A Secure and Scalable IoT-Driven Framework for Real-Time Remote Patient Monitoring and Explainable Telemedicine in Diverse Healthcare Settings

Shweta Dhondse, Philomina Jenifer A., S. Usha Nandhini, Maddhi Sunitha, Gokulnath A., Syed Zahidur Rashid

2025

Abstract

Adoption of Internet of Things (IoT) technologies in healthcare has changed the way patient data are being collected, analyzed and exploited. This study aims to present a secure, scalable, and energy-efficient IoT-based remote patient monitoring and telemedicine solution to solve the problems in the existing systems. Unlike other methods that are limited to simulations or a centralised architecture, the proposed model is evaluated on real-world data sets and is optimised for urban hospitals and rural clinics. The system leverages open-source components, HL7/FHIR interoperability layers, and edge computing low-power devices to provide a secured, constantly connected monitoring service with full capability to collect, transmit and safeguard data at the edge with minimal latency. Privacy and Security are delivered using blockchain data trails, and end to end encryption that meet global regulations. In addition, explainable AI methods including SHAP and LIME can be incorporated to give transparency and trust for decision-making in a clinical setting. The framework is robust and flexible, and patient-driven, making it widely applicable across resource-limited healthcare systems.

Paper Citation

in Harvard Style

Dhondse S., A. P., Nandhini S., Sunitha M., A. G. and Rashid S. (2025). A Secure and Scalable IoT-Driven Framework for Real-Time Remote Patient Monitoring and Explainable Telemedicine in Diverse Healthcare Settings. In Proceedings of the 1st International Conference on Research and Development in Information, Communication, and Computing Technologies - Volume 1: ICRDICCT`25; ISBN 978-989-758-777-1, SciTePress, pages 78-84. DOI: 10.5220/0013857800004919

in Bibtex Style

@conference{icrdicct`2525,
author={Shweta Dhondse and Philomina A. and S. Nandhini and Maddhi Sunitha and Gokulnath A. and Syed Rashid},
title={A Secure and Scalable IoT-Driven Framework for Real-Time Remote Patient Monitoring and Explainable Telemedicine in Diverse Healthcare Settings},
booktitle={Proceedings of the 1st International Conference on Research and Development in Information, Communication, and Computing Technologies - Volume 1: ICRDICCT`25},
year={2025},
pages={78-84},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0013857800004919},
isbn={978-989-758-777-1},
}

in EndNote Style

TY - CONF

JO - Proceedings of the 1st International Conference on Research and Development in Information, Communication, and Computing Technologies - Volume 1: ICRDICCT`25
TI - A Secure and Scalable IoT-Driven Framework for Real-Time Remote Patient Monitoring and Explainable Telemedicine in Diverse Healthcare Settings
SN - 978-989-758-777-1
AU - Dhondse S.
AU - A. P.
AU - Nandhini S.
AU - Sunitha M.
AU - A. G.
AU - Rashid S.
PY - 2025
SP - 78
EP - 84
DO - 10.5220/0013857800004919
PB - SciTePress