scholar] [Publisher Link]
  24. Junaid Mohammed et al., “Internet of Things: Remote Patient Monitoring Using Web Services and Cloud Computing,” 2014 IEEE International Conference on Internet of Things (iThings), and IEEE Green Computing and Communications (GreenCom) and IEEE Cyber, Physical and Social Computing (CPSCom), Taipei, pp. 256-263, 2014.
    [CrossRef] [Google Scholar] [Publisher Link]
  25. Alexandru Archip et al., “An IoT based System for Remote Patient Monitoring,” 2016 17th International Carpathian Control Conference (ICCC), High Tatras, Slovakia, pp. 1-6, 2016.
    [CrossRef] [Google Scholar] [Publisher Link]
  26. Nora El-Rashidy et al., “Mobile Health in Remote Patient Monitoring for Chronic Diseases: Principles, Trends, and Challenges,” Diagnostics, vol. 11, no. 4, pp. 1-32, 2021.
    [    CrossRef] [Google Scholar] [Publisher Link]
  27. Mohammed K. Hassan et al., “Intelligent Hybrid Remote Patient-Monitoring Model with Cloud-Based Framework for Knowledge Discovery,” Computers & Electrical Engineering, vol. 70, pp. 1034-1048, 2018.
    [    CrossRef] [Google Scholar] [Publisher Link]
  28. Bharat Kumar G.J, “Internet of Things (IoT) and Cloud Computing based Persistent Vegetative State Patient Monitoring System: A Remote Assessment and Management,” 2018 International Conference on Computational Techniques, Electronics and Mechanical Systems (CTEMS), Belgaum, India, pp. 301-305, 2018.
    [CrossRef] [Google Scholar] [Publisher Link]
  29. Mehdi Hosseinzadeh et al., “An Elderly Health Monitoring System Based on Biological and Behavioral Indicators in Internet of Things,” Journal of Ambient Intelligence and Humanized Computing, vol. 14, pp. 5085-5095, 2023.
    [    CrossRef] [Google Scholar] [Publisher Link]
  30. Amarjit Singh Dhillon et al., “A Mobile Complex Event Processing System for Remote Patient Monitoring,” 2018 IEEE International Congress on Internet of Things (ICIOT), San Francisco, CA, USA, pp. 180-183, 2018.
    [CrossRef] [Google Scholar] [Publisher Link]
  31. Mohammad Salah Uddin, Jannat Binta Alam, and Suraiya Banu, “Real Time Patient Monitoring System based on Internet of Things,” 2017 4th International Conference on Advances in Electrical Engineering (ICAEE), Dhaka, Bangladesh, pp. 516-521, 2017.
    [    CrossRef] [Google Scholar] [Publisher Link]
  32. Prabal Verma, and Sandeep K. Sood, “Fog Assisted-IoT Enabled Patient Health Monitoring in Smart Homes,” IEEE Internet of Things Journal, vol. 5, no. 3, pp. 1789-1796, 2018.
    [    CrossRef] [Google Scholar] [Publisher Link]
  33. Ehsan Moghadas, Javad Rezazadeh, and Reza Farahbakhsh, “An IoT Patient Monitoring based on Fog Computing and Data Mining: Cardiac Arrhythmia Usecase,” Internet of Things, vol. 11, 2020.
    [    CrossRef] [Google Scholar] [Publisher Link]
  34. Pandia Rajan Jeyaraj, and Edward Rajan Samuel Nadar, “Smart-Monitor: Patient Monitoring System for IoT-Based Healthcare System Using Deep Learning,” IETE Journal of Research, vol. 68, no. 2, pp. 1453-1442, 2022.
    [    CrossRef] [Google Scholar] [Publisher Link]
  35. F. Shanin et al., “Portable and Centralised E-Health Record System for Patient Monitoring Using Internet of Things (IoT),” 2018 International CET Conference on Control, Communication, and Computing (IC4), Thiruvananthapuram, India, pp. 165-170, 2018.
    [CrossRef] [Google Scholar] [Publisher Link]
  36. Ahmed Dridi, Salma Sassi, and Sami Faiz, “A Smart IoT Platform for Personalized Healthcare Monitoring Using Semantic Technologies,” 2017 IEEE 29th International Conference on Tools with Artificial Intelligence (ICTAI), Boston, MA, USA, pp. 1198-1203, 2017.
    [    CrossRef] [Google Scholar] [Publisher Link]
  37. Andreas P. Plageras et al., “Efficient Large-scale Medical Data (eHealth Big Data) Analytics in Internet of Things,” 2017 IEEE 19th Conference on Business Informatics (CBI), Thessaloniki, Greece, pp. 21-27, 2017.
    [    CrossRef] [Google Scholar] [Publisher Link]
  38. Olakunle Elijah et al., “An Overview of Internet of Things (IoT) and Data Analytics in Agriculture: Benefits and Challenges,” IEEE Internet of Things Journal, vol. 5, no. 5, pp. 3758-3773, 2018.
