Digital health in smart cities: Rethinking the remote health monitoring architecture on combining edge, fog, and cloud.

IF 3.1 Q2 MEDICAL INFORMATICS
Health and Technology Pub Date : 2023-01-01 Epub Date: 2023-04-27 DOI:10.1007/s12553-023-00753-3
Vinicius Facco Rodrigues, Rodrigo da Rosa Righi, Cristiano André da Costa, Felipe André Zeiser, Bjoern Eskofier, Andreas Maier, Daeyoung Kim
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引用次数: 0

Abstract

Purpose: Smart cities that support the execution of health services are more and more in evidence today. Here, it is mainstream to use IoT-based vital sign data to serve a multi-tier architecture. The state-of-the-art proposes the combination of edge, fog, and cloud computing to support critical health applications efficiently. However, to the best of our knowledge, initiatives typically present the architectures, not bringing adaptation and execution optimizations to address health demands fully.

Methods: This article introduces the VitalSense model, which provides a hierarchical multi-tier remote health monitoring architecture in smart cities by combining edge, fog, and cloud computing.

Results: Although using a traditional composition, our contributions appear in handling each infrastructure level. We explore adaptive data compression and homomorphic encryption at the edge, a multi-tier notification mechanism, low latency health traceability with data sharding, a Serverless execution engine to support multiple fog layers, and an offloading mechanism based on service and person computing priorities.

Conclusions: This article details the rationale behind these topics, describing VitalSense use cases for disruptive healthcare services and preliminary insights regarding prototype evaluation.

Abstract Image

Abstract Image

Abstract Image

智慧城市中的数字健康:重新思考边缘、雾和云相结合的远程健康监测架构。
目的:支持医疗服务执行的智慧城市如今越来越明显。在这里,使用基于物联网的生命体征数据来服务于多层架构是主流。最先进的技术提出了边缘、雾和云计算的组合,以有效地支持关键的健康应用程序。然而,据我们所知,计划通常呈现架构,而不是带来适应和执行优化来充分满足健康需求。方法:本文介绍了VitalSense模型,该模型结合边缘、雾和云计算,在智能城市中提供了一种分层的多层远程健康监测架构。结果:尽管使用了传统的组合,但我们的贡献体现在处理每个基础设施级别上。我们探索了边缘的自适应数据压缩和同态加密、多层通知机制、数据分片的低延迟健康可追溯性、支持多个雾层的无服务器执行引擎,以及基于服务和个人计算优先级的卸载机制。结论:本文详细介绍了这些主题背后的基本原理,描述了VitalSense用于颠覆性医疗服务的用例,以及关于原型评估的初步见解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Health and Technology
Health and Technology MEDICAL INFORMATICS-
CiteScore
7.10
自引率
0.00%
发文量
83
期刊介绍: Health and Technology is the first truly cross-disciplinary journal on issues related to health technologies addressing all professions relating to health, care and health technology.The journal constitutes an information platform connecting medical technology and informatics with the needs of care, health care professionals and patients. Thus, medical physicists and biomedical/clinical engineers are encouraged to write articles not only for their colleagues, but directed to all other groups of readers as well, and vice versa.By its nature, the journal presents and discusses hot subjects including but not limited to patient safety, patient empowerment, disease surveillance and management, e-health and issues concerning data security, privacy, reliability and management, data mining and knowledge exchange as well as health prevention. The journal also addresses the medical, financial, social, educational and safety aspects of health technologies as well as health technology assessment and management, including issues such security, efficacy, cost in comparison to the benefit, as well as social, legal and ethical implications.This journal is a communicative source for the health work force (physicians, nurses, medical physicists, clinical engineers, biomedical engineers, hospital engineers, etc.), the ministries of health, hospital management, self-employed doctors, health care providers and regulatory agencies, the medical technology industry, patients'' associations, universities (biomedical and clinical engineering, medical physics, medical informatics, biology, medicine and public health as well as health economics programs), research institutes and professional, scientific and technical organizations.Health and Technology is jointly published by Springer and the IUPESM (International Union for Physical and Engineering Sciences in Medicine) in cooperation with the World Health Organization.
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