Adaptation and application of the IEEE 2413-2019 standard security mechanisms to IoMT systems

Healthcare information systems are evolving from traditional centralised architectures towards highly-mobile distributed environments within the connected health context. The IoMT paradigm is at the forefront of this technological revolution underlying the development of communication infrastructures connecting smart medical devices, healthcare information systems and services. The IEEE 2413 standard, a promising general architectural framework for the design and implementation of IoT systems, has recently been announced. This standard proposes a general description for different types of domains, including healthcare, but it does not contain an extension developed for the IoMT systems domain. This paper presents a first approach to adapt the IEEE 2413 standard to the design of IoMT systems from a security perspective, considering the most relevant aspects of the standard for the construction of this type of systems. The application to an IoMT system for monitoring patients with chronic obstructive pulmonary disease is presented as a use case.Fundación Mutua MadrileñaSociedad Española de Diabete

RAMi: a new Real-time internet of medical things Architecture for elderly patient Monitoring

peer reviewedThe aging of the world's population, the willingness of elderly to remain independent, and the recent COVID-19 pandemic have demonstrated the urgent need for home-based diagnostic and patient monitoring systems to reduce the financial and organizational burdens that impact healthcare organizations and professionals. The Internet of Medical Things (IoMT) i.e., all medical devices and applications that connect to health information systems through online computer networks. The IoMT} is one of domains of IoT where the real-time processing of data and reliability are crucial. In this paper, we propose RAMi, which is a Real-Time Architecture for the Monitoring of elderly patients thanks to the Internet of Medical Things. This new architecture associating a Things layer where data is retrieved from sensors or smartphone, a Fog layer built on a smart gateway, Mobile Edge Computing (MEC), a cloud component, blockchain, and Artificial Intelligence (AI) to addresses concerns of IoMT. Data is processed at Fog level, MEC or cloud in function of the workload, resource requirements, and the level of confidentiality. A local blockchain allows workload orchestration between Fog, MEC, and Cloud while a global blockchain secures exchanges and data sharing using smart contracts. Our architecture allows us to follow elderly people and patient during and after their hospitalization. In addition, our architecture allows the use of federated learning to train AI algorithms while respecting privacy and data confidentiality. AI is also used to detect patterns of intrusion.9. Industry, innovation and infrastructur

IoMT amid COVID-19 pandemic: Application, architecture, technology, and security

In many countries, the Internet of Medical Things (IoMT) has been deployed in tandem with other strategies to curb the spread of COVID-19, improve the safety of front-line personnel, increase efficacy by lessening the severity of the disease on human lives, and decrease mortality rates. Significant inroads have been achieved in terms of applications and technology, as well as security which have also been magnified through the rapid and widespread adoption of IoMT across the globe. A number of on-going researches show the adoption of secure IoMT applications is possible by incorporating security measures with the technology. Furthermore, the development of new IoMT technologies merge with Artificial Intelligence, Big Data and Blockchain offers more viable solutions. Hence, this paper highlights the IoMT architecture, applications, technologies, and security developments that have been made with respect to IoMT in combating COVID-19. Additionally, this paper provides useful insights into specific IoMT architecture models, emerging IoMT applications, IoMT security measurements, and technology direction that apply to many IoMT systems within the medical environment to combat COVID-19