    [    CrossRef] [Google Scholar] [Publisher Link]
  39. Chaomin Li, “Information Processing in Internet of Things using Big Data Analytics,” Computer Communications, vol. 160, pp. 718-729, 2020.
    [    CrossRef] [Google Scholar] [Publisher Link]
  40. Mirza Mansoor Baig et al., “A Systematic Review of Wearable Patient Monitoring Systems – Current Challenges and Opportunities for Clinical Adoption,” Journal of Medical Systems, vol. 41, no. 7, 2017.
    [    CrossRef] [Google Scholar] [Publisher Link]
  41. Nonita Sharma et al., “A Smart Ontology-Based IoT Framework for Remote Patient Monitoring,” Biomedical Signal Processing and Control, vol. 68, pp. 1-12, 2021.
    [    CrossRef] [Google Scholar] [Publisher Link]
  42. Minhee Kang et al., “Recent Patient Health Monitoring Platforms Incorporating Internet of Things-Enabled Smart Devices,” International Neurourology Journal, vol. 22, no. 4, pp. 76-82, 2018.
    [CrossRef] [Google Scholar] [Publisher Link]
  43. Olutosin Taiwo, and Absalom E. Ezugwu, “Smart Healthcare Support for Remote Patient Monitoring During Covid-19 Quarantine,” Informatics in Medicine Unlocked, vol. 20, pp. 1-12, 2020.
    [    CrossRef] [Google Scholar] [Publisher Link]
  44. Neethu Anna Mathew, and K.M Abubeker, “IoT based Real Time Patient Monitoring and Analysis using Raspberry Pi 3,” 2017 International Conference on Energy, Communication, Data Analytics and Soft Computing (ICECDS), Chennai, India, pp. 2638-2640, 2017.
    [CrossRef] [Google Scholar] [Publisher Link]
  45. Mazin Alshamrani, “IoT and Artificial Intelligence Implementations for Remote Healthcare Monitoring Systems: A Survey,” Journal of King Saud University - Computer and Information Sciences, vol. 34, no. 8, pp. 4687-4701, 2022.
    [    CrossRef] [Google Scholar] [Publisher Link]
  46. Shuchi Juyal, Sachin Sharma, and Amal Shankar Shukla, “Smart Skin Health Monitoring using AI-Enabled Cloud-Based IoT,” Materials Today: Proceedings, vol. 46, pp. 10539-10545, 2021.
    [    CrossRef] [Google Scholar] [Publisher Link]
  47. Mohsin Raza et al., “Intelligent IoT Framework for Indoor Healthcare Monitoring of Parkinson’s Disease Patient,” IEEE Journal on Selected Areas in Communications, vol. 39, no. 2, pp. 593-602, 2021.
    [    CrossRef] [Google Scholar] [Publisher Link]
  48. Md. Shahjalal et al., “An Overview of AI-Enabled Remote Smart- Home Monitoring System Using LoRa,” 2020 International Conference on Artificial Intelligence in Information and Communication (ICAIIC), Fukuoka, Japan, pp. 510-513, 2020.
    [    CrossRef] [Google Scholar] [Publisher Link]
  49. Md. Ashraf Uddin et al., “Continuous Patient Monitoring with a Patient Centric Agent: A Block Architecture,” IEEE Access, vol. 6, pp. 32700-32726, 2018.
    [    CrossRef] [Google Scholar] [Publisher Link]
  50. Hamoud H. Alshammari et al., “The Internet of Things Healthcare Monitoring System based on MQTT Protocol,” Alexandria Engineering Journal, vol. 69, pp. 275-287, 2023.
    [    CrossRef] [Google Scholar] [Publisher Link]
  51. Naveen Mukati et al., “Healthcare Assistance to COVID-19 Patient using Internet of Things (IoT) Enabled Technologies,” Materials Today: Proceedings, vol. 80, pp. 3777-3781, 2023
    [    CrossRef] [Google Scholar] [Publisher Link]
  52. Khairul Islam et al., “Internet of Things- (IoT-) Based Real-Time Vital Physiological Parameter Monitoring System for Remote Asthma Patients,” Wireless Communications and Mobile Computing, vol. 2022, no. 1, pp. 1-22, 2022.
    [    CrossRef] [Google Scholar] [Publisher Link]
  53. Salka Rahman et al., “Post-Covid Remote Patient Monitoring using Medical Internet of Things and Machine Learning Analytics,” Scalable Computing: Practice and Experience, vol. 24, no. 1, pp. 1-16, 2023.
    [CrossRef] [Google Scholar] [Publisher Link]
  54. Aditya Singh et al., “Design and Development of IoT Based Patient Monitoring System with Smart Medicine Box,” SSRN, pp. 1-8, 2023.
