Yashraj any time in a comfortable home environment, society’s

Yashraj
Kotian

CMPN,
Thakur College of Engineering

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and
Technology, Kandivali-East,

Mumbai,
India

[email protected]

 

Pawankumar Dubey

CMPN,
Thakur College of Engineering

and
Technology, Kandivali-East,

Mumbai,
India

[email protected]

 

 

Romil Badami

CMPN,
Thakur College of Engineering

and
Technology, Kandivali-East,

Mumbai,
India

[email protected]

 

Vivek Giri

CMPN,
Thakur College of Engineering

and
Technology, Kandivali-East,

Mumbai,
India

[email protected]

 

Dr. Rekha Sharma

CMPN,
Thakur College of Engineering

and
Technology, Kandivali-East,

Mumbai,
India

[email protected]

 

 

Abstract—
Now a
day’s healthcare is a huge factor for systems which are struggling with aging
population, prevalence of chronic diseases, and the accompanying rising costs.
In response to these challenges, researchers have been actively seeking for
innovative solutions and new technologies that could improve the quality of
patient care meanwhile reduce the cost of care through early
detection/intervention and more effective disease/patient management. It is
envisaged that the future healthcare system should be preventive, predictive,
personalized, pervasive, participatory, patient-centered, and precise, i.e.,
p-health system. Health informatics, which is an emerging interdisciplinary
area to advance p-health, mainly deals with the acquisition, transmission,
processing, storage, retrieval, and use of different types of health and
biomedical information. The two main acquisition technologies of health
information are sensing and imaging. This paper focuses only on sensing
technologies and reviews the latest developments in sensing and wearable
devices for continuous health monitoring and accessing the information.

Keywords— IOT, Intelligent System, Healthcare Management system,
Wearable medical sensors

 

 Introduction

With the development of world, Health
monitoring system is used in every field such as hospital, home care unit,
sports. A promising trend in healthcare is to move routine medical checks and
other healthcare services from hospital (Hospital-Centric) to the home
environment (Home-Centric).By doing so, the patients can get seamless
healthcare at any time in a comfortable home environment, society’s financial
burden could be greatly reduced by remote treatment by providing medicines
using medical box, limited hospital resources can be released for people in
need of emergency care. In this paper, using IoT devices is proposed to collect
the required parameters and evaluate the data obtained from the IoT devices. It
also notifies the patient with possible precautionary measures to be practiced
by them. This system suggests the patient with medical care and next step to be
followed in case of critical situation. The existing system are lacking some
important features such as portability, efficiency, cost efficiency,
reliability, overhead and complicated user interface which can be overcome in
our system. The current system is 
available in only single user environment which can be extended to
multiuser environment in the future.  This system is evaluated for certain
parameters and the decisions made on the data obtained from the source are
assumed to evaluate the system 12.

 

1.1               
Motivation

Monitoring health with respect to monitor the values of heart beat, body
temperature and blood pressure. Hence all these data will be monitored by the
doctor and the prescriptions will be provided on time. Sometime it is observed
that patients get annoyed going to hospital regularly for checkups.  Above described problem can easily get
solved, if we make a home medical checkup for heartbeat, body temperature and
blood pressure monitoring system. So we are proposing to make a Healthcare
Management System in which our idea is to create a portable device that can
measure the patient’s heartbeat, body temperature, blood pressure and store and
analyze this data and in case of any abnormality in the patient’s heartbeat,
body temperature or blood pressure, send a notification to the family doctor,
upon which doctor can prescribe a medicine or notify an ambulance which will
benefit the patient. This will assure everyone a decent healthcare 3.

1.2               
Problem Definition

In India many patients are
dying because of ill health  and reason
behind this factor is that they are not getting proper help during this period.
To give them timely and proper help first we want continuous monitoring of
patient health. Our system is developed for home use by patients that are not
in a critical condition but need to be timely monitored by doctor or family. In
any critical condition the Notification is send to the doctor or any family
member. So that we can easily save many lives by providing them quick service
34.

 

1.3   Objectives of Project

To Provide Regular Notifications to the doctor. It will be
also helpful for people who are living alone in their house and don’t have
anyone to help (could be elder person).System will inform doctor if there is
any emergency or critical value in heartbeat, body temperature or in blood
pressures value. This System will take day to day update of patient’s heartbeat,
body temperature and blood pressure1.

1.4     Scope of the project

The system collects
information like temperature, pulse rate, cough and cold of the patient and
updates the same to the doctor. The doctor can monitor the progress of
patients’ health now and then to advise them about their health. This paper
focuses on single user environment which can be extended to multiuser
environment. The system can be extended by adding more features like leading
doctor’s list and their specialties, hospitals and their special facilities
etc., Doctors can create awareness about diseases and their symptoms through
the mobile application. From the evaluation and the result obtained from
analysis the system is better for patients and the doctor to improve their patients’
medical evaluation 123.

