A Framework for Real-time Remote ECG Monitoring and Diagnoses

Enabled by the fast development of Internet of Things (IoT) technologies in recent years, the healthcare domain has witnessed significant advancements in wearable devices that seamlessly collect vital medical information. With the availability of IoT devices serving the healthcare domain, extraordinary amounts of sensory data are generated in real-time, requiring immediate diagnoses and attention in critical medical conditions. The provision of remote patient monitoring (RPM) and analytics infrastructure proved to be fundamental components of the healthcare domain during the Coronavirus pandemic. Traditional healthcare services are digitized and offered virtually, where patients are monitored and managed remotely without the need to go to hospitals. This paper presents a comprehensive RPM framework for real-time telehealth operations with scalable data monitoring, real-time analytics and decision-making, fine-grained data access and robust notification mechanisms in emergencies and critical health conditions. We focus on the overall framework architecture, enabling technologies integration, various system-level integrations and deployment options. Furthermore, we provide a use case application for patients with chronic heart conditions for real-time electrocardiogram (ECG) monitoring. We are releasing the framework as open-source software to the active research community.