    [    CrossRef] [Google Scholar] [Publisher Link]
  55. Md. Reazul Islam et al., “Deep Learning-Based IoT System for Remote Monitoring and Early Detection of Health Issues in Real-Time,” Sensors, vol. 23, no. 11, pp. 1-18, 2023.
    [    CrossRef] [Google Scholar] [Publisher Link]
  56. Nafisa Shamim Rafa et al., “IoT-Based Remote Health Monitoring System Employing Smart Sensors for Asthma Patients during COVID-19 Pandemic,” Wireless Communications and Mobile Computing, vol. 2022, no. 1, pp. 1-15, 2022.
    [    CrossRef] [Google Scholar] [Publisher Link]
  57. Ju-Yu Wu et al., “IoT-based Wearable Health Monitoring Device and its Validation for Potential Critical and Emergency Applications,” Frontiers in Public Health, vol. 11, pp. 1-13, 2023.
    [    CrossRef] [Google Scholar] [Publisher Link]
  58. Aditya Chowdhary, Gajanan Gomare, and Sumit Kumar Jindal, “IoT based Wearable Health Monitoring System for COVID-19 Patients,” Workshop on Applied Computing, pp. 1-10, 2022.
    [    Google Scholar] [Publisher Link]
  59. Abderahman Rejeb et al., “The Internet of Things (IoT) in Healthcare: Taking Stock and Moving Forward,” Internet of Things, vol. 22, pp. 1-23, 2023.
    [    CrossRef] [Google Scholar] [Publisher Link]
  60. Malik Bader Alazzam, Fawaz Alassery, and Ahmed Almulihi, “A Novel Smart Healthcare Monitoring System Using Machine Learning and the Internet of Things,” Wireless Communications and Mobile Computing, vol. 2021, no. 1, pp. 1-8, 2021.
    [    CrossRef] [Google Scholar] [Publisher Link]
  61. Mudassar Ali Khan et al., “Visualization of Remote Patient Monitoring System Based on Internet of Medical Things,” Sustainability, vol. 15, no. 10, pp. 1-15, 2023.
    [    CrossRef] [Google Scholar] [Publisher Link]
  62. Lakshmana Kumar Ramasamy et al., “Secure Smart Wearable Computing through Artificial Intelligence-Enabled Internet of Things and Cyber-Physical Systems for Health Monitoring,” Sensors, vol. 22, no. 3, pp. 1-16, 2022.
    [    CrossRef] [Google Scholar] [Publisher Link]
  63. Collins Bugingo et al., “Advances in Seed Health Testing: Integrating Molecular Diagnostics, Imaging, and AI for Enhanced Quality Assurance,” Seeds, vol. 5, no. 1, pp. 1-50, 2026.
    [    CrossRef] [Google Scholar] [Publisher Link]
  64. Kegomoditswe Boikanyo et al., “Remote Patient Monitoring Systems: Applications, Architecture, and Challenges,” Scientific African, vol. 20, pp. 1-28, 2023.
    [CrossRef] [Google Scholar] [Publisher Link]
  65. J. Mohana et al., “Application of Internet of Things on the Healthcare Field Using Convolutional Neural Network Processing,” Journal of Healthcare Engineering, vol. 2022, no. 1, pp. 1-7, 2022.
    [    CrossRef] [Google Scholar] [Publisher Link]
  66. Nouf Abdullah Almujally et al., “Monitoring Acute Heart Failure Patients Using Internet-of-Things-Based Smart Monitoring System,” Sensors, vol. 23, no. 10, pp. 1-22, 2023.
    [CrossRef] [Google Scholar] [Publisher Link]
  67. R. Gayathri et al., “A Comprehensive Health Assessment Approach Using Ensemble Deep Learning Model for Remote Patient Monitoring with IoT,” Scientific Reports, vol. 14, pp. 1-23, 2024.
    [    CrossRef] [Google Scholar] [Publisher Link]
  68. Bazeer Ahamed et al., “Design of an Energy-Efficient IOT Device-Assisted Wearable Sensor Platform for Healthcare Data Management,” Measurement: Sensors, vol. 30, pp. 1-7, 2023.
    [    CrossRef] [Google Scholar] [Publisher Link]
  69. Tehseen Baig et al., “An Edge–Fog–Cloud IoT Framework for Real-Time Cardiac Monitoring and Rapid Clinical Alerts in Hospital Wards,” Future Internet, vol. 18, no. 3, pp. 1-31, 2026.
    [    CrossRef] [Google Scholar] [Publisher Link]
  70. Amaan Javed et al., “Cloud Based Smart Healthcare Monitoring System Using Machine Learning,” Journal Publication of International Research for Engineering and Management, vol. 4, no. 4, pp. 1-11, 2026.
    [    CrossRef] [Google Scholar] [Publisher Link]