 

1.5 Applications of the Project

The paper has a variety of application such as Remote
Patient monitoring-which can be used for remotely monitoring of patient, Body
temperature status-for the continuous monitoring, heartbeat monitoring-for
monitoring patient’s heart rate, Hospitals Old age homes 4.

1.6    Projects Impact Analysis

The System has various impact such as hospital stays
are minimized due to Remote Patient Monitoring, Patient health parameter data
is stored in data log. So it is more beneficial than maintaining the records on
printed papers kept in the files, In critical condition an emergency call is
given to ICU and ambulance, Doctors can give prescription without visiting to
patient, Disable patients can use this project, Highly sensitive, Complete
elimination of manpower, Easy to install and Use124.

 

 

2        
Literature Survey

We have conducted a literature survey based upon which we have concluded
the differences in the existing system and proposed system which can be seen in
the below figure, fig-1 Existing vs Proposed System 12345678.

Parameter

Existing System

Proposed System

No. of Components used

Many(large components)

Medium(As compared to others)

Cost

High

Medium

Portable and compact

Portable and compact(due to wearable tags)

Portable and compact (due to size)

Type of Kit(Arduino Uno/Raspberry pi)

Raspberry Pi

1.Arduino UNO
2.Bluetooth
3.WiFi Module
4.RFID
5.Switch
6.Heartbeat ,
BP and Temperature Sensors
7.Motor Drive and DC Motor
8.Power Supply Modules
Software :
1.Android App(GSM+GPS)
 

Overhead
and Speed/Time

Yes overhead- This system build a
network among all
entities (doctors,
patients, Labs,
Pharmacists, Nurses).
Speed –slow
Time – More
 

No Overhead.
1. As no need of carrying and caring of intelligent jackets.
2.Our System contains One small sized tool box in which all
components will be fixed and
One more advantage is after prescription of doctor prescribed
medicine will be given to patient through the Medical Box Automatically.
 

User Interface

Complicated

User Friendly
And
Interactive
 

 

 

 

 

3 Proposed
Work

The compact box will collect the information related
to blood pressure, heart beat and body temperature. These data will be send by
using IOT to the doctor as shown in fig-2.1 Block diagram (patient side).Doctor
will monitor the data and if there is critical values in the data then doctor
will prescribe some medicine to the patients by his android mobile as shown in
fig 2.2 Block Diagram(Data side) and fig 2.3 Block Diagram(Patient side) 12.

According to the prescription of doctor the I-MED box
will get notified and some medicine will come out from the I-MED box.

 

 

 

 

The respected patient will take the medicine. To check
whether the specific patients has taken medicine the RFID is used at the
patient and the I-MED box side. After taking the medicine the doctor will be
acknowledged. While travelling if patient faces accident or any critical
problem during anytime then in this case patient can press the switch which
would be there in compact box. After pressing the switch the specific ambulance
will get notified by the Current location of the patients as shown in fig-2.1
Block diagram(patient side),fig 2.2 Block Diagram(Data side) and fig 2.3 Block
Diagram(Patient side) 124.

Fig
2.1: Block Diagram (Patient Side)

     Fig 2.2: Block Diagram (Data Side)

 

 

Fig
2.3: Block Diagram (Medical Box Side)

 

4        
Expected Outcome

This system would be more reliable as compare to
existing systems. Reduction
in Efforts of going to hospital regularly for checkups. Greatly help to local
community, elderly people and patients. It will make a convenient and
effortless monitoring system. It will
help to keep the people aware of their health 134.

 

 

Fig 3: Software
Architecture.

 

5  Workflow

Patient
side (Arduino module):

Temperature
sensor will sense the temperature, heartbeat sensor will give the pulse count
and blood pressure will give information of blood pressure of patient continuously
through arduino uno using wifi module and will be updated in datalog. One
panic/emergency switch is provided to inform Critical conditions directly.  Monitoring will be continuous. This kit and
medical box will be near to patient and both will be connect through RFID
Module. ( Patient side Tx and box side Rx). Bluetooth module will be present to
patient side kit to connect module with patient side android app, if person is
going out from the home then to send his/ her location in critical condition
(through app patient can call to the doctor or concern person and can get his/
her status ) as shown in fig-2.1 Block diagram (patient side) and fig-3
Software Architecture 13.

 

Server
( PC):

Server
will collect the data from patient side kit and will update it in datalog. It
will check if the condition is normal or critical, according to that action will
be taken. If the condition is not normal the doctor will get notification in
his/her android app. The message will be in text as well as in speech form.
After that according to patient condition doctor will take an action. If the
condition is critical, it will inform to doctor about this and doctor will send
sms to an ambulance as well as an ICU from doctor side app. If doctor gives any
prescription to patient, it will a send signal to medical box kit to open the
mentioned tablet box. And after getting a reply from medical box that patient
has taken the medicine it will send indication to doctor about same via single
switch (which is mounted at medicine box side) as shown in fig-

 

2.2 Block
Diagram (Data side), fig 2.3 Block Diagram(Patient side) and fig-3 Software
Architecture 12.

 

Doctor
side (android app) :

After
getting a notification in text as well as speech format, doctor will take an
action according to patient condition. If any prescriptions has to be given to
a patient, it will send that in server through android app. Doctor will get
notification through server when patient will take his medicines as shown
in fig 2.2 Block Diagram(Data side), fig 2.3 Block Diagram(Patient side) and
fig-3 Software Architecture 14..

 

Medical
Box ( Arduino Module ):

 The medical box will be kept near to patient
and connect through RFID Rx. When doctor gives any prescription, server notifies
to medical box kit about it. And according to respective tablet will come out
and buzzer will buzz as indication to patient, that he/she has to take a
tablet. After taking a medicine, patient will press the switch as an indication
that he/she has taken the medicine.If any unauthorized person is taking the
tablet that is RFID Receivers receiving frequency is not matching with
frequency transmitting from RFID Transmitter and acknowledging it through
switch, then box kit will not send any signal to server. Only an authorized
person can send the signal after taking the tablet.All the modules will be
connected through wifi (Intranet connection same router for all wifi modules)
and numbers we can mentioned in Android app which at doctor side as
shown in fig-2.1 Block diagram(patient side),fig 2.2 Block Diagram(Data side),
fig 2.3 Block Diagram(Patient side) and  fig-3 Software Architecture 1345.

 

 

 

 

 

 

 

 

Conclusion

An efficient system is developed
to monitor the up to date status of the patient irrespective of the presence of
the doctor. The system collects information like temperature, pulse rate, cough
and cold of the patient and updates the same to the doctor. The doctor can
monitor the progress of patients’ health now and then to advise them about
their health. The system can be extended by adding more features like leading
doctor’s list and their specialties, hospitals and their special facilities
etc., Doctors can create awareness about diseases and their symptoms through
the mobile application. From the evaluation and the result obtained from
analysis the system is better for patients and the doctor to improve their
patients’ medical evaluation.

References

1 Durga
 Amarnath  M. Budida,Dr. R. S. Mangrulkar ,M. Tech. Computer Science
and Engineering  Head and Professor, Department of Computer Engineering,
BDCE Sewagram. International Conference On Emanations in Modern Engineering
Science and Management (ICEMESM-2017) .

2 Prashant
Patil, Rohan Waichal, UtkatshaKumbhar, VaidehiGadkari ,”Patient Health
Monitoring System using IOT”, International Research Journal of Engineering and
Technology (IRJET) e-ISSN: 2395 -0056 Volume: 04 Issue: 01 | Jan -2017
www.irjet.net p-ISSN: 2395-0072 Jan-2017

3 R.Kumar,
Dr.M.PallikondaRajasekaran,” AN IOT BASED PATIENT MONITORING SYSTEM USING
RASPBERRY PI”,Computing Technologies and Intelligent Data Engineering
(ICCTIDE), International Conference, 10.1109/ICCTIDE.
2016.7725378.

4  K.
Natarajan, B. PrasathP. Kokila,” Smart Health Care System Using Internet of
Things”, Journal of Network Communications and Emerging Technologies (JNCET)
www.jncet.org Volume 6, Issue 3, March (2016).

5 P. Raga Lavima1 , Mr. G. Subhramanya Sarma2,” AN IOT BASED
INTELLIGENT MEDICINE BOX” , International Journal of Computer Science and
Mobile Computing, Vol.4 Issue.10, October- 2015, pg. 186-191

6Geng Yang, Li Xie, Matti Mäntysalo, Xiaolin Zhou, Member,
IEEE, Zhibo Pang, Li Da Xu, Sharon Kao-Walter, Qiang Chen, Lirong Zheng.

7Patient Health Monitoring System using IOT Prashant
Patil, Rohan Waichal, Utkatsha Kumbhar, Vaidehi Gadkari

Jan-2017.

8 Mir Sajjad Hussain Talpur   School of
Information Science & Engineering, Central South University (CSU), 410083 –
Changsha, China